ch 6 becoming a nurse: defining nursing and socialization into professional practice – Flashcards

professional practice, framework, boundaries, clarifies the purpose, and differentiates nursing from other professions

require nursing definitions

influence health policy at local, state, and national levels

developing educational curricula and research agendas

definitions ... clarify purposes and function differentiate nursing from other health occupations influence health policy at local, state, and national levels

florence nightingale

has many concepts that are contemporary importants of observational skills, unique body of knowledge, understanding that pt must be best condition possible that nature allows. impact about pt immediate environment, nutrition, hygiene, and comfort

basic and spare VIRGINIA HENDERSON- definition represented the emergence of contemporary nursing (ICN uses henderson definition)

helped advance tech. available for nursing- influencing nursing and requiring changed definitions Hildegard Peplau dorothea orem

defined nursing in interpersonal terms, reinforcing the idea of the patient as an active collaborator in his or her care.

her definition hinges on the belief that nurses should do for a person only those things the person cannot do without assistance, emphasizing patients active role (similar to peplau) USF!! patterened and emphasized

definition represented the emergence of contemporary nursing (ICN uses henderson definition) widely accepted in the us and worldwide many believe it is the most comprehensive and appropriate definition of nursing in existence

IDFPR.ORG- definition of nursing what LPN and CNA are responsible for when managing healthcare

1- provision of a caring relationship that facilitates health and hearing 2- attention to the range of human experience and responses to health and illness within the physical and social environment 3- integration of objective data with knowledge gained from an appreciation of the patient or groups' subjective experience 4- application of scientific knowledge to the processes of diagnosis and treatment through the use of judgement and critical thinking 5- advancement of professional nursing knowledge through scholarly inquiry 6- influence on social and public policy to promote social justice

largest professional union of nurses in the world nursing is the use of clinical judgement in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve th best possible quality of life, whatever their disease or disability until death PURPOSE MODE OF INTERVENTION DOMAIN FOCUS VALUE BASE COMMITMENT TO PARTNERSHIP

13 million nurses in more than 130 countries

help die with DIGNITY

to teach you to think like a nurse see the world of healthcare through the lens of nursing respond to clinical and educational expereinces by developing professionalism these are in the classroom

students to internalize new knowledge, skills, attitudes, hebaviors, values and ethical standards into their own professional identities

absorbing and assimilating the culture of nursing g- its rites, rituals, and valued behaviors

classroom lectures assignments lab experiences new vocabulary

lessons that occur incidentally unplanned observations participating in SNA hearing nurses discuss patient care MOST POWERFUL (in clinical)

can promote anxiety and disillusionment adjusting to new values that conflict with yours learning to cope with (-) health behavior of pts becoming aware of own biases and not impose

is a new factor influencing socialization can socialization be developed with these online classes additional research is done to figure out ways of incorporating socialization

stage 1- unilateral dependence; rely on external authority; limited questioning or critical analysis stage 2- negativity/ independence; cognitive rebellion; diminished reliance on external authority stage 3- depend/ mutuality; reasoned appraisal; begins integration of facts and opinions following objective testing stage 4- interdependence; collaborative decision making; commitment to professional role; self-concept now includes professional role identity

1- novice-within 1 yr- has little background/ limited practical skills, relies on rules and expectations of others for direction 2- advanced beginner- 1-2 yrs- has marginally competent skills; uses theory and principles much of the time; experiences difficulty establishing priorities 3- competent practitioner 2-3 yrs- feels competent, organized; plans and sets goals, thinks obstructively and analytically; coordinates several tasks simultaneously 4- proficient practitioner3-5 yrs - views patients holistically; recognizes subtle changes; sets priorities with ease; focuses on long-term goals 5- expert practitioner- performs fluidly; grasps patient needs automatically; responses reintegrated; expertise comes naturally

when ideals and reality collide

nursing shortage difficult working conditions nursing stagg retention older more chronically ill patients absence of positive reinforcement lack of frequent communication

lack of support gap between ideals and actual work setting inability to implement desired nursing care