Creating positive practice environments.It could be called a "fortunate coincidence" or even "too good to be true", but the evidence is clear--quality workplaces correlate with quality patient care. (1) The reality, of course, is this is no coincidence at all, but simply reflects the fact that nursing is a patient-centred profession.
From this fact it follows that for health systems to be good for patients, health systems must be good for nurses. Some nurses may feel uncomfortable with a seemingly self-serving theorem theorem, in mathematics and logic, statement in words or symbols that can be established by means of deductive logic; it differs from an axiom in that a proof is required for its acceptance. . But is it self-serving to assert professional authority and to seek to improve workplace conditions, when these aspirations aspirations npl → aspiraciones fpl (= ambition); ambición f
aspirations npl (= hopes, ambition) → aspirations fpl are properly grounded in patient-centredness? Or is it self serving to assert that properly grounded professional authority and legitimate workplace aspirations are a professional responsibility? While some individual nurses may feel too shy to make such an assertion, our international nursing body is not.
Sustaining the health workforce
The International Council of Nurses (ICN ICN International Council of Nurses. ) has chosen "Positive Practice Environments: Quality Workplaces = Quality Patient Care" as the theme for International Nurses Day 2007, celebrated on May 12. In launching the theme, ICN president Hiroko Minami declared the goal was "to improve the quality of health services health services Managed care The benefits covered under a health contract through health care work environments that support performance excellence." She went on to say "this can only be achieved in a workplace that enables and sustains a motivated, well prepared workforce." (2)
NZNO NZNO New Zealand Nurses Organisation is the New Zealand New Zealand (zē`lənd), island country (2005 est. pop. 4,035,000), 104,454 sq mi (270,534 sq km), in the S Pacific Ocean, over 1,000 mi (1,600 km) SE of Australia. The capital is Wellington; the largest city and leading port is Auckland. national nurse association holding ICN membership. Our international participation through ICN not only assists New Zealand nurses to gain an international perspective on nursing, but also informs ICN with the experience and perspective of New Zealand nurses.
The work of the Safe Staffing and Healthy Workplaces Committee of Inquiry (CoI) exemplifies the synergy The enhanced result of two or more people, groups or organizations working together. In other words, one and one equals three! It comes from the Greek "synergia," which means joint work and cooperative action. between the workplace experiences of New Zealand nurses and the international nursing experience. Local experiences and anecdote anecdote (ăn`ĭkdōt'), brief narrative of a particular incident. An anecdote differs from a short story in that it is unified in time and space, is uncomplicated, and deals with a single episode. , together with the international literature, informed the CoI. The CoI also represented a shared commitment by nurses and midwives, whether bringing a district health board employer perspective or an NZNO worker perspective, to produce recommendations that would address safe staffing issues.
Such essential collaboration arose from the determination of ordinary NZNO members to act to improve workplace conditions through their collective action and this, in itself, is a significant demonstration of professional responsibility. NZNO, like ICN, does not hesitate to assert professional authority and to seek to improve workplace conditions.
In choosing to fund the central recommendation of the CoI--the safe staffing unit--the Minister of Health Pete Hodgson Peter Colin Hodgson (1950 - ) is a New Zealand politician. He is a member of the Labour Party.
Hodgson was born in Whangarei, and received a Bachelor's degree in veterinary science from Massey University. has demonstrated the Government understands that quality workplaces equal quality patient care. However, the responsibility for implementation, the responsibility for safe care is ours. The quality patient care that can only be reliably and consistently delivered in quality workplaces is the responsibility of nurses. We know what it entails. We evaluate it when it fails. So the challenge to deliver safe care is ours.
Regardless of job title or organisational responsibility, there are professional tasks for every nurse in this enactment of professional responsibility. Whatever your own role in the delivery of nursing care or in support of nursing, and whatever your practice setting, you have an obligation to identify the tasks arising from your role that will contribute to the creation of positive practice environments. For example;
A registered or enrolled nurse: Ask for and provide support to your peers to enable all patients/clients to receive the care you would choose for those you love and to ensure the trust patients place in you is placed well.
A caregiver care·giv·er
1. An individual, such as a physician, nurse, or social worker, who assists in the identification, prevention, or treatment of an illness or disability.
2. : Require an up-to-date plan of care, prepared by a registered nurse, for each of your patients/clients. Support and expect support from each other and from those who direct you.
A nurse educator A nurse educator is a nurse who teaches and prepares licensed practical nurses (LPN) and registered nurses (RN) for entry into practice positions. Nurse Educators also teach in graduate programs at Master’s and doctoral level which prepare advanced practice nurses, nurse : Collaborate with practitioners to ensure that education principles inform learning, and practice needs determine learning objectives.
A nurse manager: Involve practitioners in planning and implementation of care delivery systems and support practitioners with the resources and information they need to give good care.
A director of nursing: Exercise the authority required to ensure the nursing service you lead is able to deliver care to the standards to which each nurse in your service is held accountable by the Nursing Council.
A Nursing Council member: Proclaim pro·claim
tr.v. pro·claimed, pro·claim·ing, pro·claims
1. To announce officially and publicly; declare. See Synonyms at announce.
2. the responsibility of every nurse to decline an additional patient load in the event a practitioner considers they have reached the limits of their safe professional practice.
Collectively, we must work with our communities and those in need of nursing care to better understand how we should meet their needs. We must support each other to put patients first and to ensure even the most "difficult" patients experience nursing care, as if they were one of our own whanau.
Positive practice environments are not a theoretical ideal; they are the settings where nurses fulfill ful·fill also ful·fil
tr.v. ful·filled, ful·fill·ing, ful·fills also ful·fils
1. To bring into actuality; effect: fulfilled their promises.
2. their professional commitment to society. Positive practice environments are not just nice when you can find them; they are necessary for nursing. The professional responsibility of every nurse is to create a positive practice environment. When we exercise this responsibility we expect society to meet its obligations to us--to ensure nurses have authority matching our responsibilities, and that service infrastructure and support systems enable us to meet our professional responsibilities.
(1) A.J. Lankshear, T.A. Sheldon, and A. Maynard. (2005) Nursing Staffing and Healthcare Outcomes: A Systematic Review of the International Research Evidence. Advances in Nursing Science; 28: 2, 163.
(2) International Council of Nurses. (2007) Positive practice environments: Quality workplaces = quality patient care. Information and action tool kit. Geneva Geneva, canton and city, Switzerland
Geneva (jənē`və), Fr. Genève, canton (1990 pop. 373,019), 109 sq mi (282 sq km), SW Switzerland, surrounding the southwest tip of the Lake of Geneva. : author.
By NZNO chief executive Geoff Annals an·nals
1. A chronological record of the events of successive years.
2. A descriptive account or record; a history: "the short and simple annals of the poor"