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Characteristics of a Profession?
- Extended lifelong education training - never ending leaning new things
- Distinct body of knowledge - document that describe that knowledge
- Service to society
- Autonomy(independence)/Self-regulation
- Code of Ethics - understanding between right and wrong
- Professopnal organization
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Purpose of the RHPA ( Regulated health Profession Act)
- Provide a regulatory system that allows consumers grater freedom to choose their health care provider
- Promote greater transparency(clarity) & public accountability in the health care profession
- Provide more effective protection from harm for the public
- Introduce a more flexible regulatory system within a consistent(regular) framework for wach profession.
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RHPA(Regulated health Profession Act) Mandates Certain Elements for each Profession
- 42-49% of members of college boards must from the public
- College council meeting &discipline hearings are open to the public
- A "public register" provides information regarding the membrship status & business address of college member
- Minimum entry to practice requirements - graduation from a n approved school, evidence of safe practice within 5 yrs, successful completion of national entrance exam.
- Appropriate classes of registration - active, retired, graduate, special class, etc.
- Only members of the collge can use title
- Panel of disciplinary action to address issues of professional misconduct
- Administer patient relations program
- Quality Assurance Program
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CNO Professional Std of Practice
- Accountability - reponsible
- Continuing Competence - Ability
- Ethics - moral/belief
- Knowledge Application
- Leadership
- Relationship
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What is Reflective Practice & the QA program?
- Renewal of membership
- Support nurse to practice in accordance with accepted standards of practice & to continously improve their practice
- Facilitates practice developement where areas for improvement exist or potentially exist
- Contributes to/influences practice settings that support professional practice & quality care
- Increases the public's confidence in the nursing profession
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Legal Definitions
- Accountability - state of being answerable for one's action
- Liability - broad term that includes almost every type of lecal obligation, responsibility, or duty
- Law - Core matter used by person's and institutions in any legal system to regulate the affairs and conduct of person in society.
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Public law
- Basic system of fundamental values to guide human thoughs & behavour & to protect the public against dagerous actions
- Embodies fundamental commitment to preservation of life & health
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Breaches Law
Law stipulates(demand) punishment, including fines and imprisonment
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Private Law - Common Law
- Contract law - pertaining legally binding contract
- Torts - law surrounding civil wrongs or injuries suffered as a direct resut of wrongful acts
- -Compensation in the form of damages is awarded to a oerson who has been injured by another having legal duty or responsible for the injury
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Two main Catergories of Tort Law
- Intentional - includes assault, battery, invasion of provay, and false imprisonment(restrain)
- Unintentional - Negligence is conduct that falls below the standard regarded as normal or desired in a given community.
- Health professionals negligence is called malpractice
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3 elements Required for Negligence
- Duty of care - duty to use due to caustion to aviod acts or omission in providing care that could reasonably be foreseen to cause harm
- Breach or Professional Standard of Care - conduct did not meet standards that any other nurse would use in similar circumstances
- Casual connection - harm is due to provided or omitted
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Ethical Principles
- Rules to guide moral conduct and to assist us in taking consistent positions on specific & related issues
- Autonimy - independence
- Non-maleficence - to" do no harm"
- Beneficence - benefit of other
- Fidelity - faithul or loyal
- Justice
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Ethical Dilema
When strong moral reasons support each position and when we choose between the most right or the least wrong
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Moral Distress
Not able to face issues and deal effectivel
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Physical growth
qualitative or measureable changes and compared to norms (wt/height)
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Pattern of Developement
- Simple to comple - talking
- General to specific - Hand grasp
- Cephalocaudal - head to toe control
- Proximodistal - inner to outer (contol arms, hands and fingers)
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Maturation
becoming fully developed & grown - physically, psychologically and socially.
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Factors influencing Growth & developmetn
- Internal forces of nature - heredity
- External forces - family, peer groups, health environment. etc.
- Interacting Factors - life experiences, state of health
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Piagent's Theory of Cognitive Development
- Sensorimotors - birth -2yrs (looking,grasping,mouthing)
- Preoperational - 2-7yrs (learn to think with symbols and mental images)
- Concrete Operations - 7-11yrs (able to think logical & problem solve, achieve conversation)
- Formal Operation - 11-adulthhood ( can explore logical solution to concrete & abstract concepts, project into future or recall past)
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Erikson's Stages of development
- Trust vs Mistrust - Birth-1yr
- Autonomy vs shame and doubt - 1-3yrs
- Initiative vs Guilt - 4-5yrs
- Industy vs Inferiority -6-11yrs
- Identity vs Role confussion - 13-19yrs
- Intimacy vs. Isolation - 20-60yrs
- Generativity vs self-absortion andstagnation- 40-60yrs
- Intefrity vs Despair - 65yrs and above
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