Organization in the United States The Evolution of Nursing in the United States: What Are
the Risks of Being Gender Exclusive EssayThe First Century of Professional Nursing The
New Century International Council of Nurses Conclusion References 3 6 8 9 10 13 22 23 25
27 28 39 40 41 43 Frameworks for Professional Nursing Practice 49 Kathleen Masters
Overview of Selected Nursing Theories Nurse of the Future: Nursing Core Competencies
Overview of Selected Non-Nursing Theories Relationship of Theory to Professional Nursing
Practice Conclusion References 51 84 87 88 89 92 X 3 4 5 6 CONTENTS Philosophy of
Nursing 99 Mary W. Stewart Philosophy Early Philosophy Paradigms Beliefs Values
Developing a Personal Philosophy of Nursing Conclusion References 100 101 103 104 106
110 112 114 Foundations of Ethical Nursing Practice 117 Janie B. Butts and Karen L. Rich
Ethics Ethical Theories and Approaches Professional Ethics and Codes Ethical Analysis and
Decision Making in Nursing Conclusion References 118 121 126 129 134 135 Social Context
of Professional Nursing 137 Mary W. Stewart, Katherine Elizabeth Nugent, Rowena W.
Elliott, and Kathleen Masters Nursing’s Social Contract with Society Public Image of Nursing
The Gender Gap Changing Demographics and Cultural Competence Access to Health Care
Societal Trends Trends in Nursing Conclusion References 138 139 143 146 148 151 156
166 166 Education and Socialization to the Professional Nursing Role 173 Kathleen Masters
and Melanie Gilmore Professional Nursing Roles and Values The Socialization (or
Formation) Process Facilitating the Transition to Professional Practice Conclusion
References 174 176 180 181 183 CONTENTS 7 Advancing and Managing Your Professional
Nursing Career UNIT II: PROFESSIONAL NURSING PRACTICE AND THE MANAGEMENT OF
PATIENT CARE Patient Safety and Professional Nursing Practice 185 187 190 193 194 197
198 199 201 202 205 207 Jill Rushing and Kathleen Masters Patient Safety Critical Thinking,
Clinical Judgment, and Clinical Reasoning in Nursing Practice Conclusion References 9 185
Mary Louise Coyne and Cynthia Chatham Nursing: A Job or a Career? Trends That Impact
Nursing Career Decisions Showcasing Your Professional Self Mentoring Education and
Lifelong Learning Professional Engagement Expectations for Your Performance Taking Care
of Self Conclusion References 8 XI Quality Improvement and Professional Nursing Practice
207 216 231 233 237 Kathleen Masters Healthcare Quality Measurement of Quality The
Role of the Nurse in Quality Improvement Conclusion References 237 240 249 251 253
Professional Nursing Practice 10 What Are the Risks of Being Gender Exclusive
EssayEvidence-Based Kathleen Masters 255 Evidence-Based Practice: What Is It? Barriers
to Evidence-Based Practice Promoting Evidence-Based Practice Searching for Evidence
Evaluating the Evidence Implementation Models for Evidence-Based Practice Conclusion
References 255 257 258 259 262 265 268 270 XII 11 CONTENTS Patient-Centered Care and
Professional Nursing Practice 273 Kathleen Masters Dimensions of Patient-Centered Care
Communication as a Strategy to Patient-Centered Care Patient Education as a Strategy to
Patient-Centered Care Evaluation of Patient-Centered Care Conclusion References in
Professional Nursing Practice 12 Informatics Kathleen Masters and Cathy K. Hughes
Informatics: What Is It? The Impact of Legislation on Health Informatics Nursing
Informatics Competencies Basic Computer Competencies Information Literacy Information
Management Current and Future Trends Conclusion References and Collaboration in
Professional Nursing Practice 13 Teamwork Sharon Vincent and Kathleen Masters
Healthcare Delivery System Nursing Models of Patient Care Roles of the Professional Nurse
Interprofessional Teams and Healthcare Quality and Safety Interprofessional Collaborative
Practice Domains Interprofessional Team Performance and Communication Conclusion
References Issues in Professional Nursing Practice 14 Ethical Janie B. Butts and Karen L.
Rich Relationships in Professional Practice Moral Rights and Autonomy Social Justice Death
and End-of-Life Care Conclusion References 274 276 278 293 294 295 301 301 302 304
307 311 314 319 320 321 325 326 328 332 335 338 339 343 344 347 348 353 355 360
370 371 CONTENTS and the Professional Nurse 15 Law Kathleen Driscoll, Kathleen
Masters, and Evadna Lyons XIII 375 The Sources of Law Classification and Enforcement of
the Law Nursing Scope and Standards Malpractice and Negligence Nursing Licensure
Professional Accountability Conclusion References 376 378 381 384 387 392 400 402
Appendix A Standards of Professional Nursing Practice Appendix B Provisions of Code of
Ethics for Nurses Appendix C The ICN Code of Ethics for Nurses Glossary Index 405 407 409
411 429 PrefaCe Although the process of professional development is a lifelong journey, it is
a journey that begins in earnest during the time of initial academic preparation. The goal of
this book is to provide nursing students with a road map to help guide them along their
journey as a professional nurse. This book is organized into two units. The chapters in the
first unit focus on the foundational concepts that are essential to the development of the
individual professional nurse. The chapters in Unit II address issues related to professional
nursing practice and the management of patient care, specifically in the context of quality
and safety. In the fourth edition, the chapter content is conceptualized, when applicable,
around nursing competencies, professional standards, and recommendations from national
groups, such as Institute of Medicine reports. What Are the Risks of Being Gender Exclusive
EssayThe chapters included in Unit I provide the student nurse with a basic foundation in
areas such as nursing history, theory, philosophy, ethics, socialization into the nursing role,
and the social context of nursing. All chapters have been updated, and several chapters in
Unit I have been expanded in this edition. Revisions to the chapter on nursing history
include the addition of contributions of prominent nurses and achievements related to
nursing in the United Kingdom, Canada, and Australia. The theory chapter now includes
additional nursing theorists as well as a brief overview of several non-nursing theories
frequently used in nursing research and practice. The social context of nursing chapter now
incorporates not only societal trends, but also trends in nursing practice and education. The
chapter related to professional career development in nursing has been completely
rewritten for this edition. The chapters in Unit II are more directly related to patient care
management. In the fourth edition, Unit II chapter topics are presented in the context of
quality and safety. Chapter topics include the role of the nurse in patient safety, the role of
the nurse in quality improvement, evidence-based nursing practice, the role of the nurse in
patient-centered care, informatics in nursing practice, the role of the nurse related to
teamwork and collaboration, ethical issues in nursing practice, and the law as it relates to
patient care and nursing. Most Unit II chapters have undergone major revisions with a
refocus of the content on recommended nursing and healthcare competencies. PrEfaCE The
fourth edition continues to incorporate the Nurse of the Future: Nursing Core Competencies
throughout each chapter. The Nurse of the Future: Nursing Core Competencies “emanate
from the foundation of nursing knowledge” (Massachusetts Department of Higher
Education, 2010, p. 4) and are based on the American Association of Colleges of Nursing’s
Essentials of Baccalaureate Education for Professional Nursing Practice, National League for
Nursing Council of Associate Degree Nursing competencies, Institute of Medicine
recommendations, Quality and Safety Education for Nurses (QSEN) competencies, and
American Nurses Association standards, as well as other professional organization
standards and recommendations. The 10 competencies included in the model are patient-
centered care, professionalism, informatics and technology, evidence-based practice,
leadership, systems-based practice, safety, communication, teamwork and collaboration,
and quality improvement. What Are the Risks of Being Gender Exclusive EssayEssential
knowledge, skills, and attitudes (KSA) BOARD OF HIGHER EDUCATION NURSING
INITIATIVE NURSING CORE COMPETENCIES im Qu pr alit ov y em en t Safety s Leade rship
Nursing knowledge d ication Commun ali sio n PR A CT IC E ofe s Team w colla ork and bora
tion ed as -b e em tic st ac Sy pr sm re nte -ce t n ie are Pat c Pr d e bas ce- e n e tic id Ev prac
ENVIRONMENT TICE AC PR ic at rm fo In PR AC TI CE The science and practice of nursing
PRACTICE ENVIRO NM EN T XVI K-Knowledge S-Skills A-Attitudes Source: Modified from
Massachusetts Department of Higher Education. (2010). Nurse of the future: Nursing core
competencies (p. 5). Retrieved from http://www.mass.edu/currentinit
/documents/NursingCoreCompetencies.pdf PrEfaCE reflecting cognitive, psychomotor, and
affective learning domains are specified for each competency. The KSA identified in the
model reflect the expectations for initial nursing practice following the completion of a
prelicensure professional nursing education program (Massachusetts Department of Higher
Education, 2010, p. 4). The Nurse of the Future: Nursing Core Competencies graphic
illustrates through the use of broken lines the reciprocal and continuous relationship
between each of the competencies and nursing knowledge, that the competencies can
overlap and are not mutually exclusive, and that all competencies are of equal importance.
In addition, nursing knowledge is placed as the core in the graphic to illustrate that nursing
knowledge reflects the overarching art and science of professional nursing practice
(Massachusetts Department of Higher Education, 2010, p. 4). This new edition has
competency boxes throughout the chapters that link examples of the KSA appropriate to the
chapter content to Nurse of the Future: Nursing Core Competencies required of entry-level
professional nurses. The competency model in its entirety is available online at www.mass
.edu/currentinit/documents/NursingCoreCompetencies.pdf. This new edition continues to
use case studies, congruent with Benner, Sutphen, Leonard, and Day’s (2010) Carnegie
Report recommendations that nursing educators teach for “situated cognition” using
narrative strategies to lead to “situated action,” thus increasing the clinical connection in
our teaching or that we teach for “clinical salience.” In addition, critical thinking questions
are included throughout each chapter to promote student reflection on the chapter
concepts. Classroom activities are also provided based on chapter content. Additional
resources not connected to this text, but applicable to the content herein, include a toolkit
focused on the nursing core competencies available at
www.mass.edu/nahi/documents/Toolkit-First%20Edition -May%202014-r1.pdf and
teaching activities related to nursing competencies available on the QSEN website at