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 ways of knowing : 4 Types : Emperical : The science of nursing provable facts · can be repeated by others w same...

 ways of knowing : 4 Types : Emperical : The science of nursing provable facts · can be repeated by others w same outcome. · findings from studies. Aesthetic : Art of nursing unique to each nurse · · how you choose to respond in a client situation reflection of + creativity personality Personal-self awareness that allows the nurse to understand their own response , strengths , or weaknesses as well as how personal biases may influence the quality of the nurse-patient relationship. Ethical-decisions a nurse makes every day in practice Includes. studying human rights & codes of ethics exploring values , , critiquing power structures t ethical decisions , participating in scholarly articles : - expert author - peer-reviewed journals - References CINAHL - formal writing style database. industry specific language - Decision making : Evidence informed : A process of gathering translating all forms of knowledge to make the best-informed decision when delivering health care. Us Evidence informed Evidence based. Integration of best research evidencew clinical the expertise t patients unique values + circumstances in making decision about their care. Nursing Act 1991 * ↓ Regulated Health Professions Act 1991 (No = College of nurses of Ontario ~ only those that are members of theCo can use title Nurse WeRPN-Registered Practical Nurses Association of ON RNAO - Registered Nurses Association of Ontario CNSA-Canadian Nursing Students Association Social Media Use 6 P's of social Media use 1 Professional. - Act professionally at all times 2Positive. - keep posts positive. 3 Patient/person free-keep posts free patient person or 4. Protect yourself-protect your professionalism , reputation & yourself S Privacy. - keep your personal + professional life separate respect privacy of others Pause before you post Consider implications ; avoid 6 posting -. in haste or anges Regulatory Body. · self regulation is a hard-won d essential component of nursing professionalism · Establish professional standards of practice , educational requirements scopes of practice · Affected by changes to legislation , models of practice , involvement of nurses Establish Competencies for entry level practice · CNO the Regulatory Body for all registered Nurses Ontario · is in  What is the CNO Establishes requirements for entry to practice · · Articulatinga promoting practice standards · AdministeringIts Quality Assurance program · Enforcing Standards of practice & Conduct AND The College also supports the regulation of nursing in the public interest by: · Participating in the legislative Process information Ontario's nurses sharing statistical about · Entry to practice competencies · ETPC outline entries to practice competencies ↓ expectations for RPNs · The 5 categories that the 79 competencies fall under : 1.. Professional Practice · RPNs adhere to practice standards : safe competent f , ethical nursing practice. · demonstrate professional conduct as reflected through personal attitudes , beliefs , opinionsr actions. · should use knowledge , critical thinking , critical inquiry + research to build an evidence - informed practicee. 2 Ethical Practice RPNs use ethical framework when. - making professional judgementsa practice decisions They engage in Critical thinking. ↓ criticalinquiry to inform decision-making ↓ use self-reflection to understand the impact of personal values beliefs& assumptions in the , provision of care  ETPa Profession Practice : Adhere to practice standards ; safe competent ( , , ethical nursing practice · be professional in actions , opinions , beliefs + values use critical tining to add to evidence informed practice. 1. demonstrate accountability for actions & decisions.. 2 display self awareness a recognize when to seek assistance d guidance 3. Initiates maintains o terminates the therapeutic nurse-client , , relationship Ethical : use ethical framework when making judgements or practice decisions. · use self reflection to understand how beliefs , values , & actions can influence care , 1. Demonstrates respect for others beliefs & values 2. Advocate for clients. 3 preserves dignity of clients. Legal : adhere to prouter & federal legislation employer rules that dictate , care , o any relevant rules or obligations laws RRNs must practice. ↓ Practice according to regulations standards , ethics ,. Adhere 1 to duty to report. 3 obtains informed consent , Foundations of Practice - use critical thinking , evidence , o reflection to assess, make care plan , implement interventions + observe prossesses boutcomes. Foundational knowledge ; nursing theory , humanities pharmacology , health Science. , 1 Applies knowledge safe. of pharmacology + medication practice. of health sciences humanities. 1 Demonstrates knowledge , , nursing theory Identifies I 3. nursing diagnoses. Collab-1. works w clients in identifying healthcare needs & goals. 3 Demonstrate 1. comm with health care team =ormal 6 informal leadership 3 Legal Practice. RPNs adhere to applicable provincial/territorial - ↓ federal legislation ↓ regulations professional standards , employer , policies that direct practice - · engage professional regulation by enhancing their competence, in promoting safe practiced maintaining their fitness to practice · safe nursing practice includes knowledge of relevant laws & legal boundaries within which RPNs must pactice 4 Foundations. of Practice - RPN's use critical thinking, reflection ↓ evidence integration to assess clients , Plan care , implement interventions , I evaluate outcomesaprocesses. Foundational knowledge includes; nursing theory, health sciences , humanities , Pharmacology + ethics.. 5 Collaborative Practice - RPNs work collaboratively with clients ↓ other health care members. Collaborative practice is guided by shared values+ accountability; a common purpose or care outcome , mutual respect , + effective communication Scope of Practice: Authority - Nurses must know their legislated scope of practice, including controlled acts , ↓ mechanisms authorizing Context Nurses must determine if their setting - practice environment or supports the performance of an activity ↑ has the available resources to support safe client care Competence - nurses must ensure they have the individual knowledge , Skills ↓ judgement to perform an activity.  Scope of Practice Authority , context d , competency - Nurses must know their legislated scope of practice. Authority including controlled acts ↓ mechanisms , authorizing nurses must ensure they have the individual knowledge , Skill ( ↓ judgement to perform an activity. competency Nurses must determine if their practice environment or setting Context supports the performance of ↑ has the available resources to an activity support safe client care Standards & Guidelines. Outline expectations for nurses. that contribute to public protection. They inform nurses of Standards their accountabilities & the public of what to expect of nurses. The Standards apply to all nurses regardless of their role , job description or area of practice ↑ often address specific Gwidelines. Practice-related issues , help nurses understand their responsibilities & how to make safed ethical decisions in their practice.  Standards & Guide lines Practice standards - Outline expectations for nurses that contribute to public protection. They inform nurses of their accountabilities & the public of what to The Standards regardless of job expect of nurses. apply to all nurses their role , description or area of practice Practice Guidelines - often address specific practice-related issues , help nurses understand their responsibilities + how to make safed ethical decisions in their practice. self-reporting of · Mandatory reporting is an important component regulating the nursingprofession Reports alert college to situations where a nurse may not be practicing safety · ↓ allow the college to take any appropriate steps to protect the public · Failing to self-report is a serious matter I can result in discipline A nurse must self-report to College if they : have been found guilty or charged with an offense jurisdiction · in any has a finding of professional negligence and / or malpractice. · has finding of professional misconduct , incompetence or incapacity or any similar finding , in relation to practice of nursing in any jurisdiction. · is the subject of a current investigation inquiry , or proceeding for professional misconduct , incompetence or incapacity or any similar investigation or proceeding in relation to nursing in any jurisdiction.  Reporting Guide. What would a nurse report ? - A nurse who poses a serious risk of harm to patients A sexually of · nurse suspected abusing a pati · A nurse who is inumpetent · A nurse who is incapacitated What is incapacity?- 1. the member must have a physical or mental condition and ; 2. the condition must warrant that the member not be permitted to practice , or that her or his practice restricted. What ? is incompetence 1 it must relate to nurses professional care of client ; 2. the nurse must display a lack of knowledge , skill , or judgement. 3 must demonstrate that unfit any deficiencies the nurse is to continue to practice , or that her or his practice should be restricted. Code ofConduct 1. 2. Nurses Respect Client's Nurse provide inclusive + dignity culturally safe care by practicing cultural humanity. Nurses provide safe t competent Care 3. Nurses work respectively with health care team to 4 best meet client's needs 5. Nurses act with client's best interest integrity in ↓. Nurses maintain public confidence in nursing profession. Professional Vs Personal. caring Length of Relationship : · Professional: related clients need for nursing care t time-limited. · to is · Social : Personal choice ; not defined by care needs : Location of relationship · Prof : limited to required provided · where care is or nursing Social : · may occur anyconere Purpose : · · Profess : to meet therapeutic needs of client Social : directed by pleasure or self interest · Power Balance : · Profess : unequal power inherent to nurses position within health care team social : relatively equal power which may shift. · · Responsibility for Relationship : Profess : Nurse responsible for establishing the therapeutic relationship - maintain professional boundries Social : Equal responsibility Remuneration : · Profess : may be paid or unpaid : Social ! unpaid. rust · Profess : Critical to Therapeutic relationship · Social : Changes depending on type of relationship · Respect · Profess : inherent to therapeutic relationships. Nurse must maintain objective , respect clients choice d make sure personal values do not conflict w professional practice · social : may or not be present  : Professional intimacy · · Profess : inherent in type of care a services nurses provide Social : not present Empathy : & maintain nurse-client Profess : required to help clients meet care goals relationship · social : may or may not be present Stages of Group Development · Forming storming · Norming · Performing · · Adjourning  Group Roles · Task Roles : positive , keep group on track towards goal Coordinator · · Procedure Developer Contributor/information · seeker · Recorder · Timekeeper · Opinion seeker · Clarifier · summarizer Maintenance : Positive , promote working relationships within the team supporter/Encourages · Harmonizer Feeling expressor · ~ Gate-keeper standard setting · compromiser/Conciliator · Dysfunctional : negative , hindert sabotage team success · Dominator · Deserter · Blocker · Degrader · Distractor