ROLE

• A character assigned to or assumed by someone

• A function performed by someone or something in particular situation process or operation

• A specific pattern of behavior expected from those in a certain profession

NURSE AS A…..

…Care Giver

• The provision of care to patients that combines both the art and the science of nursing in meeting physical, emotional,in-tellectual,sociocultu-ral,and spiritual needs.

…Communicator

• The use of effective interpersonal and therapeutic communication skills to establish and maintain helping relationships with patients of all ages in a wide variety of healthcare settings.

…Educator

The use of communication skills to:

• Assess

• implement

• evaluate individualized teaching plans to meet learning needs of patients and their families.

…Counselor

The use of therapeutic interpersonal communication skills

> to provide information make appropriate

referrals facilitate the patients

problem-solving and decision making skills.

…Leader

The assertive, self-confident practice of nursing when:

> providing care

> effecting change when functioning with groups (change agent)

…Researcher

• The participation in our conduct of research to increase knowledge in nursing and improve patient care.

…Advocate

• The protection of human or legal rights and the securing of care for all patients.

• Speaking in behalf of the client/s

FUNCTIONS

the actions for which a person or thing is specifically fitted / used

Functions of a Nurse

Independent

Dependent

Interdependent

Independent nursing action

Nursing action carried out at the instruction or order of a nurse.

Action within the legal scope of nsg. independent domain.

Dependent nursing action

Nursing action carried out at the instruction of an authorized health care professional other than a nurse.

Interdependent nursing action

Nursing action performed by the nurse in collaboration with other members of the health care team.

Hospital

• NURSES ROLE

-Serves as caregiver-Educates clients-Provides ongoing assessment-Coordinates care and collaborates with other

health care providers-Maintain client safety-Initiates discharge planning

Extended-care

• NURSES ROLE-Provides care directed toward meeting basic

needs(e.g.,nutriton,hydration, comfort,elimination)-Provides teaching and counseling -Plans and coordinates care-Administers medications,treatments,and other

therapeutic modalities

Home health care agencies

• NURSES ROLE-Provides skilled

nursing care (visiting nurses: initiate iv therapy, visit diabetic patients)

-Coordinates health promotion activities(e.g.,education)

Hospices

• NURSES ROLE- Quality care at the end of

life- Provides palliative care

for terminal cases - Render comfort measures- Provides pain and

symptom control- Supports grieving families

(bereavement)- Educates family/client

Out-patient settings

• NURSE ROLE

-Checks vital signs

-Assists with diagnostic tests

-Prepares client for examination

-Provides teaching and counseling

-Performs physical or mental status examination

Expanded Career Roles of Nursing

• Clinical nurse specialist

(eg,enterostomal therapist,geriatrics,infection control,medical surgical,maternal-child,oncology,quality assurance,nursing process)

• Nurse practitioner

Cont.. Expanded career

• Nurse anesthetist• Nurse midwife• Nurse educator• Nurse administrator• Nurse researcher• Nurse entrepreneur• Nurse transcriptionist

Nurse practitioner

• A nurse with an advanced degree, certified for a special area or age of patient care; works in a variety of health care settings or in independent practice to make health assessment and deliver primary care.

Clinical nurse specialist

• A nurse with an advanced degree, education, or experience who is considered to be an expert in a specialized area of nursing; carries out direct patient care; consultation; teaching of patients, families and staff; and research.

Nurse anesthetist

• A nurse who completes a course of study in an anesthesia school; carries out pre-operative visits and assessments, administers and monitors anesthesia during surgery, and evaluates postoperative status of patients.

Nurse midwife

• A nurse who completes a program in midwifery; provides prenatal and postnatal care, and delivers babies to women with uncomplicated pregnancies.

Nurse educator

• A nurse, usually with an advanced degree, who teaches in educational or clinical settings; teaches theoretical knowledge and clinical skills; conducts research.

Nurse administrator

• A nurse who functions at various levels of management in healthcare settings; is responsible for the leadership and management administration of resources and personnel involved in giving patient care.

Nurse researcher

• A nurse with an advanced degree who conducts research relevant to the definition and improvement of nursing practice and education through evidence-based findings

Nurse entrepreneur

• A nurse, usually with an advance degree, who may manage a clinic or health-related business, conduct research, provide education, or serve as an adviser or consultant to institution, political agencies, or businesses

Examples

• Putting up day care centers

• Wellness clinics (massage centers)

• Nursing homes

• Care for special children (autism, ADHD, Down syndrome)

Military nursing

• Nurses in this field are in any branch of the military ( police, air force, navy & the army)

Projecting the image of a nurse

• Follow general practices of good grooming and hygiene: bathe/shower daily, use deodorant, brush teeth, avoid bad breath (specially if you smoke)

Cont..projecting

• Keep hair clean, pulled away from the face, and off the neck

• No jewelry allowed except watch with second hand-it can harbor micro organisms and could injure a client

Cont..projecting

• Clients may act out-protect yourself by keeping your hair short or pinned up, and avoiding large earrings, neckties, and necklaces

• No moustaches and beards

Cont..projecting

• Avoid aftershave, cologne, and perfume. Clients may be allergic to them

• Use a minimum of make up. Nail polish is not recommended

Cont..projecting

• Wash hands before and after procedures and patient contact. Make sure fingernails are short and clean. Clip hangnails

• Cover cuts or open wounds for your protection

projecting

• Wear washable clothes/uniforms and sweaters

• Wear pants long enough to reach your shoe tops.

Cont..projecting

• Keep skirts long and loose enough so you can bend and lift without embarrassment

• Wear safe and comfortable shoes with rubber soles . More facilities do not allow sandals or clogs

Cont..projecting

• Always wear your name tag-it is part of your uniform

• Follow any additional guidelines specified by your school or clinical facilities

• ALWAYS WEAR A SMILE!

Purpose of a Profession

Provide a needed service to the society

Advance knowledge in its field through systematic observation

Protect its members and to make it possible to practice effectively

Characteristics of a Profession

• A profession has an extended education

• Practice guided by a body of theory

• Provides a community service

• Has autonomy of decision making & practice

Professional Nursing

• the performance, for a fees of professional services such as undertaking responsible nursing care, the observation of symptoms, accurate reporting & recording, supervision of others, execution of nursing procedures & execution of legal orders.