Intellectual capital in nursing has been studied by two groups of Canadian researchers. The middle-range theory of nursing intellectual capital. Journal of Intellectual Capital, 8(3): 538-556. Journal of Infusion Nursing, 33(5): 278-90. Increased demands for healthcare in combination with its rising costs have led to a heightened interest to understand how nursing knowledge influences the quality of care administered to hospitalized patients. Specifically, the majority of the nurse staffing studies are atheoretical (Mark et al., 2004). Covell C.L., & Sidani S. (2013). 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 (Dumay, 2012; Sullivan, 1998). 20 examples: It was simply a question of intellectual capacity, according to these… Systematic review and meta-analysis. The relationship of theory and research (3rd ed). Stewart, T. A. Medical Care, 45(12): 119-1204. Butler, M., Collins, R., Drennan, J., Halligan, P., O’Mathúna, D.P., Schultz, T.J.,… Vilis, E. (2011). 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). CAUTION . Nursing Administration Quarterly, 31(1), 36-42. (2006). Intellectual capacity definition: Your capacity for something is your ability to do it, or the amount of it that you are... | Meaning, pronunciation, translations and examples Impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: A retrospective study. Intellectual capital: The new wealth of organizations. Because nursing knowledge is an intangible organizational asset, conducting research to determine its contribution to the quality of patient care is challenging. Kendall-Gallagher, D., & Blegen, M.A. However, the second proposition was not supported. Organizational investment in training and development, measured as the average dollar amount spent on training for each employee, has been found to positively influence the development of human capital (Bontis & Fitz-enz, 2002). Intellectual capital profiles: An examination of investments and returns. The main areas of your role as … Nahapiet, J., & Ghoshal, S. (1998). 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. Effects of nurse staffing and nurse education on patient deaths in hospital with different nurse work environments. The attributes of nursing human capital, nurses’ knowledge or experience have been empirically linked to better quality patient care... Human capital within hospitals is extremely important as it reflects the work of highly knowledgeable and skilled people caring for those in need of specialized healthcare (Peng, et al., 2007). Learning disability nurses play a vital role working across the whole life span in both health and care settings. Doran, D. & Mylopoulos, J. In 2013, the House of Lords Select Committee on the MCA (2013) scrutinised how the act was being applied in practice. Research indicates that intellectual ability is partially inheritable. 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. Stewart, T. (1997). American Journal of Infection Control, 40: 548-553. (1997). Mark, B. 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). glucometers, telemetry), Portable computerized devices used for acquiring evidence-based information (e.g. Will the patient have capacity some time in the future in relation to the matter? Stocks of knowledge within an organization are diffused through the use of the organization’s social networks (Seibert, Kraimer, & Linden, 2001). Box 1. capacity is the ability to make one’s own decisions. 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. Shirey, M.R. Improving the quality and continuity of patient care. In summary, these findings provide emerging evidence to validate the major proposition of the nursing intellectual capital theory; higher levels of nursing human capital are associated with better quality patient care and registered nurse recruitment and retention. Using financial, human resource and risk data from 91 inpatient care units from 6 hospitals, they simultaneously tested two propositions of the theory. Always follow the principles of the Mental Capacity Act, If there is any doubt about mental capacity, a legal mental capacity assessment should be undertaken when a decision is needed and recorded, Mental capacity assessments should be done by the person directly concerned with the patient at that time, Patients should be given as much help as possible to complete stage 1 of the assessment, A patient who lacks mental capacity cannot give or refuse consent; the person concerned with the their care must make a best interests assessment. Nursing intellectual capital is nursing knowledge that is translated into nursing and organizational performance. Nursing Administration Quarterly, 3(1), 89-90. The code of practice accompanying the act (Department for Constitutional Affairs, 2007) says at paragraph 4.38 that the mental capacity assessment should be carried out by the person directly concerned with the patient when the decision needs to be made (for example, a nurse who needs to take a blood-pressure reading). 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. (2009) Developing human capital: What is the impact on nurse turnover? Again, in emergencies, this will be a very brief assessment. Principles of the Mental Capacity Act. In A.T. Debisette & J. (2013). New York: John Wiley & Sons. This has resulted in limited empirical evidence of the impact of nursing knowledge on patient or organizational outcomes. All health professionals working in hospitals and care homes should understand when and how the act should be used and feel confident doing so. Journal of Nursing Administration, 39(10), 438-443. These staff and their employers have a duty to ensure they know how to use it. Table 1 summarizes the propositions of the intellectual capital theory in business and nursing. Use of validated model to evaluate the impact of work environment on outcomes at a Magnet hospital. 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. Human capital resides within the employee and is loaned to the organization by the employee. (2007). Citation: Mughal AF (2014) Understanding and using the Mental Capacity Act. 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. Points. 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. Outcomes in the palm of your hand. In this article, we review the parent and nursing theories, summarize empirical evidence, and delineate implications for the use of the theory for research and practice. Journal of Advanced Nursing, 68(12), 2710-2719. (2007). A. Vessey (Eds. Journal of Nursing Administration, 38(1), 11-18. American Nurses Association (2012). 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. (Doctoral dissertation,Olivet Nazarene University).Retrieved from http://digitalcommons.olivet.edu/edd_diss/11. Intellectual capital theory defines human capital as the knowledge, talents and experience of employees (Stewart, 2001). 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. Tourangeau, A., Doran, D., McGillis Hall, L., O'Brien-Pallas, L., Pringle, D., Tu, J.V., & Cranley, L.A. (2007). The Academy of Management Review, 44(2), 219-237. Nurse managers are encouraged to consider conditions of the work environment (e.g. At present, adults with intellectual disability have little involvement in nursing care planning. Business Dictionary. 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. 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). 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). Nursing intellectual capital theory: Testing selected propositions. 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. (2012). A social capital theory of career success. After all, we are a profession that builds intellectual capacity for the explicit purpose of improving the human condition. Care planning and delivery form an essential part of everyday practice for all intellectual disability nurses. nurse staffing) and patient and organizational outcomes. Davidson, D. (2007). BSc (Hons) in Intellectual Disability Nursing. Boston: Butterworth Heinemann. Nursing intellectual capital reflects the knowledge of registered nurses and knowledge resources available on inpatient care units as that is where there is the greatest concentration of registered nurses providing care to hospitalized patients (Covell, 2008; Dumay, 2012; Grantham et al., 2007) within an organizational setting. Development of an infusion alliance. Expand your horizons. Business performance leads to organizational profits and retention of key people (Bontis & Fitz-enz, 2002). 13-56). (AHRQ Publication No. Availability of practice guidelines, care maps, and protocols, Information technology for diagnostic purposes (e.g. intellectual disability may be relevant, including mental health and mental capacity legislation, court proceedings, service entitlement and the family courts. 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