Module 1

NURSING
AS A
PROFESSION
 NURSING AS A PROFESSION

Intended Learning Outcomes

Icon
Apply theoretical content Icon Appraise client condition
to the development of in the context of the health
basic nursing care of client and illness continuum.
in a clinical setting.
 Demonstrate responsibility Utilize appropriate technology
Icon
for own behavior and Icon (media) in the development of
growth as a adult learner nursing care plan
and a professional

Use learning management

Icon
system to enhance knowledge
Icon Demonstrate high sense of
delivery Practice core values
student engagement
in day to day activities
Module Contents 3. Nursing
Icon 3.1 Definition
3.2 Characteristics
3.3 Focus: Human Response
1. Profession
Icon 1.1 Definition
1.2 Criteria
4. Scope of Nursing Practice
4.1 Promoting health and wellness
4.2 Preventing illness
2. Professional Nurse 4.3 Restoring health
2.1 Definition Icon 4.4 Caring for the dying
Icon 2.2 Qualification and 4.5 Fields of Nursing
abilities 4.5.1 Institutional Nursing
2.3 Roles and 4.5.2 Community Health Nursing
responsibilities 4.5.3 Independent nursing Practice
4.5.4 Nursing in Education
4.5.5 Nursing in other fields
 NURSING AS A PROFESSION

UNIT I NURSING
AS A
PROPESSION
 NURSING AS A PROFESSION

1 Profession
1.1
 a calling or a vocation requiring an
intensive and specialized education in the
field of science or the liberal arts and has a
specialized training
Other
Definition a calling or vocation or undertaking in
which its members should have acquired
specific and distinct values, knowledge,
Of training or by experience so that they
may competently utilize it in the service of
others
Profession
Any undertaking in which a person, whom
for a fee or free, provides a distinctive
service using scientific and specialized
body of knowledge and skills
 Must have developed a scientific
technique which is the result of tested
CRITERIA experience

OF
Must require the exercise of discretion
A and judgment as to time and manner of
the performance of duty. This is in
PROFESSION contrast to the kind of work which is
subject to standardization in terms of
unit performance or time element

Must have a group of consciousness

designed to extend scientific knowledge
in technical language
 CRITERIA
OF
A Must have sufficient Must recognize its
self-impelling power obligations to
PROFESSION to retain its society by insisting
members that its members
throughout life. It live up to an
must not be used as established code
a mere stepping of ethics
stone to other
occupation
 QUALITIES
OF
A A profession
applies its body of
It constantly
enlarges the
A profession
functions
knowledge in body of autonomously
PROFESSION practical services
that are vital to
knowledge it
uses and
(with authority) in
the formulation
human welfare, subsequently of professional
and especially imposes on its policy and in
suited to the members a monitoring its
tradition of lifelong practice and
seasoned obligation to practitioners.
practitioners remain current
shaping the skills in order to “do
of newcomers to no harm”.
the role.
 QUALITIES
OF
A
PROFESSION It utilizes in its A profession A profession is
practice a well- has a clear distinguished by
defined and standard of
well-organized educational the presence of
body of preparation for specific culture,
knowledge that entry into norms, and
is intellectual in practice other values
nature and
describes its that are
phenomena of common among
concern its members.
 QUALITIES
OF
A
PROFESSION Entrusts the Applies its Functions
autonomously in
education of body of the formulation of
its knowledge in professional
practitioners practical policy and in the
to services which control of
institutions are vital to professional
activity
of higher human and
education social welfare
 QUALITIES
OF
A
PROFESSION Attracts individuals of Strives to
intellectual and compensate its
personal qualities practitioners by
who exalt service providing freedom to
above the personal act on opportunity for
gain and who continuous
recognize their professional growth,
chosen occupation as and economic
a life work security
 QUALITIES
OF
A
PROFESSION Utilizes in its practice Constantly enlarges
a well-defined and the body of
well-organized body knowledge it uses,
of specialized and improves its
knowledge which is techniques of
on the intellectual education and
level of higher service by the use of
learning. scientific method
 NURSING AS A PROFESSION

2 PROFESSIONAL NURSING
2.1
NURSING AS A PROFESSION

2.1
 A.Professional Preparation
Qualifications For his / her professional preparation a nurse must :

and Abilities
of a have a license to practice
nursing in the country
Professional
Nurse have a Bachelor of Science
degree in Nursing ;
-A professional
nurse must possess
specific qualifications be physically and mentally fit
& abilities.
 B.Personal Qualities & Professional
Qualifications Proficiencies
and Abilities interest and willingness to work
of a and learn with individuals/
groups in a variety of setting.
Professional
Nurse
a warm personality and
-The personal concern for people
qualities and
professional resourcefulness and creativity
proficiencies of a as well as a well- balanced
nurse include emotional conditions
 capacity and ability to work
cooperatively with others
Qualifications
and Abilities initiative to improve self & service
of a competence in performing work
Professional through the use of nursing
Nurse process

-The personal skill in decision-making,

qualities and communicating, and relating with
professional others and being research oriented
proficiencies of a
active participation in issues
nurse include
confronting nurse & nursing
NURSING AS A PROFESSION

Roles & Responsibilities of

a Professional Nurse

RESPONSIBILITY  a legal
or moral duty or obligation
to deal with.
 NURSING AS A PROFESSION

Roles of the Professional Nurse

Care Provider  assists the client physically and psychologically while
preserving the client’s dignity. It involves full care for the completely
dependent client, partial care for the partially dependent client, &
supportive-educative care to assist clients in attaining their highest possible
level of health.

Communicator  nurses identify client problems and then communicate

these verbally or in writing to other members of the health team

Teacher  helps client learn about their health and the health care
procedures they need to perform to restore or maintain their health
 NURSING AS A PROFESSION

Counselor  help the client recognize and cope with stressful

psychological or social problems to develop improved personal
relationships and to promote personal growth

Client Advocate  the nurse acts to protect the client and his
rights, promotes what is best for the client

Change Agent  the nurse initiates changes and assists the

client make modifications in their behavior & lifestyle to promote
health
 NURSING AS A PROFESSION

Leader  the nurse helps the client make decisions in

establishing and achieving goals to improve his well-being

Case Manager  the nurse work with the multi-disciplinary health

care team to measure the effectiveness of the case management
plan & to monitor outcomes, gives directions, and delegates
nursing activities to ancillary workers and evaluates their
performance

Researcher  the nurse participates in scientific investigation

and uses research findings in practice.
 NURSING AS A PROFESSION

Expanded Nursing Roles

Nurse Practitioner  a nurse who has an advanced education
and is a graduate of a nurse practitioner program (family nurse
practitioner, pediatric nurse practitioner)

Nurse Specialist  a nurse who has an advanced degree or

expertise and is considered to be an expert in a specialized area
(gerontology, oncology)

Nurse Anesthetist  carries out preoperative visits and

assessments, administer anesthetics for surgery.
 NURSING AS A PROFESSION

Nurse Midwife  gives prenatal and postnatal care

and manages deliveries in normal pregnancies

Nurse Researcher  employed in academic

institutions, teaching hospitals and research centers

Nurse Administrator  functions include budgeting,

staffing and planning programs (head nurse,
supervisor, director of nursing services)
 NURSING AS A PROFESSION

Nurse Educator – employed in nursing programs,

educational institutions, and in hospital staff education.
Responsible for classroom and often clinical teaching
(Clinical Instructor )

Nurse Entrepreneur – manages health-related

business
(owner of a home care )
NURSING AS A PROFESSION

NURSING AS A PROFESSION
-an occupation or vocation with a unique body
of knowledge, attitude and skills acquired
through advanced training and experience in
order to provide specialized services and
various care for others
NURSING AS A PROFESSION

CHARACTERISTICS OF A PROFESSION AS
APPLIED TO NURSING PRACTICE
 NURSING AS A PROFESSION

CHARACTERISTICS OF A PROFESSION AS
APPLIED TO NURSING PRACTICE
Professional
Relationship
Mastery of Craft Caring Profession with his Patient
and Other
Member of
Heath Care
Team
Accountability Ethical
Autonomy &
Altruism
Adhere to a
Icon Competence Icon Service Oriented Icon Common Code
of Ethics
 CHARACTERISTICS OF A PROFESSION AS
APPLIED TO NURSING PRACTICE
Master of Craft Competence
requires well-defined refers to the possession of
required skills, knowledge and
skills continuously and
capacity in providing safe care to
exclusively performed patients. These skills are
Accountability acquired through theoretical and
Being liable for any related learning in school and
resulting acts or conduct hospital exposures. It should be
based on his professional applied at all times when a nurse
decisions implemented, is actively practicing his
committed or performed profession.
 CHARACTERISTICS OF A PROFESSION AS
APPLIED TO NURSING PRACTICE
Caring Profession
Ethical Nursing requires diligent efforts in
Being equipped with the caring for any client, both sick and
morality of human well. It is the only profession
conduct, values and wherein, monetary consideration is
standards. It is the not the primary reason in providing
rightness and the care, but most of all, service to
wrongfulness of human humanity. Nurses are supposed to
action have a truly caring attitude for all of
her clients regardless of their
economic and social status
Service Oriented Professional Relationship
Nurses must have a patient
The main goal of
centered behavior. Such behavior
professional nursing
is focused on solving patient’s
practice is to deliver
assessed problems and needs.
optimum level of health
Care should be holistic and
for all, both sick and
well regardless whether professional nurses must provide
capable of payment or disciplined care through active and
an indigent, as the continuous collaboration with other
essence of the phrase members of the health care team
that “nursing is service”
to others
 Autonomy and Altruism Although our profession
Profession grants authority grants autonomy, such
and independence to nurse must still be regulated and
practitioners to perform should adhere with the
specific professional functions existing nursing laws, Code
of Ethics, policies and
Failure of the nurse to guidelines.
comply would expose her to She has the responsibility
possible professional to look at the conduct and
liabilities. It is also the duty of demeanor of other health
a nurse to be ever mindful of providers to see to it that
the conduct of his colleagues tasks are properly carried
and other members of the out and patients are
health care team. properly protected.
NURSING AS A PROFESSION

11 Key Responsibilities of a Nurse

Nursing Process Health Education

Safe & Quality

Legal Responsibility
Nursing Care
NURSING AS A PROFESSION

Management of Personal & Professional

Resources & Environment Development

Quality Improvement Communication

Collaboration &
Research
Team Work

Record Management
 NURSING AS A PROFESSION

SCOPE OF THE NURSING PRACTICE

• A person shall be deemed practicing nursing when he/ she singly
or in collaboration with another, initiates and performs nursing
services to individuals, families, and communities in any health
care setting.

• It includes but is not limited to nursing care dung conception,

labor, delivery, infancy, childhood, toddler, pre- school, school-
age, adolescence, adulthood, and old age.
NURSING AS A PROFESSION
 NURSING AS A PROFESSION

SCOPE OF NURSING PRACTICE

Promoting Health
Icon Icon Restoring Health
& Wellness

Icon
Preventing illness Icon Caring for the Dying
NURSING AS A PROFESSION

nurses promote WELLNESS  is a

wellness in clients who process that engages
are both healthy & ill in activities and
behaviors that
 involves activities that enhance quality of
enhance healthy life and maximize
lifestyle personal potential

activities that prevent The goal of illness

illness prevention programs is
to maintain optimal
 includes immunization, health by preventing
prenatal and infant care, disease.
prevention of STD
 NURSING AS A PROFESSION

 focuses on the ill client, and it extends

from early detection of disease through
helping the client during the recovery
period

NURSES ACTIVITIES INCLUDES THE FF:

> providing direct care to the ill > teaching clients about recovery
person activities
> performing diagnostic and > rehabilitating clients to their optimal
assessment procedures functional level following physical or
> consulting with other health care mental illness, injury or chemical
professionals about client problems addiction
 NURSING AS A PROFESSION

Involves comforting and caring for

people of all ages who are dying
Includes helping clients live as
comfortably as possible until death and
helping support persons cope with death

Nurses carrying out these activities

work in homes, hospitals, and extended care facilities,
like hospices, are specifically designed for this
purpose.
 NURSING AS A PROFESSION

FIELDS OF NURSING
Hospital or Industrial or
Icon
Institutional Nursing Icon Icon School Nursing
Occupational
Health Nursing
Public Health
Icon
Nursing or Community Icon Icon Clinical Nursing
Nursing Education
Health Nursing

Private Duty or Independent

Icon Military Nursing Icon
Icon
Special Duty Nursing Nursing Practice
FIELDS OF
NURSING -Nursing in hospitals and related
health facilities such as extended care
facilities, nursing homes, and
neighborhood clinics, comprises all of
the basic components of
comprehensive patient care and family
health

-Refers to the practice of nursing

in the local, national, and city
health departments which include
health centers and public schools.
It is community health nursing in
the public sector
FIELDS OF
NURSING -The nurse is self employed and provides
professional nursing services to clients/
patients and their families. While some
independent nursing practitioners set up
their clinics near a hospital (as in the case
of the Psychiatric Nursing Specialists,
Inc.), most of them are community- based.

-This field of nursing is synonymous

with specialization. This advanced
practice requires the knowledge skills
and supervised skills obtained through
graduate study in nursing (either
master’s or doctoral degree
FIELDS OF Teachers in the Nursing education programs
NURSING

The school nurse is for the school’s activities

in the areas of health service, health education,
and environmental health, and safety

Clinic nursing requires that a nurse possess

general skills. The nurse acts as a receptionist.
Answers phone, does the billing, takes x- rays,
and ECGs, changes dressings, gives injections,
and assists in physical examination.
FIELDS OF The nurse corps. The military nurse works at
different health settings with various levels of

NURSING responsibilities

-A private duty nurse is a registered nurse

who undertakes to give comprehensive nursing
care to a client on a one-to-one ratio. She/ he is
an independent contractor

-Is the specialty practice that provides and

delivers healthcare services to workers. The
practice focuses on promotion, protection, and
supervision of workers’ health within the context
of safe and healthy work environment
Alfaro, R., Applying Nursing Process, A Tool for Critical Thinking, 6th edition, Lippincott, 2006

Capenito-Moyet, L., Nursing Diagnosis, Application to Clinical Practice, Lippincott, 2008

D’Amico, D., and Barbarito, C., An Introduction to Health and Physical Asessment in Nursing, Pearson Education South
Asia, 2007

Delaune, S. and Ladner, P., Fundamentals of Nursing, Standards & Practice, 3rd edition, Delmar Learning, Singapore, 2006

Doenges, M., et al., Nurse’s Pocket Guide Diagnoses, Prioritized Interventions and Rationales, 12th edition, E.A. Davis
Company, 2008

Kozier, B , et. al., Fundamentals of Nursing, Concepts, Process, and Practice, 8th edition, Pearson Education Asia Pte. Ltd,
Singapore, 2008

Lynn, P., Taylor’s Clinical nursing Skills, a Nursing Process Approach, 2nd edition, Lippincott, 2008

Potter, P. and Perry, A. , Basic Nursing, Essentials for Practice , 6th edition, Elsevier, Singapore, 2007

Timby, K., Fundamental Nursing Skills and Concepts, 9th edition, Lippincott, 2009

Weber, J. and Kelly, J., Health Assessment in Nursing, 3rd edition, Lippincott, 2007
NURSING AS A PROFESSION

THANK YOU!