Week 7

Question 1

Nursing professionalism history in Canada

Answer 1

• dates back to Grey nuns in 1639
• increased uptake in declaring nursing essential
• challenges in defining and regulating the scope of practice to align with the definition of the profession which leads to self-regulation
• ongoing work for legislation to support professional bodies in regulating

Question 2

profession

Answer 2

A paid occupation that involves specialized training and formal qualification. Characteristics include a definition of the profession, self-regulation, service to others, applied knowledge that must be learned through formal education, and a code of ethics.

Question 3

semi-profession

Answer 3

Engaging in an activity for pay or gain but not as a full-time occupation

Question 4

occupation

Answer 4

Habitual employment or what a person does for a living.

Question 5

vocation

Answer 5

The work in which a person is employed: OCCUPATION

Question 6

characteristics of a profession

Answer 6

• It is basically intellectual, carrying with it high
  responsibility
• It is learned in nature because it is based on a
  body of knowledge
• It is practical rather than theoretical
• Its technique can be taught through educational
  discipline
• It is well organized internally
• It is motivated by altruism

Question 7

Nursing professionalization

Answer 7

• code of ethics
• standardized education
• regulation

Question 8

Standardizing education

Answer 8

• all provinces except Quebec have standardized a degree program as the entry to practice
• masters degree
• doctorate degree

Question 9

educational standards: associations or regulatory colleges

Answer 9

• program approval processes
• may use CASN accreditation

Question 10

educational standards: national/regional trends

Answer 10

• influence or identity need that programs respond to
  (e.g., opioid pandemic has shown need for more MHSU nurses)

Question 11

control of professional nursing practice

Answer 11

• provincial legislation
• mandatory registration and legislation
• professional bodies:
  a. associations
  b. unions
  c. regulatory bodies

Question 12

Union vs. regulatory body

Answer 12

Unions:
- negotiate working conditions
a. pay
b. scheduling
c. staffing
Regulatory Body:
- protect and serve the public
a. registry
b. scope of practice
c. member misconduct

Question 13

BCCNM’s regulatory functions include

Answer 13

• establishing the conditions or requirements for registration with BCCNM
• recognizing education programs and courses in British Columbia for each of thefive professions
• establishing, monitoring, and enforcing standards of practice and professional ethics for nurses and midwives
• establishing and employing registration, inquiry and discipline procedures that are transparent, objective, impartial, and fair
• promoting and enhancing collaborative relations with other organizations in the health sector, and interprofessional collaborative practice between nurses, midwives,and other health professionals

Question 14

BCCNM legislation

Answer 14

• Health professions act
• regulations that support the profession under HPA
• bylaws under HPA to support professional frameworks

Question 15

Health Professions act supports regulators to?

Answer 15

• determining registration requirements
• setting standards of practice
• recognizing education programs
• maintaining a register that everyone can search, and
• addressing complaints about their registrants

Question 16

HPA applies to?

Answer 16

Chiropractors
Dentistry
Medicine
Midwifery
Occupational therapy
Optometry
Pharmacy

Question 17

BCCNM professional standards

Answer 17

• professional responsibility and accountability
• knowledge-based practice
• client-focused provision of service
• ethical practice

Question 18

how to use professional standards

Answer 18

understand
support
explain
advocate
define and resolve
include in

Question 19

what is fitness to practice

Answer 19

Fitness to practice” is defined as having the necessary physical and mental health to provide safe, competent, ethical and compassionate nursing services. Nurses are accountable to monitor and maintain their own fitness to practice and professional conduct as outlined in their code of ethics and standards of practice”.

Question 20

Fitness to practice: nurses are responsible for?

Answer 20

• Maintaining their physical, psychological, and
  emotion fitness
• Decision making, actions, and professional conduct
• Self-reflection
• Seeking support or treatment to ensure fitness to
  practice

Question 21

How is practice described in regulation?

Answer 21

General practice, certified practice, and nurse practitioner

Question 22

general practice

Answer 22

nursing practice activities, restricted activities without and order or with an order. Section 5-7

Question 23

certified practice

Answer 23

activities that a registered nurse cannot carry out without certification. Section 8

Question 24

Controls of practice

Answer 24

• Individual nurse competence small
• Employer policies
• BCCNM standards, limits, and conditions
• Regulation/ legislation Large

Question 25

Not autonomous scope of practice:

Answer 25

listed under section 7, standards limits or conditions established, organizational polices, individual competence.

Question 26

within the autonomous scope of practice

Answer 26

a. nurses assume sole accountability and responsibility b. clinical decision-making process: a. assessment of the client’s status b. nursing diagnosis of a client’s condition c. determines activity d. carry out activity e. change or cancel client-specific order f. give client-specific order g. manage intended and unintended consequences h. manage and evaluate the outcome