Professional Behaviors in Nursing Notes

Nurses Touch: Becoming A Professional Nurse Professional Behaviors in Nursing Notes Introduction ● Translate the information of components that make up a profession and concepts and standards that guide nursing and turn them into practices ● How should you practice? ● How will you balance freedom of role while remaining within the boundaries? ● Mentoring and coaching ● Professional image ● Avoid negative behaviors ● Daily conduct Autonomy in Nursing ● What autonomy means ○ Links to independence ○ Relates to ethical treatments ○ Freedom for decision making ○ Right of personal choice ● How autonomy relates to nursing practice ○ Component of professionalism ○ Essential to practice ○ Significant to nurse and clients ○ Advocate for client rights ● Appeal of autonomy ○ Choice of type of practice ○ Important part of prioritizing care ● Autonomy- client preference ○ Promote clients right to make choices ○ Patients choice may not reflect your own opinion ○ Clients preference must be upheld ● Balancing autonomy ○ With freedom comes responsibility ○ Higher levels of freedom require more accountability ○ Laws and practice standards become autonomy ● Skills associated with autonomy in care ○ Critical thinking ○ Decision-making ○ Flexibility ○ Prioritization ● The value of autonomy ○ Recognized as a student ○ Appreciated as a professional ○ Facilitates client-centered care Accountability and Responsibility ● Independent role of nurses ○ Increased independence = increased liability ○ Accountability and responsibility are related but different ● Differences between accountability and responsibility ○ Differences can be small but important ○ One term = task, the other = behavior ○ Both relate to nursing practice ● Responsibility ○ Refers to duties, tasks, skills, and interventions ■ Reporting to provider ■ Client education ■ Lab work and tests ● Responsibilities are external ○ Basic care needs ■ Rest ■ Bath/shower ○ Advanced interventions ■ Administering medications ■ Wound care ○ Meeting client needs ● Restrictions of responsibility ○ Wishing scope of practice ○ Consistent with knowledge and abilities ■ Do not commit to something beyond your ability ■ Ask for assistance when needed by following the chain of command ● Accountability ○ Obligation to report ○ Must answer to others ○ A measure of success ● Accountability is internal ○ What compels you to be answerable to yourself and others ○ Not only what you do, but how you do it also ○ Commitment ○ Communicate comp[letion of responsibilities ○ Drives continuous care n ● Demonstrations of accountability ○ Shift change communication ○ Charting and documentation ○ Incident and d sentinel event reporting ○ Ensuring safe environment care ● Sense of responsibility ● ● ● ● ● ● ● ● Expectations of practice ○ Factors affecting responsibility and accountability ■ Care trends ■ Best practices ■ Scope of practices ■ Core measures Accountability working with responsibly ○ Accountability includes responsibility ○ Responsible for actions ○ Accountable to others ○ Obligation to both in client care Examining excellence ○ More than basic requirements ■ Top quality ■ Setting standards ANCC Magnet Program- Marks of Excellence ○ American nurses credential center ○ Safe delivery of care ○ Quality of nursing care ○ Pursuit of what is best for clients Excellence through information ○ Awareness of research ○ Developing critical thinking ○ Continuing education and certification ○ Creation of care plans and pathways Excelling at excellence ○ Nurse-to-nurse interaction ■ Preceptorship ■ Mentoring ■ Networking An environment of excellence ○ Good communication ○ Opportunity for learning ○ Training suitable to role ○ Rewards for exemplary behavior Effects of excellence ○ High quality care ○ Safe care ○ Improved outcomes ○ Nurse satisfaction Caring Behaviors ● What caring is ○ Is it simply concern or regard? ● ● ● ● ● ● ○ Is it inherent or learned? Caring is doing what’s best ○ Beneficence ■ “Doing good” ○ Mirrors stands and values ○ Promotes excellence Care- external client influences ○ Client resources ○ Family support ○ Support systems ○ Impact on family Care- internal client factors ○ Personality ○ Psychosocial health ○ Coping mechanism ○ Spirituality Care- other influences on recovery ○ Long term outcomes ○ Potential level of functioning ○ Restoring the whole client ○ Compassion, competence Care- client perceptions ○ Creates confidence ○ Commitment to client values ○ Recognition of individual worth ○ Promotes trust Caring- essential to nursing ○ Acting for the whole client ○ Individualized care plan ○ More than physical needs Integrity in nursing ● Integrity ○ Reliability ○ Trustworthiness ○ Care that aligns with morals and standards ● Integrity in morals ○ Individual rights ○ Right to choose ○ Personal belief system ● Integrity in standards ○ Stands promote high quality ○ Nurses meet professional standards ● Nursing standard ● ● ○ Maintain professional quality ○ Nurses obligated to report violations ○ Self-reflection measures personal integrity Threats to integrity ○ Fast-paced environment ○ Substance abuse ○ Practice and ethics violations Upholding standards and morals ○ Conflicts will arise ○ Nurses liable for stands of practice ○ Always advocate for clients rights Respect in relationships ● Respect in relationships ○ Respect ■ Courtesy ■ Value ■ Appreciation ○ Disrespect ■ Demeaning ■ Devaluing ● What respect is ○ Awareness of preferences ○ Upholding individual rights ○ Considering needs, values ● Respect for clients ○ Shows care, honesty ○ Uphold a clients cultural preferences ○ Give the right to choose ○ Protects nurses practice ● Respect across professions ○ Promotes critical thinking ○ Positive communication ○ Beneficial to decision making ● Respect despite conflict ○ Clients have the right to choose ○ Professionals may differ in points of view ○ Communication and compromise ● Respect as a choice ○ Builds positive relationships with clients ○ Promotes care planning, trust ○ Values individual worth ○ Maintains long-term relationships Precepting, Mentoring, Coaching ● Nurse to nurse relationships ○ Critical thinking ○ Professional communication ○ Decision-making ● Benefits of nurse-to-nurse relationships ○ Lifelong learning ○ Seek experience ○ Guide through tough decisions ● Lifelong learning ○ Valuable to nursing field ○ Enhances care strategies ○ Keeps practice current ● Values of lifelong learning ○ Safe, competent care ○ Practice changes to meet needs ○ Continued evaluation and reshaping ● Learning practice trends ○ Core measures ○ Core pathways ○ Quality and safety education for nurses (QSEN) ● Ways to continue learning ○ Continuing education ○ Skills acquisition ○ Certification ● Significance of learning for nurses ○ Practice continually changes ○ Continued safe, effective care ○ Potential for advancement, promotion Professional Boundaries ● The balance of boundaries ○ Autonomy must be balanced ○ Safe practice must be maintained ● Sources of boundaries ○ State nurse practice act ○ Policies ○ Procedures ● Nursing practice is unique ● Personalized care creates a bond ○ Lines between professional, and friend, become blurred ● Staying within boundaries ○ Awareness of state laws ○ Focus on your role ○ Recall ethical principle Confidence, Assertiveness, Teamwork ● The valued nurse ○ Confident ○ Assertive ○ Team player ● The confident nurse ○ Confident decision maker ○ Positive self esteem ○ Higher levels of thinking skills ○ Enhanced reasoning ● The assertive nurse ○ Communicates openly, honestly ○ Promotes positive interactions ○ Minimizes communication errors ● Assertiveness in the new nurse ○ Protects practice while planning care ○ Speaks up when tasks are beyond preparedness ○ Should not be confused with aggressiveness ● The nurse as a team player ○ Holistic care ○ Plans care with members of client team Self Reflection ● Self-reflection ○ Help to modify practice ○ Promote personal development Horizontal or Lateral Violence ● Negative nurse interactions ○ Nurses are not always respectful to each other and other healthcare professionals ○ Negative intrapersonal communication ● Horizontal/lateral violence ○ Occurs between peers at the dame level ○ Includes ■ Bullying ■ Insults ■ Threats ■ Intimidation ○ Joke telling can lead to slander ● Effects of lateral violence on the workplace ○ Competition and negativity ● ● ○ Impedes good communication ○ Contributes to staff attrition Your unique position to change ○ Choose to react differently ○ Choose to respect others ○ Lateral violence is not “part of the job” Prevention of horizontal violence ○ Avoid insults ○ Constructive communication instead ○ Stay away from and report plots against co-workers ○ Plan now to react appropriately and positively