NURSING as a PROFESSION

Profession – a special calling that requires special, skills, knowledge and attitudes.

7 CRITICAL ATTRIBUTES OF PROFESSION

1. Specialized education

2. Code of ethics

3. Research of orientation

4. Autonomy

5. Body of knowledge

6. Service orientation

7. Professional Organization

Socialization –is a process where a person learns the ways and means or skills, knowledge, attitudes of the group to which he belongs to.

BENNER LEVEL OF PROFICIENCY

1.     Novice – student nurse entering a clinical setting where he has no experience at all.

2.     Advance – nurse who demonstrates a marginally acceptable performance: depends on rules and maxims.

3.     Competent – 2 – 3 years experience demonstrates organizational ability but lacks speed and flexibility of a proficient nurse.

4.     Proficient – concerned with long term goals, performance is fluid and flexible compared to competent nurse has a holistic view of the client.

5.     Expert – no longer relies on maxims, performance is highly proficient, fluid flexible and has a holistic view.

                - has high perceptual acuity or a clinical eye.

DIMENSIONS OF NURSING

1. Nursing Practice

2. Nursing Education

3. Nursing Research

FOCUS OF NURSING

1. Health Promotion – improve clients well being.

2. Health Maintenance

3. Health Instauration – help clients with illness to recover.

4. Care of the Dying – clients with cancer.

Role – patterns of behavior expected of person assuming a status/position in society or a group.

Task – specific activities required of a person.

PATIENT	CLIENT
-       Has a disease -       Very dependent on health professional	-       Not necessarily sick -       Health promotion act till disease prevention -       Client collaborates with health professional

 

LEVELS OF CLIENTELE

1. Individual

2. Family

3. Community

4. Population Groups – special groups with special needs attributed to the following:

            a. Cultural characteristics – indigenous people.

            b. Developmental stage

            c. Occupation – commercial sex workers are more prone to STD’s.

ROLES OF NURSE

1. Nurse Educator

- 3 domains of learning

1.     Cognitive – knowledge aspect

2.     Psychomotor – skills

3.     Affective – interest/emotion

2. Caregiver

- Attends to physical/emotional (mostly physical) needs of the client.

3. Nurses as Leader

- Process of influencing people to work towards the attainment of goals.

4. Manager

- Organizational goals/works within an organization.

PROCESS OF MANAGEMENT

1. Planning (resources)
2. Organizing (delegating tasks/tasking)
3. Directing (motivating people)
4. Controlling – evaluation of output against standards.

5. Client advocate – protects rights of clients.

6. Change agent – improvement in organization.

7. Researcher – research process

8. Facilitator

Theories – relationship between concepts

4 CONCEPTS OF NURSING THEORIES

1. Individual/Person

2. Nursing

3. Health

4. Environment

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Posted in: Fundamentals of Nursing