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.