Unit-2 Roles of the Nurse in Health Care.pptx

7/28/2019 Unit-2 Roles of the Nurse in Health Care.pptx

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Roles of the Nurse in

Health Care

Rashid HussainRN, CCN, BScN


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What is Profession?

A profession is a group (vocational oroccupational) that requires specialized educationand intellectual knowledge.

Nursing has accomplished much in the way ofestablishing its body of knowledge, scope ofpractice, research base, and code of ethics.

As professionals, nurses are accountable for

providing quality care. Accountability is theprocess in which individuals are answerable fortheir actions and have an obligation (or duty) toact.


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CRITERIA OF A PROFESSION

The work is intellectual and distinguished by a substantial body of

knowledge. Provision of a unique service to society.

An expanding body of knowledge.

Personal responsibility to the public for services provided.

A long period of education, including both theory and practice.

Autonomy and the ability to develop policy about the discipline andcontrol of the activity ofones members.

Members share a common identity, values, and attitudes.

Career choice of its members is motivated by altruism and reflects a

long-term commitment to the public. A code of ethics to which its members adhere.


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PROFESSION

a special calling that requires special, skills,knowledge and attitudes

SOCIALIZATION process where a person learnsthe ways and means or skills, knowledge, attitudesof the group to which he belongs to


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NURSING is a Profession

Profession -

An occupation that requires extensive education

or a calling that requires special knowledge, skill

and preparation. The knowledge and skills are developed in a

scientific and learned manner

Has ethical components, that is devoted to thepromotion of human and social welfare.

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REQUISITES FOR A PROFESSION

Requires prolonged, specialized training to acquire a body of

knowledge pertinent to the role to be performed Determines the qualification necessary for those who enter into

practice

Has own body of knowledge, based on social and scientificprinciples

Respected in society as honorable Orients the individual toward service, either to a community or

to an organization

Has a code of ethics for practice

Autonomy in decision making and practice Constantly enlarges its body of knowledge through ongoing

research

Recognizes its responsibilities to develop educationalprograms

Maintains a professional organization


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Is Nursing a vocation or a profession?

Characteristics of a Profession

1. Education2. Theory

3. Service

4. Autonomy

5. Code of Ethics

6. Caring

-the most unique characteristic of nursing


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7 Critical Features of Profession

1. Specialized education2. Code of ethics

3. Research of orientation

4. Autonomy5. Body of knowledge

6. Service orientation

7. Professional Organization


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Professions vs Occupations

Professions College or University

Prolonged education

Mental creativity

Decisions based on science or

theoretical constructs Values, beliefs & ethics integral

part of preparation

Strong commitment

Autonomous

Unlikely to change professions Commitment > $ reward

Individual accountability

Occupations On the job training

Length varies

Largely manual work

Guided decision making

Values, beliefs & ethics notpart of preparation

Commitment may vary

Supervised

Often change jobs Motivated by $ reward

Employer is primarilyaccountable


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BENNERS LEVEL OF PROFICIENCY

1. Novice student nurse entering a clinicalsetting where he has no experience at all.

2. Advance nurse who demonstrates amarginally acceptable performance: depends onrules and maxims.

3. Competent 2 3 years experiencedemonstrates organizational ability but lacksspeed and flexibility of a proficient nurse.


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4. Proficient concerned with long term goals,performance is fluid and flexible compared tocompetent nurse - has a wholistic view of the

client.

5. Expert no longer relies on maxims,performance is highly proficient, fluid flexible andhas a holistic view.

- has high perceptual acuity or a clinical eye.


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FUNCTIONS of a Professional Nurse

Provide basic care to clients

Administer treatments as advised Observe patients response and adaptation to illness

Observe patients response and adaptation totreatments

Teach self care and counsel on health matters Supervise/ guide in rehabilitative activities related to

daily living

Participate in research work related to health care

Plan care with the patient (trust & self worth) Coordinate all services for client care

Teach & supervise nursing students, auxiliarypersonnel and clients

Maintain own physical and mental health 12


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Nurses Responsibilities

Perform physical exams and health histories

Provide health promotion, counseling and education

Administer medications, wound care, and numerous other

personalized interventions

Interpret patient information and make critical decisionsabout needed actions

Coordinate care, in collaboration with a wide array of

healthcare professionals

Direct and supervise care delivered by other healthcarepersonnel like LPNs and nurse aides

Conduct research in support of improved practice and

patient outcomes

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QUALITIES OF A NURSE

Love for fellow beings, honest, courteous, dignified &loyal

Disciplined, obedient, alert & intelligent

Technically competent, resourceful & economic

Dependable & adjustable Able to inspire confidence

Sympathetic, empathetic, tactful & poised

Patient & with a sense of humor

Physically and mentally healthy Generous

Gentle & quiet


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A NURSE..

NNobility, Knowledge

U - Usefulness, Understanding RRighteousness, Responsibility

S - Simplicity, Sympathy

E - Efficiency, Equanimity


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Conti

Settings: RNs practice in all healthcare settings: hospitals,

nursing homes, medical offices, ambulatory care

centers, community health centers, schools, andretail clinics. They also provide health care in more

surprising locations such as camps, homeless

shelters, prisons, sporting events and touristdestinations.

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CAREER ROLES OF NURSE

Nurse Educator

Clinical Nurse specialist

Nurse practitioner Certified Nurse Midwife

Nurse Anesthetist

Nurse Administrator

Nurse Researcher

Flight Nurse

Aerospace Nurse

Industrial Nurse School Nurse

Hotel Nurse

Nurse informatics


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Roles of the Nurse

1. Caregiver/ Care providerthe traditional andmost essential role

functions as nurturer, comforter, provider

mothering actions of the nurseprovides direct care and promotes comfort of client

activities involves knowledge and sensitivity to what

matters and what is important to clients

shows concern for client welfare and acceptance of

the client as a person

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Roles of the Nurse conti

2. Teacherprovides information and helps the

client to learn or acquire new knowledge and

technical skills

encourages compliance with prescribed therapy.

promotes healthy lifestyle

interprets information to the client

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Roles of the Nurses conti..

3. Counselor- helps client to recognize andcope with stressful psychological or socialproblems; to develop and improve interpersonalrelationships and to promote personal growth

provides emotional, intellectual to andpsychological support

focuses on helping a client to develop newattitudes, feelings and behaviors rather thanpromoting intellectual growth.

encourages the client to look at alternativebehaviors recognize the choices and develop asense of control.

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4. Client advocate- involves concern for andactions in behalf of the client to bring about achange.

promotes what is best for the client, ensuringthat the clients needs are met and protecting

the clients right.provides explanation in clients language and

support clients decisions.

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5. Change agent- initiate changes or assistclients to make modifications in themselves or inthe system of care.

6. Managermakes decisions, coordinatesactivities of others, allocate resources, evaluatecare and personnel

plans, give direction, develop staff, monitorsoperations, give the rewards fairly andrepresents both staff and administrations asneeded.

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7. Researcherparticipates in identifying

significant researchable problems

participates in scientific investigation and must

be a consumer of research findings

must be aware of the research process,

language of research, a sensitive to issues

related to protecting the rights of human

subjects.

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Expanded role of the nurse

1. Clinical Specialists- is a nurse who has

completed a masters degree in specialty and has

considerable clinical expertise in that specialty. She

provides expert care to individuals, participates in

educating health care professionals and ancillary,

acts as a clinical consultant and participates in

research.

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Expanded role of the nurse conti

2. Nurse Practitioner- is a nurse who has

completed either as certificate program or a masters

degree in a specialty and is also certified by the

appropriate specialty organization. She is skilled at

making nursing assessments, performing P. E.,

counseling, teaching and treating minor and self-

limiting illness.

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3. Nurse-midwife- a nurse who has completed aprogram in midwifery; provides prenatal and

postnatal care and delivers babies to woman with

uncomplicated pregnancies.

4. Nurse anesthetist- a nurse who completed the

course of study in an anesthesia school and carries

out pre-operative status of clients.

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5. Nurse Educator- A nurse usually with advanceddegree, who beaches in clinical or educational settings,teaches theoretical knowledge, clinical skills andconduct research.

6. Nurse Entrepreneur- a nurse who has an advanceddegree, and manages health-related business.

7. Nurse Administrator- a nurse who functions at

various levels of management in health settings;responsible for the management and administration ofresources and personnel involved in giving patientcare.

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Nursing continues to grow

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Documents

Unit-2 Roles of the Nurse in Health Care.pptx