RNSG 1146 LEGAL AND ETHICAL ISSUES FOR NURSES

Nursing in Today’s World: Chapter 14Facing the Challenges of Today’s Workplace

Kathy Glynn RN, MSNSandra Rondeau RN, MSN

Sandra Fontenette RN, BSN

Learning Content Unit 8 - The Nurse

Practice Act of Texas Nursing Practice Act Nursing Peer

Review Nurse Licensure

Compact(Learning Content will consist of class participation project).

Learning Content Unit 7 - The Workplace

Moving from Novice to Expert

Reality Shock

Burnout

Patient Safety Initiatives Workplace Safety and Health for

Nurses

Benner’s Exemplar Role’s and Levels of Function

Helping Role

Teaching Role

Diagnostic and Monitoring Role

Responding to Changing Situations Role

Administering and Monitoring the

Therapeutic Interventions and Regimens

Role

Leadership and Management Role

1. Novice

2. Advanced Beginner

3. Competent

4. Proficient

5. Expert

Patricia Benner’s Level’s of Function

Novice

Proficient

Competent

Advanced Beginner

Expert

Reality ShockWith reality shock there is a misconception between the perception of the role and responsibility of nurses and the actual practice of nursing. New nurses feel powerless to effect change in their role with delivering care and this can create despair.

Self-appraisal

Careful evaluation of employers

Comparison of skills to

expectations

Mentors, preceptors, and coaches

Peer support group

Personal stress management

Solutions for Reality Shock

Burnout

Stress Management and Self-Care for Burnout

In order to survive and thrive in the nursing profession make sure you’re attentive to your own needs and practice self-care. This means caring for your self before you care for others.

Personal Health Needs Diet Rest Activity Plan Spiritual Needs Time with Family and Friends Life Should Never Be All Work

Patient Safety InitiativesWhy Patient Safety?

It’s importantIt’s our business

It’s because we care

Patient safety initiatives were highlighted by the Institute of Medicine report on To Err Is Human. The report outlined:

Joint Commission Federal Safety Legislation Patient Safety and Quality Improvement Act of 2005 Quality Improvement of Health Care Agencies Individual Provider Involvement

Improve the accuracy of patient identification. • Use at least two patient identifiers when providing care,

treatment, or services. Note: Do not use room number!

• Label containers used for blood and other specimens in the presence of the patient.

• Eliminate transfusion errors related to patient misidentification

Reduce the risk of healthcare associated infections.

•Comply with Hand hygiene guidelines. •Know the hand hygiene compliance data and goals for your work area.

Patient Safety Initiatives

Workplace Safety and Health for Nurses

Workplace Safety and Health for Nurses – Work Related Injuries

Nurses prone to back injury

Caring for a combative patient

Potential for needle sticks

Nursing Shortage Occupational Hazard /Infection/Needle SticksHazardous Chemical AgentsErgonomic HazardsViolence

Workplace Safety andHealth for Nurses - Discrimination in Nursing

Areas of Discrimination:

• Racial/Ethnic• Gender – Male and Female

Stereotyping

• Wages

Workplace Safety andHealth for Nurses - Sexual Harassment

Sexual Harassment is simply unwelcomed sexual conduct. When performed in the work place the environment becomes hostile.

Sexual Harassment Made Simple Training Videohttp://www.youtube.com/watch?v=EAxu68ZIQwQ

Workplace Safety andHealth for Nurses – Violence and

Disruptive Behavior

Disruptive behavior consist of incivility,verbal abuse, and bullying and when persist - Contributes to patient safety concerns. Creates aversive workplace in which individuals leave. Should prompt administrative authorities to act to stop abuse. Nurses working collectively can decrease the

impact

Thank you for Listening