Nursing Ethics and Workplace Inclusion

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Questions and Answers

What must nurses do when they have a conscientious objection related to moral or religious conflicts?

Refuse to provide any patient care

Provide emergency care until alternatives are available (correct)

Request dismissal from their responsibilities

Immediately resign from their position

Which organization acknowledges that racism and discrimination are embedded in the nursing profession?

Canadian Association Schools of Nursing

Canadian Nurses Association (CNA)

Both B and C (correct)

Registered Nurses Association of Ontario (RNAO)

What is NOT a purpose of a scoping review?

Assess the quality of included studies (correct)

Make recommendations for future research

Identify gaps in the literature

Provide a descriptive summary of sources

How should employers approach nurses who may have a conscientious objection?

Inform them of role expectations prior to hiring Signup and view all the answers

What is one of the responsibilities outlined in the CNA Code of Ethics regarding conscientious objection?

To inform employers about potential conflicts in advance Signup and view all the answers

In what year did agencies and workplaces begin prioritizing a more inclusive environment?

2020 Signup and view all the answers

The right to a healthy work environment primarily focuses on which aspect?

Ensuring resources and structures are available Signup and view all the answers

Which type of care should nurses provide in the case of a conscientious objection where immediate care is required?

Emergency care Signup and view all the answers

Which of the following is an aspect of culturally safe abortion care?

Respecting client confidentiality and autonomy Signup and view all the answers

What does a scoping review typically aim to identify?

Types of available evidence in a given area Signup and view all the answers

What is one primary purpose of developing human resource strategies in healthcare settings?

To address retention and proactive recruitment of staff Signup and view all the answers

Which of the following is NOT one of the three dimensions of a healthy work environment as represented in the National Quality Institute model?

Occupational safety practices Signup and view all the answers

What is a critical component of effective orientation programs for new graduates in nursing?

Facilitating an effective transition to practice Signup and view all the answers

Under what circumstances can a worker refuse to work in unsafe conditions?

If the refusal does not endanger the life, health, or safety of others Signup and view all the answers

Which of the following constitutes workplace violence against nurses?

Bullying and harassment from coworkers Signup and view all the answers

What is a potential consequence of not adhering to the obey and grieve rule in nursing?

Professional misconduct charges Signup and view all the answers

Which of the following statements best describes the function of a collective agreement in healthcare?

It provides mechanisms for resolving disputes and negotiating employment terms Signup and view all the answers

What is a significant risk faced by nurses working in high-risk communities?

Increased exposure to frequent workplace violence Signup and view all the answers

Which of the following best describes the role of unions in the workplace?

They negotiate on behalf of their members for favorable terms Signup and view all the answers

What is the primary objective of employing personal protective equipment (PPE) in healthcare settings?

To minimize the risk of occupational hazards Signup and view all the answers

Study Notes

Conscientious Objections in Nursing

Nurses may face moral or religious conflicts regarding care, like abortion or medical assistance in dying.
Emergency care must be provided until alternatives are available.
Objections can't violate Charter rights regarding discrimination.
Nursing schools adhere to standards, codes of ethics, and confidentiality in abortion care.
Proactive measures to address conflicts include informing employees of expectations, reassignment, and notification of potential conflicts.

Workplace Discrimination and Inclusion

Agencies prioritize a more inclusive workplace since 2020, acknowledging embedded racism and discrimination in nursing.
This impacts care and the health of the nursing workforce.

Scoping Reviews in Nursing Research

Scoping reviews investigate broad research questions by identifying and mapping available evidence.
They provide descriptive summaries, and quality assessments aren't required, though sometimes done by researchers.
Scoping reviews identify evidence types, summarize existing evidence, and pinpoint gaps in the literature.
They recommend future research directions.

Right to a Healthy Work Environment

Resources and structures support nursing care, including sufficient staffing ratios, full-time positions with flexible options, and opportunities for professional development.
Nursing engagement is fostered through recognition, learning environments, and effective new-graduate transitions.
Workplace safety includes personal protective equipment and timely access to vaccines.
A robust human resource strategy is necessary for retention and recruitment.
A healthy work environment improves patient safety, reduces absenteeism, attracts and retains employees, and increases staff satisfaction.

National Quality Institute Model

Developed in 2006 with Health Canada, it has three dimensions of a healthy work environment:
Organizational culture
Physical environment
Health and lifestyle practices

Occupational Health and Safety

Health and safety committees are mandated to identify potential hazards and recommend solutions.
Workers have the right to refuse unsafe work, except when the risk is inherent (e.g., infectious diseases) or refusal endangers others.
Employers are legally responsible for minimizing risks.

RNAO Healthy Work Environment Best Practices

Provides evidence-based guidelines for creating healthy work environments that maximize nurse health, quality patient outcomes, and organizational performance.
It views the healthy work environment as an interconnected system.
Interventions focus on interacting dimensions of individuals, organizations, and external systems.

Workplace Violence in Nursing

Nurses face potential violence from patients, visitors, leaders, and coworkers.
Disrespect, discrimination, bullying, and harassment are forms of violence.
Violence prevention involves identifying risk areas, implementing prevention strategies, and developing defusing skills.
Nurses must recognize violence triggers and manage violent behavior. High-risk communities require enhanced support and security measures..

Unions in Nursing

Unions are provincially certified groups of employees with a common employer/industry, acting as bargaining agents.
Decertification means the union dissolves or loses its negotiating authority.

Collective Bargaining

Collective agreements establish employment terms (wages, hours, schedules, etc.) and resolve disputes using a three-step process: submission, committee meeting, binding arbitration.

Disputes Regarding Nurse Workloads

In workload disputes, patient rights and needs are paramount.
Nurses must continue patient care; failure to do so is professional misconduct.
Nurses can formally address or grieve after care is provided.

Right to Strike

Nurses' strike rights vary by employment; strikes may not be legal for essential services like in hospitals.
Striking is illegal when a collective agreement is in place, for employees or employers.

Professional Accountability in Nursing

Nurses are accountable to professional bodies, patients, and employers.
Union membership may sometimes conflict with these accountabilities.
Ethical, legal, and professional responsibilities should always be prioritized.

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Description

This quiz explores the complex landscape of conscientious objections in nursing, addressing moral conflicts and workplace discrimination. It also covers the importance of inclusive practices in healthcare settings and the role of scoping reviews in nursing research. Test your knowledge on these critical issues impacting the nursing profession.