Introduction to Professional Development Conceptualizing Nursing 2 Carol

Introduction to Professional Development Conceptualizing Nursing 2 Carol P. Wiseman Nurse Educator

Objectives 1. Identify the independent, dependent and interdependent functions of the nurse. 2. Explain the scope of nursing in Trinidad and Tobago. 3. Discuss the values/virtues that are central to nursing.

Practice of Nursing Nurses perform their duties as: � Independent, � Interdependent and � Dependent functions.

Practice of Nursing � Independent functions are those client centered activities that are prescribed and performed by nurses rather than another member of the healthcare team.

Practice of Nursing Independent Functions: v Nursing Assessment and Diagnosis v Health Teaching v Health Counseling v Supportive Care

Practice of Nursing Nurses perform direct and indirect patient care services that ensure: v Safety v Comfort v Personal hygiene needs v protection of patients and v the performance of disease prevention and restorative measures

Practice of Nursing e. g. � Pressure area care � Personal grooming � Nursing diagnosis � Care Plans � Blood glucose monitoring � Monitor vital signs

Practice of Nursing Interdependent Functions: � Coordination of Patient Services with other health care professionals

Practice of Nursing � Authorizes the nurse to implement appropriate standardized procedures or changes in treatment in accordance with standardized procedures after observing signs and symptoms of illness, reactions to treatment, general behavior, or general physical condition, and determining that these exhibit abnormal characteristics.

Practice of Nursing Interdependent Functions: v. Administer oxygen (>2 -4 lpm) in a client experiencing SOB. v. Commence CPR on clients who suffer cardiac arrest v. Discharge Planning

Practice of Nursing Dependent Functions: � Execution of medical regimes legally prescribed by a legally authorized physician. � The administration of medications and therapeutic agents necessary to implement a treatment,

Practice of Nursing Dependent Functions: � Disease prevention, or rehabilitative regimen ordered by and within the scope of licensure of a physician, dentist, or clinical psychologist

Practice of Nursing Dependent Functions: e. g. v Order medication v Order invasive tests v Perform invasive procedures

Nursing Roles � Advocacy � Promotion of a safe environment � Research- promoting evidence based care � Participation � Patient in shaping health policy systems management

Nursing Roles � Health systems management � Patient Education � Health Promotion � Prevention of Illness � Alleviation of Suffering

Scope of Practice Trinidad & Tobago � Nurses function in a variety of settings while practicing independently and in collaboration with other health professionals and auxiliary personnel.

Scope of Practice Trinidad & Tobago � Use of nursing knowledge and complex nursing judgment to assess health needs and provide care, and to advise and support people to manage their health. � The provision of comprehensive nursing assessments to develop, implement and evaluate an integrated plan of health care.

Scope of Practice Trinidad & Tobago � Providing nursing interventions that require substantial scientific and professional knowledge and skills. � Giving direct care and evaluation of its impact through the performance of general nursing functions.

Scope of Practice Trinidad & Tobago � Supervision and delegating to others e. g. the Enrolled Nursing Assistant (ENA), Patient Care Assistant (PCA) and Aide to Nursing (ATN). � Leading and managing patient care activities.

Scope of Practice Trinidad & Tobago � Advocating for patients and for health related issues/activities. � Health teaching and counseling of clients and their families. � Undertaking research and developing health policy for health care systems.

Scope of Practice Trinidad & Tobago � Administers/performs invasive therapies, monitors and records patient responses. � Participates in clinical case reviews and uses the outputs to improve clinical nursing practice.

Scope of Practice Trinidad & Tobago � The practice includes being held accountable to the clients and the regulatory body.

Nursing Values/Virtues Compassion v Fidelity to trust v Moral courage v Justice v Mediation Self-confidence v Resilience v Practical reasoning v Integrity v v Source: R. M. Volbrecht Nursing Ethics: Communities in Dialogue

Nursing Values/Virtues v Compassion Empathetic understanding of health challenges, sympathetic response, and a disposition to alleviate suffering or to comfort. v Fidelity to trust Consistent honesty and promotion of patient wellbeing such that patients trust in the nurse’s benevolence and character is developed and confirmed.

Nursing Values/Virtues v Moral courage Willingness to take personal risk to protect patients’ safety and promote patients’ well-being. v Justice Giving each client equal respect, care, and access to communal health care resources.

Nursing Values/Virtues v Mediation A willingness to facilitate cooperation and communication among patients, families and other health care personnel. Self-confidence Respect for one’s own professional abilities and knowledge. v

Nursing Values/Virtues v Resilience Ability to recover from loss or stress; to see oneself as an advocate for one’s patients, profession and oneself. v Practical Reasoning Ability to identify relevant moral considerations in the context of particular situations, and to actively interpret and adapt these considerations to new situations.

Nursing Values/Virtues v Integrity The ability to integrate the various dimensions of one’s personal and professional life in such a way that the nurse is morally whole, consistent, and trustworthy.

Values Clarification � Complete Exercise. � Few the following Values Clarification of us can say that we exhibit all the best qualities of the profession to the same degree and at all times; so be as honest as possible when considering your answers.

Inspiration