lect 5 Flashcards
(15 cards)
4 Domains with 7 Principles
Domain 1. Practice legally (i) Legal compliance Domain 2. Practice safely, effectively and collaboratively (ii) Person-centred practice (iii) Cultural practice & respectful relationships Domain 3. Act with professional integrity (iv) Professional behaviour (v) Teaching supervising and assessing (vi) Research in health Domain 4. Promote health and wellbeing (vii) Health and wellbeing
Domain 1. Practice legally
Obligations under the Health Practitioner
Regulation National Law
Lawful behavior to maintain the good
reputation of the profession
Mandatory reporting to protect vulnerable
groups
Domain 2. Practice safely,
effectively and collaboratively
Nursing practice should be in accordance with the
standards of the profession, person-centred and
evidence-based
Decision making should be shared with the person
and the healthcare team (or legal guardians) and
respect the person’s right to a second opinion
Informed consent should be facilitated through
education in a language the person can
understand & opportunity for questions
Abide by principles of open disclosure and non
punitive approaches when adverse events occur
Principle 2.2 Cultural practice
and respectful relationships
Understanding the impact of colonisation on
Aboriginal and Torres Strait islander peoples’
health
Provide culturally safe and respectful practice
Communicate effectively when language and
cultural barriers exist
Bullying and harassment is not acceptable (never
engage in or ignore this behavior)
Maintain confidentiality and privacy
Provide culturally appropriate, supportive end of
life care and understand the limits of healthcare
to prolong life
Domain 3. Act with
professional integrity
Maintain professional behavior through
appropriate professional boundaries, honest
advertising and professional representation of self,
clarify their role in third party legal or insurance
assessments, avoid conflicts of interest, avoid
financial arrangements outside normal fees or
significant gifts
Carry out research ethically
Provide students and colleagues opportunities to
learn and be honest objective and fair in your
assessments
Domain 4. Promote health
and wellbeing
Of yourself and your colleagues to enable
provision of safe care (fitness to practice)
Advocate for community and population
health by using expertise and influence,
and the principles of primary and public
health
Requirements of Practice
Nurses must practice within the following
professional codes or legal framework
1. Australian Law ✓
2. Code of Professional Conduct for Nurses
in Australia ✓
3. A Nurse’s Guide to Professional Boundaries
and social media policy
4. Code of Ethics for Nurses in Australi
Part 3a
Professional boundaries
Therapeutic relationships ➢ Care must meet a therapeutic need of the patient ➢ Nurse’s values must not intrude into patient care ➢ Care can never be withheld ➢ Coercion is an abuse of power ➢ Respect clients comfort zones related to touch ➢ A sexual relationship with a patient is professional misconduct
In order to manage professional
boundaries, we must understand:
“An inherent power imbalance exists within
the relationship between people receiving care
and nurses that make the persons in their care
vulnerable and open to exploitation.
Nurses actively preserve the dignity of people
through practiced kindness and respect for the
vulnerability and powerlessness of people in
their care…
This vulnerability creates a power differential
in the relationship between nurses and persons
in their care that must be recognised and
managed”
A continuum of professional development
disinterested/ neglectful (under involvement) therapeutic relationship (zone of helpfulness) boundary violations (over involvement)
Boundary violation examples
Excessive self-disclosure Secretive behaviours Super nurse behavior Singled-out treatment or favouritism Selective communication Flirtation Sexual misconduct and assault
Social Media Policy
The NMBA Social Media Policy is based on
▪ Your legal obligations under the Health
Practitioner Regulation National Law (NSW,
2009)
▪ ICN Code of Ethics (2012)
▪ NMBA Code of Professional Conduct (2016)
Applies whether access is restricted or open
Social media does have benefits, but
inappropriate use can result in harm to the
patient and the profession:
Breaches of confidentiality Defamation of colleagues or employers, violation of practitioner–patient boundaries Unintended exposure of personal information to the public, employers, consumers and others
Common pitfalls of social
media in healthcare
Patient confidentiality
Cultural awareness, safety and practitioner
and patient beliefs – social and clinical
Professionalism – be aware of how you
represent nurses
Maintain professional boundaries – friending
patients is not recommended
Public health messages – must be consistent
with NMBA codes, standards & guidelines,
public health and best available scientific
evidence
Advertising – must not make false claims
Requirements of Practice
- Australian Law ✓
- Code of Professional Conduct for Nurses in
Australia ✓ - A nurse’s Guide to Professional Boundaries and
social media policy ✓ - Code of Ethics for Nurses in Australia
