Framework for Enhanced Safety in Professional Practice

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Framework for Enhanced Safety in Professional
Practice

• Academy of Canadian Executive Nurses
• November 2005

Noreen Linton, RN, MN Associate Chief Nursing
Officer Katherine Stansfield, RN, MN
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Calgary Health Region Vision of Nursing

• Excellent health care through professional
  nursing practice

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Calgary Health RegionMission of Nursing

• We are committed to professional nursing practice
  that promotes
• Quality family centered health care
• Efficient and effective delivery of integrated
  services provided in collaboration with community
  partners and members of the multidisciplinary
  health care team

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Professional Nursing Practice is a commitment to

• Compassion, caring, and strong ethical values
• Continuous development of self and others
• Accountability and responsibility for insightful
  practice
• Demonstrating a spirit of collaboration and
  flexibility June 2002

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Professional Nursing Practice Framework
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Professional Nursing Practice is demonstrated
through
The Art of Nursing Nurses demonstrate ethical
insightful caring practice, by focusing on the
health and well-being of individuals, families
and communities in health and during episodes of
illness and transition. Competence Nurses
competence is grounded upon nursing theory,
scientific knowledge and experience, and is
reflected in everyday practice. It is enhanced
through continuous learning, shared through
mentorship, and supported through intra and
inter-professional dialogue.

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Professional Nursing Practice is demonstrated
through
Attributes of practice Autonomous professional
practice in Nursing requires taking personal
responsibility for excellence in practice, and
effective collaboration with multidisciplinary
team members in meeting the health needs of the
population. Personal Commitment Nurses
demonstrate commitment to the profession by
valuing nurses and nursing, contributing to the
advancement of the profession and continually
striving for excellence in patient care. March
2003
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Framework for Enhanced Safety in Professional
Practice

• Based on Nursing Professional Practice Framework
• Approved by Nursing Council June 2004

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Professional Practice Framework for Enhanced
Safety The Art of Nursing

• Ethical caring practice is grounded in
  beneficence and non-maleficence and practiced in
  a culture of disclosure to individuals, families
  and the larger community
• Practice issues and system flaws are clearly
  delineated and distinguished
• Care for the second victim is embedded in
  practice and supported at all levels

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Professional Practice Framework for Enhanced
Safety Competence

• Safety is enhanced through competent practice,
  based on evidence and experience and demonstrated
  through appropriate clinical judgment
• Current knowledge, access to expertise and
  vigilance are critical to exercising clinical
  judgment which promotes good catches and
  prevents incidents leading to failure to rescue
  and close calls
• Competence is both an individual nurse and
  collective professional nursing responsibility

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Professional Practice Framework for Enhanced
Safety Attributes of Practice

• Collaboration within the healthcare team to
  support safety includes disclosure, reporting,
  examining and learning from harm and good
  catches
• Implementation of best practices related to
  safety requires a team approach.
• Nurses accurate assessments and clear
  communication are hallmarks of autonomous
  practice within a safety collaborative model.

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Professional Practice Framework for Enhanced
Safety Personal Commitment

• Nurses professional commitment is demonstrated
  through insightful practice the awareness of
  ones level of competence, accountability to
  patients, application of critical thinking and
  commitment to ongoing learning and to the system.
  
• Learning from harm is part of the nurses
  commitment to advancing professional knowledge
  and contributes to the culture of safety within
  the organization - based on learning, trust,
  systems-thinking and is non-punitive and open.

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