overview of the professional nursing practice Flashcards
This role has traditionally included those activities that assist the client physically and psychologically while preserving the client’s dignity and it addresses the client’s holistic care needs
caregiver
for completely dependent care (ex. comatose patient)
Full care
for partially dependent care (ex. adolescent patient and post-stroke patient)
Partial care
when assisting clients to attain their highest possible level of health and wellness; client does not have to
have disability.
Supportive-educative care
- In this role, nurses identify client problems and then communicate these verbally or in writing to other members of the healthcare team.
- Nurses should be able to competently converse with the patient.
communicator
● As a _______, the nurse helps clients learn about their health and the healthcare procedures they need to perform to restore or maintain their health.
TEACHER
● One who expresses, defends, and protects the patient.
● Nurses inform clients about their rights and provide them with the information they need to make informed choices.
CLIENT ADVOCATE
Involves providing emotional, intellectual, psychological support.
COUNSELOR
is the process of helping a client to recognize and cope with stressful psychologic or social problems, to develop improved interpersonal relationships, and to promote personal growth.
Counseling
Assisting clients to make modifications in their behavior.
CHANGE AGENT
● Influences others to work together to accomplish a specific goal.
● Have outstanding interpersonal skills and are excellent listeners and communicators.
LEADER
a learned process requiring an understanding of the needs and goals that motivate people, the knowledge to apply the leadership skills, and the interpersonal skills to influence others.
Effective leadership
● Responsible for the management and coordination of client care.
● Supervise others in the provision of nursing care or provide direct care themselves.
MANAGER
Work with the multidisciplinary health care team to measure the effectiveness of the case management plan and to monitor outcomes.
Regardless of the setting, they help ensure that care is oriented to the client, while controlling costs
CASE MANAGER
● Nurses have to innovate through research to become more efficient.
RESEARCH CONSUMER
RNs who have advanced practice training and have completed a master’s or higher education degree and certification in their specialty of
advanced practice roles.
Advanced Practice Registered Nurse (APRNs)
● Has an advanced degree or expertise and is considered to be an expert in a specialized area of practice.
CLINICAL NURSE SPECIALIST
Advanced nurse who administers anesthesia for surgical and other procedures and provides pre- and postanesthesia care for individuals across the life span.
NURSE ANESTHETIST
Provide primarily healthcare for women from adolescence throughout the lifespan.
NURSE MIDWIFE
Investigates nursing problems to improve nursing care and to refine and expand nursing knowledge.
NURSE RESEARCHER
● Manages client care, including the delivery of nursing services.
● Handles unit, staffing, and budgeting.
- Less on bedside jobs and more on admin jobs.
NURSE ADMINISTRATOR
● Employed in nursing programs, at educational institutions, and in hospital staff education.
★ Focuses on teaching or educating and
guiding students on nursing knowledge
(educational and practical settings).
NURSE EDUCATOR
An Act Providing For a More Responsive Nursing Profession, Repealing For The Purpose Republic Act No. 7164, Otherwise Known as “The Philippine Nursing Act Of 1991” and For Other Purposes
REPUBLIC ACT NO. 9173: “THE PHILIPPINE NURSING ACT OF 2002”
Article VI Sec 28
A person shall be deemed to be practicing nursing within the meaning of this Act when he/she singly or in collaboration with another, initiates and performs nursing services to individuals, families and communities in any health care setting.
Section 28. Scope of Nursing.
(a) Provide nursing care through the utilization of the nursing process.
(b) establish linkages with community resources and coordination with the health team;
(c) Provide health education to individuals, families and communities;
(d) Teach, guide and supervise students in nursing education programs including the administration of nursing services in varied settings.
(e) Undertake nursing and health human resource development training and research
Section 28. Scope of Nursing.
established standards of behaviors that govern the practice.
Codes of Ethics
TRUE OR FALSE: Codes serve as guidelines to assist nurses when conflict or disagreement arises about correct practice or behavior.
TRUE
TRUE OR FALSE: a code is a law, it is the standard by which nursing actions are judged throughout the profession.
FALSE: Although a code is NOT a law, it is the standard by which nursing actions are judged throughout the profession.
In ____, the PNA Special Committee developed a Code of Ethics for Filipino Nurses, but it was not
implemented.
1982
In ____, the Board of Nursing adopted the Code of
Ethics of the ICN, adding “promotion of spiritual environment” as the fifth-fold responsibility of the nurse.
1984
In ____, the Code of Ethics promulgated by the PNA was approved by the Professional Regulation Commission and was recommended for use.
1989
TRUE OR FALSE: The Code of Ethics for Filipino Nurses embodies ethical principles and guidelines to be observed, stipulated under six (6) articles.
FALSE: The Code of Ethics for Filipino Nurses embodies ethical principles and guidelines to be observed, stipulated under SEVEN (7) articles.
ARTICLE I: PREAMBLE
Health is a fundamental right.
Sec. 1.
ARTICLE I: PREAMBLE
To assume this responsibility, RNs have to gain knowledge and understanding of man’s cultural, social, spiritual, psychological, and ecological aspects
Sec.2
ARTICLE I: PREAMBLE
The desire for the respect and confidence of clientele, colleagues, coworkers, and the members of the community
Sec. 3.
ARTICLE II: REGISTERED NURSES AND PEOPLE
1. Values, customs, and spiritual beliefs held by
individuals shall be respected.
2. Individual freedom to make rational and
unconstrained decisions shall be respected.
3. Personal information acquired in the process of giving nursing care shall be held in strict
confidence.
Sec. 4. Ethical Principles
ARTICLE III: REGISTERED NURSES AND PRACTICE
1. Human life is inviolable.
2. Quality and excellence in the care of patients
are the goals of nursing practice.
3. Accurate documentation of actions and
outcomes of delivered care is the hallmark of nursing accountability.
Sec. 6. Ethical Principles
ARTICLE III: REGISTERED NURSES AND PRACTICE
4. Registered Nurses are the advocates of the
patients: they shall take appropriate steps to safeguard their rights and privileges.
Sec. 8. Ethical Principle
ARTICLE III: REGISTERED NURSES AND PRACTICE
5. Registered Nurses are aware that their actions
have professional, ethical, moral and legal dimensions. They strive to perform their work in the best interest of all concerned.
Sec. 10. Ethical Principle
Sec. 23. Revocation and Suspension of Certificate of Registration/Professional License and Cancellation of Special/Temporary Permit.
Art. IV of R.A. 9173 – Examination and Registration
No person shall be deprived of life, liberty, or property without due process of law, nor shall any person be denied the equal protection of the laws.
1987 PHILIPPINE CONSTITUTION BILL OF RIGHTS
SECTION 1
may be defined as a rule of conduct pronounced by controlling authority, which may be enforced.
Law
Department of law which comprises all legal rules and principles affecting the practice of nursing.
NURSING JURISPRUDENCE
The first law that had to do with the practice of nursing, which regulated the practice of medicine.
Act No.2493 in 1915
this is known as the First True Nursing Law.
1919 Act 2808
the first board examination in the Philippines was given.
1920
the Philippine Nursing Law or
R.A. 877 was passed.
June 19, 1953
when was Republic Act No. 9173 otherwise known as “The Philippine Nursing Act of 2002” replaced R.A. 7164. made?
October 21, 2002
Republic Act 7164, introduced by Senator Heherson Alvarez, codified and revised all the laws regulating the practice of nursing in the Philippines. It was known as the ___________ _______ ___ __ ____.
Philippine Nursing Act of 1991
Refers to the execution of duties associated with a nurse’s particular role. That is, the nurse is responsible for providing care within established standards of the profession.
RESPONSIBILITY
Refers to the ability to answer for one’s own actions.
ACCOUNTABILITY
An obligation one has incurred or might incur through any act or failure to act.
LIABILITY
the commission or omission of an act, pursuant to a duty, that a reasonably prudent person in the same or similar circumstances would or would not do, and acting or the non-acting is the proximate cause of injury to another person or his property.
Negligence
Implies the idea of improper or unskillful care of a patient by a nurse.
MALPRACTICE
It serves as a legal protection for the hospital, doctor and nurse by reflecting the disease or condition of the patient and his management. Nurses must remember the rule. “If it was not charted, it was not observed or done.”
MEDICAL RECORDS
The consent signed by the patient or his authorized representative / legal guardian on admission is for the initial diagnosis and treatment. Subsequent treatments/operations require individual, informed consent.
Consent to Medical and Surgical Procedures
Consent is an authorization, by a patient or a person authorized by law to give the consent on the patient’s behalf that changes a touching from non-consensual to consensual.
Nature of Consent
A written consent should be signed to show that the procedure was the one consented to and that the person understood the nature of the procedure, the risks involved and the possible consequences. A signed special consent is necessary before any medical or surgical treatment is done such as x-rays, special laboratory tests, blood transfusions, operations, cobalt therapy, or chemotherapy and the like.
Proof of Consent
The primary purpose of an incident report is to document and prevent possible consequent injuries.
INCIDENT REPORTS
