Positive Practice Environment PDF

UNIVERSITY OF SANTO TOMAS - COLLEGE OF NURSING NUR81025, PROFESSIONAL ADJUSTMENT - POSITIVE PRACTICE ENVIRONMENT Asst. Prof. Richmond F. Loa | Transcribed by: JPPL, JGDM, SSIM, AMMM...

UNIVERSITY OF SANTO TOMAS - COLLEGE OF NURSING NUR81025, PROFESSIONAL ADJUSTMENT - POSITIVE PRACTICE ENVIRONMENT Asst. Prof. Richmond F. Loa | Transcribed by: JPPL, JGDM, SSIM, AMMM ○ As a nurse, we have the capacity to make decisions about how we give care. PROMOTION OF DECENT WORK ENVIRONMENT FOR Rewards contribution and performance NURSES ○ Ex.: In America - The Daisy Award. Settings that support excellence and decent work Most Outstanding Award - in PH ○ The work environment must be conducive to nurses. Sunflower Award - in UST ○ Compensation Given every anniversary of USTH. must be equal to the task you perform. Measures employee satisfaction and acts on outcomes. Ensures the health, safety and personal wellbeing of staff ○ Means Job satisfaction Supports quality patient care It is defined based on an individual's point of Improves the motivation, productivity, and performance of view. individuals and organizations. Cramer, Staggs, and Dunton (2014) confirm the MANAGEMENT PRACTICES relationships among: ○ Positive work environments Commits to equal opportunity and fair treatment among ○ Positive nurse outcomes of job satisfaction and employees. retention Provides adequate and timely compensation If you are satisfied with your job, it increases job Maintains effective performance management systems satisfaction and improves performance Offers decent and flexible benefit packages ○ Positive patient outcomes ○ Organizations must provide privileges as staff nurses. Involves employees in planning and decision-making ○ Advantage - development of leadership skills and a sense of ownership of their work. Encourages open communication and teamwork ○ There is an opportunity for employees to voice out their concerns and issues that affect their work performance. Fosters a culture of mutual trust, fairness and respect ○ Important that the management trust their employees and respects their subordinates. Adopts policies to positively encourage reporting of professional misconduct ○ There is an opportunity for employees to report their colleagues when they commit misconduct. Provides clear and comprehensive job descriptions ○ Belongs to organizing Ensures effective grievance procedures ○ Ex. If given a sanction, you can file a grievance before they give out sanctions and penalties. IMPORTANT NOTES/THINGS TO REMEMBER: SUPPORT STRUCTURES Positive practice environment looks into different factors that improve the nurse’s performance in giving care. Invests sufficiently in health and work environments ○ Provide health services to their employees. ○ Ex.: Employees are given health benefits. In UST, employees are given 100,000 pesos COMPONENTS OF POSITIVE PRACTICE health benefits throughout the whole academic ENVIRONMENTS year. Professional Recognition Fosters strong employment relationships Management Practices ○ It is strengthened by organizing activities in the ○ The management of an organization affects the organization. performance of the staff. Applies regulatory frameworks for safe workplaces Support Structures ○ Ex.: Provision of clinics, CR and rest areas in their Education workplace. Occupational Health and Safety ○ Measured by OSH (Occupational and Safety Health Standards) Provides adequate equipment, supplies and support staff PROFESSIONAL RECOGNITION ○ Important to be equipped in performing livery care Recognizes health care professional competencies services. Promotes professional autonomy and control Engages employees in continuous assessment ○ SQI (secure quality improvements) 1 | Batch 2025  Promotes healthy work-life balance ○ Organizations have activities they provide for their SAFE CLIMATE FOR NURSES AND PATIENTS employees like vacation leaves and mandatory Physical and Psychological Safety leaves. Climate of Learning Offers employment security and work predictability Climate of Leadership ○ Employment security has tenureship or regularization means that you are entitled to receive benefits. Will be a regular employee with 6 months of CRITICAL POINTS IN PROMOTING POSITIVE PRACTICE continuous service ENVIRONMENTS Ensures practice under an overarching code of ethics Leadership Communicates and upholds standards of practice Workload Management Reviews scope of practice and competencies Professional Development ○ Upgrading the skills of employees through provisions Control Over Practice and Work-Life of training and seminars organized by the hospital. Communication and Collaboration Culture of Safety EDUCATION (Adapted from the Quality Professional Practice Environment Standards. Canadian Nurses Association, 2013) Supports opportunities for professional development Offers thorough orientation programs Fosters effective supervision, mentoring and coaching LEADERSHIP ○ Senior staff nurses mentor new staff CLIMATE OF LEADERSHIP OCCUPATIONAL HEALTH AND SOCIETY Adheres to safe staffing level When the organizational climate enhances the ○ Ideal: 1 is to 6 is the ideal safe staffing ratio empowerment of individual employees, nurses express Adopts occupational safety and wellness policies greater job satisfaction, and patients achieve better ○ Ex.: If an employee experiences an accident while at outcomes. work, the employers are responsible for shouldering health care costs and SSS will give a small amount of LEADERSHIP payment to compensate for their accident. Leadership is a key element in establishing Quality Practice environments and healthy workplaces (ARNNL, WORKPLACE ISSUES 2013). Effective leadership is important in all nursing roles and affects the workplace environment and the quality of care JOB SATISFACTION provided. Remuneration Working Conditions LEADERSHIP AT ALL LEVELS Training and Qualifications Involve staff nurses in decision-making. Nurses should be supported, mentored, and coached to PRODUCTIVITY achieve full leadership potential. Motivation Senior leaders should be visible and accessible. Training Nurses are encouraged to participate and provide Preparedness for the Job innovative and creative inputs to ensure safe care. Provision of Necessary Equipment and Technology WORKLOAD MANAGEMENT STAFFING CONSIDERATIONS Ensure a nursing care delivery model that: Workload ○ Supports continuity of care Work Environment ○ Enables nurses to develop a therapeutic relationship Cost Efficiency and Effectiveness with their clients Patient Complexity ○ Allows nurses to practice to the full scope of their Skill level and Mix of Nursing Staff education and experience. ○ 70% professional and 30% non-professional ○ Nursing Care Models: Functional Total Patient Care - ideal SAFETY CONSIDERATIONS Case Method Excessive Workload Team nursing care Workload Measurement Primary nursing Preventable Injuries SAFE STAFFING LEVEL AT ALL TIMES Workplace Violence ○ Types: SAFE STAFFING LEVELS AND MIX Through verbal abuse between subordinates Through verbal abuse between superior and Safe staffing is ensuring an appropriate number of staff subordinates with a suitable mix of skill levels: 2 | Batch 2025  ○ Available at all times ○ Serves as basis for promotion (under controlling ○ Meet patient care needs process) ○ Hazard-free working conditions are maintained Note: Review Nursing care hours based on level of care - included in the exams. CONTROL OVER PRACTICE AND WORK-LIFE Autonomy MATRIX FOR STAFFING DECISION-MAKING ○ Collaborative decision making Responsibility and Accountability ○ Participate in policy identification and development Belongs to the planning stage. ITEMS ELEMENTS/DEFINITIONS Work-life Balance ○ Personal, team, and organizational needs Patients Patient characteristics and number of ○ Ex. May have excursions but should have swapping patients of schedules. Acuity of Care Individual patient intensity; across the unit intensity; variability of PROFESSIONAL RECOGNITION care; admissions, discharges and Recognize the full range of competencies and provide the transfers; volume, workflow autonomy for these competencies to be fully utilized. Promote professional autonomy and control over practice Context and Geographic dispersion of patients, and pace of work. Organizational size and layout of patient rooms, Recognize and reward employee Policies technology (cell phone, computers), contribution/performance. policies Regularly assess employee satisfaction and act on outcomes. Competency Professional expectations; preparation and experience, access to continuing education COMMUNICATION AND COLLABORATION Open communication Appreciation of individual role DEVELOP STAFFING GUIDELINES Collaborative relationship Culturally sensitive and equity-based ○ Health team Clear and updated competency profile ○ Clients and family Acuity driven Professionalism Nurse sensitive outcomes Mutual support Value generational diversity Contingency plans CULTURE OF SAFETY ○ Done by the supervisor responsible for making the schedule of subordinates. Establish mechanisms to ensure physical and psychological safety. Adhere to occupational safety and health policies. PROFESSIONAL DEVELOPMENT The provision of quality nursing care is supported by the Learning is a lifelong process, especially when working in physical environment, equipment, supplies, and support a rapidly changing healthcare environment. services/personnel. ○ 60 units before, and in the new law it is already 45 Comprehensive health, wellness, and safety/injury units prevention programs are available and accessible. Commitment to continuing competence at all levels of the There are measures to help prevent and address organization helps strengthen positive practice discrimination, aggression, abuse, violence, and environments. workplace bullying. (College of Registered Nurses of Nova Scotia, 2014) Nurses have opportunities to participate in debriefing activities following critical incidents. SUPPORT FOR PROFESSIONAL DEVELOPMENT PSYCHOLOGICAL SAFETY Orientation or transition programs at all levels Availability of relevant training and continued educational Strengthening individuals’ emotional resilience through opportunities interventions to promote self-esteem, and life and coping ○ 3 days with pay are allotted for CPD units according skills (E.g., communicating, negotiating, relationship) to the law. Strengthening the workplace ○ They can extend but it depends on the hospital. Reducing structural barriers to mental health Support for evidence-based practice and nursing research Support mentoring and preceptorship relationships STRATEGIES IN PROMOTING POSITIVE PRACTICE Encourage innovations and creativity ENVIRONMENT Provision of relevant performance evaluation: peer evaluation Continuing to promote the nursing role ○ Done in controlling management 3 | Batch 2025  Defining the scope of nursing practice so nurses, other disciplines, and the public are aware of the profession’s evolution. Lobbying for professional recognition and remuneration. Developing and disseminating a position statement on the importance of a safe work environment. Ensuring that other disciplines are involved in the development of policies for safe work environments. Supporting research, collecting data for best practice, and disseminating the data once it is available. Encouraging educational institutes to enhance teamwork by providing opportunities for collaboration and emphasizing teamwork theory. Presenting awards to healthcare facilities that demonstrate the effectiveness of PPE through recruitment and retention initiatives, reduced drop-out rates, public opinion, improved care and higher patient satisfaction rates. Using the tool kit to provide background information about the importance of PPE. POTENTIAL OUTCOMES OF POSITIVE PRACTICE ENVIRONMENT TO NURSE Improvement in morale and job satisfaction A supportive work environment can enhance nurses’ capacity for participatory leadership and collaborative decision-making. POTENTIAL OUTCOMES OF POSITIVE PRACTICE ENVIRONMENT TO CLIENT CARE Enhanced ability to provide safe and quality client care Create a more professional work environment that impacts nurse-sensitive client outcomes (E.g., decreasing adverse events, increasing client functional status, and improving symptom management). POTENTIAL OUTCOMES OF POSITIVE PRACTICE ENVIRONMENT TO HEALTH SYSTEM EFFICIENCY Decreased absenteeism and workplace injuries Improved internal processes and maximized productivity while balancing workload Success of recruitment and retention initiatives Decreased costs for the health system Enhanced collaboration and communication will result in improved team effectiveness in the utilization and delivery of quality services. POTENTIAL OUTCOMES OF POSITIVE PRACTICE ENVIRONMENT TO HEALTH SYSTEM EFFECTIVENESS Enhanced collaboration and communication will result in improved team effectiveness in the utilization and delivery of quality services. 4 | Batch 2025