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DEFINITIONS
OF NURSING
AND WHAT IS NURSING?
DEFINITIONS OF NURSING
Nursing is a profession focused on advocacy in the care of individuals, families, and communities in attaining, maintaining, and recovering optimal health and functioning.
Modern definitions of nursing describe it as a science and an art that focuses on promoting quality of life as defined by populations, communities, families, and individuals, throughout their life experiences from birth through the end of life.
Nightingale's Notes on Nursing
“I use the word nursing for want of a better. It has been limited to signify little more than the administration of medicine and the application of poultices.
It ought to signify cleanliness, quiet, and the proper selection and a ministration of diet- all at the least expense of vital power to the client.”
DEFINITIONS OF NURSING
What is your definition
of nursing?
What is Nursing?
Nursing is something external that is done to the client to restore health.
Nursing is an interpersonal, interactional or partnering process between the nurse and client with the objective of promoting wellness, preventing illness and giving the client the tools to be able to function at an optimal level of wellness.
Definitions of Nursing
Florence Nightingale
Act of using the environment of the patient to assist him in his recovery
Definitions of Nursing
Henderson Assisting the individual sick or well in the
performance of those activities contributing to health, its recovery or peaceful death that he would perform unaided if he had the necessary strength, will, or knowledge and to do this in such a way as to help him gain independence as rapidly as possible.
Definitions of Nursing
Johnson External force to restore, maintain or attain
health King
A process of human interaction between nurse and client to attain, maintain, and restore health through mutual goal setting
ANA The diagnosis and treatment of human
response to actual or potential health problems
NURSING
Nursing identity is a developmental process that evolves throughout
professional nurses’ careers.
Characteristics of a Profession
Specialized education standardized in a collegial setting
Body of knowledge on which performance is based
intellectual characteristics nursing theory development
Ability to deliver a unique service to others
Ethics value of worth and dignity of others
Social policy statement and Code for Nurses
Characteristics of a Profession
Autonomy use of theory & research in practice Control over practice standards Independent function of its members Members are accountable and responsible or
their own practice Standards of Practice
Professional behaviors career commitment of its members upholding the service orientation in the eyes of
the public
Types of Nursing Education Programs
Registered nurse
Diploma Associate degree (ADN) Baccalaureate degree (BSN) Master’s programs (MSN) Doctoral programs (DNS)
Types of Nursing Education Programs
Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)
Ladder programs equal career mobility
LPN to RN ADN to BSN
LPN/LVN versus RN Roles
The knowledge, skills, and abilities of those in the nursing profession progress along a continuum with increasing complexity at each practice level.
The education curricula for (each level)
prepares the healthcare provider to perform within a scope of practice prescribed by law and in the roles defined by the professional organizations.
Nursing Education Preparation for the future
Articulation of educational models easier transfer from one professional level to another facilitates multiple career changes during a lifetime
Inclusion of more primary care processes & skills in curriculum structure & systems information economic framework as part of delivery systems interdisciplinary collaboration
Specialization versus generalization Level of educational preparation for entry
into practice
Nursing Practice
Recipients of care
patient client
Practice settings
Primary care Secondary care Tertiary care
Entry into Practice
Nurse Practice Acts
Purpose is to protect the public Formalized contract between society
& the profession ensures minimum standards for entry
into practice helps the profession maintain
standards in practice
Nurse Practice Act
Level of Practice Dependent - implementing a
professionals orders Interdependent - actions resulting from
the collaborative relationship with other health care providers
Independent - autonomous nursing actions - interventions found in the nursing care
plan
Entry into Practice
Standards of Practice
values and priorities of the profession provide direction for professional
practice framework for evaluation of nursing
practice defines the professions accountability
to the public
Standards of CareThe nurse
Collects client health data Analyzes the assessment data in determining
diagnoses Identifies expected outcomes individualized to
the client Develops plan of care with interventions to
attain expected outcomes Implements identified interventions Evaluates client progress toward outcomes
Standards of Professional Performance The nurse
Evaluates quality & effectiveness of nursing practice
Evaluates own practice in relation to standards & relevant regulations
Maintains current knowledge in nursing Contributes to professional development of
peers & colleagues Decisions & actions on behalf of client are
ethical
Standards of Professional Performance
Collaborates with client , significant others and health care providers in providing care.
Use research findings in practice. Considers factors related to safety,
effectiveness and cost in delivery of care.
Source - ANA Standards of Clinical Nursing Practice (1991).
Role of the AD Nurse
Provider of care Manager of care
Member within the discipline of nursing
Provider of Care
Role of the AD NurseCritical thinking clinical
competence accountability commitment to caring.
More extensive data collection through use of more resources & collaboration.
Analyze/interpret data, plan client goals, adjust and evaluate care.
Provider of Care
LP/LV NurseClient care in structured health care
settings with common well-defined health problems.
Basic needs assessment contributes, helps to plan,
collaborates and uses established nursing.
Manager of Care
Role exclusive to RN. Collaboration, organization,
prioritization, delegation, advocacy and respect for other health care providers.
Managing care and resources for a group of clients efficiently.
Member within the Discipline
AD NurseCommitment to : professional growth
continuous learning self-development. Ensures high standard of nursing. Uses research to improve client care. Committee member and membership in
professional organization.
Member within the Discipline
LP Nurse / LV Nurse
Identifies personal strengths and weakness.
Uses educational opportunities. Under direction of the RN may participate
in research. Adheres to nursling's Code of Ethic.
