Historical Perspective Florence Nightingale, the lady with the lamp, who cared for soldiers in the Crimean War and changed the status of nurses in the 19th century.
Requirements to Practice AsNurseA nurse must :1. have a license to practice nursing in the country 2. be physically & mentally fit
Definition of Nursing (ICN) Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles.
Why nursing care is necessary in medicine? The most important factor in hospitalization and recovery of patient without complications is Nursing , because Nursing creates caring environment which helps to increase the speed of recovery makes the patient more comfortable. Nursing care provides a therapeutic environment "Nursing care has to put the patient in the best position of nature to act upon him.“ FLORENCE NIGHTINGALE
Nursing care Nursing care directing patient care and maintaining a healthy environment. Its significance to medicine can be more explain by this saying of FLORENCE NIGHTINGALE"Nursing is an art, and it requires an exclusive devotion and It is one of the Fine Arts;.”
What could be achieve throughnursing care? Patient Satisfaction-- Good customer service Decrease Hospital stay Treat patients like family Healthcare is a business
Functioning levels of a Nurse Independent Dependent Interdependent
Independent nursing action Nursing action carried out at the instruction or order of a nurse. Action within the legal scope of nsg. independent domain.
Dependent nursing action Nursing action carried out at the instruction of an authorized health care professional other than a nurse.(Physician or Consultant )
Interdependent nursing action Nursing action performed by the nurse in collaboration with other members of the health care team.
Clinical Decision Making Utilizes critical thinking skills and the nursing process Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation
Nurse’s Participate in Medical care
Hospital Community Based Practice Settings
Nursing Roles As CAREGIVER As REHBLITATOR As PATIENT As COMFORTER ADVOCATE As COMMUNICATOR As COUNSELOR As COLLABORATOR As LEADER As MANAGER As TEACHER As COORDINATOR
…Care Giver The provision of care to patients that combines both the art and the science of nursing in meeting physical,emotional,in- tellectual,sociocultu- ral,and spiritual needs.
Comforter Role Caring for client as a human being Role is traditional to nursing Care is directed to whole person, not just a body part Demonstration of care and concern
Client Advocate Nurse protects the clients human and legal rights Providing information to assist in decision making Patient Bill of Rights
…Advocate The protection of human or legal rights and the securing of care for all patients. Speaking on behalf of the client/s
As PATIENT ADVOCATE
Rehabilitator Role Assist client to return to optimal level of functioning Nurse helps client to adapt physically and emotionally to changes in lifestyle, body image
Communicator Role Role is central to all other roles Involves communication with client, family, healthcare team members, resource people, and the community Without clear, concise communication it will be difficult to give effective care
…Communicator The use of effective interpersonal and therapeutic communication skills to establish and maintain helping relationships with patients of all ages in a wide variety of healthcare settings.
Teacher/Educator Role Explains concepts and facts about health, demonstrates procedures, reinforces learning, determines understanding, and evaluates progress of learning Unplanned or informal education Planned or formal education
…Educator The use of communication skills to: assess implement evaluate individualized teaching plans to meet learning needs of patients and their families.
…Counselor The use of therapeutic interpersonal communication skills > to provide information make appropriate referrals facilitate the patients problem-solving and decision making skills.
As a COUNCILOR
…LeaderThe assertive, self-confident practice of nursing when: providing care effecting change when functioning with groups (change agent)
As a LEADER
…Researcher The participation in our conduct of research to increase knowledge in nursing and improve patient care.