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Delivery of nursing care by the AD graduate


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Characteristics of a profession
1) utilizes in its practice a well-defined and well-organized unique body of knowledge
2)continuing education and remain current in order to "do no harm"
3)Entrust the education of its practioners to institutions of higher education
4)applies its body of knowledge in practical services that are vital to human welfare
5)functioning autonomously
6)Guided by a code of ethics
7)Distinguished by a specific culture, norms, and values that are common among its members
8)Clear standard of educational preparation for entry into practice
9) Attracts individuals of intellectual and personal qualities who exalt service above personal gain
10) strives to compensate its practioners by providing freedom of action, opportunity for professional growth and economic security
Foundations for Associate degree practice
"bedside nurse"
The Education of Nursing Technicians 1951 Nursing functions would include:
1) Assisting in the planning of nursing care for patients
2)Giving general nursing care with supervision
3)Assisting in the evaluation of the nursing care given.
The program was considered to be comprehensive and complete in itself and not a first step toward the baccalaureate
Mildred Montag
The education of techs 1951

Concieved of the nursing tech able to perform nursing functions smaller in scope, than those of the professional nurse and broader than those of the practical nurse. The "bedside nurse" would not be burdened with the administrative responsibilities.
Education outcomes of associate degree nursing programs. (after 6 months of practice)
1)develop,implement and evaluate individualized plans of care
2)nursing process to make decisions
3) promote participation of clients and all members of health care team in plan of care
4) decisions and plan of care are consistent with nursing practice and licensing laws
5)manage care in a timely and cost effective manner
6)accountable for delegated nursing activities
7)obtain consultaion when needed
8) promote continuity of care
9) evaluate client care delivery system
10)foster high standards of nursing practice
11)participate in learning activities to maintain safe practice
12) construct a course of action when confronted with ethical dilemmas in practice
13)seek assistance for colleagues whose behaviors indicate potential impairment
14)participate in self-evaluation and peer review
15)participate in agency committees and conference, professional organizations, and research conducted in the employing institution
Roles and functions of the associate degree nurse
2) manager of care; establish priorities, delegate,assist in skills, practice cost-effective use of resources
3) practices within the ethical and legal framework of nursing; maintains confidentiality; communicates truthfully verbally and written, values nursing as a career and values own practice, supports peers, recognizes and reports ethical dilemmas; serves as a role model, provides safe nursing care
case method
total care of the patient is assigned to one nurse
primary nursing
responsible for the care of certain patients throughout the stay
team nursing
presumes a group of nursing personnel, usually rn's, lpn's and aides working together to meet patient needs. Popular after WWII when shortage of nurses was acute. The team leader carries outmostly functioning nursing,performing treatments and giving medications in an endless cycle
case management
case manager does not typically given direct client care. Use of critical pathways. Incorporates the tx interventions of care givers from all disciplines who normally care for a client
Differentiated practice
Provide quality care at an affordable cost. Identify the nursing competencies required by the clients within the environment. Delineation of roles among both licensed nursing personel and support personnel. Nurses progress and assume roles and responsibilities appropriate to their level of experience, capability and education
Shared governance
organizational model that gives staff the authority for decisions, autonomy to make those decisions, and control over the implementation and outcomes of the decisions. Employees will be more committed ot the organizational goals if they have had input into planning and decision making
Strategies employed by the associate degree nurse in practice
1)Critical thinking/decision making
3)group process
5)conflict management
6)collective bargaining
7)time management
9)cost containment
10)change process
11)leadership styles
12)independent/collaborative interventions
Attitudes that foster critical thinking
1)independence of thought
2)fair mindedness
3)insight into ego and socia-centricity
4)intellectual humility and suspension of judgement
5)intellectual courage
8)confidence in reason

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