Nahapiet, J., & Ghoshal, S. (1998). (2012). 7.11 Capacity is a legal concept that describes the level of intellectual functioning a person requires to make and accept responsibility for important decisions that often have legal consequences. The relationship between nurse staffing and quality of care in nursing homes: a systematic review. (2009). Nursing Times; 110: 21, 16-18. Though the theory conceptualized the collective human capital of registered nurses working on inpatient care units, it also shows promise for guiding studies designed to investigate the human capital of registered nurses that occupy other types of nursing roles such as public health registered nurses, academics, and advanced practice registered nurses. Retrieved from www.ahrq.gov/qual/nurseshdbk. Examples of structural capital include software, patents, and trademarks. The recruitment and retention of registered nurses with high knowledge, skills and experience preserves the unit’s nursing human capital to competently care for patients (Capuano, Bokovoy, Hitchings, & Houser, 2005). Intellectual Humility: Having a consciousness of the limits of one's knowledge, including a sensitivity to circumstances in which one's native egocentrism is likely to function self-deceptively; sensitivity to bias, prejudice and limitations of one's viewpoint. © 2013 OJIN: The Online Journal of Issues in Nursing Building intellectual capacity is perhaps one of the most exciting things we come together for as professionals, clinicians, scholars and students. Findings from the study that tested selected propositions of the nursing intellectual capital theory suggests that units with higher human capital have better quality of patient care or less adverse events. ), World Congress on Intellectual Capital Readings (pp. We explain why the theory shows promise for guiding research on quality work environments and how it may assist with administrative decision-making related to nursing human resource management and continuing professional development. Christine L. Covell, PhD, RN, is a Canadian Institutes of Health Research-Institute of Gender and Health Postdoctoral Fellow at the Faculty of Health Science at the University of Ottawa, Ottawa, Ontario, Canada. (Davidson, 2007; Reidinger, 2010; Thomka, 2007); use of information technology (Poe, 2011; Simpson, 2007); creation of quality work environments for registered nurses (Weston, Estrada, & Carrington, 2007); and patient safety (Hadaway, 2010). The first step is to clarify the decision for which the patient’s consent is needed (for example, that a blood test is necessary) and then check whether at the time consent is needed, the patient is capable of all the processes in stage 1 of the assessment (Box 2). The assessment is time and decision specific, and should be repeated each time consent is needed. Medical Care, 45(12): 119-1204. Information technology. Innovative in its conceptualization of the work environment as a major influencing factor on the development and use of the collective nursing staff’s human capital, nursing intellectual capital theory is explanatory in nature. Nursing Economic$, 30(5), 283-294. Bontis, N. & Fitz-enz, J. Nursing intellectual capital theory conceptualizes the nursing human capital of the collective nursing staff. Nursing Administration Quarterly, 3(1), 84-88. Finally, research should continue to focus not only on the most effective nursing interventions, but also on the situations that foster the development of expert nurses. Outcomes in the palm of your hand. Souraya Sidani, PhD This approach was used by Rondeau et al. Poe, S.S. (2011). Shirey, M.R. This article is not a substitute for the Mental Capacity Act 2005 or case law. Principles of nurse staffing (2nd ed.) Reaping the benefits from intellectual capital. Frith, K.H., Anderson, E.F., Tseng, F., & Fong, E.A. Article published May 31, 2013, Substance Use Disorders and Related Concerns, The 200th Birthday of Florence Nightingale, Addressing Social Determinants of Health: Progress and Opportunities, Translational Research: From Knowledge to Practice, Capuano, Bokovoy, Hitchings, & Houser, 2005, Twigg, Duffield, Bremner, Rapley, & Finn, 2012, American Nurses Credentialing Center, 2012, Committee on Planning a Continuing Health Professional Education Institute, 2010, www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/NursingStandards/ANAPrinciples/ANAsPrinciplesofNurseStaffing.pdf.aspx, www.nursecredentialing.org/Magnet/ProgramOverview/New-Magnet-Model, www.businessdictionary.com/definition/intellectual-capital.html, www.cfhi-fcass.ca/Migrated/PDF/ResearchReports/OGC/DoranReport1_3_25_FINAL.pdf, http://digitalcommons.olivet.edu/edd_diss/11, Lessons Learned and Insights Gained: A Regulatory Analysis of the Impacts, Challenges, and Responses to COVID-19, The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas, Hospital-Based Fall Program Measurement and Improvement in High Reliability Organizations, Nursing Control Over Practice and Teamwork, The Value of Library and Information Services in Nursing and Patient Care, Toward an Understanding of Wisdom in Nursing, Medication Adherence in a Cardiac Ambulatory Setting: The Challenge Continues, Simulation in Nursing Practice: The Impact on Patient Care, The Impact of Emerging Technology on Nursing Care: Warp Speed Ahead. Intellectual capital and performance indicators: Taiwanese healthcare sector. For registered nurses, this is reflected in: Structural capital is organizational knowledge that exists within the organization’s filing cabinets, databases, and routines (Edvinsson & Malone, 1997). The role of theory in improving patient safety and quality health care. Let’s redefine, and legitimize ‘nursing intuition’ to what it deserves to be called…the assessments of expert nurses based on years of experience. Due to rising costs of healthcare, determining how registered nurses and knowledge resources influence the quality of patient care is critical. Her program of research focuses on determining the contribution of nursing knowledge to patient and organizations and on nursing human resources, including internationally educated nurses and models of care. Institute of Medicine Report. Anyone buying a car would want to understand which car they were buying, how much it would cost and how it was to be used - the same applies to health and social care. Incapacity can only be shown or evidenced by carrying out the mental capacity assessment. Since investing in the development of nursing human capital seems to result is lower nurse voluntary turnover and the retention of a highly competent nursing staff, keeping records of the types and hours of internal and external continuing professional development activities attended by registered nurses is suggested. There is a whole host of daily habits you can acquire to help you become smarter, and the 10 ways below have nothing to do with drugs. It is operationalized in: Human capital investment is the investment by organizations in the development of employees’ knowledge and skills through training and development initiatives (Bontis & Fitz-enz, 2002). The presence of nurse educators or specialists to assist registered nurses with clinical decision-making and knowledge and skill development has been found to positively influence the quality of patient care. The committee heard about a case in which an older man had had a severe stroke. 1.4.1 Understanding significant changes in behaviour Significant behavioural changes may result from medical or dental disorders, problems in expectations or supports or emotional upsets. Most of the intellectual capital research, conducted in the field of business such as Fortune 500 companies, report on the perceptions of intellectual capital and does not directly measure knowledge within organizations. London: the Stationery Office, Winners of the Nursing Times Workforce Awards 2020 unveiled, Don’t miss your latest monthly issue of Nursing Times, Announcing our Student Nursing Times editors for 2020-21, New blended learning nursing degree offers real flexibility, Expert nurses share their knowledge of pressure ulcers in free-to-watch videos, Matron ‘honoured’ to administer first Covid-19 vaccine in UK, Scotland’s nurses to get £500 bonus as Covid-19 ‘thank you’ payment, Tributes to Bristol nurse and mentor following death with Covid-19, PHE updates green book with chapter on new Covid-19 vaccines, Nurses faced with ‘rotten and insect-ridden’ PPE during first wave, Nurse’s cardiac arrest inspires community’s quest for defibrillators, England deputy CNO to become new RCN director for Scotland, Pay lost by striking Northern Ireland nurses to be reimbursed, Healthcare workers ‘seven times as likely to have severe Covid-19’, This content is for health professionals only, This article has been double-blind peer reviewed, Assume the patient has mental capacity unless it is proven otherwise by undertaking the mental capacity assessment, Take all practical steps to support the patient with the assessment before you decide they lack mental capacity, A patient should not be judged to lack mental capacity just because they make an unwise decision, Any decision made on behalf of a patient lacking capacity should be made in their best interests, Consider whether any best interests decision may be achieved in a less restrictive way. Strategies to enhance retention and effective utilization of aging nursing faculty. Intellectual capital and organizational performance: An empirical study of the pharmaceutical industry. Souraya Sidani, PhD. Note: In Canada and in the UK, a person with intellectual disability and mental health disorder is often referred to as having "dual diagnosis". To date, nursing theories that guide nursing administrative research are limited (Mark et al., 2004), this has resulted in little theoretical explanation of the relationships among nursing knowledge or factors within the work environment (i.e. Securing intellectual capital by using scope of practice. Kramer, M., & Schmalenberg, C. (2004). Two categories of performance outcomes are associated with nursing intellectual capital. Duration. Visit our, Understanding and using the Mental Capacity Act, 100 years: Centenary of the nursing register, 2020: International Year of the Nurse and Midwife, Nursing Times Workforce Summit and Awards, download a print-friendly PDF, including any tables and figures, Mental Capacity Act 2005: Code of Practice. Nursing intellectual capital is nursing knowledge that is translated into nursing and organizational performance. Her program of research focuses on evaluating interventions and advanced practice roles, examining patient preferences for treatments, and refining research methods and measures for determining the clinical effectiveness of interventions. Nursing Administration Quarterly, 31(1), 6-12. Always follow the principles of the Mental Capacity Act, If there is any doubt about mental capacity, a legal mental capacity assessment should be undertaken when a decision is needed and recorded, Mental capacity assessments should be done by the person directly concerned with the patient at that time, Patients should be given as much help as possible to complete stage 1 of the assessment, A patient who lacks mental capacity cannot give or refuse consent; the person concerned with the their care must make a best interests assessment. As a legal trainer, I often hear from staff who do not realise that the act must be used for all decisions where a person is suspected to lack mental capacity, not just in cases of dispute or where the person refuses care or treatment. In this article, we review the nursing intellectual capital theory and discuss its implications for research and practice. Grand theories as barriers to using IC concepts. McGillis Hall, L. (2003). Learning disability nurses play a vital role working across the whole life span in both health and care settings. Examples of intellectual capacity in a sentence, how to use it. Essentials of a magnetic work environment. The attributes of nursing human capital, nurses’ knowledge or experience have been empirically linked to better quality patient care... Human capital within hospitals is extremely important as it reflects the work of highly knowledgeable and skilled people caring for those in need of specialized healthcare (Peng, et al., 2007). Nursing intellectual capital reflects the knowledge of registered nurses and knowledge resources available on inpatient care units as that is where there is the greatest concentration of registered nurses providing care to hospitalized patients (Covell, 2008; Dumay, 2012; Grantham et al., 2007) within an organizational setting. The need to better understand the mechanism through which nursing knowledge influences patients and organizations is important as investing in registered nurses and their knowledge development is cost prohibitive for many healthcare organizations and countries (Phillips, Piza, & Ingram, 2012). Intellectual capital: Realizing your company's true value by finding its hidden brainpower. Specifically, the majority of the nurse staffing studies are atheoretical (Mark et al., 2004). Therefore, the intellectual capital theory supports the Magnet hospital work and provides the underpinning of the ANCC Magnet Recognition Program® Model (American Nurses Credentialing Center, 2012). Every time they touch a patient, nurses and other health professionals need legal protection; in the majority of cases, that legal protection comes from the patient’s consent. Journal of Advanced Nursing, 31(1), 33-39. A research team from the University of Edinburgh compared DNA from more than 3,500 people that took an intelligence test. However, studies that investigate individuals’ perceptions are predisposed to reporting biases, potentially yielding an overestimate of the relationships among concepts. In the nursing intellectual capital theory, human capital investment is redefined as employer support for nurse continuing professional development. 233-252) Springer Publishing Company. Art. It is the combination of nursing knowledge that resides within registered nurses and in organizational structures used by registered nurses to facilitate their clinical decision-making while delivering nursing care. Clarke, S.P., & Donaldson, N.E. It is operationalized as the proportion of registered nurses with degrees, proportion of registered nurses with specialty certification, hours of continuing education registered nurses attend per year, years of registered nurse professional experience, years of registered nurse unit tenure or seniority, and years of registered nurse experience in clinical specialty. Can the decision wait for the patient to make it for themself? Journal of Health Care Finance, 23(3), 1-19. The theory also proposes that nursing structural capital is directly related to quality of patient care outcomes. It is believed that social networks among employees assist organizations with learning and innovation by increasing the efficiency of information diffusion, encouraging cooperative behavior, and reducing the costs of transactions (Nahapiet & Ghoshal, 1998). (2006). glucometers, telemetry), Portable computerized devices used for acquiring evidence-based information (e.g. This is particularly important for specialty areas where it has been estimated that replacing an experienced specialty registered nurse can exceed the nurse’s salary for one year (Bland-Jones, 2008). Kane, R.L., Shamliyan, T.A., Mueller, C., Duval, S., & Wilt, T.J. (2007). These changes are creating challenges in terms of knowing the most appropriate nurse staffing patterns to keep patients safe and levels of support for developing the knowledge registered nurses need to achieve the best patient and system outcomes. Intellectual capital assets... have been found to be positively associated with business performance or future outlook for the organization. Cochrane Database of Systematic Reviews, Issue 7. Social networks may facilitate the development of intellectual capital by creating the conditions necessary for knowledge exchange. Nurse managers can accomplish these objectives in several ways. You are pointing out a very important and interesting effect of our “blindedness” to racial injustices toward our minority nurse colleagues. Nurse-directed interventions to reduce catheter-associated urinary tract infections. Covell, C. L. (2008).
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