What is nursing? (6)
Art and Science
Guided by a code of ethics
Based on standard
Evidence-based practice
Critical thinking
Patient centered and includes family and community
ANA definition of Nursing
Nursing is the:
PROTECTION
PROMOTION
OPTIMIZATION of health and abilities,
PREVENTION of illness and injury
ALLEVIATION of suffering through the diagnosis and treatment of human response,
ADVOCACY in the care of individuals, families, communities, populations
Nursing standards are:
a MINIMUM set of criteria of practice to provide quality care
Nursing as a Profession
Patient centered care
Professionalism
Health care advocacy groups
Nursing 6 standards of practice (ADOPIE)
Nursing process is the foundation of clinical decision making
ASSESSMENT
DIAGNOSIS
OUTCOMES IDENTIFICATION
PLANNING
IMPLEMENTATION-Coordination of care
-Health teaching/promotion
EVALUATION
Standards of Professional Performance (10)
Ethics
Education
Evidence-Based Practice and Research
Quality of Practice
Communication
Leadership
Collaboration
Professional Practice Evaluation
Resources
Environmental Health
Code of Ethics:
Code of ethics is the philosophical ideals of RIGHT and WRONG that define principles used to provide care
Important for you to incorporate own values and ethics into practice
Primary Roles and Functions of the Nurse: (9)
Care Provider
Advocate
Change Agent
Researcher
Delegator
Educator
Leader
Manager
Collaborator
Contemporary Influences:
Importance of nurses’ self-care
Changes in society lead to changes in nursing (4)
Affordable Care Act (ACA)
Rising health care costs
Demographic changes
Medically underserved
Trends in Nursing:
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
Theoretical Views on Caring
Caring: a universal phenomenon that influences the way we think, feel and behave
Since Florence Nightingale, nurses have studied caring
Caring is at the:
heart of a nurse’s ability to work with all patients in a respectful and therapeutic way
Caring is:
PRIMARY
-determines what matters to a person
-Helps you provide patient centered care
Leininger’s Transcultural Caring:
Caring is an essential human need
Caring helps an individual or group improve a human condition
Caring helps PROTECT, DEVELOP, NURTURE and sustain people
Leininger describes the concept of care as:
the essence and central, unifying and dominant domain that distinguishes nursing from other health disciplines
Care is:
an essential human need, necessary for the health and survival of all individuals
For caring to be effective, nurses need to
learn culturally specific behaviors and words that reflect human caring in different cultures to identify and meet the needs of all patients
Watson’s Transpersonal Caring:
HOLISTIC
Promotes healing and wholeness
Rejects the disease orientation to health care
Places CARE before CURE
Emphasizes the nurse-patient relationship
When a nurse focuses on transpersonal caring, she:
looks for deeper sources of inner healing to protect, enhance, and preserve a person’s
Nursing becomes almost SPIRITUAL
Swanson’s Theory of Caring:
Defines caring as a nurturing way of relating to an individual
States that caring is central nursing phenomenon but is not necessarily unique to nursing practice
Swanson’s theory provides:
direction for how to develop useful and effective caring strategies appropriate for multiple age groups and health care settings
Swanson’s 10 Carative Factors:
Forming a human-altruistic value system
Instilling faith-hope
Cultivating a sensitivity to one’s self and to others
Developing a helping, trusting, human caring relationship
Promoting and expressing positive and negative feelings
Using creative problem-solving, caring processes
Promoting transpersonal teaching-learning
Providing for a supportive, protective and/or corrective mental, physical, societal, an spiritual environment
Meeting human needs
Allowing for existential-spiritual forces
Summary of Theoretical Views (5):
Nursing caring theories have common themes
Caring is highly relational
Caring theories are valuable when assessing patient perceptions of being cared for in a multicultural environment
Enabling is an aspect of caring
Knowing the context of a patient’s illness helps you choose and individualize interventions that will actually help patient