Nursing Profession Week 1 PDF

Welcome! Getting Started Review Blackboard Site Review Syllabus Complete Syllabus Scavenger Hunt Kaplan Learning Contracts Setting up our class Classroom Operations ◦ Breaks ◦ Questions ◦ Cell phones ◦ Class norms and expectations ◦ Chain of command ◦ Studying habits Course Faculty Ms. Tara Kins...

Welcome! Getting Started Review Blackboard Site Review Syllabus Complete Syllabus Scavenger Hunt Kaplan Learning Contracts Setting up our class Classroom Operations ◦ Breaks ◦ Questions ◦ Cell phones ◦ Class norms and expectations ◦ Chain of command ◦ Studying habits Course Faculty Ms. Tara Kinsley MSN, RN, CPN COURSE OUTCOME Describe principles of safe, patient-centered, evidence-based nursing care to adults at the basic level, guided by the Caritas philosophy. Explain the professional, ethical, and legal guidelines used in nursing practice. Unit Outcomes Discuss the four characteristic of the Caritas philosophy Define patient-centered care Discuss ongoing professional development and learning. Describe the roles and career opportunities for nurses. Discuss nursing educational programs and degree progression. Identify characteristics of a professional nurse developed through professional formation. COMPETENCIES Discuss the four characteristic of the Caritas philosophy Define patient-centered, evidenced-based care using the nursing process. Discuss the importance of ongoing professional development and lifelong learning. Discuss the characteristics of a professional nurse. Discuss professional behavior. Review Introductory Definitions 1. Concept based nursing care 2. Caritas 3. Patient Centered Care 4. Evidenced Based Care 5. Care Nursing Curriculum: Concept based * Problem based, big idea * Fosters systematic thinking and observing * Fosters understanding of relationships and connections * Focuses on actions; inter-professional relationships Examples of concepts Oxygenation Professionalism Mobility  Concepts for today’s class with definitions Caring Interventions: The implementation of quality nursing care which includes caring thoughts, feelings, and intentions. Managing Care: Efficient and effective delivery of quality nursing care that maximizes limited human, economic, and physical resources Professionalism: Habitual and judicious use of communication, knowledge, technical skills, reasoning, emotion, attitude, values, and reflection in daily practice for the benefit of the individual and community being served Nursing Philosophy Guiding principle for a nursing organization. It should be integrated in all aspects of the organization. Speaks to a groups mission and values Caritas Expectation is that it is integrated in all interactions and activities of the program. Lakeland’s Nursing Philosophy: Caritas Based on the Greek concept True caring is manifested by attainment of the qualities of: Competence Professionalism Altruism Growth Lakeland Nursing Program: 4 Pillars of Caritas Competence – mastery of knowledge and skills to give quality nursing practice Professionalism– accountable behaviors for all knowledge, skills, attitudes, decisions Pillars of Caritas Altruism – caring toward others, not focused on self Growth – open to stretching the mind and commitment to life- long learning.  Caritas Competence Professionalism Altruism Growth Caritas in action What does competence look like in action? What does professionalism look like in action? What does altruism look like in action? What does growth look like in action? Concept: Caring What is caring? Ability to feel interest or concern In nursing: respect, dignity, recognition as a human being, being honest, true to your word, confidentiality, listening Considerations in caring: Empathy https://youtu.be/cDDWvj_q-o8 Patient’s Perspective of Caring Patients value the affective/attitude dimension of nursing care. Reassuring presence Recognizing an individual as unique Keeping a close and attentive eye on the situation  Care Demonstrated by concern for the relationship between the patient and the nurse. The attitude of the nurse toward the patient and their family sets the foundation for care. The nurse serves as the patient’s advocate who solves dilemmas by representing the patient’s interests, concerns, wishes. Gives priority to each patient as a unique being Works to understand patient perspective and culture What does it mean to be an advocate? Patient Centered Care What is it? Patient-centered care implies individualized patient care based on patient specific information, rather than focusing exclusively on the disease. This creates a comprehensive healthcare approach  Patient-centered care The patient is recognized to: * have control * full partner Care is compassionate and coordinated Care based on respect for patient’s preferences, values, and needs. ◦ Think “with” the patient not “to” the patient https://oadn.org/resource/qsen-competency-1/ QSEN 2021 Family Care Caring for the family can also be an aspect of caring for the patient Trust is a critical aspect of providing care. Both for the family and for the patient How does one foster trust? Consider how a caregiver establishes trust. What actions will you take? Will you have to modify any of your actions to convey trust? Part of evolving as a professional. Evidenced Based Care Forms a bridge between research and nursing practice Evidence is the clinical knowledge/expert opinion from research Nurses clinical expertise Patient preferences and perspectives Three components: ◦ research ◦ nursing clinical expertise ◦ patient preference Evidenced based practice considers all aspects Questions Nursing Profession Influences on Nursing Care: Changes in society lead to changes in nursing: ◦ Health care reform ◦ Demographic changes ◦ Medically underserved ◦ Threat of bioterrorism ◦ Pandemic ◦ Rising health care costs ◦ Nursing shortage What is a profession? Occupation Defined body of knowledge Ethical standards Professional organization Accountable and autonomous Upholds standards and outcomes Nursing as a Profession ◦ Has a defined body of education ◦ Requires a body of knowledge ◦ Provides a specific service ◦ Autonomy ◦ Defined code of ethics ◦ Professional organization ◦ Upholds ideals, principles, and standards of care Nursing Practice Nurses practice in a variety of settings. Nurses: ◦ Protect, promote, and optimize our patients’ health ◦ Prevent illness and injury ◦ Alleviate suffering through the diagnosis and treatment of human responses ◦ Advocate for the care of our patients Professional Roles Autonomy and Accountability Caregiver Advocate Educator Communicator Manager Professional Responsibilities Nurses are responsible for obtaining and maintaining specific knowledge and skills. (competence) Old thinking: ◦ To provide care and comfort Now: ◦ To provide care and comfort ◦ To emphasize health promotion and illness prevention ◦ To provide care based on knowledge, attitude of caring, and Career Development Nursing provides an opportunity for you to commit to lifelong learning and career development. Name career opportunities available as a nurse Nursing Opportunities LPN – Licensed Practical Nurse ◦ Provides hands on direct care under the supervision of a Registered Nurse ◦ Technical in nature ◦ Education: diploma ◦ Have a license Nursing Opportunities RN- Registered Nurse – Full scope of nursing practice with all rights and responsibilities ◦ ADN – Associate Degree Nurse ◦ 2 years ◦ Lakeland Program ◦ BSN – Bachelor Science Nursing ◦ 4 years ◦ College or University ADN – Education focuses on science and theory ◦ clinical courses related to the practice of nursing BSN – Same as ADN ◦ additional education in the social sciences, arts, and humanities to support nursing theory LPN Diploma- LPN programs affiliated with an organization, not degree granting ◦ focus on theory, clinical courses similar to ADN NCLEX-RN National Council Licensure Examination for Registered Nurses (NCLEX-RN) Graduates of ADN, BSN, Diploma take the same exam to become RNs in the state/s in which they will practice. You will study for 2 years to sit for one exam RN Must earn the credential of RN through NCLEX-RN What roles or employment is available for an RN? Where do RNs work/practice? RN to Advanced Practice Nurse Requires graduate education leading to a Masters or Doctoral degree in nursing. Roles examples: ◦ Nurse Practitioner, Clinical Nurse Specialist, Certified Nurse Anesthetists, Nurse Midwives, Nurse Educator, Nurse Administrator, Nurse Researcher MSN PhD or DNP Nurses must look at Professional Development as Life-Long Learning Cares for self by demonstrating a commitment to professional growth. Accomplished through continued learning and self-development. Done also by application of evidence- based information. Professional Development and Life-Long Learning Nurses: ◦ Respond to needs of patients ◦ Actively participate in policy formation and influence ◦ Respond and adapt to challenges ◦ Make clinical judgments and decisions about patients’ health care needs based on knowledge, experience, and standards of care Nursing: ◦ Care is provided according to standards of practice and a code of ethics. ◦ Work to improve and grow the profession Professional Nursing Organizations American Nurses Association (ANA) ◦ The purpose of the ANA is to improve standards of health and the availability of health care to foster high standards for nursing and to improve the professional development of nurses. National Student Nurses Association (NSNA) ◦ Members of Lakeland’s Student Nurse Association are seated in this room. Please stand if you are a member of the LCC SNA. Scope of Nursing Practice and Code of Ethics Defined by the ANA ANA is the organization for Registered Nurses Considered the professional organization of the profession Develop standards for the profession Develop ethical standards RN’s follow  Process to develop as a professional: Professional Formation Characteristics of a professional nurse developed through professional development and growth Begin with integrating ideals and standards of profession. ANA has statements for the Nurse and Student Nurse: ◦ Ethical obligations ◦ Duties of the nurse ◦ Profession’s ethical standards (non- negotiable) ◦ Nursing profession’s commitment to society. Professional Formation Characteristics of a professional nurse developed through professional development and growth ◦ Acceptance of the profession's code, role, goals, and values as a personal Professional Commitment ◦ A strong belief in and a willingness to exert considerable personal effort on behalf of the profession ◦ A strong desire to maintain membership in the profession ◦ A pattern of behaviors congruent with the nurse's professional code of ethics Other important nursing organizations NLN National League for Nursing OBN Ohio Board of Nursing QSEN Quality and Safety Education for Nurses Quality and Safety Education for Nurses (QSEN) Competency: Patient-Centered Care Teamwork and Collaboration Evidence-Based Practice Quality Improvement Safety Informatics Professionalism ALWAYS BEING REPRESENTING THE SETS THE STAGE FOR OBSERVED PROFESSION DEVELOPMENT OF TRUST OR MISTRUST Professional Behaviors Unprofessional Behavior Undermine an individual nurse’s credibility Negatively affects group moral and patient outcomes Cause members of the team or patients to feel uncomfortable, hurt, intimidated, threatened, or targeted in ways that interfere with the provisions of high-quality patient care Types: ◦ Abuse of power ◦ Bullying/workplace incivility ◦ Sexual harassment ◦ Improper use of authority Bullying/Workplace Incivility Nurses “eat their young” Joint Commission; ◦ “behaviors that undermine a culture of safety” in healthcare one of leading causes of sentinel events ◦ Zero tolerance Nursing burnout and dissatisfaction This applies to nursing students and the college of nursing ◦ Being a good peer and “coworker” Nursing Handbook Page 16: Professional behavior with patients Page 18: Professional behavior in the nursing program In addition to the College and Ohio Administrative Code of professional behavior, the Lakeland Nursing Program requires professional conduct of students at all times in all settings. Demonstration of professional conduct is a student learning outcome and a requirement for successful nursing program completion. A learning contract and/or Critical Elements-Incident Report will be issued for any unprofessional conduct. Any unprofessional behavior may result in dismissal from the learning environment (i.e., any campus or remote location, classroom, lab, simulation or clinical area, etc.). Infractions of unprofessional conduct can result in disciplinary action up to and including course failure and program dismissal. Misconduct is also subject to the College’s Student Conduct Code (SS61-01), which strives to create an environment of civility. Nursing Handbook cont. Professional conduct includes but is not limited 3. Refrains from disruptive behavior in the to the following: learning environment this may include ◦ a. Arriving at the clinical division/simulation/lab on excessive talking, sleeping, unauthorized use time, prepared to learn, and appropriately dressed of electronic devices, irrelevant discussions, in student uniform or professional attire following hostile/aggressive questioning, interruptions, the Lakeland Nursing Program Dress Code. 19 non-verbal actions, (i.e. eye rolling, sighs, ◦ b. Refraining from slang and profane language in and other unprofessional gestures). all campus and professional settings (ex. clinical, laboratory, simulation, remote encounters, 8. Communicates with faculty using classroom, clinical settings, etc.) professional tone and language in all ◦ c. Refraining from any disparaging comments methods of communication. (gossip, lies, rumors) about College personnel, clinical personnel or fellow students. This type of 9. Electronic communication in the form of behavior is considered unprofessional, contributes to incivility and compromises learning. This emails is to be written using a formal behavior will not be tolerated and will be subject salutation and closing and use of correct to disciplinary action up to and including program grammar and punctuation. Emails sent from dismissal. personal accounts will not receive a ◦ f. Responding positively to instructor or health response. 10. Addresses faculty using formal care provider/personnel feedback or professional salutation. Nursing Handbook cont. Use of social media sites Taking and displaying photos/videos of patients, or photos depicting the body parts of patients. Posting photos or videos of families, faculty, peers, and clinical staff on personal devices, including mobile devices. This includes ‘selfies or photos of any sort that contain clinical facility identification. No ‘selfies or photos of any sort, including photos of mannequins or equipment, are permitted in the classroom, Nursing Learning Laboratory or Simulation Lab. Students must not post or communicate private academic information of another nursing student, including but not limited to grades, narrative evaluations, or adverse academic actions. Question s?