NURSING AGENCY Janet Secrest, PhD; RN University of Tennessee at Chattanooga School of Nursing

Objectives 1. Discuss qualities of nursing agency 2. List the social and interpersonal characteristics of nursing agency 3. Explain the relationship of nursing power components to nursing agency 4. Cite at least one application of characteristics or power components.

Agency power “the power to engage in ” (Orem, 2001, p.)

Nursing Agency “A set of developed and developing capabilities that persons who are nurses exercise in the provision of nursing” (Orem, 2001, p. 289)

Nursing Agency A power developed through specialized education and experience

Agency developed ( exercised) for the benefit of: “is analogous to self-care agency. They differ in that nursing agency is developed and exercised for the benefit of others and self-care agency is developed and exercised for the sake of one’s self” (Orem, 2001, p. 289). [italics mine] Nursing Agency Self-care Agency others one’s self

Nursing Agency Develops and matures over the lifetime of the nurse

Nursing “Operations Nursing “Operations” In three dimensions or domains Social Interpersonal Professional-Technologic

Social: Contractual The social legitimacy of nursing to enter into contractual relationships Role Role: legitimate nurse Relationship Relationship: contractual

Social: Contractual Legitimacy here means licensure We are recognized In society as a profession able to provide a specialized Service.

Social: Contractual Recognition is in the form of a licensing board This is the social contract

Interpersonal functioning qualified and functioning as a nurse Role: his/her own self-care agent professional, helping Relationship: professional, helping

Professional-technological Role defined by defined by the work Relationship specified by self-care deficit

Social/Interpersonal Characteristics/ Capabilities Leadership Repertoire of communication skills Transformative Teaching Ethical practice Judicious, legal practice (Art and Prudence) Cultural sensitivity Professional behavior

Professional-technologic Characteristics/ Capabilities Mastery of valid and reliable techniques for Nursing diagnosis and prescription Mastery of valid and reliable techniques for meeting therapeutic demands Evaluates/compares/contrasts results over time (Quality Improvement Alert, at ease, and confident in nursing situations Works toward testing methods of technologic techniques (Systematic evaluation) Able to integrate methods of helping Experienced in using valid/reliable techniques In performing technologic nursing operations

Application of characteristics Ground for practice Path for professional growth and development Job description—differentiation [Keatley] (ADN—BSN)

Power Components (nursing) 1. Valid and reliable knowledge of nursing operation. 2. Intellectual and practical skills. 3. Sustaining self as person and professional in nursing practice situations. 4. Willingness to provide nursing care.

Power Components (nursing) 5. Ability to unify action sequences toward result achievement. 6. Consistency in performing nursing operations. 7. Making adjustments to prevailing/emerging conditions.

Power Components (nursing) 8. Ability to manage self as essential professional operative in nursing practice situation. 9. Prudence: Selecting “the right reason about things to be done” (p.293) 10. Art: goal-directed “intellectual quality... that allows... creative investigations, analysis, and synthesis” (p. 293) in order to produce effective nursing systems

Application Clinical Performance Evaluation Tool in Education Could be used for employee evaluation tool

Nursing Agency Review Nursing Agency Develops over time Requires specialized education and experience

Nursing Agency Review Nursing Agency Exercised for the sake of others Practiced through 3 “domains” Social Interpersonal Professional-interpersonal

Nursing Agency Review: Nursing Agency Social/Interpersonal Characteristics 1. Effective communication 2. Transformative teaching 3. Leadership 4. Prudent, judicious practice 5. Cultural sensitivity 6. Professional behavior

Nursing Agency Review: Nursing Agency Nursing Power Components These are what mobilize, sustain, and define your practice You will conduct self-evaluation every semester with the clinical performance self-evaluation tool You will also track specific motor skills throughout the program with the Professional-technologic skills check list

Objectives 1. Discuss qualities of nursing agency 2. List the social and interpersonal characteristics of nursing agency 3. Explain the relationship of nursing power components to nursing agency 4. Cite at least one application of characteristics or power components.