1/5/2011

ProfessionalisminNursing
SaskatchewanRegisteredNursesAssociation January 2011 Facilitator: Karen Ellis-Scharfenberg, RN, BScN, MBA Associate Director, RNAO Centre for Professional Nursing Excellence

Consider
What does it mean to be professional? What does it mean to act professionally? What does it mean to be a professional?

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AcknowledgementofAdultLearners
Motivated Prior learning, work and life g experience Need to incorporate experiences into learning Different learning styles Learning is a social process Committed to lifelong learning

CreatingaLearningEnvironment
Respect and openness Confidentiality Active participation Utilizing technology What are your ground rules?

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ProfessionalismWorkshop
Based on the RNAO Healthy Work Environments (HWE) Best Practice Guideline (BPG): Professionalism in Nursing

HealthyWorkEnvironmentsforNurses
Definition:
Practice settings that maximize the health and well-being of the nurse quality patient/client outcomes nurse, outcomes, organizational performance and societal outcomes. The healthy workplace is a product of the interdependence among individual, organizational and external system determinants.

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ProfessionalisminNursing
A template to assist nurses with the complexities of daily practice.

Environment

Individual Practice

Establishing a professional role is a prerequisite for establishing control over practice.

Rnao, .

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Professionalism Quotes

Nursing Professionalism is
Use the keywords you selected to create a description of Professionalism

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WhatisProfessionalism?
Knowledge (based on scientific principles) Specialization Intellectual and individual responsibility Well-developed group consciousness
Flexner, 1910

AttributesofNursingProfessionalism
Knowledge Spirit of Inquiry Accountability Autonomy Advocacy Innovation and Visionary Collegiality and Collaboration Ethics and Values

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Knowledge
Definition: Understanding of information about a subject, which has been obtained by experience or study.
Cambridge Advanced Learners Dictionary, 2005

Whatkindofknowledge?
Domains of practice in nursing include: Clinical care Research Education Policy Administration

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SpiritofInquiry
Definition: q , q g pp practice Inquisitive, inquiring approach to ones own p
Melnyk & Fineout-Overhold, 2005

SpiritofInquiry
Professionalism includes:

Being open minded Having the desire to explore new knowledge Asking questions Striving to define patterns of responses Being committed to lifelong learning

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SpiritofInquiry
Professionalism includes:

Being a strong critical thinker Reflecting on all elements of your nursing practice and care Obtaining feedback about your practice from peers

Accountability
Definition: Responsibility for ones conduct or the willingness to be b answerable f ones actions. bl for ti
Concise Oxford Dictionary, 1982; Bergman, 1981

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Thechallengesofbeingaccountable

SmallGroupExercise
What can be done to promote accountability?

Develop a list of practices that will promote or enhance nurses accountability.

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Autonomy
Definition: Right of self-government; personal freedom.
Concise Oxford Dictionary 1982 Dictionary,

AutonomousPracticeMeans.
working independently exercising decision-making within ones scope of practice having the ability to carry out the appropriate course of action having the capacity as a nurse to determine her/his own course of action Note: Autonomy can be compromised b th N t A t b i d by the context & relationships

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Choose 1 practice that will promote or enhance your autonomy.

1. Learn from critical incidents 2. Take on formal and informal leadership roles 3. Consult and collaborate with colleagues and experts 4. Improve skills in decision-making pp , 5. Support decisions and behaviors with evidence, learning and clinical experience

Advocacy
Definition: An advocate is a person who supports or speaks out for f a cause, policy. li
Concise Oxford Dictionary, 1982

This includes being an advocate/change agent for clients, f ili and communities as well as th li t families d iti ll the profession.

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Advocacy
Nurses should have input into all aspects of patient care within their scope of practice including serving as patient advocates. advocates
Baumann, OBrien-Pallas, Armstrong-Stassen, et al. 2001

Advocacy Advocacy

An advocate supports or speaks out for a cause, or policy. policy Includes being a change agent for clients clients, families, communities and the profession.

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BrainstormingExercise
# 1 List items/issues that nurses should advocate for in a specific workplace (choose one workplace for your group) p y g p) # 2 List items/issues that nurses should advocate for within their provincial health region. # 3 Lists items/issues that nurses should advocate for within the Canadian Health Care system.

Professionalism Quotes

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Innovation&Visionary
Definition: Innovation: Bring in new methods, ideas, etc.; make changes; introduce for the first time time. Visionary: The act or faculty of seeing, sight; imaginative insight; ability to plan or form policy in a far-sighted way.
Concise Oxford Dictionary, 1982

Innovation&Visionary
What are some of the innovative and visionary changes you have witnessed in your nursing practice?

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Ethics&Values
Definition: A system of valued behaviours and beliefs for determining right or wrong and for making judgments about what should be done to or for other human beings.
Leddy & Pepper, 1998

Nursing ethics is reasoned reflection and enquiry about the ethical dimensions of nursing practice as it impacts on the lives of patients, colleagues and society. p g y
Yeo & Moorhouse, 1996

Professionalism and Ethics means.

1. Having knowledge about ethical values, concepts and ethical decision-making. 2. Being able to identify ethical concerns, issues and dilemmas. 3. Applying knowledge of nursing ethics to make decisions and to act on decisions.

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ValuesClarificationExercise

Complete the reflective exercise in your workshop package.

Collegiality&Collaboration
Definition: A colleague is a fellow official or worker, especially in the p same profession or business. Shared power and authority is vested among colleagues. Collaborate means to work jointly with, co-operate.
Concise Oxford Dictionary, 1982

It goes beyond individual requirements and includes other health professionals.

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Importance of Teamwork
For most individuals, the work team provides one of the most important social contacts in life; it contributes significantly to ones professional confidence and to quality of work life and job satisfaction.
Sullivan & Decker, 2001 Decker

Rate yourself as a colleague.

1. Great 2. Good 3. OK 4. Bad

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How about a more Important Question?

Would your co-workers co workers give you the same rating?

Collegiality&Collaboration
Think of a time when you experienced or witnessed competition and adversarial or challenging working relationships.

Discuss the consequences with the colleagues in your group. Be prepared to share an example with the larger group group.

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CollaborationBestPractices
Nurses contribute to a culture that supports teamwork by:
Demonstrating accountability f actions D t ti t bilit for ti Being enthusiastic and committed to the team and its goals Actively and constructively participating in the nursing team Understanding their own roles, scope of p g , p practice and responsibilities

CollaborationBestPracticescont
Nurses contribute to a culture that supports teamwork by:
Acting A ti as a mentor to nurses, nursing students and t t i t d t d colleagues to enhance and support professional growth Participating in interdisciplinary rounds and team meetings Supporting colleagues who identify issues with professional practice Acknowledging interdependence between all team members

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SmallGroupDiscussion
Compare and contrast the following 2 statements:

1. 1 Mary is a professional waitress waitress. 2. Jane is a regulated health professional.

CaseStudyScenarios

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Teamwork is Vital to Professionalism

Teams are real groups in which individuals g p work cooperatively with each other in order to achieve some overarching goal. They demonstrate healthy interdependence.
Sullivan & Decker, 2005 ,

Types of Teams
Informal Team Created by employees rather than the organization Is designed to meet employees mutual interests Formal team Created by the organization Ma be vertical or hori ontal May ertical horizontal Accomplishes set tasks

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Types of Teams
Committee Long lasting team created to deal with specific tasks that th t recur regularly l l Task Force Deals with a specific activity and only exists until the task is completed Interprofessional Team Has members from a variety of professions who work together to accomplish a task

4-Stages of Team Development The Tuckman Model

Forming Storming Norming Performing

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What happens in the forming stage?

Orientation/Acquaintance. Test one another for friendship possibilities and task orientation. Explore boundaries of acceptable behaviour Behaviours are polite and non-committal

2nd stage - Storming

Often involves competition and strained relationships Conflict may arise related to issues of power, leadership and decision making. Conflict cannot be avoided during this phase. Crucial stage that the team must work through.

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What happens in the storming stage?

Individual personalities emerge. Role clarification. clarification Conflict and disagreement. Lack of unity. Power struggles/competition. Cliques may form within the team. Need to get beyond this phase for team to be productive.

3rd stage Norming

What happens in the norming stage?
Conflicts are resolved. Team harmony and unity emerge. Members accept and understand one another. Members develop sense of cohesion. Standards of performance and behaviour are defined. p

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4th stage - Performing

Result of working through the first 3 stages Team members learned how to work together as a fully functioning team The team and its members can
Define tasks Work out relationships successfully Manage their conflicts Work together to accomplish their goals

Movement through the stages

Not all groups will move from one stage to the next as described. Many circumstances can affect a group's progression, processes, and effectiveness. Some groups may
Get stuck Revert back Disband

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Summary:
8 Attributes of Professionalism in Nursing
Knowledge, Spirit of Inquiry, Accountability Autonomy, Advocacy, Innovation and Visionary Ethics and Values, Collaboration and Collegiality Professionalism is vital for Healthy Work Environments

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