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N1I02 > Week 1 - Nursing as a Profession, Legislation & Regulation > Flashcards

Week 1 - Nursing as a Profession, Legislation & Regulation Flashcards

1
Q

Definition of Nursing (CNO)

A

“ The goal of nursing is to restore, maintain and advance the health of individuals, groups or communities. It is a science and an art. The science is the application of nursing knowledge and the technical aspects of practice. The art is the establishment of a caring relationship through which nurses apply knowledge, skill, and judgment in a compassionate manner.”

  • Restore, maintain & advance the health of individuals
  • It’s a science & art
  • Nurses apply knowledge, skill & judgement in a compassionate manner
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2
Q

Definition of Nursing (CNA)

A

“Registered nurses are self-regulated health-care professionals who work autonomously and in collaboration with others to enable individuals, families, groups, communities and populations to achieve their optimal level of health. At all stages of life, in situations of health, illness, injury and disability, RNs deliver direct health-care services, coordinate care, support clients in managing their own health. RNs contribute to the health care system through their leadership across a wide range of settings in practice, education, administration, research and policy.”

  • Self-regulated health-care professionals
  • Enable individuals, families, groups, communities and populations to achieve their optimal level of health
  • Deliver direct health-care services, coordinate care, support clients in managing their own health
  • Contribute to the health care system in practice, education, administration, research and policy
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3
Q

What are the 5 settings RNs contribute to the health care system?

A

Practice
Education
Administration
Research
Policy
- eg. in the government, set out rules

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4
Q

Who sets out the rules for nurses?

A
  • Self-regulated
  • Rules & standards, etc set out by a group of nurses
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5
Q

What are the 3 nursing designations?

A

RNs
NPs
RPNs

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6
Q

Who are the members of the College of Nurses of Ontario (CNO)?

A

RNs, NPs, RPNs

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7
Q

Differences between RN, RPN, NP

A

RN - 4 year baccalaureate degree
RPN - 2 year college diploma
NP - RN, plus graduate studies (need approx. 2 year full time work before studying for NP)

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8
Q

Who are UAPs?

A

Unlicensed assistive personnel

  • Health care aide
  • Personal support worker
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9
Q

Highest to lowest:
RN, RPN, NP

A

NP (highest)
RN
RPN (lowest)

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10
Q

Give some examples of nursing roles in acute & community care

A

ACUTE
- ER, ICU
- Medical/Surgical-cardiovascular, GI, respiratory
- Geriatrics
- Pediatrics
- Maternity
- Psychiatry
- Oncology

COMMUNITY
- Health clinics
- Schools
- Employee health/wellness
- Physician’s offices
- Home care
- Rehabilitation centres
- Long term care
- Hospice
- Public health

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11
Q

What are needed to be considered a profession?

A
  • A mastery of a complex body of knowledge and skills
  • Knowledge and art used in the service of others
  • Governed by code of ethics
  • Profess a commitment to competence, integrity, morality, altruism and the promotion of the public good within their domain
  • Commitments form a social contract between the profession and society
  • The right to considerable autonomy in practice and the privilege of self regulation (with public good as the goal)
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12
Q

Is nursing a profession?

A

Yes

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13
Q

Can jobs be professional but not a profession?

A

Yes, they can be professional but not be part of a profession

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14
Q

What are needed to be considered professional?

A
  • “To Profess” refers to the public commitment to values and activities that is a right and privilege, not inherent but granted by society in return for certain behaviours and skills
  • Professionals and their members are accountable to those served and to society.
  • These commitments have been an implied in the past but is now an obligation
  • Self regulation
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15
Q

Nursing as a profession

A

Profession:
- An occupation whose core element is work based upon the mastery of a complex body of knowledge and skills
- *Body of nursing knowledge and skills

  • It is a vocation in which knowledge of some department of science or learning or the practice of an art founded upon it is used in the service of others
    • *Clients
  • Its members are governed by codes of ethics and profess a commitment to competence, integrity and morality, altruism, and the promotion of the public good within their domain
    • *College of Nurses of Ontario & Canadian Nurses Association
  • These commitments form the basis of a social contract between a profession and society, which in return grants the profession a monopoly over the use of its knowledge base, the right to considerable autonomy in practice and the privilege of self-regulation
    • *Nursing Act, CNO practice standards, Quality Assurance Program
  • Professions and their members are accountable to those served and to society.
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16
Q

Professionalism in Nursing (RNAO)

A

Knowledge (in what you do)
Spirit of Inquiry
Accountability
Autonomy
Advocacy
Innovation & Visionary
Collegiality & Collaboration
Ethics & Values

17
Q

Nursing Organizations

A

International Council of Nurses (ICN)
- Global

Canadian Nurses Association (CNA)
- National

College of Nurses of Ontario (CNO)
Registered Nurses Association of Ontario (RNAO)
- Provincial

Canadian Nursing Students’ Association (CNSA)
McMaster University Nursing Students Society (MUNSS)
- Municipal

18
Q

What are the 6 P’s of social media use?

A

Professional — Act professionally at all times

Positive — Keep posts positive

Patient/Person-free — Keep posts patient or person free

Protect yourself — Protect your professionalism, your reputation and yourself

Privacy — Keep your personal and professional life separate; respect privacy of others

Pause before you post — Consider implications; avoid posting in haste or anger

19
Q

What does the Regulated Health Professions Act, 1991 and the Nursing Act, 1991 determine?

A

Determine how the nursing profession is regulated in Ontario
- RHPA applies to all Ontario self-regulated health professions
- Nursing Act defines the scope of practice for the nursing profession

The two Acts then dictate regulations in terms of registration, entry to practice requirements, controlled acts, quality assurance and professional misconduct

20
Q

What’s the purpose of the RHPA?

A

Protect and serve public; mechanism to improve quality of care; make health professions open and accountable

Describe scope of practice, controlled acts, and regulatory colleges for each health profession

There are 14 controlled acts which regulated health professionals can perform – depending on scope, can perform a portion or all

The regulatory colleges are then responsible for ensuring the health professionals provide services in a safe, professional, and ethical manner; also investigate complaints about members and discipline if necessary

21
Q

What are controlled acts?

A

Things only ppl with proper training and knowledge can do (eg. nurses)

22
Q

What are considered regulated health professions?

A

Health professions governed under the RHPA (1991)

  • Have established health regulatory colleges, which regulate the profession in the public interest

Ex. Nurses, Physicians, Dieticians, Midwives, OT, PT, SLP, RT, Pharmacists, Dentists, Hygienists, Chiropractors etc.

23
Q

What are considered unregulated health professions?

A

Health professions NOT governed under the RHPA, but who provide health or other services to clients

  • The profession is not accountable to an external professional body

Ex. PSWs, Physician Assistants, Physiotherapy Assistants

24
Q

How many controlled acts can RNs and RPNs perform?

A

5

  • Of the 14 controlled acts outlined by the RHPA, the Nursing Act 1991 allows RNs and RPNs to perform 5 controlled acts when ordered or permitted
  • An RN or RPN must ensure that they have the knowledge, skill and judgment to perform any of these controlled acts
25
Q

How many controlled acts can NPs perform?

A

7

  • Of the 14 controlled acts outlined by the RHPA, the Nursing Act 1991 allows NPs to perform 7 controlled acts when ordered or permitted
26
Q

What are the 5 controlled acts RNs can perform?

A
  1. Performing a prescribed procedure below the dermis or a mucous membrane
  2. Administering a substance by injection or inhalation
  3. Putting an instrument, hand or finger
    i. beyond the external ear canal
    ii. beyond the point in the nasal passages where they normally narrow
    iii. beyond the larynx
    iv. beyond the opening of the urethra
    v. beyond the labia major
    vi. beyond the anal verge
    vii. into an artificial opening into the body
  4. Dispensing a drug
  5. Treating, by means of psychotherapy technique, delivered through a therapeutic relationship, an individual’s serious disorder of thought, cognition, mood, emotional regulation, perception or memory that may seriously impair the individual’s judgement, insight, behaviour, communication or social functioning
27
Q

What does the Nursing Act outlines?

A

A Nurses Scope of Practice

28
Q

What are some other purposes of the Nursing Act 1991

A
  • Defines the various classes of nurses that can be registered (ex. general, extended, temporary etc.)
  • Outlines the regulations for entry to practice for each class
  • Provides title protection (ex. only members of the College can use the title of Nurse, RN, RPN, etc.)
  • Defines professional misconduct for nurses
29
Q

What was created after the Nursing Act and the RHPA Act were passed?

A

It lead to the creation of the College of Nurses of Ontario (CNO)

30
Q

What’s the mission of the CNO?

A

Regulating nursing in the public interest
- eg. set standards to becoming nurses, standards to follow as nurses, rules to follow, etc

Self-regulation is a privilege granted to those professions that have shown they can put the interests of the public ahead of their own professional interests. It recognizes that Ontario’s nurses have the knowledge and expertise to regulate themselves as individual practitioners and to regulate their profession through the College.

31
Q

Who is the CNO?

A

The College of Nurses of Ontario is the governing body for registered nurses (RNs), registered practical nurses (RPNs) and nurse practitioners (NPs) in Ontario, Canada

32
Q

What are the 7 roles of CNO?

A
  1. Establishing requirements for entry to practice
  2. Articulating and promoting practice standards
  3. Administering its Quality Assurance program
  4. Enforcing standards of practice and conduct
  5. Participating in legislation/policy development
  6. Collecting statistical information about Ontario nurses
  7. Communicating with Ontario nurses (The Standard)
33
Q

What do Practice Standards provide?

A

Practice Standards provide a guide to the knowledge, skill, and judgment required for safe practice - inform nurses of their accountabilities and the public of what to expect of nurses

34
Q

Who does the Practice Standards by CNO apply to?

A

Standards apply to all nurses regardless of their role, job description, or area of practice

35
Q

What does the CNO Code of Conduct do?

A

The College of Nurses of Ontario (CNO) upholds safe nursing care for the people of Ontario.

The Code of Conduct explains the behaviour the public can expect of nurses when receiving health care. All nurses are accountable to this Code.

36
Q

6 Principles of the CNO Code of Conduct

A
  1. Nurses respect the dignity of patients and treat them as individuals
  2. Nurses work together to promote patient well-being
  3. Nurses maintain patients’ trust by providing safe and competent care
  4. Nurses work respectfully with colleagues to best meet patients’ needs
  5. Nurses act with integrity to maintain patients’ trust
  6. Nurses maintain public confidence in the nursing profession.

N1I02 (7 decks)

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