N112 Role Expectations of the Student Nurse S2024 PDF

1/8/2024 Role Expectations of the Nursing Student N112 MARGEAUX MANDAP, DNP, RN, CCRN 1 1 Objectives Discuss the origins of expectations:  Identify the different levels of expectations  Describe how each level of expectations affects nursing Operationalizing the expectations:  Professional social...

1/8/2024 Role Expectations of the Nursing Student N112 MARGEAUX MANDAP, DNP, RN, CCRN 1 1 Objectives Discuss the origins of expectations:  Identify the different levels of expectations  Describe how each level of expectations affects nursing Operationalizing the expectations:  Professional socialization  Utilizing strategies for success  Utilizing critical thinking skills  Utilizing clinical reasoning, judgments, decision making 2 2 Required Reading Taylor 10th ed. ◦ ◦ ◦ ◦ Chapter 1, pp. 13-16, 18-27 Chapter 6, pp. 116-121 Chapter 13, pp. 342-363 Chapter 14, pp. 388-389 3 3 1 1/8/2024 Nursing Roles in All Settings Taylor, p. 13, Table 1-2 4 4 Nursing Roles in All Settings Role Responsibilities Caregiver Meet physical, emotional, intellectual, sociocultural, and spiritual needs Communicator Establish and maintain helping relationships with clients Teacher/educator Assess, implement, and evaluate individualized teaching plans to meet the learning needs of clients / families Counselor Use therapeutic interpersonal communication skills to provide information, make appropriate referrals, and facilitate the client’s problem solving and decisionmaking skills Taylor, p. 13, Table 1-2 5 5 Nursing Roles in All Settings Role Responsibilities Leader Assertive, self-confident practice of nursing when providing care, effecting change, and functioning with groups Researcher Participation in or conduct research to increase knowledge in nursing Advocate The protection of human or legal rights and the securing of care for all pts based on the belief that clients have the right to make informed decisions about their own health Collaborator Effective use of skills in organization, communication, and advocacy to facilitate the functions of all members of the health care team as they provide client care. Taylor, p.13, Table 1-2 6 6 2 1/8/2024 Nursing Roles Expanded Clinical Nurse Specialist (CNS) Nurse Practitioner (NP) Nurse Anesthetist (CRNA) Nurse-midwife Clinical Nurse Leader (CNL) Nurse Educator Nurse Administrator Nurse Researcher Nurse Entrepreneur Taylor, p. 18, Table 1-3 7 7 Nursing Aims and Competencies Aims Examples Promote health Prevent illness Restore health Facilitate coping with disability or death Taylor, pp. 11-13 8 8 Nursing Aims and Competencies Aims Promote health Examples Identifying, analyzing, and maximizing each pt’s own health. Prevent illness Restore health Facilitate coping with disability or death Taylor, pp. 14-16 9 9 3 1/8/2024 Nursing Aims and Competencies Aims Examples Promote health Identifying, analyzing, and maximizing each pt’s own health. Prevent illness Teaching and by personal example. Restore health Facilitate coping with disability or death Taylor, pp. 14-16 10 10 Nursing Aims and Competencies Aims Examples Promote health Identifying, analyzing, and maximizing each pt’s own health. Prevent illness Teaching and by personal example. Restore health Assessments, referring abnormal findings, direct care, collaborating, planning, teaching, rehab Facilitate coping with disability or death Taylor, pp. 14-16 11 11 Nursing Aims and Competencies Aims Examples Promote health Identifying, analyzing, and maximizing each pt’s own health. Prevent illness Teaching and by personal example. Restore health Assessments, referring abnormal findings, direct care, collaborating, planning, teaching, rehab Facilitate coping with disability or death Therapeutic communication, active listening, coordinating referral to social work/palliative care/support groups Taylor, pp. 14-16 12 12 4 1/8/2024 Nursing Aims and Competencies Competencies Cognitive Technical Interpersonal Ethical/legal Taylor, pp. 350-358 13 13 Quality & Safety Education for Nurses (QSEN) QSEN Competencies  Patient-centered care  Teamwork and collaboration  Quality improvement  Safety  Evidence-Based Practice  Informatics Taylor, p. 359, Box 13-7 14 14 Patient-Centered Care Recognition of the client or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for the client’s preferences, values, and needs. 15 15 5 1/8/2024 Teamwork and Collaboration Functioning effectively within nursing and interprofessional teams, fostering open communication, mutual respect, and shared decision making to achieve quality client care. 16 16 Evidence-Based Practice (EBP) The integration of best current evidence with clinical expertise and client and family preferences and values for delivery of optimal healthcare. 17 17 Quality Improvement Use of data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of healthcare systems. 18 18 6 1/8/2024 Safety Recognition of a culture of safety and minimization of risk of harm to clients through both system effectiveness and individual performance. 19 19 Informatics Using information and technology to communicate, manage knowledge, mitigate error, and support decision making. 20 20 Nursing as a Professional Discipline Well-defined body of specific and unique knowledge Strong Service orientation Recognized authority by a professional group Code of ethics Professional organization that sets standards Ongoing research Autonomy and self-regulation Taylor, p. 16 21 21 7 1/8/2024 Professional Nursing Organizations International Nursing Organizations ◦ International Council of Nurses (ICN) National Nursing Organizations ◦ ◦ ◦ ◦ American Nurses Association (ANA) National League for Nurses (NLN) American Association of Colleges of Nursing (AACN) National Student Nurses Association (NSNA) Specialty practice and special-interest nursing organizations ◦ Oncology Nurses Society Taylor, pp. 19-20 22 22 Professional Socialization  A process of learning the norms, attitudes, behaviors, skills, roles, and values of the profession. It involves the internalization of the values and norms of the profession in the individual’s own behavior and selfconcept.  Benefits of Belonging to Professional Nursing Organizations: 1. Networking 2. Having a voice in legislation affecting nursing 3. Keeping current with trends and issues 23 23 College Committees Associated Student Body (ASB) Admissions and Promotions (A&P) Curriculum Grievance College Governance 24 24 8 1/8/2024 Guidelines for Nursing Practice Standards of Practice Nurse Practice Acts and Licensure Code of ethics and professional values Nursing Process 25 25 Standards of Nursing Practice Standards allow nurses to carry out professional roles, serving as protection for nurses, the client, and the institution where healthcare is provided. Standards of Practice address the key steps involved in caring for clients. Standards of Professional Performance address the key concepts that the nurse integrates into their role as a professional nurse. 26 26 ANA Standards of Nursing Practice and Professional Performance Standards of Practice 1. Assessment 2. Diagnosis 3. Outcome identification 4. Planning 5. Implementation: Coordination of care, health teaching and health promotion 6. Evaluation 27 27 9 1/8/2024 ANA Standard of Nursing Practice and professional Performance Standards of Professional Performance ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ Ethics Culturally congruent practice Communication Collaboration Leadership Education EBP & Research Quality of practice Professional practice evaluation Resource utilization Environmental health 28 28 Nurse Practice Acts and Licensure Protect the public by defining the legal scope of nursing practice, excluding untrained or unlicensed people from practicing nursing Creates a state board of nursing or regulatory body having the authority to make and enforce rules and regulations concerning the nursing profession BON licensure Define important terms and activities in nursing, including legal requirements and titles RN & LVN Establishes criteria for education and licensure 29 29 Nursing Codes of Ethics A code of ethics is a set of principles that reflect the primary goals, values, and obligation of the profession. ICN Code of Ethics for Nurses ANA Code for Nurses with Interpretive Statements NSNA Code of Academic and Clinical Conduct 30 30 10 1/8/2024 Nursing Process OLD (ADPIE) NEW (AAPIE) (WWW.NCSBN.ORG) Assessing Assessment Diagnosing Analysis Planning Planning Implementing Implementing Evaluating Evaluating 31 31 Values Values - beliefs about the worth of something, about what matters, that act as a standard to guide one’s behavior. Value system - an organization of values in which each is ranked along a continuum of importance, often leading to a personal code of conduct. Taylor, p. 117 32 32 Development of Values Common modes of value transmission ▪Modeling ▪Moralizing ▪Laissez-faire ▪Rewarding and punishing ▪Responsible choice Taylor, p. 119 33 33 11 1/8/2024 Essential Values/Professional Values AACN identified 5 values that epitomize the caring, professional nurse: 1. Altruism 2. Autonomy 3. Human dignity 4. Integrity 5. Social justice Taylor, p. 120, Table 6-1 34 34 Altruism A concern for the welfare and well-being of others. Demonstrates understanding of cultures, beliefs, and perspectives of others Advocates for clients, particularly the most vulnerable Takes risk on behalf of clients and colleagues Mentors other professionals 35 35 Autonomy The right to self-determination Honoring the rights of clients and families to make decisions about health care Plans care in partnership with clients Provides information so that clients can make informed choices 36 36 12 1/8/2024 Human Dignity The respect for the inherent worth and uniqueness of individuals and populations. Provides culturally competent and sensitive care Protects the client’s privacy Preserves the confidentiality of clients and health care providers Designs care with sensitivity to individual client’s needs 37 37 Integrity Acting in accordance with an appropriate code of ethics and accepted standards of practice. Providing honest information to clients and the public Documenting care accurately and honestly Seeking to remedy errors made by self or others Demonstrating accountability for own actions 38 38 Social Justice Upholding moral, legal, and humanistic principles. Supporting fairness and nondiscrimination in the delivery of care Promoting universal access to health care Encouraging legislation and policy consistent with the advancement of nursing care and health care 39 39 13 1/8/2024 Values Clarification A process by which people come to understand their own values and value system. Choosing Prizing (treasuring) Acting Taylor, pp. 120-121 40 40 Strategies for Success Study skills Communication skills Organizational skills Critical thinking skills 41 41 Critical Thinking Skills A systematic way to form and shape one’s thinking. It is a thought that disciplined, comprehensive, based on intellectual standards, and as a result, well-reasoned. Developing the method of critical thinking: Purpose of thinking Adequacy of knowledge Potential problems Helpful resources Critique of judgment/decision Taylor, pp. 350-351 42 42 14 1/8/2024 Standards of Critical Thinking Clear, precise, specific Accurate, relevant, plausible Consistent, logical, deep Complete, significant, adequate 43 43 Clinical Reasoning, Judgments, and Decision making Critical thinking Clinical reasoning Clinical judgment Problem solving Trial-and-error Scientific Intuitive Taylor, pp. 358-362 44 44 Clinical Judgment The skill of recognizing cues about a clinical situation, generating and weighing hypotheses, taking action and evaluating outcomes for the purpose of arriving at a satisfactory clinical outcome. Clinical judgment is the observed outcome of two unobserved underlying mental processes, critical thinking and decision making. (www.ncsbn.org) 45 45 15 1/8/2024 NCSBN Clinical Judgment Measurement Model -The next generation NCLEX (NGN) -The layers of NCJMM Recognize cues Analyze cues Prioritize hypothesis Generate solutions Take actions Evaluate outcomes (www.ncsbn.org) Taylor, pp. 388-389 46 46 Taylor, pp. 388-389 47 47 Clinical Reasoning, Judgments, and Decision making… Decision making - Refers to the process you use to think about patient problems in the clinical setting. ◦How can we prevent patient falls on the unit? Creative thinking - Involves imagination, intuition, and spontaneity; think outside the box. ◦Brainstorming Taylor, p. 359, 363 48 48 16 1/8/2024 Self-care Must be alert to early signs of fatigue, as well as: Compassion fatigue Burnout Secondary traumatic stress Healthy self-care practices Stress reduction training: STOP technique Relaxation techniques Time management Assertiveness training Work-life balance measures Meditation or mindfulness-based practices Taylor, pp. 23-26 49 49 Review You are caring for a client and your aim is to restore health. What is a nursing activity that falls under this category? A. Measuring blood sugar B. Educating the client on how to do a testicular self examination C. Provides information and referrals to support groups D. Maximizing a newly disabled client’s strength or potential 50 50 Review An altruistic nurse demonstrates: A. Provides information to clients so they can make informed decisions B. Protects client privacy C. Advocacy for their clients D. Quickly remedies mistakes 51 51 17 1/8/2024 Review The client complains that they have 9/10 sharp pain on their abdomen. To alleviate the pain, the nurse asks the client to stand up. When that does not work, the nurse asks the client to hold a pillow to their abdomen to apply pressure. When that does not work, the nurse asks the client to try to sleep. This is an example of: A. Scientific problem-solving B. Intuitive problem-solving C. Clinical judgement problem-solving D. Trial-and-error problem solving 52 52 References  Taylor, C., Lynn, P. & Bartlett, J.L. (2023). Fundamentals of Nursing. The Art and Science of Person-Centered Care (10th ed.). Wolters Kluwer.  National Council of State Boards of Nursing (NCSBN). http://www.ncsbn.org 53 53 18