Comprehensive Final Notes
, Introduction to Professional Practice
History of Nursing Nursing Education
reflecting past history gives better understanding of 1878 'I silent
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on see a n
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how the nursing profession has evolved 1884-1920 (Mary Agnes Snively) -
improved student conditions established Canadian Association
trained nurses (1908) +
cofound ICN
-Physician taught ->
institutional training
Contemporary Practice -diploma programs moved from hospital ->
colleges
Art+ Science of Nursing
4 Fundamental Ways of Knowing Qualities Nurse -
Patient Relationship
①Empirical applied human science -
patient trust -
important - if lost hard to reestablish
knowledge findings effective client dignity, worth uniqueness of individual
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assessment -> care respect
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every
②Personal personal reflection professional intimacy close physical activities psychologica
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-
③ Ethical Right vs. Just (CNA code of Ethics) -empathy
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understanding validates + resonates al client
④Aesthetic nursing during caring power-be wary of power-dynamic as clients
S Dimensions of Art of
Nursing
I meaning in client encounters Advocacy support clients to voice their needs to achieve optimal health
②establish meaningful connection outcomes
-
advocate for those who can't for themselves
③ skillfully perform
nursing activities
A rationally determine appropriate course of action
B moral conduct
Nursing Research Evidence Informed Practice decisions about practice should include best available evidence from:
1 question clinical
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Research
collecting data client preferences A continuous learning, application of activities
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2. evidence +
supporting research
(answers) ↳
translate knowledge from into professional practice
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3. results expert opinion all sources
-resource availability Patient prefere
Clinical State,
tactions
contextual info
-
setting +
circumstance
Professional Identity
Clinical Expertise
Qualities skills of Nurse
7
competencies Benner's Novice -> Expert
Research Health car
resource
I.
helping 1. Novice -
a professional experience
-
rule bound + lack intuitive knowledge
2. teaching 2. Beginner-identifies common, meaningful situations (O prioritize
3. diagnostic monitoring 3. Competent
-
understand impact of actions in long-term goals-evolving professional expertise
4. effective situation management 4. Proficient -
holistic view of situations
5. therapeutic interventions 5. Expert intuitively understand's situations can determine problem changing jobs/specialties affect
-
sources
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6. quality of care sob status
7. organization + work A maintaing competence -
yearly continuing competency programs
5 Dimensions of Artful Nurse
1. Find meaning in client encounters -
5 senses, non-verbal communication, whole client, sense patterns, intuition
2. Establish meaningful connection w/ client-quality, authenticity, emotional sensitivity, genuine, pays attention
3. skillfully perform nursing activities
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dexterity +
proficiency, principals -> action, client-centred goals
4. Rationally determine appropriate course
nursing action
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intellectual, actions a
particular outcomes, logic, visi
S. Morally conduct one's practice -
Charm, benefit client, moral choices, competent quality care, care
I
concern
, Reflection +
Reflexivity
Art of Nursing capacity carry out nursing procedures
+
techniques; develop dexterity proficiency i
connect of clients, critically thinks integrate principles, procedures techniques into practice
othering differentiate others from yourself or the majority which reinforces positions of power subordinati
Reflection wondering about phenomenon +
seeing deeper understanding
-reflection on action-think back on what you've donet consider how your actions contributed to the
outcome-learnt shapes future action
↳reflection in action -
at moment you're engaged in particular action -
helps us think if we're
getting
things right
EE.CORGiada
Cr i t c a l
arotionaOE E E E E E a oYo t Na te t u a n a o
inte
Reflection wondering about
Reflection phenomenon seeking deep
t
understanding
Reflexivity push to be
tasking what factors led to
aware
own interests + motivations
↳encourages us to consider
power, privilege + biases tha
our actions or practices may affect our client
relationships
or system changes might need
to be made
Professional Practice Regulation +
Professionalism
Regulation establishing enforcing rules to govern behaviour -
protects the public
Self-Regulation profession best suited to determine own standards for education practice
Accountability obligated to answer for professional, ethical legal responsibilities
competencies knowledge, abilities, skills, attitudes + clinical judgement for providing safe, competent ethical c
Duty to provide care
legal ethical duty to provide safe, competent ethical care
Duty to report report significant concerns about an individual to their regulatory body
Fitness to Practice qualities capabilities of an individual relevent to their capability to practice
Lcognitive, physical, psychological, emotional, dependence on alc. or
drugs
Jurisprudence knowledge of laws, regulations, standards, that regulate practice regulatory bodies
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nursing many
a jurisprudence exam for registrations continuing competence
Professional Presence confidence, integrity, optimism, passion tempathy in accordance we standards, guidelines t
code of ethics
I
reflective practice, verbal nonverbal communication, positive role+ professional image
Regulatory body non-profit wl legal authority to establish, monitor + enforce standards of practice for
public protection Canada -
provincial territorial legislation
-
+
Scope of Practice activities you're educated +
legally authorized to perform -
activities that can pose risk har
standards statement describes required behaviour -
used to evaluate individual performance
use of title legislated criteria who can use title nurse
Saskatchewan Registered Nurses Association
Registered Nurses Act-nursing is performance/coordination
-
of health care services including I
observing
t
assessing health status of clients planning, implementing +
evaluating nursing care a counselling, teaching,
supervision, admint research required to implement/complement health services for purpose of
promoting, maintaining or
restoring health, preventing illness
+
alleviating suffering