Professionalism & Leadership PDF

Professionalism & Leadership Week 7 Fall 2024 Professionalism The actions, behaviors, and attitudes of an individual that are reflective of: The core values, ethical principles, and regulatory guidelines of the profession “Representing the profession by acting or behaving as ex...

Professionalism & Leadership Week 7 Fall 2024 Professionalism The actions, behaviors, and attitudes of an individual that are reflective of: The core values, ethical principles, and regulatory guidelines of the profession “Representing the profession by acting or behaving as expected” Nursing rated highest in ethical standards and honesty for 18 years (2019) Professional qualities of a “nurse”: caring, honest, compassion, integrity, responsibility, selfless-commitment, teamwork, etc. Highest level How do all nurses display the same professional qualities? The public expects nurses to behave responsibly in all areas of life 2 85% of Americans say nurses' honesty and ethical standards are "very high" or "high" 3 Six Step Decision-Making Model Helps 1) determine the use of professional judgement and act upon, 2) a nurse decide if a certain act is within X their scope of practice 4 Memberships & Certifications Memberships in Organizations Certifications Available at state, national, and international Demonstrates a mastery of knowledge, level education, skills, and motivation in a specialty Allow for networking and focus on specific area interests Shows lifelong learning and professional growth Promotes concepts that nurses should: Eligibility: be actively involved in their discipline/specialty Years of experience in setting make a difference in the populations they care Fees for Review of study material Offers access to literature, newsletters, Passing an exam mentors, support Examples: American Nurses Association Advanced Diabetes Management Alzheimer’s Association Certified Emergency Nurse New Jersey State Nurses Association Psychiatric-Mental Health Nursing American Assembly for Men in Nursing Certified Pediatric Nurse National Student Nurses Association Advanced Oncology Certified Nurse 5 Unprofessional Behavior Unprofessionalism: conduct that does not adhere to the standards of practice or the Code of Ethics Misconduct may be a single incident or pattern of incidents Does not have to happen on duty or be related to nursing practice Incompetence When nurse lacks reasonable skills, knowledge, or concern for client’s welfare Places client in jeopardy or at risk Impairment A nurse who is unfit to practice due to physical illness, behavior health, or being under the influence of chemical substances Unethical behavior Lying on an application, cheating on an exam, breaking the law BON may take disciplinary action against unprofessional conduct Driving under the influence Shoplifting Social media posts that are unethical and unprofessional, etc. 6  know Examples of Unprofessional Behavior Presentation title 7 Professional Commitment The belief and acceptance of the standards and values of the profession Psychological concept describing the bond between nurse and work Important bearing on retention and turnover Requires emotional attachment to job and commitment to self, others, and profession of nursing Demonstrated through involvement in: Scholarly activities Councils and committees Professional organizations Continuing education Certifications Striving for ‘excellence’ is one way to demonstrate commitment! Florence Nightingale Pledge 8 Professional Identity Nurse’s sense of self as influenced by values, beliefs, and attributes associated with nursing Self-image, self-concept, or personal view in their professional role Can be individual and collective representation of the members of the profession What is your perception of the nursing profession? Begins in the classroom and clinical learning environment as a student Beliefs begin in the classroom and grow in clinical experiences 9 Codes of Conduct A set of guidelines that influence the specific actions of an employee Explains expected behavior or conduct (compliance) Act as a benchmark which X performance can be measured Code of Professional Conduct for nurses is known as: Code of Ethics revolves around higher level concepts, set of ethical principles, more morally driven Nonnegotiable standards that apply to every individual nurse 10 Advocacy Act of defending the interests, rights, and safety of those who cannot do it for themselves Moral obligation of actions and supporting the client Necessary as clients may be vulnerable (ill, disabled, lack knowledge) i.e., assisting a client to obtain needed care, defending the rights of the client, assuring quality of care, serving as a link between client and the health care system Process of advocacy : Four phases Assessment Identification Implementation Evaluation Determine level Identify goals of Steps involved to Findings are of the client, based accomplish goals reviewed to see if understanding, on needs & Communicates outcomes were interests, values, beliefs preferences to expected or needs the rest of the something else team results Satisfaction of everyone involved is considered 11 Ways to Advocate Safeguard rights by knowing client's wishes Educate on medications & treatments to improve quality of life Give the client a voice by helping to ask questions, get answers, and understand Protect against unsafe conditions and unwanted medications and treatments Communicate, propose alternatives, and take action for the client Connect to resources for meals, transportation, financial assistance, prescriptions, support groups Error check and ask another professional to verify medications and dosages 12 Barriers to Advocacy Inadequate support from leadership Time constraints reducing opportunities for advocacy activities Inadequate or limited staffing decreasing the ability to access for needs Inadequate or poor communication skills to successfully inform others Minimal knowledge on how to advocate 13 Model of Professionalism in Nursing know Inner processes (internal to person) The beliefs, values, and attitudes Outer processes Behaviors and actions Professionalism grows and develops over time Consists of: Interactions and relationship with clients The importance of appearance in uniform (consistent image) The belief and culture of service and duty Areas such as client-centered care, safety, advocacy 14 Accountability Legal obligation with a moral and ethical commitment to do the right thing every time and in every situation i.e, telling the truth, being respectful Taking ownership of decisions and actions Being responsible for consequences Focus is on the positive impacts and outcomes for clients (+ preventing harm, avoiding errors) Through accountability, nurses uphold the professional standards by maintaining competence and commitment 15 Responsibility An obligation to perform work, duties, or tasks using competent professional judgment An _____ that is appropriate, effective, knowledgeable again Being reliable, dependable, and following through commitments i.e., documenting in a complete and factual manner, returning to client’s room when promised, maintaining active license, checking on client to determine if pain medication worked, washing hands before client care Nursing responsibility involves: Being knowledgeable and skills in assessment Identifying and clarifying client needs Responding to an identified need and implemented client-centered care Evaluating the effectiveness of care provided Responsibility for something, accountable to someone/thing An action/task vs. an organization, NPA, or scope/standards of practice Applying sterile dressing vs documenting actions 16 Question A nurse is caring for a client whose provider has recommended surgery to treat an infected wound. The client states that they do not want to have surgery. Which of the following actions should the nurse take? A. Ask the client’s partner to sign the consent B. Refuse to care for the client because of refusal C. Support the client’s choice O D. Remind the client that refusal directly violates to treat 17 Leadership Leader: an individual who inspires the best in others and guides them to work as a team to accomplish a common goal Motivate and help others to focus on a shared vision, goal, and plan A collaborative process of influencing and guiding other to perform in a desired way A successful nurse leader communicates with, collaborates with, and engages the actions of others Beneficial to clients, quality of care, and health care environment Being capable as a leader (goals for leadership) focuses on: Growing an internal sense of being capable (being) Identifying when to lead (knowing) How to best influence and lead in different situations (doing) 18 Leadership Styles Transactional Transformational Laissez-Faire Bureaucratic Situational 19 Transactional Leaders Establish standards, highlight obligations, and concentrate on monitoring behaviors Encourage compliance and dependency on the leader’s decision Reward or punish based on how task was completed Helpful to complete short-term goals or during crisis Do not encourage creativity Establish a goal for a nursing unit based on standard practice Would either reward or punish the employees based on the outcomes 20 Transformational Leaders Establish a common mission and vision Encourages employees to heighten their level of performance Relays trustworthiness, voice a hopeful future, provide meaning, challenge the best within employees Focuses on person’s willingness to change and inspires them to be part of the team Inspires others through a good work ethic, reliability, and integrity Characteristics: charismatic, confident, honest, effective communicator, engaging, optimistic, empowering, passionate, reliable, respectful, team- oriented, visionary, trustworthy Example: Intellectually stimulate other nurses by asking “how” and “why” questions for nursing actions 21 Laissez-Faire Leaders Hands-off leaders that oversee and encourage their team to work independently Provides little direct control over decision making Hand over power and responsibilities to others, facilitating independent decision making, goal setting, and solutions Makes minimal decisions yet provides the necessary resources and tools needed Have confidence of others, remain available and open for consultation Characteristics: Gives staff freedom to make decisions Expects staff to solve problems on their own Is still responsible for the decisions and actions of the staff Provides minimal guidance 22 Bureaucratic Leaders “By the book” leader who relies heavily on consistency and adherence to rules Abide by the rules established within a top-down decision-making organization Has less flexibility and creativity Pays great attention to detail to bring control and clarity Assures that employees know their role and responsibility to meet expectations Ex. Operating room Characteristics: Strict compliance, inflexible to creativity Decisions are controlled by policies Controls staff behavior with rules Does not question superiors Enforces the rules Expects routine tasks to be done the same way every time 23 Situational Leaders Transition or move from one leadership style to another based on the circumstances Assess the situation and decides which strategy is best to use based on the task, nature of the group, or requirements of the organization Aligns their style to assist in the development and growth of others and the organization Difficult to apply to everyone, focuses on problem-solving and short-term goals Characteristics: Flexible to fit the needs of the group Positive and optimistic about the goal Responds quickly and behaves according to situation Comes up with good ideas for bad situations Communicates clear instructions 24 25 26 Nurse’s Role within an Organization Leader is one of many nurse’s role The nurse, as a leader, influences others to focus on a shared vision, goal, objective, and the best possible outcome Does not need to be in a formal leadership position to be a leader Mentor: a role model who helps someone work through their problem; stay on the right path to accomplish their short and long-term goals; provides emotional support; listens Caregiver, advocate, care coordinator, critical thinker, change agent, educator, researcher (ATI page 5) 27 Chain of Command Organizational hierarchy identifying lines of authority within an organization Order/steps used to notify superiors of any type of concerns Should begin with those closest to the level of the event (i.e., immediate supervisor) Required to document the efforts as moving along the chain of command If one link fails, communicate to the next until nurse gets the response for safe client care 28 Question A nurse caring for a client is unable to reach the provider to inform them of the client’s low blood pressure. The nurse documents the efforts to make contact. What should the nurse do next? tellingyourchargenurse 29  together choices Shared Governance making shavedconcept Concept started in the mid-1960s Changed the historical top-down style of governance Shared-decision structure that gives nurses control over their own practice Process that guides decisions towards accountability and ownership of clinical outcomes Based on the fact that nurses will have access to resources, information, and growth opportunities by being a contributing partner in the decisions that impact nursing practice Promotes Corralabation ________, autonomy, ownership, team building professional development, accountability, provision of excellence, engagement, empowerment Significant clinical findings: improved client outcomes, work environments, and job satisfaction Three principles: 1. Grounded in accountability (collective obligation) 2. Process for organizational work and decision-making are designed around accountability 3. Demonstrate shared decision-making coypottonShefft 30  locked closed Shared Governance Model together Shared Governance Model Consist of client, interprofessional team, and 4 principles 4 interlocking principles Caring: reflected through compassion and commitment to clients/family Navigation: guiding client and the team Knowing: delivering client care with evidence-based knowledge, decisions, and actions E Leading: advancement of care by leadership in the organization and community Second level composed of various shared governance council groups responsible for making decisions Nursing Shared Governance Challenges? timecommitment 31 increasedwork