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NRS 104 Lecture 2

Nursing Roles & Practice

QuestionAnswer
Nursing History - Florence Nightingale (1820-1910) Spiritual calling to help others, Reformed hospitals, Established nursing education, Implemented public health policies
Nursing History - Clara Barton (1812-1912 Established the American Red Cross
Nursing History - Virginia Henderson Modern definition of Nursing
Nursing: Yesterday vs. Today ”the act of utilizing the environment of the patient to assist him in his recovery” Nightingale, 19th cent.) “to assist the individual, sick or well, in the performance of those activities contributing to health…that he would perform unaided if he
Florence Nightingale Pledge I pledge in the presence of this assembly to practice my profession faithfully. I will do all in my power to maintain and elevate the standards of my profession. I will hold in confidence all personal matters committed to my keeping, and all family affa
Nursing Practice in the 19th Century Environment, Charting, Work Hours, Benefits, Personal Integrity, Advancement
Nursing Practice Today How Has it Changed? Focus, Health Care Providers, Clients (individuals, families, communities)
Facing in today’s Nursing practice Economics; Consumer demands; Family structure; Science and technology; Information & telecommunications; Current nursing shortage
Nursing Practice Today Science; Art; Profession
Definition of Nursing Nursing practice is the diagnosis and treatment of human responses to actual or high risk problems. (ANA)
Four Aims of Nursing Practice Promote Health & Wellness; Prevent Illness; Restore Health; Care of the Dying
Regulatory Body AZ State Board of Nursing – protects public; nurses establish practice standards, Board enforces them; Regulation: Nurse Practice Act: Statutes, Rules and Regs.; Investigates complaints and enforces discipline as necessary.
Roles are expected of the ADN graduate from PCC Safe practitioner; Effective communicator; Manager/Teacher; Culturally competent/Caring; Professional/Ethical
Safe Practitioner Incorporates knowledge of the Arizona Nurse Practice Act; Performs nursing activities acquired through basic education, utilizing the nursing process; Delivers competent care to enhance health and prevent alterations in health; Follows the ANA Standards
ANA Standards of Care Assessment; Diagnosis; Outcome Identification; Planning; Implementation; Evaluation
ANA Standards of Professional Performance Quality of Care; Performance Appraisal; Education; Collegiality; Ethics; Collaboration; Research; Resource Utilization
The Nurse as Communicator Who do nurses communicate with?Must be effective (I.e. Therapeutic)Verbal and nonverbal are both important
The Nurse as Manager/Teacher Manager - Provides effective leadership; Coordinates, delegates, and supervises client care; Collaborates with clients, health care providers, and community agencies Teacher - Utilizes the nursing process in activities; Helps clients and families d
The client and family are the learners Cognitive learning- Storing and recalling knowledge; Psychomotor learning - Physical skill; Affective learning – Attitudes, Values, Feelings
What factors should be assessed in the learner (I.e. client and/or family?) READINESS TO LEARN; Knowledge, attitudes and skills; Learning style; Developmental considerations
The Nurse is culturally competent and caring Culturally competent - Values the worth of cultural diversity, Provides nursing care to diverse groups Caring - Involves the therapeutic use of self within nursing practice, Empathetic to the client’s needs, Protects the client’s dignity
Elements of Caring Providing presence (physical & emotional, I.e. being “in sync”); Comforting; Listening; Knowing the client; Spiritual care; Family care
The Nurse is Professional and Ethical Adheres to: The ANA Code of Ethics - Kozier, page 75 The Arizona Nurse Practice Act
Nursing Care Delivery Models Functional Nursing; Team Nursing; Primary Nursing; Case Management
The nurse’s role in CONTINUITY OF CARE Need to collaborate with other health care providers - Multidisciplinary approach; Involve the patient and family - encourages their COMPLIANCE
CONTINUITY OF CARE Begins on admission - Establish a trusting relationship (Effective communication, Be empathetic to the needs of the client & family) Obtain a relevant nursing history
CONTINUITY OF CARE (At Discharge) discharge planning begins on admission; referrals; multidisciplinary; teaching to client & family is ESSENTIAL
Leadership Qualities of the practicing Nurse Responsibility; Accountability; Authority
Leadership Skills for Nursing Students Clinical Care Coordination - assess & re-assess the client; set priorities; ask for assistance; be organized; manage your time; know where to find resources; evaluate the client & yourself! Be constantly communicating (Provide ongoing reports to involved
Nurse as a member of the nursing profession Upholds standards set forth by the ANA; Adheres to the Scope of practice of the Arizona State Board of Nursing; Becomes a member in professional organizations; Continues nursing education; Follows the ANA Code of Ethics; Is responsible and accountable in
Created by: jenbj
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