PROFESSION OF NURSING

1. PROFESSION OF NURSING • OBJECTIVES: • 1. Discuss the historical development of professional nursing. • 2. Discuss the modern definitions, philosophies, and theories of nursing practice. • 3. Describe educational programs for becoming a registered nurse. • 4. Describe practice settings for nurses. • 5. Describe the roles and functions of a nurse. • 6. List the 5 characteristics of a profession and discuss how nursing demonstrates these characteristics.

2. DEFINITION OF NURSING “The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health, its recovery, or to a peaceful death that the client would perform unaided if he had the necessary strength, will, or knowledge. And to do this in such a way as to help the client gain independence as rapidly as possible.” Virginia Henderson International Council of Nurses, 1973 NURSING “The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health, its recovery, or to a peaceful death that the client would perform unaided if he had the necessary strength, will, or knowledge. And to do this in such a way as to help the client gain independence as rapidly as possible.” Virginia Henderson International Council of Nurses, 1973

3. NURSING THEORISTS THEORIST GOAL FRAMEWORK OREM (1971) To care for and help client attain total self-care. Self-Care Deficit Theory. Nursing care becomes necessary when client is unable to fulfill their needs. ROGERS (1970) To maintain and promote health, prevent illness, and care for and rehabilitate ill and disabled client through “humanistic science of nursing.” “Unitary man” evolves along life process. Client continuously changes and coexists with environment. LEININGER (1978) To provide care consistent with nursing’s emerging science and knowledge with caring as central focus. Transcultural Care Theory is the central and unifying domain for nursing knowledge and practice.

4. EDUATIONAL PREPARATION • ASSOCIATE DEGREE • DIPLOMA • BACCALAUREATE • GRADUATE NURSING • CONTINUING EDUCATION • IN-SERVICE EDUCATION • LPN/LVN

5. PRACTICE SETTING • HOSPITALS, SKILLED NURSING RESTORATIVE SETTINGS • COMMUNITY BASED: 1. HEALTH CENTERS 2. SCHOOLS 3. OCCUPATIONAL HEALTH 4. HOME HEALTH

6. LEVELS OF PREVENTIVE CARE • PRIMARY PREVENTION Health Promotion Specific Protection • SECONDARY PREVENTION Early Dx and Prompt Tx Disability Limitations • TERTIARY PREVENTION Restoration & Rehabilitation

7. ROLES AND FUNCTIONS OF THE NURSE • CAREGIVER • CLINICAL DECISION MAKER • PATIENT ADVOCATE • CASE MANAGER • REHABILITATOR • COMFORTER • COMMUNICATOR • TEACHER

8. CAREER ROLES • NURSE EDUCATOR • ADVANCED PRACTICE NURSE -CLINICAL NURSE SPECIALIST -NURSE PRACTITIONER -CERTIFIED NURSE MIDWIFE -NURSE ANESTHETIST -ADMINISTRATOR -NURSE SCIENTIST

9. CHARACTERISTICS OF A PROFESSION • EDUCATION • BODY OF KNOWLEDGE • SERVICE • AUTONOMY • CODE OF ETHICS

10. CODE OF ETHICSAmerican Nurses Association • 1. The nurse provides services with respect for human dignity and the uniqueness of the client unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems. • 2. The nurse safeguards the client’s right to privacy by judiciously protecting information of a confidential nature. • 3. The nurse acts to safeguard the client and the public when health care and safety are affected by the incompetent, unethical, or illegal practice of any person. • 4. The nurse assumes responsibility and accountability for individual nursing judgments and actions. • 5. The nurse maintains competence in nursing.

11. CODE OF ETHICSAmerican Nurses Association • 6. The nurse exercises informed judgment and uses individual competence and qualifications as criteria in seeking consultation, accepting responsibilities, and delegating nursing activities to others. • 7. The nurse participates in activities that contribute to the ongoing development of the profession’s body of knowledge. • 8. The nurse participates in the profession’s efforts to implement and improve standards of nursing. • 9. The nurse participates in the profession’s efforts to establish and maintain conditions of employment conducive to high-quality nursing care. • 10. The nurse participates in the profession’s effort to protect the public from misinformation and misrepresentation and to maintain the integrity of nursing. • 11. The nurse collaborates with members of the health professions and other citizens in promoting community and national efforts to meet the health needs of the public.

12. TRENDS IN NURSING • Basic nursing education in community colleges and universities. • A growing variety of employment settings. • Growing emphasis on the aspects of nursing that characterize it as a profession. • Increasing political influence of nursing. • Nursing influences on health care policy and practice.