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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,intellectual,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.,educati on) 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,inf ection control,medical surgical,maternalchild,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 outprotect 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.