Monthly Archives :

July 2020

Influences on Professional Nursing Practice
Influences on Professional Nursing Practice 150 150 Tony Guo

Influences on Professional Nursing Practice

  • Complex health care environments
    • Expanding knowledge and technology
    • Diverse populations
    • Consumerism
  • Health care systems
    • Health care financing
      • Medicare
      • Health maintenance organizations (HMOs)
      • Preferred provider organizations (PPOs)
      • Value-based purchasing
    • Healthy Policy
      • 2010 Patient Protection and Affordable Care Act (ACA) – main goal is to increase access to health care.
      • Accountable Care Organizations (ACO) – groups of physicians, hospitals, and other health care providers who unite to coordinate care for Medicare patients
  • Healthy People Initiative
    • Goals and objectives for improving health through the Healthy People initiative, established by the U.S. government.
    • The vision of Healthy People is a society in which all people live long, healthy lives.
  • Quality and Safety Education for Nurses (QSEN)
    • 6 Core Competencies:
      • Patient-Centered Care
      • Informatics and Technology
      • Evidence-Based Practice
      • Quality Improvement
      • Safety
      • Teamwork and Collaboration
  • Patient-Centered Care
    • Delivery of nursing care
    • Quality
  • Safety
  • Nursing process
  • Standardized nursing terminologies
Scope of nursing practice
Scope of nursing practice 150 150 Tony Guo

Scope of nursing practice

  • Entry level
    • Nurses with associate or baccalaureate degrees are prepared to function as generalists.
    • At this level, nurses provide direct health care and focus on ensuring coordinated and comprehensive care to patients in a variety of settings. Nurses work collaboratively with other health care providers to manage the needs of individuals and groups.
  • Certification
    • With experience and continued study, nurses may specialize in an area of practice. Certification is a formal way for nurses to obtain professional recognition for having expertise in a specialty area.
    • Certification usually requires a certain amount of clinical experience and successful completion of an examination.
    • Recertification usually requires ongoing clinical experience and continuing education.
  • Advanced practice
    • Master’s degree
      • Advanced practice registered nurse (APRN)
    • Doctorate
      • Doctor of nursing practice (DNP)
      • Research-focused doctorate (PhD)
Professional Nursing Practice
Professional Nursing Practice 150 150 Tony Guo

Professional Nursing Practice

  • Definitions of nursing
    • Nursing is putting the patient in the best condition for nature to act (Nightingale)
    • The nurse’s unique function is to assist patients, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that they would perform unaided if they had the necessary strength, will, or knowledge—and to do this in such a way as to help them gain independence as rapidly as possible (Henderson).
  • Nursing’s view of humanity
    • Physiologic (Biophysical)
    • Psychologic (Emotional)
    • Sociocultural (Interpersonal)
    • Spiritual
    • Environmental
  • The individual is considered “a biopsychosocial spiritual being in constant interaction with a changing environment.
  • The individual is composed of dimensions that are interrelated and not separate entities.
  • Thus a problem in one dimension may affect one or more of the other dimensions. A person’s behavior is meaningful and oriented toward fulfilling needs, coping with stress, and developing one’s self.
  • However, at times a person requires help to meet these needs, cope successfully, or develop his or her unique potential.