FUNDAMENTALS OF NURSING
(AMCCI-BSN1-B-NRSG103B) | BATCH 2021
BACHELOR OF SCIENCE IN NURSING 1 - ADEVENTIST MEDICAL
CENTER COLLEGE - ILIGAN
TRANSCRIBED BY: KIRK CLARENCE B. FLORES
LECTURER: PROF. MAAM LORIE NOVAL PACLIPAN
REFERENCES: POWERPOINT PRESENTATION
 ROLE
 Behavior oriented the expectation of others.
 The role of the nurse is varied and complex.
 Caring for patients requires that nurses take on different
roles at different times.
 Nurses need to fulfill their varied roles as best as
possible by understanding their roles and knowing how
to improve their roles.
 ROLES BASIC TO NURSING CARE
 Caregiver - encompasses the physical,
psychosocial, developmental, cultural and
spiritual levels. The nursing process provides
nurses with a framework for providing care. A
nurse may provide care directly or delegate it to
other caregivers.
 Teacher - the nurse help clients learn about their
health and the health care procedures they need
to perform to restore or maintain their health.
 Client Advocate - a client advocate acts to
protect the client. In this role the nurse may
represent the client’s needs and wishes to their
health professionals, such as relaying the client’s
wishes for information to the physician. They
also assist clients in exercising their rights and
help them speak up for themselves.
ROLES BASIC TO
NURSING CARE
 Counselor - is the process of helping a client to
recognize and cope with stressful psychological
or social problems, to develop improved
interpersonal relationships, and to promote
personal growth. It involves providing emotional,
intellectual, and psychological support.
 Change Agent - the nurse acts as a change agent
when assisting others, that is, clients, to make
modifications in their on behavior. Nurses also
often to make changes in a system, such as
clinical care, if it is not helping a client return to
health. Nurses are continually dealing with
change in the health care system.
 Leader - a leader influences others to work
together to accomplish a specific goal. The
leader role can be employed at different levels:
Individual client, family, groups of clients,
colleagues, or the community.
 Manager - the nurse manages the nursing care of
individuals, families, and communities. The
nurse manager also delegates nursing activities to
other nurses, and supervises and evaluates their
performance.
NOTE: managing requires knowledge about
organizational structure and dynamics, authority
and accountability, leadership, delegation and
supervision and evaluation.
  Health Educator - nurse educators combine
their abilities with responsibilities related to:

 Assess individual and community needs

 Plan hath education programs
 Develop health education programs
 Implement health education programs
 Evaluate health education programs
 Develop mass media campaigns
 Conduct research
 Participating in speaking/presenting at
nursing conferences
 Communicator - communication is an integral
to all nursing roles. In the role of communicator,
 Nurse Educator - are employed in nursing
nurses identify client problems and then
programs at educational institution and in
communicate these verbally or in writing to other
hospital staff development department of health
members of the health team. The quality of a
care agencies and client education departments.
nurse’s communication is an important factor in
A nurse educator is a nurse who teaches and
nursing care.
prepares licensed practical nurses (LPN) and
 Establish rapport
registered nurse (RN) for entry into practice
 Establish therapeutic (helping)
positions. They can also teach in various patient
relationship
care settings to provide continuing education to
 Be aware of verbal & non-verbal
licensed nursing staff. Nurse educators teach in
communication
graduate programs at MASTER’S and
 Assertive communicator
DOCTOAL level which prepare advanced
practice nurses, nurse educators, nurse
 Coordinator
administrators, nurse researchers, and leaders in
complex heath care and educational
 Coordinates and plans care.
organizations.
 Piece together fragmented care.
 Prepares pt. for discharge.
 Researcher - it has become a nurse’s
 Liaison in health care team.
responsibility to engage in 1 or more research
activity along a continuum of research
 WHAT I A ROLE MODEL
participation. Nurses are users (consumers) of
nursing research & read research reports to
- an individual who exemplifies through his or
develop new skills & to keep up-to-date on
her behavior how a specific role is to be enacted.
relevant finding that may affect their practice.
 Caring
 Collect data to improve nursing practice
 Positive interactions
 Provides info for evidenced-based
 Empathetic
practice
 Respected by peers
 Studies are done on nursing practice,
 Good communicator
education and administration
 Strong patient advocate
 Provides professionalism to nursing
 Expert practitioner
 Willing resource person
 Team Player
 Shares knowledge with others
 Respects dignity in all people
 Nurses are part of a team
 Critical thinker
 Don’t work in isolation
 Honest, accountable
 Who are the other team members?
 What does being a team player mean?
 Motivator - nurses motivate patients to make
changes by: having a positive attitude, listening
to patients needs, encouraging, rewarding, and
devoting time and energy to assist with changes.
MOTIVATION - internal impulse that allows one
to take action or change behaviors.
 Critical Thinker
 A way of looking at problems other than
the obvious
 “Thinking outside the box”
 Looking at the big picture
 Questions why something is being done
 Ask, “what if…”
 Open to new ideas
 Innovator
 Takes action to make things happen
 Initiate change
 Sees a problem and looks for solutions.
Instead of, “Oh well, there’s nothing
that can be done about it” the innovator
will be proactive
 Collaborator - many professions make up the
team involved in the care of the clients. Nurse
collaborates with other team members when
providing care to the clients.
 EXPANDED ROLE OF NURSES
 Expanded role of nursing means
engagement of nurse role within the
boundaries of nurse.
 It is the responsibility assumed by a
nurse within field of practice autonomy.
 Advanced Practice Nurse (APN)
 Generally the most independent
functioning nurse.
 Has a master’s degree in nursing,
advanced education in pharmacology
and physical assessment, and
certification and expertise in specialized
area of practice.
 Clinical Nurse Specialist
 Nursing expertise in a specialized area
of practice (medical-surgical nursing,
psychiatric and mental health nursing,
pediatric nursing, community health
nursing and gerontogic nursing).
 Generalist, Nurse Anesthetist, Nurse Midwife,
Nurse Practitioner
 Role of the nurse practitioner is a
extension of the nurses basic care giving
role.
 Acute Care Practitioner
 Adult Nurse Practitioner
 Pediatric Nurse Practitioner
 Family Nurse Practitioner
 Women’s Health Practitioner
 Geriatric Nurse Practitioner
 Nursing Administration
 Manages client care and the delivery of
specific nursing services within a health
care agency.
 Begins with positions such as the charge
nurse or assistant nurse manager, then
nurse manager of a specific patient care
area.
 Nurse Researcher
 Investigates problem to improve nursing
care and to further define and expand
the scope of nursing practice.
 May be employed in an academic
setting, hospital, or independent
professional or community service
agency.
 School Health Nurse
Goal: superior educational success by enhancing
health.
Functions:
 Direct caregiver
 Case Finder
 Consultant
 Counselor
 Health Educator
 Researcher
 Occupational Health Nurse
 Speciality practice that provides for and
delivery of health and safety programs
and services to workers, worker
population and community groups.
Functions:
 Promotion and Restoration of health
 Prevention of illness and injury and
 Protection from work related and
environmental hazards.
 Parish Nurse
 The role that gathers in churches,
cathedrals, templates, mosques, and
acknowledge common faith traditions.
 Respond to health an wellness needs
within the context of populations of
faith community.
Functions:
 Provider of spiritual care
 Health Counselor
 Health Advocate
 Health Educator
 Facilitator of Support Groups
 Trainer or Volunteers
 Liaison to community resources and
referral agent.
 Public Health Nurse
 A registered nurse with special training
community health.
Functions:
 Health Advocate
 Care Manager
 Referral Resources
 Health Educator
 Direct Primary Caregivers
 Communicable Disease Control
 Disaster Preparedness
 Private Duty Nurse
 A registered nurse or a licensed practical
nurse who provide nursing services to
patients at home or any other setting in
accordance with physician orders.
 Home Care Nurse
 A nurse who provides periodic care to
patients tin their home environment as
ordered by the physician.
Function:
 Health Maintenance
 Education
 Illness Prevention
 Diagnosis and treatment of disease
 Palliation and rehabilitation
 Hospice
 Is one who provides a family centered
care and allows clients to live and
remain at homes with comfort,
independence and dignity, while
alleviating the strains caused by
terminal phase (i.e. at the time of death).
Function:
 Pain and Symptom control
 Spiritual Care
 Home Care and Impatient Care
 Family Conferences
 Co-ordination of Care
 Bereavement Care
 Rehabilitation Nurse
 A nurse who specializes in assisting
persons with disabilities and chronic
illness to attain optimal function, health
and adapt to an altered life style.
 Nurse Epidemiologist (Infection Control
Nurse)
 Monitors standards and procedures for
the control and prevention of infectious
diseases an other conditions of public
health significance including
nosocomial infections.
Function:
 Conducts epidemiologic investigation
 Provides education (communicable
diseases)
 Provides ongoing in-service training
 Recommendations on isolated infection
  Conducts study to determine risk factors  Improves health behavior, mental health
leading to infection o prisoners which have a significant
 Conducts surveillance of infection impact on preventing re-offering.
outbreak

 Military Nurse - one who provides care to

military personnel and their families.

 Aerospace Nurse - a nurse who provides

comprehensive nursing care for all types patients
during aero medical evacuation and airlift flight.

 Tele Nurse - one who carries out telephonic

communications with the patient.

Function:
 Patient’s questions regarding his or her
family member’s medical care or
treatment.

 Disaster Nursing - defined as the adaptation of

professional nursing skills in recognizing and
meeting the nursing, physical, emotional and
social needs resulting form a disaster.

 Forensic Nurse - one who is suspected to be

acquainted with the basics of forensic medicine
so s to handle and preserve the evidentiary
materials.

 Peace Nurse Corps - a nurse who performs

variety of nursing activities, including
immunization, periodic health evaluation and
preventive treatments.

Functions:
 Prevention and health education
 Plan, coordinate and provide health
education to volunteers.

 Prison Nurse - Registered nurse who works in a

prison. Can either be employed directly by prison
service or can work in the other areas and spend
part of their working week in the prison health
care.

Functions:
 Delivers high quality treatment and care
within a custodial setting, while
maintaining a secure and safe
environment.