11 Key Areas of Responsibility
6. Personal and Professional Development
1. Safe and Quality Nursing Care
 Demonstrates knowledge base on the health
/illness status of individual / groups
 Provides sound decision making in the care of
individuals / families/groups considering their
beliefs and values
 Promotes safety and comfort and privacy of
clients
 Sets priorities in nursing care based on clients’
needs
 Ensures continuity of care
 Administers medications and other health
therapeutics
 Utilizes the nursing process as framework for
nursing
 Performs comprehensive and systematic nursing
assessment
 Formulates a plan of care in collaboration with
clients and other members of the health team
 Implements planned nursing care to achieve
identified outcomes
 Evaluates progress toward expected outcomes
2.  Management of Resources and Environment
 Organizes work load to facilitate client care
 Utilizes financial resources to support client care
 Establishes mechanism to ensure proper
functioning of equipment
 Maintains a safe environment
3. Health Education
 Assesses the learning needs of the client
partner/s
 Develops health education plan based on
assessed and anticipated needs
 Develops learning materials for health
 Implements the health education plan
 Evaluates the outcome of health education
4. Legal Responsibility
 Adheres to practices in accordance with the
nursing law and other relevant legislation
including contracts, informed consent.
 Adheres to organizational policies and
procedures, local and national  
 Documents care rendered to clients
5. Ethico-moral Responsibility
 Respects the rights of individual / groups
 Accepts responsibility
 Adheres to the national and international code of
ethics for nurses
 
 Identifies own learning needs
 Pursues continuing education
 Gets involved in professional organizations and
civic activities
 Projects a professional image of the nurse
 Possesses positive attitude towards change and
criticism
 Performs function according to professional
standards 
7. Quality Improvement
 Gathers data for quality improvement
 Participates in nursing audits and rounds
 Identifies and reports variances
 Recommends solutions to identified problems
8. Research
 Gather data using different methodologies
 Analyzes and interprets data gathered 
 Recommends actions for implementation 
 Disseminates results of research findings
 Applies research findings in nursing practice 
9. Records Management
 Maintains accurate and updated
documentation   of client care 
 Observes legal imperatives in record keeping 
10. Communication
 Establishes rapport with client, significant others
and members of the health team
 Identifies verbal and non-verbal cues 
 Utilizes formal and informal channels
 Responds to needs of individuals, family, group
and community
 Uses appropriate information technology to
facilitate communication
11. Collaboration and Teamwork
 Establishes collaborative relationship with
colleagues and other members of the health team
 Collaborates plan of care with other members of
the health team
Florence Nightingale
A Linguist and hast vast knowledge in science,
mathematics, literature, arts as well as philosophy,
history, politics, and economic

 Born in Florence, Italy on May 12, 1820

 First Nurse Educator
 Matriarch of Modern nursing
 The lady with a lamp (Crimean War)
 Nurse Statistician

ENVIRONMENTAL THEORY
Florence Nightingale’s Environmental Theory defined
Nursing as “the act of utilizing the patient’s
environment to assist him in his recovery.”

She identified 5 environmental factors: fresh air, pure

water, efficient drainage, cleanliness or sanitation, and
light or direct sunlight.

Assumptions:
1. Natural laws
2. Mankind can achieve perfection
3. Nursing is a calling
4. Nursing is an art and a science
5. Nursing is achieved through environmental
alteration
6. Nursing requires a specific educational base
7. Nursing is distinct and separate from medicine
Metaparadigms:
1. Person
 An individual considered as patient with
vital REPARATIVE PROCCESSES to
deal with disease.
2. Health
 Being well and using every POWER
that the person has to the fullest extent
3. Environment
 EXTERNAL elements or condition to
and which affect the health of the SICK
AND HEALTHY (health promotion vs.
cure)
4. Nursing
 Prevention of interruption of the
reparative process (CONTROL OF
ENVIRONMENT) and enhancement of
optimal health