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8/14/2019 SLIDE NBNC 1102 CLINICAL PRACTICE.pptx
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MAZLINA BT. MAT ZIN
SEMESTER: JANUARY 2013
NO MATRIK: 691204095036001
NBNC 1204 CLINICAL
PRACTICE 10
EXPENDED AND
EXTENDED ROLE OF
NURSING
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INTRODUCTION
Definition of nursing
Nursing encompasses, autonomous and collaborative care
of individu of age families, group and communities, sick or
well and in all setting. Nursing includes the promotion of
health, prevention of illness and care of ill, disabled anddying people.Advocacy,promotion of a safe enviroment,
research, participation in shaping health policy and in
patient and health systems management and education also
key of nursing role.
(International Counsil of Nurse,2010)
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3
Care giver
Activities that included client/patient physically
and psychologically.
Decision Maker.
Uses critical thinking skills to make a decision
to provide effective care.
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Health care Coordinator.
Serve as the primary coordinator of all other
professional services commited to the careof the patient
Communicator.
Central to all nursing roles and activities
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Educator
Explains to patient concepts and factabout health, demonstrates proceduresas self care activities.
Counsellor.
Helping patient to recognized and copewith psychological and social problem.
5
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Client protector and advocate
Responsible for defining defending and
promoting the right to patient.
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Extanded Role
Meaning to strech out.Meansextension of nurses roles
which were previously undertaken by doctors or other
healthcare professional.
Expanded Role.
Meaning spread out.Meansan expansion of nurses roles
within the boundaries of nursing education, theory and
practice.
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Policy Implication .
Several barrier identified like to diagnosis
and treatment.
Nursing Shortage.
Affects patients care because the numberof patients to one nurse is increasing there
for decresing quality care.
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CONTINUE
Gain Experience.
Competence as being low when first assume dueto the new of the role.
Nursing Scope Practice.
Radcliff (2000) suggest that nursing has missedan opportunity to strengthen its own core value
by taking on expended roles like endoscopies
and pre operative assessments . Theprofessional nurse is a caregiver,teacher,client
advocate, quality of care evaluater, manager,
consultan and case manager.
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1) Collaborative Practice.
Positive way due to the support and
understanding received from physicians andnurses.
2) Continuing Professional DevelopmentBenefit of continuing education is helping
nurses feel more secure in the roles.
IMPLICATION OF EXPANDED
AND EXTENDED ROLE
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3) Expending Health Promotion.Full utilization of nursing service is
dependent upon gaining public and
professional recognition for the role.
IMPLICATION OF EXPANDED
AND EXTENDED ROLE.
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4) Implication for Quality Care.As with urban health care, the limited rural research that does exist
indicates variability of care quality.This circumstance underscores
the need for nurses and others with interest and expertise in rural
health to further expand knowledge in this largely ignored area. One
particular area needing nursing inquiry is the extent to which rural
health care delivery reflects activity and progress toward achievingthe six aims for improvement.
(Institute of Medicine,2006)
IMPLICATION OF EXPANDED
AND EXTENDED ROLE
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In Malaysia, the extended and expended roles of nurses into advanceand specialized practice differ to some extent from that in developed
countries. They differ in relation to the aspects of scope of work and
recognition. The scope of work differs because Malaysian nurses
prescribing right is limit.The nurses in health care can prescribedrugs that are common like multivitamin ,antiphyretic for maternal
and child in health services. The progression of nursing practice and
recognition of nursing within the Malaysian contex is slow. This has
partly contributed to the inability of nurses to progress to advanced
practice and specialization. A nurse needs to have at least a Master
degree in an advanced and specialized area.
CONCLUTION.
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Affara F.(2006) Advanced Nursing Practice.1sted.Oxford,UK:ICN and Blackwell
Publishing.
Institute of Medicine (2005)-Quality through Collaboration:The future of rural
health.Washington,DC:National Academies.
REFFERENCE.
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