RN 101: PROFESSION AND PROFESSIONALISM

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Nursing requires….
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standardized formal education and requires life long learning through standardized formal education -NCLEX covers standardized content areas
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nursing has a systematic body of knowledge ….
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pertenant to the role performed -knowledge is based on conceptual framework to guide practice, define skills, abilities and norms. -nursing research has increased
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nursing is service oriented
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service that benefits individuals and the community -all truism: selfless concern for others, continues to guide the polices and codes of ethics for nursing. -nursing described by ANA social policy statement: nursing is a contract with society
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nursing provides a Guiding code of ethics for others that…
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places high value on the worth and dignity of others -commitment to clients, individuals, family and the community. -nurses need to be accountable by holding the same ethical standard -must demonstrate integrity by doing what is right.
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nurses hold autonomy, responsibility and accountability
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-boards of nursing regulate practice of nursing: nursing license, nursing practices, nursing schools and programs -protecting the public is the primary goal of the state board of nursing
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-nurses are responsible to hold professional values to self, profession and society -accountable for professional outcomes -autonomy continues to grow
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nurses demonstrate commitment through..
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participation in professional organizations and activities -professional organizations: seek to influence the social, political, and economic conditions that affect nursing practice. -ANA states: see below
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ANA states:
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advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing and by lobbying the congress and regulatory agencies on health care issues affecting nursing and the public.
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each organization may differ they all…?
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each serve to advance the nursing profession and enhance the provision of quality care
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PROFESSIONAL IDENTITY is a
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set of beliefs, attitudes, understanding about role as nurse
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sources of professional identity
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-first concept might come from contact relatives, co workers who are nurses -formal expectations presented by nursing faculty of professors -unofficial expectations obeserved in clinical -develop own personal recognition of social expectation through integration of self, social roles externally defined standards
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characteristics of a professional
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-technical competence interpersonal skills work ethic moral standards concern for the welfare of others
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developing professional identity
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– involves understanding and adoption of professional values, associated behaviors -historical, legal, contemporary context of nursing practice -accountability for self, nursing practice
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essential norms, values, attitudes and behaviors
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-process of developing, clarifying and internalizing essential norms, values, attitudes and behaviors is important to developing professional identity ; process begins in nursing school and continues -professional values serve as a foundation for nursing practice: nurses embrace altruism, integrity, respect for autonomy, social justice and human dignity =core professional values
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historical, legal, contemporary context
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-nursing was once considered an unpleasant occupation -resiliant individuals who fought to improve conditions for client care created nursing today -nursing is committed to others and held in high esteem by general public
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accountability for self and nursing practice
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– integral for develop of professional identity -nursing has a responisbility to society -as a nurse accountable to uphold the trust that society places on you -accountable for acquiring knowledge and skills -accountable for developing personal attitudes, values that are congruent with professions social contract
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CONCEPTUALIZATION OF PROFESSIONAL IDENTITY
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ANA provides RN’s with 3 resources to help them conceptualize their professional identity 1. code of ethics for nurses with interpretive statement 2. nursings social policy statement 3. scope and standards of practice
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ANA code of ethics for nurses
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ANA defines its code of ethics as: a succinct statement of the ethical obligations and duties of every individual who enters the nursing profession -code of ethics sets the ethical standard and details commitment of nursing to society -code provides legal and ethical responsibilities -its a non negotiable ethical standard
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fundamental and valuable commitments
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first 3 provisions of the code of ethics for nurses: 1. nurses should honor human dignity, by practicing with compassion and respect 2. primary commitment to client 3. client advocate
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bound by duty and loyalty (code of ethics 4-6)
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describe nurses as being bound by duty and loyalty 4. responsible and accountable for own actions 5. duty to internalize self respect and preserve integrity and maintain competence through continued through personal and professional growth 6. responsible for high quality care
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dutys beyond client encounters (code 7-9)
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7. nurses responsible for advancing nursing profession. through policy development and contribute to the body of nursing knowledge 8. responsibility in awareness and development of collaborative solutions to broad health issues 9. commitment of professional associations to the maintenance of integrity in the practice of nursing
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ANA defines is social policy statement defines it as…
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a document that conceptualizes nursing practice, describes the social context of nursing and provides the definition of nursing -serves as a source of info for nursing to consumers, govt officials and other health care professionals
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ANA social policy statement defines nursing as:
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-protection, promotion, optimization of health and abilities -prevention of illness, injury -alleviation of suffering through diagnosis and treatment of human response -advocacy in the care of individuals, families, communities and populations
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4 characteristics essential to nursing, according to the ANA?
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-responses of individuals to actual or potential health problems -theory application through evidence based nursing actions – evidence based interventions -outcomes benefit the client
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ANA SCOPE AND STANDARDS OF PRACTICE
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delineates the professional responsibility of all RNS engaged in nursing practice regardless of setting -all of nursing has one set of nursing and procedures -refer to state BON for reference
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scope and standard of practice has 2 major content areas?
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1. standards of practice: nurses are to demonstrate competency in practice through the nursing process: -assesment -diagnose -outcome identification -plan -intervention -evaluation
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2. standards of professional performance: level of competence required in the professional role by delineating nursing activities in the areas of : – ethics, education, evidenced based practice -quality of practice, communication, collegiality -collaboration, professional practice evaluation, resource utilization and environmental change
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the scope and standards of practice characterize nursing practice as 5 tenants:
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1. nurses individualize care to meet the specific needs of the client, and respectful to diversity 2. coordinate care by establishing partnerships and shared goals 3. concept of caring is central to nursing 4. nurses use evidenced based knowledge is the nursing process: -assement, diagnosis, identification of outcomes, planning, implement and evaluate 5. emphasizes the existence of a healthy work environment contributes to optimal outcomes. expected to maintain and improve healthy work environments through skilled communication, collaboration and effective decision making
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which of the following professional associations advances the nursing profession by creating high standards for nursing practice?
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ANA
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which of the following are characteristics exhibited by a professional?
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technical competence concern for others interpersonal skills
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professional identity =
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set of beliefs, attitudes and understanding about the nursing role
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professional values=
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one of the foundations of the nursing profession
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professional morals=
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internal factors that contribute to the delivery of nursing care

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