01 Nursing as a Profession(2)

7/29/2019 01 Nursing as a Profession(2)

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Nursing as a ProfessionJoy N Bautista, RN, MPH, DRDM, MAN


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Profession vs. Occupation

An occupation is a job or a career,

whereas a profession is a learned vocation

or occupation that has a status of

superiority and precedence within adivision of work (McEwen, 2005)

All professions are occupations but not all

occupation are professions


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Profession

Greatly valued by society because the services

that professionals provide are beneficial to the

members of the society.

Having an institutionalized goal or social mission

Having a group of scholars, investigators, or

researchers who work to continually advance the

knowledge of the profession with the goal of

improving practice.

Having members who are responsible and

accountable to the public for their work.


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Characteristics of a

Profession

Well-defined knowledge base

Power and authority over training and education

Registration

Altruistic service

A code of ethics

Lengthy socialization

Autonomy


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Nursing as a Profession

Social mandate to provide health care for clients

at different points in the health-illness continuum.

Growing knowledge base Authority over education

Altruistic service

Code of ethics

Registration requirements for practice


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Professionalization of

Nursing

Epistemology is the study of the theory of

knowledge. Epistemologic questions

include: What do we know?

What is the extent of our knowledge?

How do we decide whether we know?

What are the criteria of knowledge?


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Ways of Knowing

Empirics - the scientific form of knowing. Empiricalknowledge comes from observation, testing, and

replication.

Personal knowledge - a priori knowledge that pertains to

knowledge gained from though alone.

Intuitive knowledge - includes feelings and hunches.Intuitive knowledge is not guessing, but relies on

unconscious pattern recognition and experience.

Somatic knowledge - knowing of the body in relation to

physical movement. Somatic knowledge includes

experimental use of muscles and balance to perform aphysical task.


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Ways of Knowing

Metaphysical (spiritual) knowledge - seeking the

presence of higher power. Aspects of spiritual knowing

include magic, miracles, psychokinesis, extrasensory,

perception, and near-death experience.

Esthetics - knowledge related to beauty, harmony,

expression. Esthetic knowledge incorporates arts,

creativity, and values.

Moral or ethical knowledge - knowledge of what is right

and wrong. Values and social and cultural norms of

behavior are components of ethical.


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Carpers Patterns of Knowing

Empirical knowledge objective, abstract,

generally quantifiable, exemplary, verifiable

Esthetic knowledge expressive, subjective,

unique, experimental

Personal knowledge promotes wholeness and

integrity in personal encounters

Ethical knowledge moral code of nurses based

on the obligation to serve and respect for human

life


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Schultz and Meleis Patterns

of Knowing

Clinical knowledge - nurses personal knowledge

Conceptual knowledge - abstracted and

generalized beyond personal experience

Empirical knowledge - results from experimental,historical, or phenomenological research and

used to justify action and procedures in practice


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Mochs Patterns of

Knowing

Experiential knowing - becoming aware of

participation or being in the world

Interpersonal knowing - an increased awareness

that occurs through intense interaction with others Intuitive knowing - the immediate knowing of

something that does not appear to involve

conscious reasoning


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Roles and Responsibilities of

a Professional Nurse

Caregiver

Decision-maker

Client advocate

Manager andcoordinator

Communicator

Educator

Change-agent

Counselor

Role model

Expanded roles

Nurse leaders

Nurse practitioners

Case managers

Nurse researchers

Nurse administrators

Nurse educators


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Professional Ethical

Principles

Beneficence do good

Nonmaleficence do no harm

Autonomy freedom to choose Veracity - truthfulness

Fidelity loyalty and faithfulness

Confidentiality - keeping secretinformation as secret

Justice doing what is due others


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Fields of Nursing

Institutional or clinical nursing

Community health nursing

Independent nursing practice

Nursing educator

Military nursing

Nursing entrepreneurship

Other fields forensic, flight, travel,

hospice, nursing centers

Documents

01 Nursing as a Profession(2)