1. RNSG 1146 LEGAL AND ETHICAL ISSUES FOR NURSES
Nursing in Today’s World: Chapter 14
Facing the Challenges of Today’s Workplace
Facilitators: Kathy Glynn RN, MSN,
Sandra Rondeau RN, MSN
Sandra Fontenette RN, BSN

2. Learning Content Unit 8 - The Nurse Practice Act of Texas
Unit 7 - The Workplace
Moving from Novice to Expert
Reality Shock
Burnout
Patient Safety Initiatives
Workplace Safety and Health for Nurses
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).

3. 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
Novice
Advanced Beginner
Competent
Proficient
Expert

4. Patricia Benner’s Level’s of Function
Expert
Proficient
Novice
Competent
Advanced Beginner

5. Reality Shock
With 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.

6. Solutions for Reality Shock
Self-appraisal Careful evaluation of employers Comparison of skills to expectations Mentors, preceptors, and coaches Peer support group Personal stress management

7. Burnout
Symptoms of Burnout include physical and psychological distress, exhaustion, fatigue, headaches, backaches, insomnia, etc.

8. 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

9. Patient Safety Initiatives
Why Patient Safety? It’s important It’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

10. Patient Safety Initiatives
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.

11. Workplace Safety and Health for Nurses

12. Workplace Safety and Health for Nurses – Work Related Injuries
Nursing Shortage
Occupational Hazard /Infection/Needle Sticks
Hazardous Chemical Agents
Ergonomic Hazards
Violence
Potential for needle sticks
Caring for a combative patient
Nurses prone to back injury

13. Workplace Safety and Health for Nurses - Discrimination in Nursing
Areas of Discrimination:
Racial/Ethnic
Gender – Male and Female Stereotyping
Wages

14. Workplace Safety and Health for Nurses - Sexual Harassment
Sexual Harassment is simply unwelcomed sexual conduct. When performed in the work place the environment becomes hostile.
The American Nurses Association (ANA), is deeply committed to the principles of civil rights and opposes any form of discrimination against individuals or groups of individuals based on sex, race, age, national origin, religion, disability, or sexual orientation. ANA believes that nurses and students of nursing have a right to and responsibility for a workplace free of sexual harassment. Sexual harassment has an adverse impact on the health care environment.
Sexual Harassment Made Simple Training Video

15. Workplace Safety and Health 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
Disruptive behavior is an unwanted behavior and should stop. According to Longo, (2010), “Employers have a duty to create a safe and effective environment. Establishing a culture of respect towards each other and having a zero tolerance towards disruptive behavior are necessary steps that agencies must take”. Nurses should familiarize themselves with their institutions policies regarding collegial behaviors and reporting mechanisms.

16. Thank you for Listening