PROFESSIONALISM in the Community Health Nurse

7/28/2019 PROFESSIONALISM in the Community Health Nurse

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"Nursing is an art, and, if it is to be made an art,requires as exclusive a devotion, as hard a

preparation, as any painters or sculptors work; forwhat is the having to do with dead canvas or cold

marble, compared with having to do with the livingbody- the temple of Gods spirit? It is one of the fineArts; I had almost said, the finest of the Fine Arts"

Florence Nightingale (1868).


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A set of activities, tasks and nurseduties carried out by the registered

nurses, at any time whenever it isrequired keeping the persons healthas their first priority.


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Knowledge Spirit of inquiry

Accountability

Autonomy Advocacy

Innovation and Visionary

Collegiality and collaboration

Ethics and Values


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Definition:

Understanding of or informationabout a subject, which has been obtained byexperience or study.


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Professionalism includes:

A body of theoretical, practical, and clinicalknowledge.

Being able to apply that knowledge. Using theoretical and/or evidence-basedrationale for practice.


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Synthesizing information from a variety ofsources.

Using information or evidence from nursingother disciplines to inform practice. Sharing or communicating knowledge withcolleagues, clients, family and others.


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Nurses can be more productive and healthy in

safe, ergonomically sound work environments,

with access to the supplies, services and

technology they need to improve efficiency,

and work life enhancements to reduce stress

and ease the home-work interface.


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Definition:

An inquisitive, inquiring approach toones own practice.


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Being open-minded and having the desire toexplore new knowledge. Asking questions leading to the generation ofknowledge and refinement of existingknowledge. Striving to define patterns of responses fromclients, stakeholders and their context. Being committed to life long learning.


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Definition:

Responsibility for ones conduct orthe willingness to be answerable for onesactions.


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Understanding the meaning of self-regulation and its implications for practice. Using legislation, standards of practice and acode of ethics to clarify and guide ones

scope of practice.


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Being committed to work with clients andtheir families to achieve desired outcomes. Being actively engaged in advancing thequality of care. Recognizing personal capabilities, knowledge

base and areas for development.


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Definition:Right of self-government; personalfreedom.Professionalism includes:

Working independently and exercisingdecision-making within ones appropriatescope of practice.


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Recognizing relational autonomy and theeffects of the context and relationships onthis autonomy. Becoming aware of barriers and constraintsthat may interfere with ones autonomy andseeking ways to remedy the situation.


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Definition:

An advocate is a person whosupports or speaks out for a cause, policy.


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Understanding the clients perspective.

Assisting the client with their learning needs. Being involved in professional practiceinitiatives and activities to enhance healthcare. Being knowledgeable about policies thatimpact on the delivery of health care


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Definition:Innovative:

Bring in new methods, ideas,etc.; make changes; introduce for the

first time.Visionary:

The act or faculty of seeing,sight; imaginative insight; ability toplan or form policy in a far-sightedway.


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Fostering a culture of innovation to enhancenursing practice and client/family outcomes. Showing initiative for new ideas and beinginvolved through taking action. Influencing the future of nursing, delivery ofhealth care and the health care system.


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Definition:

A colleague is a fellow official or worker,especially in the same profession or business.Collaborate means to work jointly with, co-operate.


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Developing collaborative partnerships withina professional context. Acting as a mentor to nurses, nursingstudents and colleagues to enhance andsupport professional growth. Acknowledging and recognizinginterdependence between care providers.


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Definition:Ethics:

a system of valued behaviors and

beliefs for determining right or wrong andfor making judgments about what should bedone to or for other human beings.


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Knowledgeable about ethical values,concepts and decision-making. Being able to identify ethical concerns,issues and dilemmas. Applying knowledge of nursing ethics tomake decisions and to act on decisions.


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Being able to collect and use informationfrom various sources for ethical decision-making. Collaborating with colleagues to develop andmaintain a practice environment thatsupports nurses and respects their ethicaland professional responsibilities. Engaging in critical thinking about ethicalissues in clinical and professional practice.


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Membership Communication

Changes in Nursing Practice

Diversity in the Population Lack of Autonomy

Lack of Leadership skills

Nature of the job

Shortage of Nurses Limited Opportunities


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Autonomous Practice

Often in peoples home

Accountability to multiple stake holders

Population health context


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Public right to know

Allocation of resources

Gifts

Surveillance

Maintaining therapeutic relationships

Maintaining confidentiality


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CHN Standards of Practice

Regulatory standards

Legislation

New ethical frameworks

CNA code of ethics


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Regulatory standards

Legislation

New ethical frameworks

CNA code of ethics

Community ethics toolkit, etc.


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Rural Health Issues

Self, Home, Community Care

Access to Acute Care

Major Health Problem

Job Difficulties


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Author : Susan Jane Fetzer

Title :

Professionalism of Associate DegreeNurses: The role of self actualization


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General System Theory

PROFESSIONALISM in the Community Health Nurse

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