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The development of nursing as a profession

Learning outcomes . Analyze why the profession has had difficulty defining nursingDiscuss the ways in which nursing differ from medicineFormulate a personal definition of nursingIdentify the seven characteristics of a profession as developed by social scientistsDiscuss the concept of universal l

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The development of nursing as a profession

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    1. The development of nursing as a profession Diala Tawalbeh, RN, MSN, PhD

    2. Learning outcomes Analyze why the profession has had difficulty defining nursing Discuss the ways in which nursing differ from medicine Formulate a personal definition of nursing Identify the seven characteristics of a profession as developed by social scientists Discuss the concept of universal language for nurses and how the nursing classification provide this. Explain how the image others hold of nursing affect the profession and the role of nurses

    3. What is nursing? Is nursing an art or science? Is nursing a profession or an occupation? What factors are affecting the emerging of nursing as a profession? Does nursing posses a unique body of knowledge?

    4. What educational background qualifies the nurse for professional standards? What is the status of nurse in relation to other health care providers? What is the language of nursing? What is the future of nursing role?

    5. Distinguishing Nursing from Medicine

    7. Definition of Nursing No single definition even by nurses themselves A major factor in difficulty is that it is taught as encompassing theories and practical aspects, but it is pursed primarily through practice Early definition: the nurse is a person who nourishes, foster and protect a person who is prepared to care for the sick, injured and aged. "put the patient in the best condition for nature to act upon him" Nightingale, 1954.

    8. Definition of Nursing Have been affected by technology Art and science Art: composed of skills that require expertise and proficiency for their competent education. Science: requires systemized knowledge derived from observation, critical thinking, study and research

    9. Each nursing theorist had own definition Nightingale: to put the patient in the beast condition Peplau: interpersonal process involving interaction between 2 or more individuals Wiedenbach: helping, nurturing, caring services Abdellah: service to individuals, families, and society based on an art and science.

    10. Henderson: Assist the individual (sick or well to carry out activities) Watson: the central focus in nursing is caring Orem: Nursing is concerned with the individual needs for self care action

    11. ANA: the diagnosis and treatment of human response to actual or potential health problems. NCSBN: assisting individuals or group to maintain or attain optimal health, implementing a strategy of care to accomplish defined goals, and evaluating responses to care and treatment.

    12. Critical Thinking Assignment Develop your own definition of nursing and discuss it on the electronic discussion board (compare it to those of theorist and to those of your classmate)

    13. Nursing and the title "profession" The meaning of professionalism has been a subject of debate for many years Evidences suggested that from an early dates the word "profession" was associated with nursing Some critics believe that nursing fall short of fulfilling a professional role. Other nurse are working to advance the standing of nursing by: development of a code of ethics, standards of pratice…..

    14. Characteristics of a profession 1. a body of specialized knowledge: Many say nursing has borrowed from other disciplines such as the social sciences, biologic sciences, and medicine Others argue that nursing theorists and researchers have identified and described a unique body of knowledge

    15. 2. use of scientific method to enlarge the body of knowledge The nursing process is a systematic, problem-solving approach that involves assessment, diagnosis, planning, implementation, and evaluation Emphasis is also on Critical Thinking: Impose the criteria of solid reasoning such as precision, relevance, depth, and accuracy Carrying out nursing research Increase number of Journals focusing on clinical research and practice

    16. 3. education within institute of higher education The education for all of those who are licensed to practice nursing should take place in institutions of higher education; Minimum preparation for beginning professional nursing practice should be a baccalaureate degree; minimum preparation for beginning technical nursing practice should be an associate degree in nursing.

    17. 4. control of professional policy and autonomy Current health reform assist in autonomy Nurses are responsible for planning and implementing nursing care They are accountable Nursing committees establish policies and protocols. Sometimes, nurses are eligible for third party payment. Advanced nurse practitioners has prescriptive authority.

    18. 5. a code of ethics Standards have been developed for all areas The ANA Code for Nurses, is the general standard for the professional behavior of nurses in USA The International Council of Nurses (ICN) developed a code of ethics set standards for nurses through the world.

    19. 6. lifetime commitment Studies indicate that most people who prepare for career in nursing remain in their profession. Recently burn out become an issue Today there is a greater opportunity to continue for advanced practice.

    20. 7. service to the public “Giving away” one’s services should not be considered professional. Providing service to community should not mean sacrificing one’s financial security

    21. The image of nursing today Nurses should be concerned about negative or incorrect images Because these images influence the attitudes of patients, policy makers, and politicians.

    22. Defining a language for nursing: need for a language that would describe the clinical judgments made by nurse that are not in medical language system development of a language for nursing primarily involves the development and refinement of : nursing nomenclatures (the words by which we name and describe phenomena in nursing) classification systems (systematic arrangement or a structured framework of these phenomena) NANDA 1st step toward common language for nursing in 1973

    23. Rational for the development of a classification for nurses permits recognition and communication with others by giving a name for the things nurses do provide a uniform legal record of care support clinical decision making lays the groundwork for nursing research capture the cost of nursing services for billing and accounting purposes generates a structured retrieval data base for quality assurance.

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