copyright © 2012 wolters kluwer health | lippincott williams & wilkins chapter 2 beginning your...

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins

Chapter 2

Beginning Your Nursing Career

Chapter 2

Beginning Your Nursing Career


Healthcare: A Multidisciplinary ApproachHealthcare: A Multidisciplinary Approach


Multidisciplinary approachMultidisciplinary approach

• Physicians

– Minimum of 4 years of undergraduate study

– 4 years of medical school

– Specialization requires another 2-6 years


Types of Nursing ProgramsTypes of Nursing Programs

• (Certified) Nurses Aide (CNA)

• Unlicensed Assistive Personnel (UAP)

• Licensed Practical/Vocational Nurse (LPN/LVN)

• Registered Nurse (RN)

• Advanced Practice Nurse or Nurse Practitioner (NP)


Basic EducationBasic Education

• Registered Nurses (RNs):

– 2-year program leading to associate’s degree (AD-RN)/Technical Nurse

– 3-year program affiliated with community and state colleges that grant college credits

– 4-year program in a college or university that leads to a baccalaureate or bachelor’s degree in nursing

• **Practical Nurses (LPNs/LVNs):

– 12 to 18 months of full-time study

– Vocational center or community college


EducationEducation

• Advanced nursing credentials

– Clinical nurse specialist certificate available in 5 areas:

• Psych (adult/child)

• *Med/surg

• Gerontologic

• Community health


ResponsibilitiesResponsibilities• Registered Nurses:

– care for the acutely ill and assist in surgery (may be the first assistant in surgery)

– teach professional and practical nursing students

– manage personnel and take charge in various healthcare settings

• Practical Nurses:

– provide nursing care

– work under the supervision of an RN or MD


Licensure of NursesLicensure of Nurses

• Licensing laws or Nurse Practice Acts:

– *Protect the public from unqualified workers

– *Establish standards for the profession

– *Differentiate between a qualified and an unqualified worker

• Nurses must know and understand the licensing laws and the state’s Nurse Practice Act specific to their level of licensing.


Licensure of Nurses (cont’d)Licensure of Nurses (cont’d)

• NCLEX

– National Council’s Licensure Examination for graduates from an approved nursing program

• *Mandatory Licensure

– Designates the functions, duties, and responsibilities of the nurse and use of the title “nurse” in the particular state.

• *Permissive Licensure

– Practicing nursing without a license

– Rarely occurs today


Licensure of Nurses (cont’d)Licensure of Nurses (cont’d)

• Endorsement

– It is a form of agreement between states, particularly state licensing agencies.

• Reciprocity

– It is a type of recognition of previous education and experience.


Nurse's PledgeNurse's Pledge

• The pledge serves as a guide for nursing practice.

• RNs recite the Florence Nightingale Pledge.

• LPNs recite the Practical Nurse’s Pledge.

• Nurses are expected to

– practice ethically and conduct themselves appropriately

– accept responsibilities within the role delineated by licensure


Theories of NursingTheories of Nursing

• A theoretical framework provides a reason and a purpose for nursing actions.

– Natural-Healing theory by Florence Nightingale

– Independent-Functioning theory by Virginia Henderson

– *Self-Care theory by Dorothea Orem

– *Adaptation theory by Sister Callista Roy

– Systems theory by Betty Neuman


Contemporary Nursing RolesContemporary Nursing Roles

ADVOCATE-assist them to

understand their rights

TEACHER: assist people in

preventing illness and

injury before they occur


**The Nurse’s Image**The Nurse’s Image

• Nurses need to

– project a professional image

– show respect for all

– follow general practices of good grooming

– wear washable uniforms with their nametag

– maintain maximum levels of safety, hygiene, and protection for clients and self

– maintain optimal health


Role of Nursing OrganizationsRole of Nursing Organizations

• To provide professional forums

• To offer continuing education opportunities

• To enable network with peers

• To influence healthcare, nursing, and public policy legislation


Nursing OrganizationsNursing Organizations• National nursing organizations usually have state

affiliates. Some of the national nursing organizations are:

– NAPNES

– NFLPN

• Provide standards of nursing care and competence through continued postlicensure education and certification

• Assists in the interpretation of the role and function of the LVN/LPN


Nursing OrganizationsNursing Organizations– **NLN

• Sets standards for the following:

• Nursing education

• Services to the nursing community

• Public policy related to lifelong education

– HOSA

– ANA

• International Council of Nursing

– Professional global practice

– Regulation of the standards of nursing

– Socioeconomic welfare for nurses**

copyright © 2012 wolters kluwer health | lippincott williams & wilkins chapter 2 beginning your...

Documents

nursing practice

nursing career slide

practical nurses pledge

md slide

nurse practitioner np

practical nurses lpnslvns

community college slide

title nurse