Nursing Theory & Professional Practice

Who was considered the “founder of nursing” in 1860 during the Crimean War?
Florence Nightingale

American Nurses Association (ANA)
Professional organization working for high standards and promoting the rights of nurses.

International Council of Nurses (ICN)
Made up of more than 130 health care associations to promote global health.

Holistic Care
Addresses physical, mental, spiritual, social, and emotional health.

To enhance nursing as a profession, nursing works to establish itself as a scientific discipline

A global set of concepts that identify and describe the central phenomenon of the discipline.

Nursing metaparadigm includes
Functioning of the patient, how people interact with the environment, illness and health promotion, and the nursing’s role.

A statement about the beliefs and values of nursing.

Conceptual Framework or Model
A collection of interrelated concepts that provides direction for nursing practice, research, and education.

Nursing Model in the Nursing Process
The model influences the data the nurse collects and the care of the patient. Conceptual models are often based on non-nursing theories.

Levels of Knowledge
1) Metaparadigm
2) Philosophy
3) Conceptual Framework/Model
4) Nursing Theory
-Grand Theory
-Middle Range Theory

Dynamic interaction between the processes of teaching and learning.

Ongoing commitment to systemic inquiry and discovery.

Application of knowledge related to the health of individuals, groups, and communities.

While comparing the ANA definition of nursing and ICN definition of nursing what component does the ICN mention that is not included in ANA definition?
Shaping health policy

Non Nursing Theories

Maslow’s Hierarchy of Needs
-Physiologic Needs
-Love and Belonging
-Self Esteem
-Self Actualization

Erikson’s Psycho-social Theory
As people grow older their cognitive development changes and this bases the nurses care to the patient.

Nursing as a Profession
A occupation that requires a minimum a specialized training and a specialized body of knowledge.

Nurses recognizes nursing as their life’s work and being an important component of who they are. They focus on their service to their patients and community.

Body of Knowledge and Research
There is a specific, well-defined theoretical knowledge in nursing, leading to skills, abilities, and norms, that is enlarged by research. By advancing their knowledge professionals publish and communicate their knowledge. Nursing is based on theory.

It is taking responsibility for the nurse’s actions. It is essential for developing trust with patients and their coworkers.

Higher Education
We can go onto a higher education and receive our masters/doctoral degree in nursing. Graduates with diplomas or associates and bachelors must take a license exam called the NCLEX-RN examination

Nurses can make their own decisions within their scope of practice and are responsible for the results and consequences of their decisions.

Code of Ethics
Professionals have a code of ethics to guide decisions for practice and conduct. Ethics is the standard of right and wrong behavior. The ICN and ANA have each developed their own code of ethics.

Professional Organizations
Numerous organizations have evolved to support/encourage high standards in nursing. Each group determines responsibilities and standards of conduct. ANA is an example of a professional organization.

RNs are responsible for continuing their education. Nurses must continue to learn and maintain competency To attain legal right in the U.S to practice nursing you must pass a standardized licensing exam.

In providing care the nurse promotes an environment in which value, human rights, customs, and spiritual beliefs of the patient, family, and community are respected.

Cultural & Linguistic Competence
A set of behaviors, attitudes, and policies that come together among health care professionals and allow for effective work in cross cultural situations

Cultural Competance
A method of bringing health care providers together to discuss health concerns where culture differences enhance, rather than hinder, the conversation responsive to health beliefs.

Collaboration of Care: Medical Profession
Treats an illness with a specific medical diagnosis

Collaboration of Care: Nursing
Promotes wellness and health maintenance

Standards of Practice Responsibilities: ANA
-outcome identification

Scope of Practice
Defines the boundaries of the practice of nursing and clarifies how it may intersect with other professions and disciplines.

Ethics include…
Accountability, autonomy, advocacy, beneficence, confidentiality, justice, fidelity, nonmaleficence, responsibility, and veracity

Socialization to Nursing
What it means to be a nurse, how you act as a nurse, and how grow as a nurse.

Benner’s Theory
-Continues after graduation
-Able to recognize the complexity of a situation and prioritize concerns

Benner’s Novice to Expert Model
-Advanced Beginner

National League for Nursing competencies
-Human flourishing
-Nursing judgement
-Professional identity
-Spirit of inquiry

Essential of Baccalaureate Education
-First 8 essentials describe the knowledge, skills, and attitudes required for nursing student.
-9th essential describes the practice of nurse upon graduation

QSEN 5 core areas of proficiency: Pre-license safety competencies
-Delivering patient centered care
-Working as a part of a interdisciplinary team
-Practice evidence based medicine
-Focusing on quality improvement
-Using info technology

Joint Comission
Improves patient safety in a variety of health care associated facilities; including hospitals. We want to make sure we are meeting the joint commission.

Nurse Roles
-Hospital with a specific population or a specific department
-Community setting
-Legal nurse consultant
-Informatics Technology Nursing

LO 1.1 : Define *nursing*. Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, …

Nursing theory must offer the standards that support practice and assist in creating additional nursing knowledge (Colley, 2003). There exist continuing contentions on nursing theory and what comprises nursing knowledge, but no clear conclusions have been made. Nurses become confused …

metaparadigm -consists of the major concepts of the discipline: person, environment, health, and nursing Nightingale’s Philosophy -environment/cleanliness/hand washing (clean water, ventilation, balanced diet/documentation, sunlight, noise) -focused health (opposed to illness) and nursing (opposed to medicine) -protecting patients WE WILL WRITE …

Nursing is the art and science of caring for individuals with potential or actual health problems. Nursing is the art of providing quality, compassionate care while evaluating the patients’ biopsychosocial and spiritual needs. Nursing as a science evaluates the patients’ …

Nursing Theory • Provides a systematic, knowledgeable approach to patient care • Contributes to the professional growth of the nurse and the nursing profession as a whole • Serves as a tool for critical thinking and decision-making in nursing practice …

The Essentials of Baccalaureate Education for Professional Nursing Practice -Essentials I-IX outline the outcomes expected of graduates of baccalaureate nursing programs -Provide educational framework for prep of professional nurse -Apply to all pre-licensure & RN completion programs -Achievement of outcomes …

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