DEFINITIONS OF NURSING AND WHAT IS NURSING?

DEFINITIONS OF NURSING
 Nursing is a profession focused on advocacy in

the care of individuals, families, and communities in attaining, maintaining, and recovering optimal health and functioning.  Modern definitions of nursing describe it as a science and an art that focuses on promoting quality of life as defined by populations, communities, families, and individuals, throughout their life experiences from birth through the end of life.

Nightingale's Notes on Nursing
 “I use the word nursing for want of a better.

It has been limited to signify little more than the administration of medicine and the application of poultices.  It ought to signify cleanliness, quiet, and the proper selection and a ministration of diet- all at the least expense of vital power to the client.”

DEFINITIONS OF NURSING

What is
your definition

of nursing?

What is Nursing?
 Nursing is something external that is done

to the client to restore health.  Nursing is an interpersonal, interactional or partnering process between the nurse and client with the objective of promoting wellness, preventing illness and giving the client the tools to be able to function at an optimal level of wellness.

Definitions of Nursing
 Florence Nightingale  Act of using the environment of the patient

to assist him in his recovery

Definitions of Nursing
 Henderson  Assisting the individual sick or well in the

performance of those activities contributing to health, its recovery or peaceful death that he would perform unaided if he had the necessary strength, will, or knowledge and to do this in such a way as to help him gain independence as rapidly as possible.

Definitions of Nursing
 Johnson  External force to restore, maintain or attain health  King  A process of human interaction between nurse and

client to attain, maintain, and restore health through mutual goal setting  ANA  The diagnosis and treatment of human response to actual or potential health problems

NURSING
Nursing identity is a developmental

process that evolves throughout professional nurses’ careers.

Characteristics of a Profession
 Specialized education

standardized in a collegial setting

 Body of knowledge on which performance is

based
intellectual characteristics  nursing theory development

 Ability to deliver a unique service to others

Ethics
value of worth and dignity of others  Social policy statement and Code for Nurses

Characteristics of a Profession

Autonomy

use of theory & research in practice  Control over practice standards  Independent function of its members  Members are accountable and responsible or their own practice  Standards of Practice  Professional behaviors career commitment of its members  upholding the service orientation in the eyes of the public

Types of Nursing Education Programs
 Registered nurse
 Diploma  Associate

degree (ADN)  Baccalaureate degree (BSN)  Master’s programs (MSN)  Doctoral programs (DNS)

Types of Nursing Education Programs
 Licensed Practical Nurse (LPN) or  Licensed Vocational Nurse (LVN)  Ladder programs equal career mobility
 

LPN to RN ADN to BSN

LPN/LVN versus RN Roles
 The knowledge, skills, and abilities of

those in the nursing profession progress along a continuum with increasing complexity at each practice level.

 The education curricula for (each level)

prepares the healthcare provider to perform within a scope of practice prescribed by law and in the roles defined by the professional organizations.

Nursing Education Preparation for the future
 Articulation of educational models
 

easier transfer from one professional level to another facilitates multiple career changes during a lifetime primary care processes & skills in curriculum structure & systems information economic framework as part of delivery systems interdisciplinary collaboration

 Inclusion of more
   

 Specialization versus generalization  Level of educational preparation for entry into

practice

Nursing Practice
 Recipients of care
 patient  client

 Practice settings
 Primary

care  Secondary care  Tertiary care

Entry into Practice
Nurse Practice Acts
 Purpose

is to protect the public  Formalized contract between society & the profession  ensures minimum standards for entry into practice  helps the profession maintain standards in practice

Nurse Practice Act
Level of Practice
 Dependent

orders  Interdependent - actions resulting from the collaborative relationship with other health care providers  Independent - autonomous nursing actions - interventions found in the nursing care plan

- implementing a professionals

Entry into Practice
 Standards of Practice
 values

and priorities of the profession  provide direction for professional practice  framework for evaluation of nursing practice  defines the professions accountability to the public

Standards of Care
 The nurse
 Collects client health data  Analyzes the assessment data in determining

diagnoses  Identifies expected outcomes individualized to the client  Develops plan of care with interventions to attain expected outcomes  Implements identified interventions  Evaluates client progress toward outcomes

Standards of Professional Performance
 The nurse
 Evaluates quality & effectiveness of nursing    

practice Evaluates own practice in relation to standards & relevant regulations Maintains current knowledge in nursing Contributes to professional development of peers & colleagues Decisions & actions on behalf of client are ethical

Standards of Professional Performance
 Collaborates with client , significant

others and health care providers in providing care.  Use research findings in practice.  Considers factors related to safety, effectiveness and cost in delivery of care.  Source - ANA Standards of Clinical Nursing Practice (1991).

Role of the AD Nurse
Provider of care Manager of care Member within the discipline

of nursing

Provider of Care
Role of the AD Nurse
 Critical

thinking clinical competence accountability commitment to caring.  More extensive data collection through use of more resources & collaboration.  Analyze/interpret data, plan client goals, adjust and evaluate care.

Provider of Care
LP/LV Nurse
 Client

care in structured health care settings with common well-defined health problems.  Basic needs assessment  contributes, helps to plan, collaborates and uses established nursing.

Manager of Care
 Role exclusive to RN.  Collaboration, organization,

prioritization, delegation, advocacy and respect for other health care providers.  Managing care and resources for a group of clients efficiently.

Member within the Discipline
AD Nurse
 Commitment

to : professional growth continuous learning self-development.  Ensures high standard of nursing.  Uses research to improve client care.  Committee member and membership in professional organization.

Member within the Discipline
LP Nurse / LV Nurse
 Identifies

personal strengths and weakness.  Uses educational opportunities.  Under direction of the RN may participate in research.  Adheres to nursling's Code of Ethic.

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