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Chapter-001-Nursing-Today-.pptx
- 2. Patient-centered care
Professionalism
Administer quality care
Be responsible and accountable
Health care advocacy groups
Robert Wood Johnson Foundation (RWJF) Future of
Nursing: Campaign for Action
Institute of Medicine (IOM) publication on The Future
of Nursing
Nursing as a Profession
Copyright © 2017, Elsevier Inc. All Rights Reserved. 2
- 3. Nursing requires
Current knowledge and practice standards
Insightful and compassionate approach
Critical thinking
Benner’s stages of nursing proficiency:
Novice
Advanced beginner
Competent
Proficient
Expert
Science and Art of Nursing Practice
3
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- 4. Nursing definitions
Nursing: Scope and Standards of Practice
1960: Documentation began
Standards of Practice
Standards of Professional Performance
Goal
To improve the health and well-being of all individuals,
communities, and populations through the significant
and visible contributions of registered nursing using
standards-based practice
Scope and Standards of Practice
Copyright © 2017, Elsevier Inc. All Rights Reserved. 4
- 5. Six standards of practice:
Assessment
Diagnosis
Outcomes identification
Planning
Implementation
Evaluation
The nursing process is the foundation of clinical
decision making
Standards of Practice
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- 6. Standards of Professional
Performance
Ethics
Quality of Practice Professional
Practice
Evaluation
Education Communication Resources
Evidence-Based
Practice and
Research
Leadership
Environmental
Health
Collaboration
6
Copyright © 2017, Elsevier Inc. All Rights Reserved.
- 7. A code of ethics is the philosophical ideals of
right and wrong that define principles used to
provide care.
It is important for you to incorporate your own
values and ethics into your practice.
Ask yourself: How do your ethics, values, and
practice compare with established standards?
Code of Ethics
Copyright © 2017, Elsevier Inc. All Rights Reserved. 7
- 9. 1. Nursing is defined as a profession because
nurses:
A. perform specific skills.
B. practice autonomy.
C. utilize knowledge from the medical discipline.
D. charge a fee for services rendered.
Quick Quiz!
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- 10. Career Development
Nursing provides an
opportunity for you
to commit to lifelong
learning and career
development.
Copyright © 2017, Elsevier Inc. All Rights Reserved. 10
- 11. Ming graduated with an associate’s degree in
nursing last year and received his RN credential.
He currently works in a long-term care facility.
Although Ming enjoys his work and has been
promoted to shift supervisor on his unit, he finds
that he’d like to pursue a nursing career that
offers a regular schedule and more autonomy.
Ming considers returning to school for an
advanced degree.
Case Study
Copyright © 2017, Elsevier Inc. All Rights Reserved. 11
- 12. Provider of care
Advanced practice registered nurses
Clinical nurse specialist
Certified nurse practitioner
Certified nurse midwife
Certified registered nurse anesthetist
Nurse educator
Nurse administrator
Nurse researcher
Career Development (Cont.)
12
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- 13. Ming is particularly drawn to the idea of
becoming an advanced practice registered
nurse (APRN).
Ming’s career options for becoming an APRN
include which of the following?
(Select all that apply.)
A. Physician assistant (PA)
B. Clinical nurse specialist (CNS)
C. Certified nurse midwife (CNM)
D. Certified RN anesthetist (CRNA)
Case Study (Cont.)
Copyright © 2017, Elsevier Inc. All Rights Reserved. 13
- 14. If Ming decides to choose a career as a critical
care CNS, then his specialty is identified by
which means?
A. Population
B. Setting
C. Disease specialty
D. Type of care
E. Type of problem
Case Study (Cont.)
Copyright © 2017, Elsevier Inc. All Rights Reserved. 14
- 15. With fewer available nurses, it is important for
you to learn to use your patient contact time
efficiently and professionally.
Essential skills include:
Time management
Therapeutic communication
Patient education
Compassionate implementation of bedside skills
Nursing Shortage
15
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- 16. Nurses:
Respond to needs of patients
Actively participate in determining best practices
Knowledge of the history of the nursing
profession increases your ability to understand
the social and intellectual origins of the
discipline.
Historical Influences
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- 17. First practicing epidemiologist
Organized first school of nursing
Improved sanitation in battlefield hospitals
Practices remain a basic part of nursing today
Florence Nightingale
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- 18. Clara Barton
Mother Bickerdyke
Harriet Tubman
Mary Mahoney
Lillian Wald and Mary Brewster
Civil War to the Beginning of the
Twentieth Century
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- 19. Movement toward scientific, research-based
practice and defined body of knowledge
Nurses assumed expanded and advanced
practice roles
1906: Mary Adelaide Nutting, first nursing professor at
Columbia Teacher’s College
Army and Navy Nurse Corps established
1920s: Nursing specialization began
The Twentieth Century
Copyright © 2017, Elsevier Inc. All Rights Reserved. 19
- 20. Twenty-First Century
Changes in curriculum
Advances in technology and informatics
New programs address current health concerns
Leadership role in developing standards and
policies
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- 21. Importance of nurses’ self-care
Changes in society lead to changes in nursing:
Affordable Care Act (ACA)
Rising health care costs
Demographic changes
Medically underserved
Contemporary Influences
Copyright © 2017, Elsevier Inc. All Rights Reserved. 21
- 22. Evidence-based practice
Quality and Safety Education for Nurses (QSEN)
Impact of emerging technologies
Genomics
Public perception of nursing
Impact of nursing on politics and health policy
Trends in Nursing
22
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- 23. Registered nurse education
2-year associate’s degree
4-year baccalaureate degree
Graduate education
Master’s degree, advanced practice RN
Doctoral degrees
Continuing and in-service education
Professional Registered Nurse
Education
Copyright © 2017, Elsevier Inc. All Rights Reserved. 23
- 24. Nurse Practice Acts (NPAs)
Overseen by State Boards of Nursing
Regulate scope of nursing practice
Protect public health, safety, and welfare
Licensure and certification
Licensure: NCLEX-RN® examination
Certification: requirements vary
Nursing Practice
24
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- 25. Address member concerns
Present educational programs
Publish journals
Student organizations
National Student Nurses Association (NSNA)
Canadian Student Nurses Association (CSNA)
Professional Nursing Organizations
Copyright © 2017, Elsevier Inc. All Rights Reserved. 25
- 26. 2. Professional nursing specialty organizations
seek to:
A. improve standards of practice.
B. expand nursing roles.
C. improve the welfare of nurses in specialty
areas.
D. all of the above.
Quick Quiz!
Copyright © 2017, Elsevier Inc. All Rights Reserved. 26