Nursing Practice Individual Learning Plans

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Questions and Answers

What is the primary purpose of the individual learning plan in nursing practice?

To assess the effectiveness of nursing officials

To track medication administration

To outline patient treatment plans

To demonstrate dedication to excellence and competence (correct)

Which step involves aligning the learning goal with patient safety principles?

Step 1

Step 4

Step 2 (correct)

Step 3

How many learning activities should be included in the individual learning plan?

Three (correct)

Two

Four

One

Which of the following is NOT a step in the individual learning plan process?

Find an internship opportunity Signup and view all the answers

What is a key component of establishing learning goals in nursing?

Identifying knowledge or skill gaps Signup and view all the answers

Which ethical framework is highlighted for examining dilemmas in nursing practice?

Ethical decision-making framework Signup and view all the answers

How many principles of the CNO Code of Conduct should the learning goal align with?

Two Signup and view all the answers

What is one key ethical responsibility of nurses according to the CNO?

Promoting health and well-being Signup and view all the answers

Which of the following values emphasizes the importance of client autonomy?

Client choice Signup and view all the answers

What is a learning outcome related to ethics in nursing practice?

Explore ethical values set by the College of Nurses Ontario Signup and view all the answers

How should nurses generally approach the ideas of client well-being?

By using the client's views as a starting point Signup and view all the answers

Which ethical directive is concerned with clients' rights to make decisions about their own health?

Client choice Signup and view all the answers

What does maintaining privacy and confidentiality primarily emphasize?

Protecting client personal information Signup and view all the answers

Which ethical value focuses on ensuring fair treatment and distributing resources impartially?

Promoting justice Signup and view all the answers

What is included in the ethical values described by the College of Nurses of Ontario?

Ensuring truthfulness in all communications Signup and view all the answers

In balancing potential benefits with potential harm, what should be considered first?

The client’s views Signup and view all the answers

What is a key aspect of maintaining commitments to quality practice settings?

Continually evaluating the workplace environment Signup and view all the answers

What does truthfulness in nursing require?

Speaking without intending to deceive Signup and view all the answers

Why is honesty important in the therapeutic relationship between nurses and clients?

It builds trust essential for effective care. Signup and view all the answers

What should nurses do when clients have questions about their diagnosis?

Assess their readiness for information and answer questions. Signup and view all the answers

Which of the following actions demonstrates truthfulness by nurses?

Providing enough information for clients to make informed decisions Signup and view all the answers

What should nurses consider when relatives do not want the client to have information?

Use professional judgment and consider the client’s right to know. Signup and view all the answers

What is a common misconception regarding truthfulness in health care?

Omissions of truth can be acceptable in some cases. Signup and view all the answers

How can nurses advocate for patient care-related policy changes effectively?

By bringing client concerns to those in authority. Signup and view all the answers

What is considered an essential component of providing care?

Ethical consideration Signup and view all the answers

How can nurses effectively make decisions about ethical situations?

By being aware of their personal values Signup and view all the answers

What characterizes an ethical dilemma?

A conflict between two sets of equally good values Signup and view all the answers

Which of the following is a main step in analyzing ethical dilemmas?

Verbalizing the problem Signup and view all the answers

What might cause ethical distress for a nurse?

Knowing the right course of action but being hindered by constraints Signup and view all the answers

What is the main purpose of the Personal Health Protection Act, 2004 (PHIPA)?

To govern health care information privacy in Ontario Signup and view all the answers

Which principle is NOT one of the four principles of health care ethics?

Paternalism Signup and view all the answers

Which act provides protection for quality-of-care information produced by healthcare facilities?

Quality of Care Information Protection Act, 2016 Signup and view all the answers

What is the first step in resolving an ethical dilemma?

Determine if it is an ethical dilemma Signup and view all the answers

What does the Quality of Care Information Protection Act, 2016 (QOCIPA) primarily protect?

Quality-of-care information from being disclosed in litigation Signup and view all the answers

What might lead to ethical uncertainty in nursing?

Unsure of applicable values or moral problems Signup and view all the answers

What should nurses do after considering possible courses of action?

Reflect on the outcome Signup and view all the answers

Which aspect is balanced by the Personal Health Protection Act, 2004?

Client's right to privacy and healthcare organization’s need for information Signup and view all the answers

Which type of ethical dilemma involves being unsure of what values apply?

Ethical uncertainty Signup and view all the answers

Which statement is true regarding nurses' responsibilities under privacy legislation?

Nurses are required to maintain confidentiality of client health information Signup and view all the answers

What should a nurse consider when transferring care of a client with an acquired brain injury?

Obtaining consent before sharing care information with receiving staff Signup and view all the answers

What is a potential risk of breaching client confidentiality?

Facing legal action or professional disciplinary measures Signup and view all the answers

Why is it important for nurses to maintain confidentiality during care transitions?

To protect sensitive information and client rights Signup and view all the answers

What ethical principle is primarily in conflict regarding the safety of the elderly man during his walks?

Autonomy Signup and view all the answers

Which of the following statements regarding the CNO ethical values is true?

CNO ethical values require collaboration and respect for clients' wishes. Signup and view all the answers

What is a key element that must be included for consent to be considered informed?

Responses to all questions must be provided. Signup and view all the answers

What is the primary goal of the Health Care Consent Act?

To enhance the autonomy of individual clients. Signup and view all the answers

Which of the following is NOT a requirement for obtaining consent according to the CNO guidelines?

Knowledge of the provider's qualifications. Signup and view all the answers

In what situation can health care practitioners make treatment decisions on behalf of clients?

In emergencies when no authorized person is available. Signup and view all the answers

What is an ongoing aspect of resolving ethical conflicts in health care?

Documenting all discussions and decisions. Signup and view all the answers

Which form of consent does the CNO Consent Practice Guideline specifically not address?

Consent under the Mental Health Act. Signup and view all the answers

What does informed consent require regarding the treatment's consequences?

Consequences of not having the treatment must be communicated. Signup and view all the answers

The ongoing process of consent can change at any time based on which factor?

The client's understanding of the treatment. Signup and view all the answers

Study Notes

Week 9: Professional Development I - Module 9: Nursing Ethics

Land Acknowledgement: Mohawk College acknowledges the territories on which it is situated are governed by the Between the Lakes Treaty, the Dish with One Spoon Wampum Agreement, and the Upper Canada Treaty Agreement
These agreements represent a commitment to maintain healthy, reciprocal, and respectful relationships with Indigenous peoples and communities.
The college recognizes the Six Nations of the Grand River and the Mississauga's of the Credit First Nation.

Agenda

Housekeeping (01): Introductory matters for the session.
Learning Outcomes (02): Objectives for the module.
Ethics (03): Discussing ethical concepts.
Consent & Confidentiality (04): Legal and ethical considerations in patient care consent.
Coming Up (05): What will happen next week in class
Questions? (06): Answering questions from students.

Case Scenario Assignment Part B

Learning Plan (Part B): Building upon Part A, submit a learning plan by next week
Reflection due Week 5
Additional instructions are available on Canvas.
Individual assignment
Due prior to start of the next class (Week 10).
Late submissions result in deductions.

Part B: Individual Learning Plan

Reflect on how to manage a situation, identifying knowledge/skill gaps.
When a practice issue might potentially harm a patient, nursing professionals need to identify gaps in practice.
Learning plans help nurses address specific gaps (nursing knowledge or skills)
They’re an annual quality assurance requirement for registered nurses in Ontario.
Learning plans demonstrate dedication to excellence and ongoing competence.
Base Learning plan on the case scenario and reflection from Part A
Include one learning goal and three learning activities.

Part B: Individual Learning Plan - Steps

Step 1: Recall knowledge/skill gaps, formulate a learning goal.
Step 2: Align learning goal with patient safety, relevant best practices, and scholarly sources.
Step 3: Link learning goal to applicable CNO Code of Conduct principles.
Step 4: Connect the learning goal with essential practical nurse competencies.
Step 5: Identify learning activities, create a timeline.

Learning Outcomes (Week 9)

Discuss ethics and its relationship to practice.
Explore ethical values and principles from the College of Nurses of Ontario.
Use an ethical decision-making framework to analyze ethical dilemmas.
Identify ethical issues in nursing practice.

Small Group Activity (What is Ethics?)

Discuss, define, and identify examples of ethical situations (written down).
Prepare to share with the large group. (5 minutes)

Understanding Ethics

Values: Strong personal beliefs held by a person or a group.
Ethics: The philosophical study of right/wrong conduct. Reflects what's important to individuals and professions.
CNA has a published Code of Ethics for nurses.

Nursing & Ethics

CNA Code of Ethics: A statement of nurses' ethical values and commitments.
Guides practice, education, administration, research, and policy.
Nurses are bound by the Code to protect the public and uphold the code in all aspects of practice.

Ethical Terms

Responsibility: Reliability and dependability, performing tasks accurately and thoroughly. Ability to differentiate right and wrong.
Advocacy: Acting on behalf of others, emphasizing equity and reducing inequities.
Accountability: Adherence to moral principles of fidelity and respect. Nurses are responsible for their actions and decisions.

Principles of Health Care Ethics

Autonomy: Self-determination, client's freedom to make choices. Nurses support client's choices.
Beneficence: Promoting good and well-being. Considering risks and benefits in treatment decisions. Client's well-being is prioritized.
Nonmaleficence: Avoiding harm. Balancing risks and benefits in care.
Justice: Fair and equal treatment. Applying principles to ensure equitable distribution of resources and care.

Ethics in Healthcare

Health care teams prioritize ethical standards to guide interactions.
Regulated professions hold codes of conduct, provided by governing bodies.

Codes of Ethics

Relates values to ethical decisions.
Guides decision-making within a multidisciplinary team.
Helps nurses evaluate and reflect on ethical choices.
Provides a set of foundational values in nursing practice.
CNO has a specific Practice Standard for Ethics.
CNA has ethical responsibilities

Canadian Nurses Association (CNA) - Values & Ethical Responsibilities (2017)

Safe, compassionate, competent, ethical care
Promote health, well-being
Respect informed decision making
Honor dignity
Maintain privacy and confidentiality
Promote justice
Be accountable

College of Nurses of Ontario (CNO) - Ethical Values (2019)

Client well-being
Client choice
Privacy and confidentiality
Respect for life
Maintaining commitments
Truthfulness
Fairness

Small Group Activity (CNO & Ethics?)

What do CNO's ethical values mean?
How do nurses uphold them?
Prepare to share insights in the large group. (10 minutes)

College of Nurses of Ontario (CNO)

Ethical well-being for well being, and providing care, respecting opinions.
Client Choice: Client's right to make decisions and be informed.
Privacy & Confidentiality: keeping client info private.
Respect for Life: respecting client choices, even if conflicting personal values, unless there’s no other choice but to respect the needs of the client.
Maintaining commitments: keeping promises to clients.
Truthfulness: honesty and disclosing information when appropriate.
Fairness: allocation of resources equitably.

Ethical Dilemmas

Conflicts arise when there are multiple values, neither of which can be satisfied fully.
Examples include when a client refuses treatment.
Ethical dilemmas cause distress, and confusion.
Analyze ethical dilemmas by determining if there is a dilemma.
Gather all relevant information. Assess own values on the issues. Verbalize the problem.
Consider possible actions. Reflect on the outcome.

Small Group Activity (Ethical Dilemmas?)

Work through a case study of an ethical dilemma.
Analyze values and possible actions. (10 minutes).

Resolving Ethical Conflicts

Working through ethical situations is ongoing in care.
Finding a solution that satisfies everyone is not always possible.
Consulting with clients and the healthcare team is important to resolve these situations.
Documentation of discussions and decisions is crucial.

Nurses have ethical and legal duties to obtain consent for care.
HCCA (Health Care Consent Act) and SDA (Substitute Decision Act) provide guidelines for obtaining consent.
The CNO consent practice guideline does not address consent for dying.

Consent must be informed
Inform patients about treatment options, risks, and benefits.
Obtain consent from a substituted decision-maker if the client is unable to consent on their own.

Goals include promoting autonomy and communication.
Consent is an ongoing process which can change.
No authority for healthcare professionals to make decisions on behalf of clients except in emergencies.
Client’s wishes can be expressed orally, in writing, through a substitute decision-maker, or be implied.

Substitute Decision Act (SDA)

Deals with decision-making for incapable individuals.
Concerns individuals requiring continuous decision-making support.
Formal appointment of a decision-maker through a Power of Attorney document.

Confidentiality

Nurses have an ethical and legal duty to maintain client privacy.
Ontario privacy legislation (PHIPA and QOCIPA) support this duty.

Confidentiality Scenario

Your client in transfer. How much information should be shared, and with whom?
Implied consent is allowed for sharing information with the receiving hospital's health care team for care.
Express consent from the substituted decision-maker for sharing information with the insurance company.

Coming Up...

Complete 1 hour of asynchronous work in Module 9.
Prepare for Module 10, reviewing objectives and necessary readings/activities.
Part B Assignment: Learning Plan due November 15th at 7:00 pm. Consult Canvas for instructions.

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Description

This quiz focuses on the essential components of individual learning plans in nursing practice, including their purposes and ethical considerations. Test your knowledge on learning goals, patient safety principles, and the ethical responsibilities outlined by the CNO. Assess your understanding of the framework guiding ethical dilemmas in nursing.