Teaching Competency And Professionalism : Nursing Association And The Minnesota Board Of Nursing

As a registered nurse practicing in the state of California I am responsible for practicing within my states legal regulations and nursing scope of practice. My concern for the welfare of the sick and injured allows me to practice ethical provisions of nursing. These are required if I am to carry out competent and effective nursing care. Nursing encompasses the prevention of illness, the alleviation of suffering, and the protection, promotion, and restoration of health in the care of individuals. Therefore, as health care professionals we must be familiar with the different philosophical forces, ethical principles, theories and values that influence nursing. At the same time, we must be respectful to our patient’s

I define my philosophy of nursing within the three nursing domains of person, health, and environment. My goal is to communicate the importance of nursing as a knowledge-based career, depending not only on the nurse fulfilling her role but also on the patient’s compliance. A patient must learn to provide self-care at home in the same capacity as the nurse would provide care in the clinical setting. I discuss various subjects within nursing. I explain why I want to be a nurse, what I believe a nurse’s role is, the different domains of nursing, and where I believe nursing will be in the future. My philosophy demonstrates the interdependence of the nursing domains. You cannot fully evaluate a person without evaluating their health,

Nurses and physicians would get no input from the patient on their wishes for treatment and care (Giddens, 2016). Health Care has recently advanced by adopting the patient and family centered care model which was designed to “recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respects for the patient’s preferences, values, and needs” (Knuths, 2017). This model allows patients to have a voice on what happens to their bodies and allows them to actively participate in their care. It has also allowed the patient’s family and loved ones to be involved. This involvement has given the patient a strong support system with their best interest in mind. Moving towards this concept has made nurses more aware of patient’s cultural differences, spiritual differences, family preferences, and personal values. This system has lead to better overall care and patient satisfaction. Care has become about the patient and not the provider (Knuths, 2017).

Professional nursing practice has been developing for several centuries. Nursing as a profession can be traced back to the early Christian era. Since then the perception of nursing practice has changed significantly. “Nursing is caring, commitment, and dedication to meeting the functional health needs of all people” (Craven &

Ethical knowing or the moral direction of nursing is focused on the nurses’ responsibility of knowing what out to be done and what is good and right (Carper, 1978). Ethical knowing “guides and directs how nurses morally behave in their practices” (Chinn & Maeona, 2011, p. 7). This nurse practices ethics by being a patient advocate and preserving his client's right to choose or refuse care. This patient advocacy will continue as this nurse advances to the role of APN.

This essay will discuss and reflect on one of the Principles of Nursing Practice and I will relate this to my practice experience. It will focus on Principle of Nursing Practice A: Dignity, humanity and equality and I will demonstrate knowledge of the Principle of Nursing Practice in my essay and investigate the professional, legal and ethical frameworks that guide nursing practice and discuss and link what I have experienced in practice to my chosen Principle.

The purpose of this assignment is to enable the student, myself, to rediscover his or her personal philosophy of nursing as it exists upon the completion of the baccalaureate nursing program. Throughout the semesters, the view I had on what nursing meant to me has grown deeper, but one thing has stayed the same; my philosophy. In my philosophy project from the very first semester, I stated that nursing involves many different parts that all come together to make one great final end product, just like cookies. I compared nursing parts and all the different items nurses bring into the field, to being similar to the ingredients used to make cookies. I still believe that nursing is comprised of many different parts that all come together in order to give the best patient care possible. The personal philosophy paper now is an extension on that first semester’s assignment, to show the growth and development I have had while in this nursing program. It will explore what my personal definition of nursing is, the purpose of nursing, what assumptions in nursing there are, and will conclude with the principles of nursing.

Nursing as a profession is an incredibly varied field, with as many opinions on how and why as there are nurses. It is therefore incumbent on each nurse to determine what aspects of nursing research and history will influence her practice. This work is presented as a Professional Nursing Mission Statement for the author. In the following pages, the governing bodies, ethical code, professional traits, nursing theorist and theory, and historical figure that guide personal nursing practice are presented with scenarios demonstrating their effects. Providing the building blocks for an individual approach to nursing will result in a deeper understanding of practice.

Being a nurse is not just a profession, it is a privilege and an honor. With it being a profession where there is an opportunity to touch many patients’ lives, there must be regulations, laws, and codes that nurses must abide by. There are certain professional traits that a nurse must possess to make them not only a good nurse but a great nurse. There are various nursing theories that a nurse can base their practice upon and many historical figures of the past that guide the nurses of today and of the future.

Nursing is not just a collection of tasks. To provide safe and effective care to the clients, nurses must integrate knowledge, skills and attitudes to make sound judgement and decisions. This essay describes some of the essential knowledge, skills and attitudes of nursing and discusses why they are essential attributes of a competent nurse.

Nurses develop professional skills through a process called “Professionalization.” Ghadirian uses four factors to describe this; cognitive dimension, attitudinal dimension and psychomotor dimension. They then further describe the cognitive dimension as the “professional knowledge” a nurse must have (2014). Without knowledge of illness or the human body, a nurse can not practice professionally. Ghadirian then suggests that even with extensive professional knowledge, a nurse can not be professional without the ideals and ethics of a nurse, or the ability to provide care (2014). A nurse can not be professional without all the dimensions. A nurse must have the values of a nurse, knowledge of a nurse and the ability to provide care.

When looking at Nursing as a profession, it is important to identify the body of knowledge which pertains to its profession. According to Carper (1978) the body of knowledge that serves as a rationale for nursing practice has patterns, forms and structure. Understanding these patterns is essential for the teaching and learning of nursing as a profession. Carper (1978) identifies four fundamental patterns of knowing and are known to be empirics, ethical, aesthetics and personal knowledge. Chinn & Kramer (2008) added the fifth pattern to knowing called Emancipatory knowing to address the issues of equality and justice. This essay will explain the five ways of knowing and show how it relates to my nursing practice.

Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice

Both justice and care have a place in the process of ethical decision making, and both will be discussed in this paper ultimately with ethics of care guiding the practice of a DNP prepared nurse. The paper will discuss how ethics of justice and ethics of care affect the quality of education that a nursing student receives from a new nursing school that has an unacceptable pass rate for first time National Council Licensure Examination (NCLEX) test takers. Standards such as having competent nursing faculty are set by accrediting agencies for teaching institutions, and this paper will discuss the importance of nursing schools to educate future nurses to practice safely.

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