Stewart, T. (1997). O'Brien-Pallas, L., Griffin, P., Shamian, J., Bunhan, J., Duffield, C., Hughes, F., Laschinger, H.S, & Stone, P. W. (2006). Two categories of performance outcomes are associated with nursing intellectual capital. In other words, a form of ‘nursing evidence’. Department for Constitutional Affairs (2007) Mental Capacity Act 2005: Code of Practice. 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. 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. Journal of Health Care Finance, 23(3), 1-19. Stocks of knowledge within an organization are diffused through the use of the organization’s social networks (Seibert, Kraimer, & Linden, 2001). It introduces a framework for understanding the contribution of nursing knowledge within an organization. (2007). 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. Intellectual skills are defined as the methods an individual can use to evaluate or organize information and data. If you want to grow in life and be successful, finding a way to increase your intellectual capacity may be your secret weapon. Nursing intellectual capital is nursing knowledge that is translated into nursing and organizational performance. Sign in or Register a new account to join the discussion. 233-252) Springer Publishing Company. Nurse managers are encouraged to consider conditions of the work environment (e.g. Retrieved from www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/NursingStandards/ANAPrinciples/ANAsPrinciplesofNurseStaffing.pdf.aspx, American Nurses Credentialing Center. Nursing Administration Quarterly, 3(1), 84-88. 336. Despite the fact that the MCA has been in force since October 2007, a number of staff in hospitals and care homes admit they do not use it or do not record its use. Florence Nightingale was born on 12 May 1820. 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. Entrepreneurship. Redesigning continuing education in the health professions. Thus consideration may be given to modifying existing intellectual capital questionnaires to reflect the nursing intellectual capital theory. New York: Harper Business. In summary, before patients can consent to care or treatment, they must have mental capacity. 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. It is operationalized into: Positive associations among intellectual capital and business performance have been reported in the literature. Human capital depletion is the loss of human capital through employee turnover. Covell, C. L. (2008). 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. These staff and their employers have a duty to ensure they know how to use it. Specifically, the majority of the nurse staffing studies are atheoretical (Mark et al., 2004). 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). In nursing, intellectual capital is the stocks of nursing knowledge available within a healthcare organization. Rondeau, K.V., Williams, E. S. & Wagar, T.H. Registered Intellectual Disability Nurses (RNID’s) are unique, being the only group of professionals who are educated solely to work with people with an intellectual disability (ID) (Northway et al 2006). Findings from the study that tested selected propositions of the nursing intellectual capital theory suggested that units with higher human capital have better quality of patient care or less adverse events. (2001). This has resulted in limited empirical evidence of the impact of nursing knowledge on patient or organizational outcomes. Journal of Advanced Nursing, 31(1), 33-39. Findings from the two studies focusing on intellectual capital in nursing are consistent with the Magnet hospital literature that suggests quality work environments positively influence the quality of patient care and retains and reduces voluntary nurse turnover within hospitals (Aiken et al., 2011; Kramer & Schalmenberg, 2004). Messmer, P.R., & Turkel, M.C. The assessment is time and decision specific, and should be repeated each time consent is needed. 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. American Nurses Association (2012). Intellectual capital. Poe, S.S. (2011). Adjusting for inflation. The main areas of your role as … Bontis, N. & Fitz-enz, J. Institute of Medicine Report. 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). The theory also proposes that nursing structural capital is directly related to quality of patient care outcomes. However, in this case, the contemporaneous notes suggest that the effects of the stroke in this patient’s case left him unable to give or refuse consent. Medical Care, 49, 1047-1053. London: The Stationery Office.House of Lords Select Committee on the Mental Capacity Act (2013) Reports and Associated Evidence. Use of validated model to evaluate the impact of work environment on outcomes at a Magnet hospital. 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. E-mail: ssidani@ryerson.ca. Building nursing intellectual capital for the information age. (2012). A meaningful conceptualization for relational capital has not yet been developed for nursing; it may be reflected in informal or collaborative knowledge translation strategies. The relationship between nurse staffing and quality of care in nursing homes: a systematic review. Nursing human capital is the knowledge, skills and experience of registered nurses (McGillis Hall, 2003). Essentials of a magnetic work environment. A person cannot be judged to lack mental capacity simply because they make an unwise decision. For consent to be valid, the person giving it must have the mental capacity to understand what they are consenting to; it is the same as any other contract or agreement. No. Intellectual brilliance, physical strength, and common sense are three examples of highly sought-after abilities within certain companies. 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). Bland-Jones, C. (2008). Mental capacity is tested by using a legal (not psychiatric) assessment described in sections 2 and 3 of the MCA. (2012). Oman, K.S., Flynn Makic, M.B., Fink, R., Schraeder, N., Hulett, T., Keech, T., & Wald, H. (2012). For nursing, structural capital is the structural resources that contain nursing knowledge and are used to support registered nurses in the application of their knowledge and skills in the delivery of patient care. There is no doubt that minority nurses experience slights which are related to race from unconscious bias which permeates our culture. Bontis, N. (1999). nurse staffing levels) and their potential influence on the registered nurses’ ability to attend educational activities (Covell, 2009). 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. 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. glucometers, telemetry), Portable computerized devices used for acquiring evidence-based information (e.g. (2005). The role of theory in improving patient safety and quality health care. Can the decision wait for the patient to make it for themself? Continuing professional development programmes for rural nurses involved in palliative care delivery: An integrative review. Intellectual ability is the capacity to take in, compare, and recall data. (2007). A research team from the University of Edinburgh compared DNA from more than 3,500 people that took an intelligence test. National Summary Guidance for Nursing and Midwifery Quality Care Metrics Data Measurement in Intellectual Disability Services 2018; QCM readiness and capacity checklist. There are differences in nursing, educational and social care plans. The committee heard about a case in which an older man had had a severe stroke. This article explains the main points of the act, and when and how to use it. Since it is the combination of human capital indicators that influence better quality patient care and retain registered nurses, nurse managers may consider retaining a nursing staff that is composed of registered nurses with university degrees, specialty certification and experience. This is not because they are being badly advised or misled by health professionals, but because they have a condition or an impairment in the functioning of their mind or brain (MCA s.2(1)) that is limiting their ability to understand or weigh up information involved in making the decision. Nursing 2004, 34(6), 50-54. Nursing Administration Quarterly, 3(1), 89-90. The majority of patients are able to consent to care and treatment, and this must be a default assumption for health professionals; section 1 of the MCA states that people must be assumed to have mental capacity unless it is proved otherwise. Intellectual capital management is the process of effectively using these knowledge resources to gain a competitive advantage for the organization (Edvinsson & Malone, 1996; Youndt, Subramanian, & Snell, 2004). Organizations with high intellectual capital have been found to outperform organizations with less intellectual capital as measured by stronger financial returns and financial performance (Bramhandkar et al., 2007; Youndt et al, 2004). Because nursing knowledge is an intangible organizational asset, conducting research to determine its contribution to the quality of patient care is challenging. Intellectual capital and organizational performance: An empirical study of the pharmaceutical industry. Where necessary, patients should be assisted to complete the processes in stage 1 as far as possible, through practical steps such as assistance with communication methods, giving them more time or offering other support. 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. nurse staffing) and patient and organizational outcomes. Continuing professional development of registered nurses within hospitals through the provision of in-service education, workshops, and conferences should be guided by theories not only related to how learning occurs but also those explaining the conditions under which the uptake and use of the knowledge in practice is optimal (Committee on Planning a Continuing Health Professional Education Institute, 2010). 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. Since registered nurses are the most knowledgeable about the type and amount of continuing professional development in which they take part, the development of a nursing human capital database where registered nurses can independently update their knowledge, skills, and experience profile would give nurse managers a clearer idea of the amount of nursing human capital available on their unit. Spilsbury, K., Hewitt, C., Stirk, L., & Bowman, C. (2011). Find out more about the group's Terms of Reference, the Expert Advisory Roles and Responsibilities and activities. Keywords: nursing, knowledge, intellectual capital, human capital, structural capital, quality of care, recruitment, retention, work environment, employer support, nurse staffing, continuing professional development, specialty certification, academic preparation, experience, middle-range theory. Thank you for your thoughtful and enlightening letter. (2008) Nurse staffing and patient care quality and safety. Intellectual capital theory proposes a relationship between knowledge stocks at all levels of the organization. However, compliance should not be confused with consent. Turning your intellectual capital into tangible results. Outcomes achieved from organizational investment in nursing continuing professional development. 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)). 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. Nurse managers may be able to use this information to make decisions regarding the type of continuing professional development to provide to the nursing staff, identify mentors for new graduates or newly hired staff, and complete patient assignments and performance appraisals. Nursing intellectual capital theory conceptualizes the sources of nursing knowledge available within an organization and delineates its relationship to patient and organizational outcomes. Research indicates that intellectual ability is partially inheritable. 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. 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