Thus it is the combination of the registered nurses’ knowledge (academic preparation), skills (specialty certification), and experience (unit tenure and professional experience), which are associated with higher quality patient care (low hospital-acquired infections) and better recruitment and recruitment statistics (manifested by less need to recruit and orient new registered nurses). Box 1. As an increase in individual, group, and organizational knowledge stocks occurs, business performance also improves. Covell, C. L. (2008). However, it may not have to be recorded each time if the person’s capacity has not recovered and their care plan covers the decision (MCA Code of Practice, p104) (DCA, 2007). Bontis, N. (1999). Essentials of a magnetic work environment. Working life Children identified as having a learning disability are living longer, more fulfilled lives into adolescence, adulthood and older age. Nurse experience and education: Effect on quality of care. (2012). The availability of practice guidelines, care maps or protocols have been found to be associated with better quality of patient care and lower adverse events (Duffield et al., 2011; Oman et al., 2012; Tourangeau et al., 2007). Development of an infusion alliance. Nurse staffing is defined for the nursing intellectual capital theory as the supply of registered nurses and mix of registered nurses who possess the knowledge and skills to competently meet the care needs of patients on the unit. Business Dictionary. Information technology. Journal of Intellectual Capital, 3(3), 223-247. The Health Care Manager, 25(3), 213-220. Using financial, human resource and risk data from 91 inpatient care units from 6 hospitals, they simultaneously tested two propositions of the theory. Her areas of expertise are theory development and testing, empirical indicator development and measurement, and structural equation modeling. New York: John Wiley & Sons. Intellectual capital or its related concepts, human capital and structural capital, have been used to frame discussions in the nursing literature related to recruitment and retention of registered nurses (Collins & Collins, 2006; Faulk, 2007); marketability of registered nurses’ knowledge and skills (Hudspeth, 2006; Shirey, 2006); leadership and mentorship of registered nurses The findings supported the first proposition as the nursing human capital variables of academic preparation, unit tenure, professional experience, and specialty certification were associated with lower rates of hospital-acquired infections and lower nurse vacancy rates. Course Summary. Journal of Advanced Nursing, 63(1): 94-103. Two categories of performance outcomes are associated with nursing intellectual capital. 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). Author: Aasya F Mughal is barrister, director of Edge Training and Consultancy, and co-author of Working With the Mental Capacity Act 2005. Frith, K.H., Anderson, E.F., Tseng, F., & Fong, E.A. Expand your horizons. If you want to grow in life and be successful, finding a way to increase your intellectual capacity may be your secret weapon. nurse staffing) and patient and organizational outcomes. 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. 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. 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. Journal of Intellectual Capital, 13(1), 4-15. 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. Retrieved from: www.ejkm.com/volume5/issue4. The practical steps and time taken to assess capacity will be very brief in emergencies; patients fail the assessment immediately if they are unconscious and therefore unable to understand the information relevant to the decision. Covell C.L., & Sidani S. (2013). A patient who lacks mental capacity may be compliant when being offered treatment, for example by extending an arm for a blood sample to be taken. Securing intellectual capital by using scope of practice. (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). Nursing intellectual capital theory: Operationalization and empirical validation of the concepts. Bontis, N. (2002). Nursing Economic$, 30(5), 283-294. In the US, people aged 18 or older are presumptively considered legally capable of making health care decisions for themselves. (1997). No. If they lack mental capacity, they cannot give or withhold consent (even if they comply with health professionals); in such cases, a best interests decision must be made for them. To address these questions, researchers have primarily focused on trying to understand the relationship between nurse staffing levels and the occurrence of adverse events, such as patient falls (Blegen & Vaughn, 1998; Blegen, Vaughn, & Goode 2001). Retrieved from:  doi: 10.1111/jan.12040. Nursing intellectual capital theory was developed to address this theoretical gap. As an intangible organizational asset, intellectual capital includes the knowledge of individual employees or groups of employees who are deemed critical to a company's continued success, and organizational structures that contain information about processes, customers or other information that contributes to improved business performance or profits Intellectual capital is the combination of collective knowledge of individuals and structures in an organization or society (Business Dictionary, 2013). Intellectual capital in nursing has been studied by two groups of Canadian researchers. In other words, a form of ‘nursing evidence’. The Mental Capacity Act aims to safeguard patients who lack mental capacity to make decisions about their treatment or care, and gives legal protection to the health professionals who care for them. nurse staffing levels) and their potential influence on the registered nurses’ ability to attend educational activities (Covell, 2009). Christine L. Covell, PhD, RN However, compliance should not be confused with consent. Two factors within the work environment, nurse staffing and employer support for nurse continuing professional development, are proposed to influence nursing human capital’s association with quality of patient care and recruitment and retention outcomes. Care Planning and Delivery in Intellectual Disability Nursing explores how nurses can enable people with intellectual disabilities to obtain good quality care, encouraging them to use the best possible guidance to plan their professional care and to reflect on their practice. Messmer, P.R., & Turkel, M.C. Outcomes in the palm of your hand. Phillips, J.L., Piza, M., & Ingram, J. Much of the evidence from the body of research indicates that nurses value their intuition in a variety of clinical settings. Second, employer support for nurse continuing professional development (measured as financial assistance, replacement, time off to learn, and availability of clinical educators) is associated with nursing human capital, and in turn, the quality of patient care and recruitment and retention of registered nurses. Intuition is a controversial concept and nurses believe that there are difficulties in how they should explain their nursing actions or decisions based on intuition. Schweitzer, D.J., & Krassa, T.J. (2010). Journal of Advanced Nursing, 68(12), 2710-2719. (2006). The relationship between nurse staffing and quality of care in nursing homes: a systematic review. Social capital, intellectual capital, and the organizational advantage. In the 1950s, educational psychologist Benjamin Bloom created a model of intellectual skills that defined abilities such as application, analysis and synthesis as building on basic knowledge. Committee on Planning a Continuing Health Professional Education Institute (2010). New York, U.S.A: Currency Doubleday. Reaping the benefits from intellectual capital. Staff in hospitals and care homes should receive training on the MCA; there is no legal requirement to be a member of a particular profession to assess mental capacity, providing the act is complied with. Dissertation Abstracts International. Journal of Management Studies, 41(2), 335-361. Bland-Jones, C. (2008). You are pointing out a very important and interesting effect of our “blindedness” to racial injustices toward our minority nurse colleagues. Nursing structural capital is operationalized as the availability of practice guidelines for the prevention of adverse events. Citation: Mughal AF (2014) Understanding and using the Mental Capacity Act. However, not all patients ne… 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. However, studies that investigate individuals’ perceptions are predisposed to reporting biases, potentially yielding an overestimate of the relationships among concepts. However, the second proposition was not supported. capacity is the ability to make one’s own decisions. Thus to ensure that a continuing education activity has the greatest impact on patient care and costs, it is recommended that the assessment, planning, and evaluation of continuing education activities and their impact occur at the nursing unit level. Studies that have investigated the relationship between nursing knowledge and outcomes have been plagued with conceptual and methodological issues. 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