Roles of the Nurse II NUR 106 Fall, 2015 Professional Responsibilities & Roles Autonomy & Accountability Caregiver Advocate Educator Communicator Manager Career development opportunities Provider of care APRN Professional Nursing Organizations National League for Nursing American Nurses Association Colorado Nurses Association International Council of Nurses Quality and Safety Education for Nurses National Council of State Boards of Nursing Colorado State Board of Professional Nursing CO Department of Regulatory Agencies Team Nursing A nurse acts as team leader and delegates patient care tasks to other team members on the hierarchy. Primary Nursing A nurse is assigned to care for the patient from admission to discharge. Case Management Total Patient Care Delegation Legal standard from our nurse practice act Limited to Individual occurrences Stable patients Predictable outcomes Five reasons to delegate Barriers to delegation Under-delegation Delegator barriers Delegatee barriers Situational barriers Five Rights of Delegation** Conflict Arises when people address a common concern through a different lens Values Interests Goals Needs Approaches Opposing set of incompatibles Review of Ethical Terms Autonomy Nonmaleficence Commitment to include patients in decisions Taking positive actions to help others Avoidance of harm or hurt Justice Being fair Fidelity Agreement to keep promises Beneficence Values Formation Values are personal beliefs about an idea, custom, attitude or object that sets a standard or influences behavior Sometimes people have such strong values that they consider them to be facts, not just opinions. Sometimes people are so passionate about their values that they provoke judgmental attitudes during conflict. Clinical judgement is not the same Why Does Conflict Occur? Unclear roles Desire for scarce resources Distancing mechanisms Unifying mechanisms Perceived conflict Unresolved conflict from a prior conflict Strategies for Coping with Conflict Withdrawal or avoidance Healthy vs. unhealthy Smoothing or accommodating Forcing the issue or competing Negotiating & compromising Problem solving & collaborating Personal preparation & rehearsal “Nothing about me, without me” References Ellis, J. R., & Hartley, C. L. (2012). Nursing in today’s world: Trends, issues and management (10th ed). Philadelphia, PA: Lippincott, Williams & Wilkins. Jarvis, C. (2016). Physical examination and health assessment (7th ed.). St. Louis, MO: Elsevier. Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2017). Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier. Images retrieved from Google Images or Elsevier Resources. Questions???
