5 March 2012. doi: 10.1111/jan.12118. Rondeau, K.V., Williams, E. S. & Wagar, T.H. Frith, K.H., Anderson, E.F., Tseng, F., & Fong, E.A. 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. A research team from the University of Edinburgh compared DNA from more than 3,500 people that took an intelligence test. 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. Retrieved from www.ahrq.gov/qual/nurseshdbk. Blegen, M.A., & Vaughn, T. (1998). No. The Academy of Management Review, 23(2), 242-266. Valuable human capital: The aging health care worker. Nursing intellectual capital: A theoretical approach for analyzing nursing productivity. 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. Adjusting for inflation. 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. To accomplish this, organizations may assist registered nurses to obtain specialty certification by offering to subsidize the associated expenses such as the examination and recertification fees and providing paid time off to prepare for and write the exam. Agency for Healthcare Research and Quality, Rockville, MD. Relational capital represents the knowledge that is contained within the organization’s relationships with internal and external stakeholders and is influenced by the organization’s human and structural capital (Bontis, 2002). This process starts with perception and leads to the data being put into short-term and then, hopefully, long-term memory . The Health Care Manager, 25(3), 213-220. In N. Bontis (Ed. 4 Years. Duration. 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. Creating such evidence may assist healthcare administrators with allocating or obtaining funding to implement the recommendations outlined in the Magnet hospital literature. Grounded in the fields of economics and accounting, intellectual capital theory delineates the stocks (or sources) and flow of knowledge within organizations (Bontis, 1999). Building intellectual capacity is perhaps one of the most exciting things we come together for as professionals, clinicians, scholars and students. Souraya Sidani, PhD Concepts and Propositions of Intellectual Capital Theory in Business and Nursing. Reaping the benefits from intellectual capital. Sign in or Register a new account to join the discussion. influence, inform and drive policy, new ideas and use best outcomes to raise Mental Health Nursing profile ; respond to National and Local activities in relation to Mental Health in a timely manner and work with RCN Forums and MHN professional networks. Covell, C. L. (2008). Medical Care, 45(12): 119-1204. However, not all patients needing medical care and treatment know what it will involve or why they need it, even after detailed explanation. 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. Nursing performance leads to improvements in patient outcomes associated with quality of patient care such as reduction in adverse events, such as hospital-acquired infections, patient falls, and medication errors. Entrepreneurship. The association between nursing factor and patient mortality in the Veterans Health Administration. The middle-range theory of nursing intellectual capital proposes nursing human capital, operationalized as registered nurses’ knowledge, skills, and experience, is related to patient outcomes associated with quality of patient care and organizational outcomes associated with registered nurse recruitment and retention. Stewart, T. A. responses to questionnaires versus relevant indicators selected from hospital databases) in order to identify the most accurate and feasible method for measuring intellectual capital within nursing organizations. Bramhandkar, A., Erickson, S., & Applebee, I. Structural capital supports the use of the organization’s human capital (Bontis, 2002). Over the duration of this four-year Honours Degree course, students will develop the professional knowledge, skills and attitudes necessary to meet the specific needs of people with intellectual disabilities. AORN Journal, 81(3), 508-528. Qualification. Hudspeth, R. (2006). Many hospitals and care homes use pro formas to help staff with this. 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). Structural capital is the stock of knowledge that has been converted to the information that exists within an organization’s structures, systems, and databases (Stewart, 1997). 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. 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 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). The theory also proposes that nursing structural capital is directly related to quality of patient care outcomes. The results showed that more than 40 percent of the differences in intelligence existed due to genetic variations. Availability of practice guidelines, care maps, and protocols, Information technology for diagnostic purposes (e.g. This partially mediated relationship begins to explain the mechanisms underlying the association of nurse staffing with better patient outcomes. 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). Nurse staffing is an important strategy to prevent medication errors in community hospitals. O'Brien-Pallas, L., Griffin, P., Shamian, J., Bunhan, J., Duffield, C., Hughes, F., Laschinger, H.S, & Stone, P. W. (2006). More guidance on this is available in paragraphs 4.39-4.43 of the code of practice. (Doctoral dissertation,Olivet Nazarene University).Retrieved from  http://digitalcommons.olivet.edu/edd_diss/11. In other words, the patient has the mental capacity to give the nurse valid informed consent, for example, to take a blood sample. 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). Bontis, N. (2002). This article is not a substitute for the Mental Capacity Act 2005 or case law. Building nursing intellectual capital for the information age. 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). 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. Again, in emergencies, this will be a very brief assessment. 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. 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. 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. 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. Human capital is the knowledge, skills, and experience of employees (Edvinsson & Malone, 1997). (2006). It proposes meaningful interrelationships among characteristics within the work environment, such as nurse staffing levels; employer support for nurse continuing professional development; nursing human capital; and the quality of patient care and the recruitment and retention of registered nurses (Covell, 2008). Newhouse, R.P., Johantgen, M., &  Pronovost, P.J. Medical Care, 49, 1047-1053. American Nurses Association (2012). (2013). Magnetism and the Nursing Workforce. (2009) Developing human capital: What is the impact on nurse turnover? Author: Aasya F Mughal is barrister, director of Edge Training and Consultancy, and co-author of Working With the Mental Capacity Act 2005. (2001). : CD007019. Nursing structural capital is operationalized as the availability of practice guidelines for the prevention of adverse events. 336. (2012). Tuffrey-Wijne I, McEnhill L (2008) Communication difficulties and intellectual disability in end-of-life care. 18, No. Nursing Administration Quarterly, 3(1), 84-88. Policy, Politics, & Nursing Practice, 7(3), 169-179. Intellectual ability is the capacity to take in, compare, and recall data. Covell C.L., & Sidani S. (2013). Capacity. Nahapiet, J., & Ghoshal, S. (1998). Shirey, M.R. Intellectual capital assets including organizational systems, structures and routines that are developed from the organization’s human capital have been found to be positively associated with business performance or future outlook for the organization (Bontis & Fitz-enz, 2002; Youndt et al., 2004). Canadian Health Services Research Foundation. Because nursing knowledge is an intangible organizational asset, conducting research to determine its contribution to the quality of patient care is challenging. Dumay, J.C. (2012). As a result, several initiatives are being implemented including changes in nurse staffing and models of care delivery. (2007). 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. (2008) Nurse staffing and patient care quality and safety. Outcomes achieved from organizational investment in nursing continuing professional development. Building nursing intellectual capital for safe use of information technology: A before-after study to test an evidence-based peer coaching intervention. Faulk, N.L. Health Care Management Review, 30(3), 229-236. Journal of Intellectual Capital, 13(1), 4-15. Nurse experience and education: Effect on quality of care. Nursing intellectual capital theory is composed of two interdependent concepts, nursing human capital and nursing structural capital. In nursing, intellectual capital is the stocks of nursing knowledge available within a healthcare organization. (2012). Nursing Administration Quarterly, 31(1), 22-26. Further research should also explore the contribution of nursing intellectual capital to nursing sensitive outcomes such as patient falls and symptom management. 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. 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). Nursing structural capital is the capacity to take in, compare, and of. Nurse experience and education: Effect on quality of patient care quality and safety, 229-236 in! 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