NUR 102: Module F, Professional Behavior Part 1, Gina Briscoe RN, MSN, Sept.

24th and 25th

Historical Perspective of Nursing

A. Florence Nightingale Did a lot of work cleaning up hospitals. Collected stats on pt deaths
and implemented ways to prevent pt death due to infection. Opened up first ever nursing
school in Britain.
B. Civil War read in chapter one. Clara Barton established American Red Cross during this
time.
C. 20th Century nursing became more research based. Earlier nursing was considered a
vocation not a profession.
D. 21st Century Explosion in education levels and science. Nurses active in politics and all
other aspects in life.
E. Social Influences women’s rights movement, human rights movements, what is going on
in the world; healthcare reform, job losses, etc… Bioterrorism, OSHA, JACHO, litigious
natures of job.
Profession

A. Extended education
B. A theoretical body of knowledge leading to defined skills, abilities, and norms
C. Provides specific service (altruistic)
D. Autonomy in decision making and practice Some argue that nursing is not autonomous
due to nature of job. It is autonomous in a lot that the nurses do.
E. Ethical codes and a culture of self regulation professionals usually agree to practice under
a shared set of standards.
What is the Difference?
A. Values
1. Relative worth, importance, utility.
2. Effect behavior
3. Tend to use your time and money on things you value.
B. Morals
1. Tend to be personal beliefs about what is right and wrong.
C. Ethics
1. Tend to be codified into codes of professions
Professional Behavior
A. Integrity
1. Being honest in all situations and interactions.
B. Tolerance
1. Demonstrates ability to accept people and situations that differ from you.
C. Interpersonal Relationships
1. Provides support and is empathetic in interactions with peers, patients, etc…
D. Initiative
1. Take inititiative
E. Dependability
1. Be there when you are supposed to be. Be dependable.
F. Attitude
 1. Good attitude.
G. Function under Stress
1. Maintaining composure in all situations.
H. Appearance
1. Look the role.
Professional Behavior

A. Code of Ethics ensures that nurses perform duties as written in policies.

B. Accountability being held responsible professionally and legally for care you provide.
C. Responsibility
1. Competence making sure you can perform the skills you set to do
2. Judgment the use of available evidence or facts to make socially acceptable
choices.
D. Confidentiality
E. Veracity the accuracy and conformity to the rules
F. Nonmaleficence above all don’t hurt patient!
Nursing Code of Ethics

A. Written and Updated by the American Nurses Association

B. It is a statement of the ethical obligations and duties of every individual who enters
the nursing profession
C. Nonnegotiable ethical standard agree to follow this code when going into nursing.
D. Image: How do you want to be viewed?
Caring Behaviors

A. Presence
B. Comforting
C. Listening
D. Knowing the Client recognize pt individual personal needs.
E. Spiritual and Family Caring
Influences on Nursing

A. State Boards of Nursing

B. Regulatory Agencies
C. Accrediting Bodies
D. Professional Organizations
E. Standards of Nursing Practice
F. Nurse Practice Acts
G. Laws
H. Regulatory Agencies
I. Alabama Board of Nursing (ABON)
a. www.abn.state.al.us
J. Alabama State Board of Education
a. http://www.alsde.edu/html/boe1.asp
K. Alabama Department of Public Health
a. http://www.adph.org/Default.asp?bhcp=1
 L. Accrediting Bodies
M. National League for Nursing (NLN)
a. http://www.nln.org/
N. Southern Association of Colleges and Schools (SACS)
a. http://www.sacscoc.org/
b. Professional Organizations
O. American Nursing Association (ANA)
a. http://www.nursingworld.org/
P. National Association for Practical Nurse Education and Service (NAPNES)
a. www.napnes.org
Q. National Federation of Licensed Practical Nurses (NFLPN)
a. http://www.nflpn.org/
R. Alabama State Nursing Association (ASNA)
a. http://www.alabamanurses.org/
Standards of Care

A. Assessment
B. Diagnosis
C. Outcomes Identification
D. Planning
E. Implementation
F. Co-ordination of care
G. Evaluation

Standards of Professional Performance

A. Quality of Practice
B. Education
1. Staying current through education
C. Professional Evaluation
D. Collegiality
1. Interacting with and contributing to the education of peers.
E. Collaboration
1. Working together
F. Ethics
G. Research
1. Think about how much you want to change nursing. You can change nursing
through research.
H. Resource Utilization
1. All have to be conscious and save resources.
I. Leadership
1. Be the leader. Organize things.
The Scope of Nursing Practice

A. The Nurse Practice Act

1. Protects people from under educated, under skilled nurses.
 2. What can be delegated and to whom
3. Anesthesia and who can administer
b. What school nurse can deligate.
4. Who can write patient orders
5. Who can pronounce death
6. Defines role of RN as first surgical assistants
7. Defines what sexual assault examiner can do
B. Scope of Practice for LPNs
1. Education-usually one year, then pass the NCLEX-LPN
2. Focus
C. Scope of Practice for RNs
1. Education-Associates, diploma, baccalaureate degrees, then pass the National
Council Licensure Examination for Registered Nurses (NCLEX-RN)
2. Focus
D. Unlicensed Assistive Personnel
1. Have to delegate to these individuals. You are still responsible for the outcome of
care provided. Cannot delegate tasks that require your skills. Evaluation and
communication is key.
2. There are some community classes but most of the time the hospital or nursing
home trains them.
E. Boundary
2. What are the boundaries of your scope.
F. Intersection
3. You serve as an intersection between all of the factors that are included in the
healthcare setting.
G. Dimension
1. You have to be able to work in various settings within the scope of your practice.
H. Core
2. Factors in core nursing skills learned in school.

Nursing Functions

A. Independent
B. Dependent
C. Interdependent

Standards of Nursing Practice

A. Nursing Practice: The diagnosis and treatment of the human response to actual or
potential health problems (1980, ANA Congress for Nursing)
a. Conduct and Accountability
b. Practice of Professional Nursing
c. Practice of Practical Nursing
d. Standardized Procedures