NURSING AGENCY Janet Secrest, PhD; RN University of Tennessee at Chattanooga School of Nursing
Dec 27, 2015
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
“the powerpower 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 (Agency developed (exercised)exercised) for for the benefit of: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 AgencyNursing Agency Self-care AgencySelf-care Agency
others one’s self
Nursing AgencyNursing Agency
Develops and matures over the lifetime
of the nurse
Nursing “OperationsNursing “Operations”
In three dimensions or domainsIn three dimensions or domains
Social
Interpersonal
Professional-Technologic
Social: ContractualSocial: Contractual
The social legitimacy of nursing to enter into contractual relationships
RoleRole: legitimate nurse
RelationshipRelationship: contractual
Social: ContractualSocial: Contractual
Legitimacy here means licensure
We are recognizedIn society as a professionable to provide a specializedService.
Social: ContractualSocial: Contractual
Recognition is in the form of a licensing board
This is the social contractThis is the social contract
Interpersonal
qualified and functioning functioning as a nurse
Role: his/her own self-care agent
Relationship: professional, professional, helpinghelping
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 practiceJudicious, legal practice
(Art and Prudence)
Cultural sensitivity
Professional behavior
Professional-technologic Characteristics/ Capabilities
Mastery of valid and reliable techniques forNursing diagnosis and prescription
Mastery of valid and reliable techniques formeeting therapeutic demands
Evaluates/compares/contrasts results over time
(Quality Improvement
Alert, at ease, and confident in nursing situations
Works toward testing methodsof technologic techniques
(Systematic evaluation)
Able to integrate methodsof 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
Review Nursing AgencyNursing Agency
Develops over time
Requires specialized education and experience
Review Nursing AgencyNursing Agency
Exercised for the sake of others
Practiced through 3 “domains” Social Interpersonal Professional-interpersonal
Review: Nursing AgencyNursing Agency
Social/Interpersonal Characteristics
1. Effective communication
2. Transformative teaching
3. Leadership
4. Prudent, judicious practice
5. Cultural sensitivity
6. Professional behavior
Review: Nursing AgencyNursing 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.