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Professional Practice
Diana Smith MN, RN, CNCCNursing Practice ConsultantCRNNS
SFX School of NursingFebruary 17, 2010
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Self-Regulation – Purpose of the College
The College exists to serve and protect the public interest, preserve the integrity of the nursing profession, and maintain public confidence in the ability of the
nursing profession to regulate itself.RN Act, 2006
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Principles of Self-Regulation
Promoting Good Practice
Preventing Poor Practice
Intervening when practice is unacceptable
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Overview
StandardsCode of EthicsEntry Level CompetenciesProfessional Conduct Process Promote best practices via position statements, guidelines, resource guides
As registered nurses we establish how nursing should be practised
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What does it mean to be a member of a self-regulating profession?
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Overview
Unregulated
Regulated
Self-Regulated
What’s the difference?
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Overview
Regulated professionals have a scope of practice defined in their legislation.
Unregulated workers have a scope of employment defined by their job description.
Personal Scope
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Scope of Practice is…
…those activities that you are educated, authorized, and competent to perform.
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Collaborative Practice
Working as members of the health care team by respecting and acknowledging the roles of all those within the healthcare system in contributing to safe, competent and ethical care.
Fostering partnerships
Decision making re: most appropriate care provider is focused on the needs of the client.
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“Practice of nursing” means the application of specialized and evidence-based knowledge of nursing theory, health and human sciences, inclusive of principles of primary health care , in the provision of professional services to a broad array of clients ranging from stable or predictable to unstable or unpredictable… ~RN Act, 2006
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RN Scope
LPN Scope
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Today’s Nurses Brochure
RNs
LPNs
NPs
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Competence is….
The ability to integrate and apply the
knowledge, skill, and judgment required to practise safely and ethically in a designated role and practice setting and includes both entry-level and continuing competencies. RN Act, 2006
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Entry Level Competencies
Behavioural statements that reflect the integrated knowledge, skills, and judgment required of an entry-level registered nurse.
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Entry Level Competencies…
Are broad in nature and reflect diverse practice settings.
Are baseline practice requirements for the newly-graduated registered nurse.
Inform the public and employers of realistic expectations for new nursing graduates.
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RN Standards & Competence
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“The nurse administrator (manager) promotes a learning environment that supports continuous professional development for competent nursing practice.”
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What is my obligation if I see incompetence?
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How do you know when you’re competent?
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Your Accountabilities
Communicate if unable to perform
Assess your own level of
competence
Attain & maintain relevant competencies
Recognize that authority to
perform does not equate to
competence to performRealize that continuing
education programs and
clinical experience
enhance competence
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What are some barriers to maintaining competence?
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A continuing competence program focuses on promoting the
maintenance and enhancement of continuing competence of registered nurses throughout their careers.
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Continuing Competence Requirements
1. Maintenance of practice hours
2. Participation in the CRNNS Continuing Competence Program
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Self-Reflection
“One of the hallmarks of professionals is their ability to use their experiences...
James et al, 1993, p. 5
They do this by continually thinking about and reviewing their experiences, and by changing their actions and practice in light of those reflections.”
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Enhancing Reflection…
JournalDiscussThinkRevise
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A Code of Ethics is……a statement of ethical values of nurses
and of their commitments to persons with healthcare needs and persons receiving care.
Applies to nurses in all contexts.
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Appendix D – Ethical Considerations in Relationships with Nursing Students
Nurses treat each other, colleagues, students, and other healthcare workers in a respectful manner, recognizing power differentials…
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Nurses share their knowledge and provide feedback, mentorship, and guidance for the professional development of nursing students, novice nurses, and other healthcare team members.
~Appendix D
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Person-Centred
Care
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CRNNS Resources
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CRNNS Resources
Telehealth ™Education SessionsPractice ConsultationsPublications – guidelines, reports, & position statements to support best practicesMentor Match™Professional Conduct Review
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Web Resources
www.crnns.cawww.cna-aiic.cawww.nurseone.cawww.rnao.org (best practice guidelines)www.cnps.ca
Dr. Judy Boychuk Duchscherwww.letthelearningbegin.com www.nursingthefuture.com (new grads)
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“You must be the change you wish to see in the
world.”
~Mohandas Gandhi