Professional Documents
Culture Documents
PRACTICE
By
Purwaningsih
Definition of Nursing
Nurses unique function is to help
individuals, both sick and well, perform
activities that contribute to their health or
recovery (or facilitate a peaceful death)
that they would perform unaided if they
had the necessary strength, will, or
knowledge, and to accomplish this
function in such a way as to help
individuals gain independence.
V. Henderson, 1960
Characteristics of a
Profession
Requires an extended education of
its members
Has a theoretical body of knowledge
leading to skills, abilities and normsBased on a scientific foundation
Provides a specific service
Maintains autonomy in decision
making and practice
Has a code of ethics
Foundation of Nursing
Theories of nursing
Scientific knowledge
Relevance to basic social values
Professional autonomy
A sense of commitment
A sense of community
A code of ethics
Characteristics of Expert
Clinical Practice
Application of knowledge and clinical
expertise
Expertise to interpret clinical situations
and make complex decisions
Critical thinking is essential and on going
Life long learning is essential due to the
continuing changes in nursing knowledge
Experts practice evidence based nursing
care.
Professional Nursing
Practice
Nurse Practice Acts
Licensure and Certification
Science and Art of Nursing practice
Education
Associates Degree 3-4 years
Baccalaureate Degree 5-6 years
Masters Degree 1-2 years
Nursing Education
Nurse Practitioner
Clinical Nurse Specialist
Nurse Anesthetist
Nurse Midwife
Nursing Administration
ANA
Standards of Professional
Performance
Quality of practice
Professional Practice Evaluation
Education
Collegiality
Ethics
Collaboration
Research
Resource Utilization
Leadership
Nursing Today
Registered Nurse
Licensed Practical Nurse
Nurse Practitioner
Clinical Nurse Specialist
Nurse Midwife
Patient Satisfaction
Press ganey
surveys
Good customer
service
Patient Bill of Rights
Treat patients like
family
Healthcare is a
business
Managed Care
Goal is to keep length of stay (LOS)
down
Capitation
Patients are discharged sooner
Patient acuity higher
Health Care Plans
Case manager work closely with
physicians and insurance companies
Process of
Knowledge Development
Globalization of Health
Healthcare has
become a global
issue
People are mobile,
diseases can travel
Nurses need to
have an
understanding of
the issues
pertaining to
global health
Nursing Roles
Caregiver
Clinical Decision Maker
Client Advocate
Rehabilitator
Comforter
Communicator
Collaborator
Teacher
Professional Accountability
Responsibility that one assumes for
their practice
Obligation to report or account for
their actions
To the profession, public, and
themselves
Accountability
Begins with preconditions
Ability
Responsibility
Authority
Ends in accountability
Client Advocate
Nurse protects the clients human and
legal rights
Providing information to assist in
decision making
Patient Bill of Rights
Comforter Role
Caring for client
as a human being
Role is traditional
to nursing
Care is directed to
whole person, not
just a body part
Demonstration of
care and concern
Communicator Role
Role is central to all other roles
Involves communication with client,
family, healthcare team members,
resource people, and the community
Without clear, concise
communication it will be difficult to
give effective care
Teacher/Educator Role
Explains concepts and facts about
health, demonstrates procedures,
reinforces learning, determines
understanding, and evaluates
progress of learning
Unplanned or informal education
Planned or formal education
Clinician
Nurse Educator
Advanced Practice Nurse
Nurse Administrator
Nurse Researcher
Military Nurse
Forensic Nursing
Nurse
Nurse
Nurse
Nurse
Nurse
Nurse
administrator/manager
education
practitioner
anesthetist
midwife
researcher
Professional Workforce
in the 21st Century
TERIMAKASIH