Nursing Definitions and Concepts Overview
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Questions and Answers

In 1973, what did the ANA describe nursing practice as?

  • The protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.
  • The diagnosis and treatment of human responses to actual or potential health problems.
  • The art and science of providing compassionate, caring, and respectful care to each patient, recognizing their dignity and individuality.
  • A direct, goal oriented, and adaptable practice that focuses on the needs of individuals, families, and communities during both health and illness. (correct)
  • What is the current definition of nursing, adopted in 2003?

  • The protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. (correct)
  • A direct, goal oriented, and adaptable practice that focuses on the needs of individuals, families, and communities during both health and illness.
  • The diagnosis and treatment of human responses to actual or potential health problems.
  • A science deeply influenced by the art of caring, encompassing compassion, caring, and respect for each patient’s dignity and individuality.
  • What does the term 'caring' represent when discussing the art of nursing?

  • A dimension of human connection and understanding that is considered essential to nursing. (correct)
  • The specific skills and techniques used in nursing practice.
  • The practical application of nursing knowledge and skills in clinical settings.
  • The scientific approach to diagnosing and treating a patient's illness.
  • Which of the following statements best describes the concept of 'Caring' as proposed by Smith (2013)?

    <p>Caring is a fundamental aspect of all professions, allowing individuals to find meaning in their work. (C)</p> Signup and view all the answers

    Which of the following is NOT explicitly mentioned as a skill or attribute related to the art of nursing?

    <p>Scientific Knowledge (B)</p> Signup and view all the answers

    What is the core of nursing practice?

    <p>Caring and concern for the well-being of patients. (B)</p> Signup and view all the answers

    How does caring impact nursing practice?

    <p>Caring provides a framework for nurses to interact with patients, help them cope with suffering, and promote health. (D)</p> Signup and view all the answers

    What is the significance of the ANA's continual evolution of its definition of nursing?

    <p>It highlights the evolving understanding of nursing as a dynamic and multifaceted profession. (A)</p> Signup and view all the answers

    What is the primary goal of evidence-based practice in nursing?

    <p>To ensure that nursing practice is based on the best available research evidence. (D)</p> Signup and view all the answers

    Which of the following is NOT a key element of continual quality improvement in nursing?

    <p>Implementing standardized care protocols to ensure consistency. (D)</p> Signup and view all the answers

    What is the core concept behind outcome-oriented professional relationships in nursing?

    <p>Focusing on achieving shared goals for patient care through collaboration. (C)</p> Signup and view all the answers

    Which of the following best describes the role of communication in an outcome-oriented professional relationship?

    <p>It is a dynamic process that facilitates mutual understanding and goal achievement. (A)</p> Signup and view all the answers

    Which of the following is NOT a key component of effective collaboration and teamwork in nursing?

    <p>Establishment of a clear hierarchy among team members. (B)</p> Signup and view all the answers

    How does transcultural nursing care contribute to quality patient care?

    <p>It provides culturally sensitive and appropriate care tailored to individual needs. (C)</p> Signup and view all the answers

    What is the primary purpose of research in nursing?

    <p>To validate existing knowledge and create new knowledge to improve practice. (C)</p> Signup and view all the answers

    How do the concepts of evidence-based practice and continual quality improvement relate to each other?

    <p>Evidence-based practice is the foundation for continual quality improvement. (C)</p> Signup and view all the answers

    What is the primary focus of a Nurse Counselor's role?

    <p>Counseling individuals with normal adjustment difficulties to develop new behaviors (D)</p> Signup and view all the answers

    Which role emphasizes advocating for the patient's needs and wishes with other healthcare professionals?

    <p>Nurse (C)</p> Signup and view all the answers

    What does the term 'change agent' specifically refer to in the context of nursing?

    <p>A nurse who assists patients in modifying their behaviors to improve their health (A)</p> Signup and view all the answers

    In what scenario would a nurse be considered a 'leader' in the healthcare setting?

    <p>When a nurse collaborates with other professionals to develop a treatment plan for a patient (D)</p> Signup and view all the answers

    Which nursing role is primarily responsible for assigning and delegating nursing tasks to other staff members?

    <p>Nurse Manager (B)</p> Signup and view all the answers

    Beyond ensuring the quality of care, what is another critical function fulfilled by a Nurse Case Manager?

    <p>Controlling costs associated with the patient's care (D)</p> Signup and view all the answers

    What is the primary role of a Nurse Researcher in enhancing patient care?

    <p>Analyzing data and findings to improve patient care practices (B)</p> Signup and view all the answers

    What is the main purpose of the 'Research Consumer' role in nursing?

    <p>To critically evaluate and apply research findings to improve patient care (B)</p> Signup and view all the answers

    What is the main difference between a 'client' and a 'patient' in the context of healthcare?

    <p>A 'client' is someone who is actively engaging in their own health, while a 'patient' is receiving medical treatment. (D)</p> Signup and view all the answers

    What are the four main areas of nursing practice, as mentioned in the text?

    <p>Promoting health and wellness, preventing illness, restoring health, and caring for the dying. (B)</p> Signup and view all the answers

    Which of the following activities is NOT considered a way to prevent illness, as mentioned in the text?

    <p>Administering antibiotics to treat bacterial infections. (A)</p> Signup and view all the answers

    What is the relationship between 'health' and 'wellness'?

    <p>Wellness is a higher level of health, encompassing not only physical well-being but also emotional and social well-being. (B)</p> Signup and view all the answers

    What is the main purpose of illness prevention programs?

    <p>To maintain optimal health by preventing disease from occurring. (B)</p> Signup and view all the answers

    Which of the following is NOT an example of promoting wellness in clients who are both healthy and ill, as mentioned in the text?

    <p>Performing surgery to remove a cancerous tumor. (A)</p> Signup and view all the answers

    What is the term used to describe individuals, groups, or communities that use healthcare services or products?

    <p>Consumers (C)</p> Signup and view all the answers

    The term 'client' emphasizes the role of individuals as ______ in their own health.

    <p>Collaborators (D)</p> Signup and view all the answers

    Which of the following is NOT a field of nursing mentioned in the course description?

    <p>Forensic Nursing (A)</p> Signup and view all the answers

    Which of the following is considered one of the 6 C’s of Caring?

    <p>Compassion (A)</p> Signup and view all the answers

    According to the course outline, what is the main focus of the 'Nursing as a Profession' module?

    <p>The criteria that define nursing as a profession. (B)</p> Signup and view all the answers

    Which of the following is NOT a core element of the helping relationship?

    <p>Sympathy (D)</p> Signup and view all the answers

    Which of the following is NOT explicitly mentioned as a goal for nursing education in this text?

    <p>Advocacy (A)</p> Signup and view all the answers

    Based on the course description, what is the primary focus of the 'Concept of Man, Health and Illness' module?

    <p>Understanding the patient as a whole being. (C)</p> Signup and view all the answers

    Which of the following is a primary resource used for this course?

    <p>Berman, Audrey (2023). Fundamentals of Nursing Volume 1 and 2 11th edition Singapore Pearson Education South Asia Pte Ltd (D)</p> Signup and view all the answers

    What is the main concept emphasized in the 'Concept of Nursing' section?

    <p>The holistic approach to caring for the patient. (B)</p> Signup and view all the answers

    What is the primary focus of Communication within the healthcare context?

    <p>Understanding patient needs and wants (B)</p> Signup and view all the answers

    How does the concept of Competence apply to nursing practice?

    <p>Utilizing skills and expertise to fulfill patient needs (C)</p> Signup and view all the answers

    Which of the following is a key component of Compassion in healthcare?

    <p>Treating patients with kindness, empathy, patience, and consideration (C)</p> Signup and view all the answers

    How does Courage relate to the role of a healthcare provider?

    <p>Speaking out against unfair or incorrect practices (C)</p> Signup and view all the answers

    What is the main principle behind the idea of Nursing as a Science?

    <p>Using evidence-based practices to guide patient care (B)</p> Signup and view all the answers

    What is the significance of Commitment within the healthcare profession?

    <p>Striving for excellence in patient care (A)</p> Signup and view all the answers

    How does the science of nursing relate to the broader field of Biology?

    <p>Nursing utilizes biological principles to understand disease processes (A)</p> Signup and view all the answers

    What is a key characteristic of a healthcare provider who demonstrates Commitment?

    <p>Continuously seeks professional development (C)</p> Signup and view all the answers

    Flashcards

    Holistic Being

    The concept of man as a whole, considering physical, emotional, and social aspects.

    Nursing Process

    A systematic method used by nurses to plan, implement, and evaluate patient care.

    Caring Practice Models

    Structured approaches to providing caring in nursing, emphasizing empathy and support.

    Therapeutic Communication

    A technique used by nurses to communicate with patients to promote healing and trust.

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    6C’s of Caring

    A framework outlining essential attributes of caring: Compassion, Competence, Confidence, Conscience, Commitment, and Comportment.

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    Health Promotion

    Activities aimed at improving health and preventing disease among individuals and communities.

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    Disease Prevention

    Strategies and actions to prevent illness and promote well-being.

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    Rehabilitation

    Processes aimed at restoring patients to their optimal health and functionality after illness or injury.

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    Nursing Practice (1973)

    Direct, goal-oriented, and adaptable practice to individual, family, and community needs during health and illness.

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    Nursing Definition (1980)

    Diagnosis and treatment of human responses to actual or potential health problems.

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    Nursing's Current Definition (2003)

    Protection, promotion, optimization of health, prevention of illness, alleviation of suffering, and advocacy.

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    Caring in Nursing

    A dimension of human relating, essential to nursing that involves deep concern for others' welfare.

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    Nursing as Art and Science

    Nursing combines compassionate care with scientific knowledge and skills.

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    Caring as Foundation

    Caring is the core of nursing practice, aiding in coping, meaning, health, and dignity.

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    Components of Caring

    Caring involves compassion, respect, and individualized attention to patients.

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    Outcome of Caring

    Caring helps patients cope with suffering and promotes health, enabling dignified experiences.

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    Research in Nursing

    A scientific process validating theories and generating knowledge for better nursing practice and client outcomes.

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    Evidence-Based Practice

    A problem-solving approach integrating best evidence, clinical expertise, and client values to improve nursing decisions.

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    Continual Quality Improvement

    Analysis of performance and outcomes to enhance safe and quality nursing practice.

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    Outcome-Oriented Professional Relationship

    Collaborative relationship among professionals enhancing roles through communication and cultural understanding for client outcomes.

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    Communication in Nursing

    A relational process where messages are transmitted and understood to facilitate effective healthcare delivery.

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    Collaboration

    Partnership among healthcare professionals based on respect and trust to achieve mutual goals.

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    Teamwork in Nursing

    Functioning effectively within interprofessional teams, promoting open communication and shared decision-making.

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    Transcultural Nursing Care

    Provision of meaningful nursing service according to people's cultural values and health-illness context.

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    Art and Science of Nursing

    Nursing practice that combines knowledge and compassionate care.

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    Consumer of Healthcare

    An individual or group that uses healthcare services.

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    Patient

    An individual receiving medical treatment and care.

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    Client

    An individual who engages professionals for services.

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    Nursing Clients

    Nurses care for individuals, families, and communities.

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    Promoting Health and Wellness

    Activities to enhance healthy lifestyles and actualization of potential.

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    Preventing Illness

    Actions taken to maintain health and prevent disease.

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    Nursing Practice Areas

    Focuses on promoting health, preventing illness, restoring health, and caring for the dying.

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    Compassion

    Treating people with kindness, empathy, and consideration.

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    Competence

    Utilizing skills to understand patients' physical and mental health needs.

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    Communication

    The process of sharing information essential for understanding patient needs.

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    Courage in Care

    The ability to face difficulties and advocate for fair treatment in healthcare.

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    Commitment in Care

    Devotion to providing the best support for each individual in care.

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    Nursing as a Science

    A field based on evolving knowledge and evidence-based practices in patient care.

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    Pathophysiology

    The study of disease processes that forms the basis of nursing practice.

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    Listening Skills

    The ability to attentively receive and understand spoken information in care settings.

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    Nurse Counselor

    A nurse who helps healthy individuals develop new attitudes and behaviors.

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    Change Agent

    A nurse who helps clients modify their behavior and improves systems in healthcare.

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    Leader

    A nurse who influences others to work towards a specific goal.

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    Nurse Manager

    A nurse who manages care and supervises nursing activities and staff.

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    Case Manager

    A nurse who ensures client-oriented care while monitoring outcomes and controlling costs.

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    Research Consumer

    A nurse who uses research to enhance client care and understands research processes.

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    Client Advocacy

    The role of a nurse in representing clients' needs and wishes to healthcare professionals.

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    Behavior Modification

    The process of helping clients identify and alter their behaviors.

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    Study Notes

    Course Information

    • Course title: Fundamentals of Nursing Practice
    • Course code: NCM 103
    • Prepared by: Niña Mae Sumilang, RN
    • CEFI is now ready

    Book References

    • Berman, Audrey (2022) Fundamental of Nursing Volume 1 and 2 11th edition Singapore Pearson Education South Asia Pte Ltd
    • Kozier, B. (2004). Fundamentals of Nursing. Prentice Hall.
    • Potter, P. A., Anne Griffin Perry, Stockert, P. A., & Hall, A. (2023). Fundamentals of nursing (11th ed.). Elsevier Health Sciences.
    • Josie Quiambao Udan. (2021). Mastering Fundamentals of Nursing Practice.

    Course Description

    • The course covers foundational concepts, principles, theories, and techniques in nursing.
    • It emphasizes the holistic nature of human beings and the nurse's role in healthcare settings.
    • Students are expected to utilize the nursing process and essential nursing skills in health promotion, disease prevention, restoration, and maintenance, and rehabilitation.

    Course Outline (Module 1)

    • Introductory Concepts:
      • Concept of Nursing:
        • Nursing as a profession, science, and art
        • Roles basic to nursing care
      • Concept of Man, Health, and Illness:
        • Factors and issues affecting health and illness
        • Healthcare delivery system

    Modules (Modules 2, 3, 4)

    • Module 2: Nursing as a Profession: Criteria, Personal and Professional Qualities of a Nurse, Fields of Nursing, History of Nursing
    • Module 3: Nursing as an Art: Caring, Caring Practice models, 6C's of Caring, Caring for Self and Others
    • Module 4: Nursing as an Art: Communicating, Process and Modes, Therapeutic Communication, Helping Relationship, Communication and Nursing Process, Teaching, Health Promotion, Disease Prevention, Health Restoration and Maintenance, Rehabilitation

    Activity 1

    • Memorize the nurses' prayer.
    • Recite the prayer while blindfolded and scanning the environment.

    What is Nursing?

    • 1973: Nursing practice described as direct, goal-oriented, and adaptable to individual, family, and community needs during health and illness.
    • 1980: Nursing practice redefined as the diagnosis and treatment of human responses to actual or potential health problems.
    • 1995: The ANA recognized caring in nursing philosophy and practice. Research on caring in nursing increased.
    • 2003: Nursing's Social Policy Statement: Protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering, diagnosis and treatment of human responses, and advocacy in the care of individuals, families, communities, and populations.

    Nursing as an Art and a Science

    • Nursing requires compassion, caring, and respect for patients' dignity.
    • Skills and experience enhance the compassionate delivery of care
    • Examples: holding a patient's hand, offering hope, being honest.

    Caring

    • A fundamental dimension of human relating and an art of nursing
    • Essential for meaningful lives (Central to all professions)
    • Involves sharing genuine concern for another person's welfare

    Caring as a Core Foundation of Nursing Practice

    • Foundation for professional nursing practice
    • Fosters interaction between nurses and patients (cope with suffering, meaning for their experiences, promoting well-being, dignity)
    • Empowerment of those receiving care (growth, recovery, health, protection)

    The Unique Nature of Caring

    • Caring is a unique characteristic of the nursing profession
    • It's a crucial health care role in improving the health status of individuals, families, and the community.
    • (Florence Nightingale) Nursing is an artistic skill, involves dedication and preparedness (care for the living body as similar to art forms on dead canvas')

    Caring and Knowledge

    • Key components of nursing and client experience
    • A relationship-centered approach is important for all aspects of nursing
    • Technological advancements may enhance the quality of care

    Nursing Theories of Caring (Leininger)

    • The Culture Care Diversity and Universality Theory is based on transcultural nursing.
    • The goal is to give care that is culturally congruent with values, beliefs, and practices.

    Culture Care

    • Focuses on individuals, families, groups, communities, and the health context (within diverse contexts).
    • Describes the three modes of care: preservation and/or maintenance, accommodation and/or negotiation, repatterning and/or restructuring—of those receiving care, considering the effects of various influences on care expressions.

    Theory of Bureaucratic Caring (Ray)

    • Provides direction and guidance for nurses to understand the way caring is lived and expressed in healthcare settings.
    • Key emphasis on improved patient safety, infection control, reduction in medication errors, quality of care. Understanding, compassion, and right action are critical in complex bureaucratic systems.

    Caring, the Human Mode of Being (Roach)

    • A fundamental human trait in the delivery of care
    • Discusses how health care professionals are intrinsically caring and how this contributes to their everyday caregiving.
    • The underlying concept that forms the basis of what nurses do every day. (6C's of caring: Care, Compassion, Courage, Commitment, Competence, Communication)

    6C's of Caring

    • Care: Characteristics of the profession and people in nursing and vital to persons receiving care; workers must adapt based on the specific needs and expectations of those receiving care.
    • Compassion: Treating people with kindness, empathy, patience, and consideration.
    • Courage: Essential for care providers, especially in difficult situations, speaking up for the client when necessary to be correct, and advocating for those in need.
    • Commitment: Exceptionally committed to their work, demonstrating commitment to each individual, continuous self-improvement is vital.
    • Competence: Comprehending both physical and mental health and utilizing skills/expertise to understand clients' needs.
    • Communication: A vital aspect of the healthcare system; ensures that the health care provider understands the needs and wants, as well as communicating effectively

    Nursing as a Science

    • Nursing practice is based on knowledge and evidence-based practices.
    • Similar to other basic sciences (e.g., biology).
    • Basis of professional nursing practice: Pathophysiology, disease process, techniques learned during education, and applied in patient care.

    Recipients of Nursing Care (Clients)

    • Clients are often called consumers, patients, or clients.
    • Consumers who use healthcare products or services.
    • Patients who are undergoing treatment or care.
    • Clients engage in the services that health professionals provide and are responsible for their health status, in collaboration with health professionals.

    Types of Clients

    • Individuals
    • Families
    • Communities

    Areas of Nursing Practice

    • Promoting health and wellness
    • Preventing illness
    • Restoring health
    • Caring for the dying

    Promoting Health and Wellness

    • Encompasses the actualization of human potential.
    • Activities to improve nutrition, physical fitness, addiction prevention, injury and accident prevention.

    Preventing Illness

    • Goal to maintain optimal health through disease prevention.
    • Immunizations, prenatal and infant care, prevention of sexually transmitted infections.

    Restoring Health

    • Focusing on ill clients; extending from disease detection to recovery.
    • Administering medications, performing diagnostic procedures (e.g., blood pressure, stool tests)

    Caring for the Dying

    • Comforting and caring for people of all ages.
    • Palliative care nurses part of medical teams providing relief. Goal: improving the quality of life.
    • Hospice nurses provide end-of-life care and support.

    Settings for Nursing

    • Hospitals, homes, community agencies, ambulatory clinics, long-term care facilities, health maintenance organizations (HMOs), and nursing practice centers.

    Nurse Practice Acts

    • Legal acts regulating nursing practice in the U.S.
    • Each state has its own act, but all have the common goal of protecting the public.

    Standards of Nursing Practice

    • Major functions of professional organizations (e.g., the Philippine Professional Nursing Practice).
    • Outlines the responsibilities and competencies of nurses, regardless of role, population focus, or specialty.
    • Based on nursing laws.
    • Includes domains: value-based nursing practice, knowledge-driven practice, outcome-oriented professional relationships, and leadership and governance.

    Value-Based Nursing Practice

    • Clinical decision making based on knowledge, ethico-moral values, and regulations.
    • Client care reflecting both personal and professional values when caring for those of different cultures.

    Knowledge-Driven Nursing Practice

    • Consistent application of scientific knowledge and skills.
    • Integrating different patterns of knowing (e.g., esthetic, ethical, personal relationships).
    • Serves as a basis for safe, sound judgment in delivering client care.

    Research

    • A scientific process that validates existing theories and models.
    • Generates knowledge to improve practice, client outcomes, and health care delivery.

    Outcome-Oriented Professional Relationships

    • Intra- and interprofessional relationships, leading to enhanced roles and improved communication, collaboration, and understanding of cultural contexts.
    • Used to achieve mutually agreed-upon outcomes in client care.

    Communication

    • A relational process where messages are transmitted and understood by sender and recipients.
    • Using media and information technology to facilitate effective health care delivery.

    Collaboration and Teamwork

    • Partnership among health care professionals, based on mutual respect and trust.
    • Teamwork emphasizes effective functioning within nursing and interprofessional teams.
    • Fostering open communication, shared decision making, and achieving quality client care.

    Transcultural Nursing Care

    • Safe, effective, responsible, and meaningful nursing care provided to people considering cultural values and health-illness context.

    Leadership and Governance

    • Influencing others through authority, direction, control, and regulation.
    • Personal and professional development is essential to achieve desired goals to reach a high level of expertise, in both career and personal life.

    Responsibility & Accountability

    • Nurses' obligations and liability in carrying out assigned roles/authority and live by consequences of practice.
    • Willingness to be held accountable for performance against expectations.

    Positive Practice Environment

    • Supportive, safe, caring, and positively charged workplace for nurses.
    • Considering the physical, psychological, socio-political, cultural, and spiritual dimensions.

    Social Responsibility

    • An obligation to fulfill civic duty and benefit society.
    • Includes sensitivity to social, cultural, economic, political, spiritual, and environmental issues.

    Resource Management

    • Efficient allocation of resources (human, organizational, information, financial, technical, equipment, and material resources.

    Roles and Functions of Nurses

    • Includes: caregiver, communicator, teacher, client advocate, nurse counselor, change agent, and leader (different functions concurrently depending upon client and environmental factors). Nurse Manager role.

    Research Consumer Role

    • Nurses use research to improve client care;
    • Awareness of the research process and language, sensitivity to protecting human subjects, participation in identifying important researchable problems, and ability to be a discriminating consumer of findings.

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    Description

    This quiz explores key definitions and concepts related to nursing practice, including historical perspectives and modern interpretations. It examines the significance of caring in nursing and the evolution of nursing definitions by the ANA. Answer questions about evidence-based practices and the role of communication in nursing relationships.

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