SLIDE NBNC 1102 CLINICAL PRACTICE.pptx

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.

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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.


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)


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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Documents

SLIDE NBNC 1102 CLINICAL PRACTICE.pptx