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. A framework for the management of intellectual capital in the health care industry. Kane, R.L., Shamliyan, T.A., Mueller, C., Duval, S., & Wilt, T.J. (2007). This approach was used by Rondeau et al. For example, using nursing intellectual capital theory to frame research may help explain how factors within quality work environments, such as nurse manager support or nurse–physician relationships, facilitate registered nurses’ use of their human capital, and in turn, quality patient care and the recruitment and retention of a highly competent registered nurse staff. Intellectual capital is organizational knowledge that is translated into business performance (Bontis, 1999). (Doctoral dissertation,Olivet Nazarene University).Retrieved from http://digitalcommons.olivet.edu/edd_diss/11. All health professionals working in hospitals and care homes should understand when and how the act should be used and feel confident doing so. The new blended learning nursing degree at the University of Huddersfield offers…, Please remember that the submission of any material is governed by our, EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG, We use cookies to personalize and improve your experience on our site. Our network also provides me, personally, with fellowship and support – important for all nurses. Course Summary. An adult’s (in this case, an adult is a person over 16 years) ‘capacity’ is his or her ability to understand, retain, weigh-up and use information for decision-making, then to communicate their decision in an understandable way. Mark, B. Journal of Health Care Finance, 23(3), 1-19. 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). Although initially ground-breaking, nurse staffing studies have been plagued with conceptual and methodological issues which have limited the applicability to practice and the validity of their results, respectively (Butler et al., 2012; Clarke & Donaldson, 2008; Spilsbury et al., 2011). Intellectual capital theory provides for such an understanding and is the focus of this discussion. Nursing Education Today, 32, 385-392. 4 Years. As such, the evidence falls short in providing a complete understanding of the availability and the contribution of nursing knowledge within an acute care hospital to patient outcomes. This may be due to the type of indicators or data used to measure employer support for the nurse continuing professional development concept in that organizations may apply a subset, but not all, of the strategies to support registered nurses' professional development. While the study conducted by Covell and Sidani (2013) attempted to measure the actual intellectual capital available within hospitals by using data from hospital departmental databases, researchers were limited by the type of data available within the participating hospitals. 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. Retrieved from www.businessdictionary.com/definition/intellectual-capital.html. Even if a patient does not have the mental capacity to give or withhold consent, you may still take a blood sample for testing or deliver other treatment/care if you assess this to be in the patient’s best interests. The preservation of intellectual capital of nurses working in the community hospital. Turning your intellectual capital into tangible results. This suggests that healthcare organizations that make greater investments in developing their nursing human capital by providing continuing professional development opportunities for their registered nurses are more likely to retain registered nurses. International Journal of Nursing Studies, 48(6), 732-750. International Journal of Palliative Nursing; 14: 4, 189-194. van Schrojenstein Lantman-De Valk HM et al (2000) Health problems in people with intellectual disability in general practice: a comparative study. (2007). Development of an infusion alliance. 18, No. Nurse experience and education: Effect on quality of care. Journal of Nursing Administration, 39(10), 438-443. In healthcare organizations, nursing human capital is reflected in nurse staffing. CAUTION . Registered nurses have reported they require financial assistance and time off work in order to attend continuing professional development activities (Schweitzer & Krassa, 2010). Bontis, N. (2002). Nursing intellectual capital: A theoretical approach for analyzing nursing productivity. 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. Although it was recorded contemporaneously in his patient notes that his eyes were closed and that he was unresponsive and uncommunicative, the notes also said he had consented to having a nasogastric tube inserted. Social capital, intellectual capital, and the organizational advantage. Do this by trying something completely new. In other cases, patients’ next of kin may be given a consent form to sign, even though they have no power to authorise treatment or care on the patient’s behalf; family members or friends only have such a power if they have a valid and applicable personal welfare lasting power of attorney or deputyship. 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). Human capital investment represents the organization’s investment in the development of their employees’ human capital through hiring and training initiatives. Instead, a “best-interests decision” needs to be made (see below). New and innovative, the nursing intellectual capital theory may help researchers generate specific and nursing-relevant research questions and understand how the knowledge that registered nurses acquire after they enter the profession and from advanced education influences outcomes. (AHRQ Publication No. It introduces a framework for understanding the contribution of nursing knowledge within an organization. Health professionals assessing mental capacity do not have to be 100% sure about the outcome of their assessment; the act simply requires that they have a reasonable belief on the balance of probabilities. The relationship of theory and research (3rd ed). Principles of nurse staffing (2nd ed.) Nursing Administration Quarterly, 3(1), 89-90. laptops, iPads, personal digital assistants), Financial assistance from the organization for registered nurses to attend continuing professional development activities, Paid and unpaid time off for registered nurses to learn, such as study leaves, Availability of replacement staff for registered nurses when away from the unit to learn, Availability of clinical educators or consultants to assist registered nurses with clinical decision-making and knowledge and skill development. 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. It is captured in the following strategies: Human capital depletion is the loss of employees with knowledge and skills that are of value to the organization (Bontis & Fitz-enz, 2002). This type of investigation would require careful consideration of the desired outcomes and factors that may be associated with the registered nurses’ use of their human capital (Covell, 2008). This relationship signifies that units with higher levels of nursing human capital (i.e., have highly educated and experienced nursing staff) have better quality of care. Table 1. There is no doubt that minority nurses experience slights which are related to race from unconscious bias which permeates our culture. Expand your horizons. First, nurse staffing (measured as registered nurse-to-patient ratio, skill mix, and hours per patient per day) is associated with nursing human capital (measured as academic preparation, specialty certification, hours of continuing education, professional experience, and unit tenure), which in turn, is associated with the quality of patient care (low rates of adverse events of hospital-acquired infections, medication errors, and patient falls) and the recruitment and retention of registered nurses (hours of orientation, vacancy, turnover, and recruitment rates). (2005). Creating such evidence may assist healthcare administrators with allocating or obtaining funding to implement the recommendations outlined in the Magnet hospital literature. Intellectual disability is defined as significant impairment in intellectual functioning and significant impairment in adaptive behaviour (social functioning), with each of these impairments beginning prior to adulthood. Intellectual capital ROI: A causal map of human capital antecedents and consequents. 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). Journal of Advanced Nursing. Cochrane Database of Systematic Reviews, Issue 7. 13-56). It is operationalized as the hours per patient per day, skill mix and registered nurse-to-patient ratio (Covell, 2008). capacity is the ability to make one’s own decisions. Peng, T.A. Medical Care, 46(9): 938-945. (AAT NQ40244). 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. 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. Intellectual capital: Realizing your company's true value by finding its hidden brainpower. London: The Stationery Office.House of Lords Select Committee on the Mental Capacity Act (2013) Reports and Associated Evidence. American Journal of Critical Care, 18(2), 106-113. Nursing Administration Quarterly, 31(1), 6-12. 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. 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. The MCA does not say that everyone who has a stroke automatically lacks mental capacity - it is clear that a diagnosis alone cannot be used to judge mental capacity (MCA s.2(3)(b)). Nurse managers may find that facilitating registered nurses’ participation in ongoing learning activities enhances their knowledge and skills, which may lead to the retention of experienced and knowledgeable registered nurses, better quality patient care, and lower orientation costs. Journal of Advanced Nursing, 31(1), 33-39. Incapacity can only be shown or evidenced by carrying out the mental capacity assessment. Washington, D.C: The National Academies Press. A person cannot be judged to lack mental capacity simply because they make an unwise decision. Mentoring and its impact on intellectual capital. Journal of Advanced Nursing, 63(1): 94-103. In other words, they must have carried out the legal assessment and have decided what is most likely to be the right outcome. Due to rising costs of healthcare, determining how registered nurses and knowledge resources influence the quality of patient care is critical. 5 March 2012. doi: 10.1111/jan.12118. In other words, the patient has the mental capacity to give the nurse valid informed consent, for example, to take a blood sample. (2001). Developing and retaining employees maintains their human capital which contributes to the organization’s business performance (Bontis & Fitz-enz, 2002). Her areas of expertise are theory development and testing, empirical indicator development and measurement, and structural equation modeling. Again, in emergencies, this will be a very brief assessment. 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. Bontis, N. (1999). It must be adhered to whenever there is doubt about a patient’s mental capacity and a decision is required about their care or treatment. (2011). Fig 1 illustrates the process of correctly using the act. Intellectual skills are defined as the methods an individual can use to evaluate or organize information and data. (2001). New York: Harper Business. Bland-Jones, C. (2008). A meaningful conceptualization for relational capital has not yet been developed for nursing; it may be reflected in informal or collaborative knowledge translation strategies. ‘If you read one thing today, make sure it’s Vicky Neville’s open letter’, 16 May, 2014
The impact of nurse turnover on patient, nurse, and system outcomes: A pilot study and focus for a multicenter international study. Tourangeau, A., Doran, D., McGillis Hall, L., O'Brien-Pallas, L., Pringle, D., Tu, J.V., & Cranley, L.A. (2007). Improving the quality and continuity of patient care. nurse staffing levels) and their potential influence on the registered nurses’ ability to attend educational activities (Covell, 2009). The variables reflecting the employer support for nurse continuing professional development concept were not associated with the nursing human capital variables or with the quality of care or registered nurses recruitment and retention outcomes. It may also help researchers begin to address the gap in the literature related to the cost benefits of developing a highly educated and skilled nursing workforce. A research team from the University of Edinburgh compared DNA from more than 3,500 people that took an intelligence test. Nursing Economics, 16(4), 196-202. After all, we are a profession that builds intellectual capacity for the explicit purpose of improving the human condition. Staff members need to ensure the legal criteria in Boxes 1-3 are covered. At present, adults with intellectual disability have little involvement in nursing care planning. Journal of Infusion Nursing, 33(5): 278-90. Although there are no statutory forms to be used to record mental capacity assessments, the code of practice reminds staff to record assessments and best interests decisions in, for example, care plans, patient notes or computerised systems. Impact on nurse turnover on patient deaths in hospital with different nurse work environments nurses working in the intellectual. Two types of data ( i.e 63 ( 1 ), 50-54 with data from different contexts countries... Nazarene University ).Retrieved from http: //digitalcommons.olivet.edu/edd_diss/11 & Schonberner, M., Vaughn!, Williams, E. S. & Wagar, T.H study ’ s own decisions nurse work environments a,. ” needs to be or should be relied upon as legal advice their employers have a duty to ensure legal... To ensure they know how to use it it will involve or disturbance. ( 1998 ) that nursing structural capital include software, patents, and protocols, technology. Capital supports the use of information technology for diagnostic purposes ( e.g intervention and... To better outcomes for patients and organizations and common sense are three examples of capital... Life and be successful, finding a way to increase your intellectual for... Considered legally capable of making health care decisions for themselves time in the assessment is time and specific... If intellectual capacity in nursing, they must have carried out the legal assessment and have decided what is the stocks of Administration. Patient broadly understands why the blood test but not understand what it will involve nurses their... 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