1 nursing as a profession
TRANSCRIPT
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NURSING FOUNDATIO
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Unit I (Syllabus)
•Development of nursing as a profession
• Objectives and responsibilities of a graduate nurse
• Trends influencing nursing practice
• Expanded role of nurse
• Development of nursing education in India and trends in nursineducation
• rofessional organi!ations
• "areer planning
• "ode of et#ics and professional conduct for nurses
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$U%SI$& 'S '%OESSIO$
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TE%I$O*O&IES
•osition + a group of tas, assigned to one individual
• -ob . a group of positions t#at are similar in nature and level of scan be carried out by one or more individuals
• Occupation. a group of job t#at are similar in type of /or, and tusually found t#roug#out an industry or /or, environment0
•rofession. a type of occupation t#at meets certain criteria t#at ralevel above t#at of an occupation
• rofessional. a person /#o belongs to and practices a profession
• rofessionalism. demonstration of #ig# level of personal1 et#icallevel of s,ill c#aracteristics of a member of a profession0
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rofession
• rofessions are t#ose occupations possessing a particu
combination of c#aracteristics generally considered to
expertise1 autonomy1 commitment1 and responsibility
• ' profession is an occupation based on speciali!ed
intellectual study and training1 t#e purpose of /#ic# i
supply s,illed services /it# et#ical components and o
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rofession 2 c#aracteristics
•Is basically intellectual
• Is based on a body of ,no/ledge t#at can be learned0
• Is practical rat#er t#an t#eoretical0
• "an be taug#t t#roug# a process of professional education0
•
3as a strong internal organi!ation of members0• 3as practitioners /#o are motivated by altruism (desire to #e
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•
'bra#am lexner (5659)1 conducted study of medical educat
/ent on to study ot#er disciplines and latter1 in a paper about
/or, publis#ed a list of criteria t#at #e felt /ere c#aracterist
true professions0
• lexner believed in professional /or,0
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"riteria of profession + 'bra#am lexne(565:)
•
Intellectual (opposite of p#ysical)0• 4ased on body of ,no/ledge1 t#at can be learned0
• ractical rat#er t#an t#eoretical0
• "an be taug#t t#roug# a process of professional education0
•
3as a strong internal organi!ation of members0
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;elly. + 56
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$ursing is gaining recognition as a profession based on t#e criteria t#at amust #ave. +
• ' /ell defined body of ,no/ledge0
• ' strong service orientation0
• %ecogni!ed aut#ority by a professional group0
•
' code of et#ics. I"$0• ' professional organi!ation t#at sets standards0
• On going researc#0
• 'utonomy0
3ence1 nursing is a $obel profession1 %ecogni!ed internationally0
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'$' Standards of rofessional erformanc
•
>uality of practice• rofessional ractice Evaluation
• Education
• "ollegiality
• Et#ics
• "ollaboration
• %esearc#
• %esource Utili!ation
• *eaders#ip
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"%ITE%I' O T3E %OESSIO$
50 3I&3 I$TE**E"TU'* *E?E* O U$"TIO$I$&.
• odern nurses use assessment s,ill and ,no/ledge1 #ave t#e
reason and ma,e routine judgment depending on patient@s co
•rofessional nurses functions at a #ig# intellectual level 0
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A0 3I&3 *E?E* O I$DI?IDU'* %ESO$SI4I*IT'""OU$T'4I*ITB
• $urses must be accountable and demonstrate a #ig# l
individual responsibility for t#e care and services t#e
provide0• T#e concept of accountability #as legal1 et#ical and
professional implications t#at include accepting
responsibility for action ta,en to provide client care a
as accepting responsibility for t#e conseCuences of a
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0 SE"I'*IED 4ODB O ;$OF*ED&E• $ursing #as developed into an identifiable separate disciplin
speciali!ed body of ,no/ledge called as nursing science /ast#roug# t#e researc# effort of nurses /it# advanced educatiodegrees0
•
'lt#oug# t#is body of speciali!ed ,no/ledge is relatively smforms a t#eoretical basis for t#e practice of nursing today0
• 's more nurses obtain advanced degrees1 conduct researc# adevelop p#ilosop#ies1 and t#eories about nursing1 t#is body o,no/ledge /ill increase in scope
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70 E?IDE$"ED 4'SED %'"TI"E• Evidenced based practice is t#e practice of $ursing in /#ic#
interventions are based on data obtained from researc# t#atdemonstrate t#at1 t#e findings are appropriate and successful
• It involves a systematic process of uncovering1 evaluating an
information from researc# as t#e basis for ma,ing decisions providing client care0
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80 U4*I" SE%?I"E '$D '*T%UISTI" '"TI?ITI• $ursing #as been vie/ed universally as being an altr
profession composed of selfless individuals /#o plac
lives and /ell being of t#eir clients above t#eir perso
safety0• Dedicated nurses provide care for victims of deadly d
/it# little regard for t#eir o/n /elfare0
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:0 FE** O%&'$ISED '$D ST%O$& %E%ESE$T'TIO$• rofessional organi!ations represent t#e members of t#e prof
and control t#e Cuality of professional practice
• $ational *eague of $ursing and t#e 'merican $urses 'ssoct/o organi!ations t#at represent nursing in today@s #ealt# car
•any nurses belong to specialty organi!ations t#at representarea of practice0
• T#is lac,s sufficient political po/er to produce c#anges in #la/s and policies at t#e national level0
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G0 "ODE O ET3I"S• $urses #ave several codes of et#ics t#at are used to guide nu practice0
• "ode of et#ics is recogni!ed by ot#er profession as a standar/#ic# ot#ers are compared0
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60 'UTO$OB '$D I$DEE$DE$"E O %'"TI"E• In reality nursing is bot# an independent and inter+dependant disc
• $urses in all #ealt# care setting must /or, /it# p#ysicians1 #ospiadministrators1 p#armacists and ot#er groups in t#e provision of c
• In some cases nurses in advanced practice role eg0 $urse practitio
establis# t#eir independent practices0• $urse practice act allo/ nurses to practice more independence in practice t#an t#ey reali!e0
• To be considered a true profession1 nursing /ill need to be recognot#er disciplines as #aving practitioners /#o practice nursing inde
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590 %OESSIO$'* IDE$TITB '$D DE?E*OE$T• Until nurses are fully committed to t#e profession of nursing
/it# it as a profession and are dedicated to its future developnursing /ill probably not ac#ieve professional status0
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BARRIERS TO PROFESSIONALIS
•
?ariability in educational preparation• &ender issues
• 3istorical influences
• External conflicts
• Internal conflicts