Professional Presence In Nursing

Society has progressed both socially and technologically as has medicine. This includes our understanding of health and healing as evidenced by Dossey’s three eras of medicine. Era 1, beginning in the 1800’s, reflected the prevailing view that health and illness are totally physical in nature and therapies included surgical procedures and drugs. Era 2, starting in the 1950’s, related to the mind and body. Practitioners began to realize that emotions and feelings can impact health. Era 3, still developing today, began in the 1990’s and builds on the previous eras by adding the spirit and proposes that consciousness is not confined to one’s

When you meet someone for the first time every detail is being noticed; from your entrance, wardrobe, handshake, etiquette, and voice quality and speech (Center for Professional Communication, 2014). First impressions are lasting ones and the first step in building long lasting relationships. A person must be aware of their presence and understand themselves to have a confident professional presence.

There are nine essentials of professional nursing practice that will ensure the professional nurse will be able to practice in complex healthcare systems. The nine essentials are liberal education, basic organizational and systems leadership for quality care and patient safety, scholarship for evidence based practice, information management, health care policy, interprofessional communication and collaboration, clinical prevention, professionalism and baccalaureate generalist nursing practice. These aspects of the baccalaureate education are “essential” for creating a well-rounded nurse able to practice in a variety of settings and provide care for people from “all walks of life.”

Professional identity has become a necessary concept to employees who are working in a health and human-serviced environment because it comprehends the image and perceptions of individuals that has based on the way she/ he performs a job or operates within their career field (Brott & Myers, 1999; Smith & Robinson, 1995). Therefore, in nursing occupation, professional identity is considered to be the most important concept that to prove their patients their skills and knowledge in their field. This essay further focuses on the precise definition of professional identity as well as nursing identity, the key industry and quality agencies and association that set standards, guidelines, and codes of practice in nursing and how industry and professional agencies monitor the quality of care and services in professional nursing.

The learner must achieve a sense of identity in occupation, politics, and values. Professional identity involves the internalization of core values which becomes evident as the student learns, gains experience, and grows as a professional (Benner et al., 2010). Professional identity is foundational to the assumption of various nursing roles. In the age of collaborative practice, it may be especially challenging for the novice to distinguish nursing practice from that of other health care providers. Experience has taught this learner what to expect and how to respond in a given situation. The proficient learner begins to view the whole situation. This holistic understanding makes decision less difficult (Benner et al., 2010).

What does it mean to be human, and how do we as nurses provide care to our patients? According to Jean Watson “The future of nursing is tied back to Nightingales sense of calling guided by a sense of commitment and covenantal ethic of human service; cherishing our phenomena, our subject matter and those we serve. It is when we include caring and love in our work and our life we discover and affirm that nursing, like teaching is more than just a job but a life giving and life receiving career for a lifetime of growth and learning” (Watson, J. 1978). There have been many different

In Era II, mind-body has a direct correlation to situations regarding anxiety for instance. If a patient is anxious, naturally the heart rate will be elevated. With deep breathing and conscious thought, heart rate will decrease. I see this almost daily.

• “Guardians are concerned citizens who trust authority, join groups, seek security, prize gratitude, and dream of meting out justice”

Through this course, Professional Presence and Influence we, the students/learners, are academically guided to get to know how our professional presence affects our nursing practice. The Kiersey Temperament II Personality Sorter identified traits about myself and how my personality affects my professional presence. Learning about a mindful practice allowed me understand that being mindful can influence my presence. Finally, my environment can, and does, influence my presence and my practice as well as the healing of patients. This is especially emphasized in an optimal healing environment as described by Samueli.

Nursing is an occupation in which professionalism (or lack thereof) can have a significant effect on not only patients and their health, but the nurse’s relationships with colleagues, patients’ families and even their community. A nurse must exemplify professionalism, especially in an environment that creates increased risk for loss of life or further injury. There are many aspects that are involved with professionalism in nursing, and many expectations set up on the nurse.

Professional presence is something of a nebulous concept. Before this course, I honestly never considered what it was and how my nursing practice was defined by it. During my journey through this course I discovered what it truly meant. “Presence is an intersubjective encounter between a nurse and a patient in which the nurse encounters the patient as a unique human being in a unique situation and chooses to spend her/himself on the patient’s behalf’’ (Wingate, 2007). Presence defines how a person interacts with those around them, and particularly in the healthcare field, it’s incredibly important.

Hospice care is a model of care that focuses on relieving symptoms and supporting patients with a life expectancy of six months or less (Altshuler, 2013). For most nurses, caring for a dying elder (individual aged 65 years and above) is a discrete, time-limited experience that begins with first contact, often in a hospital, emergency room, or long term care facility, and ends with the death itself (Phillips & Reed, 2008).

1. Era I – “Mechanical Medicine” began in the 1860’s. Its focus is on surgical procedures and drugs. The thought was that health and illness are only physical in nature and consciousness is equated to functioning of the brain. Era I thinking in displayed in review of psychiatric care in the early 1900 with the use of frontal lobotomies to cure hysteria. The thought was that performing a surgical procedure on the brain will remove the area that is causing the Hysteria. Era I focuses on performing a procedure or providing a medication to fix the body physically, while Era III takes into account the patients perception of health, their stats of mind and their support

In a highly respected profession such as nursing, professionalism is an important element to staying employed and setting one’s self apart from the rest of the applicants when competing for a potential job. By definition professionalism are the qualities and traits that describe a professional. While knowledge is crucial in any profession, according to an article published by the University of Kansas (2012), “all medical professionals must strive to retain those humanistic qualities integrity, respect, and compassion that constitute the essence of professionalism.” Whether you work in a hospital or administration these three qualities encompass the core of nursing and exemplify what it means to be a professional.

Nightingale said, “The very first requirement in a hospital is that it should do the sick no harm”. The history of nursing initially begins with Florence Nightingale. Before her era nurses had a tarnished reputation (Glasper, 2017). They were poorly educated and incompetent people. Nurses such as Mrs. Bedford Fenwick wanted to change the image of nursing. They did this by leading a campaign for professionalism. Which led to the culminated Nurse Bill receiving is royal assent in December 1919 (Glasper, 2017). July 27, 1921 was the official opening of the nursing register, there are currently 688,927 nurses registered with the Nursing Midwifery Council (NMC) (Glasper, 2017). The NMC code has four themes of professionalism, “Prioritizing