Mission of the Nursing

Program
Presented by:
Juan Barnes, Don Prazuch, Kristen
Carpenter, Denise Rodriguez, Charles
Barrett and Rafael Mendez
Mission of the Nursing Program
To provide nursing education that
fosters patient/client-centered
care.
Emphasis is placed on care that is

safe, effective, efficient, timely,

equitable and culturally sensitive.
Mission to prepare graduates
for nursing roles
 Providers of Care – Apply critical thinking skills using
an evidence-based approach
 Coordinators of Care – Apply leadership and
management skills while offering efficient and timely
care. It is crucial to develop skills to work in an
interdisciplinary environment
 Members of a Profession – Foster commitment to
professional participation and advancement as well
as lifelong learning.
Philosophy
 Philosophical foundations are founded on the
concepts of person, society, health, nursing, and
education
 Human being as an individual – Goal of
attaining greatest human potential throughout
the life cycle. Achieved by striving for a holistic
approach that encompasses mind, body and
spirit. Individual is focus of nursing care and his
values/needs/preferences are respected
 Human being as member of family, community
and society at large – They transfer attitudes,
beliefs, values, rules of behavior, and life
patterns about health issues.


Philosophy continued


 Nursing focuses on health prevention and

promotion (wellness), maintenance, and
restoration
 Nursing process taught as scientific tool to express
diagnostic and therapeutic reasoning and
judgment
 Support for a standardized nursing language to
allow discipline to affirm its own body of
knowledge
 Incorporate ehtical and cultural sensitivity issues
 Encourage lifelong learning that enhances
performance and clinical competence


Philosophy continued
 Faculty functions as facilitator, resource person,
coach and role model
 Nursing program offers a variety of teaching
learning strategies using proven and effective
techniques
 Flexible study modalities = Spanish/English
 Depth and breadth of knowledge and skills
according to differentiated practice
 Integration of knowledge from natural sciences
into the courses


Nursing Process
 Used as scientific tool to express the
diagnostic and therapeutic reasoning and
judgment in order to make evidence-based
decisions appropriate to the level of nursing
practice

Diagnostic & Therapeutic Reasoning


 Provide basis for critical thinking and clinical
judgment skills
 Nurse assesses client holistically

Diagnostic Reasoning:


◦ Nurse uses to analyze functional health pattern to

determine client’s state of health


◦ Nurse uses to determine what can be managed

independently and what needs to be collaborated
interdisciplinary

Therapeutic Reasoning
 Nurse & client identify:
◦ Health outcomes
◦ Plan
◦ Implementation
◦ Evaluate plans of care using a client-centered approach
◦
o Client-Centered Approach:
o Talk-psychotherapy developed in the 1940s and 1950s.
o Most widely used models
o Therapists create a comfortable, nonjudgmental environment
by demonstrating genuineness, empathy
and unconditional positive regard toward patients while
using a non-directive approach.
o This aids patients in finding their own solutions to their
problems
Outcome Identification
 Pursues the accomplishment & maintenance of
continuous improvement of
◦ the clients health
◦ The prevention of health problems, health recovery
and peaceful death
◦
Health Outcomes:


 Direct the selection of

therapeutic nursing
interventions related to nursing
diagnosis and interdisciplinary
problems.
Faculty’s Role
 Recognize that @ the heart of the nursing
practice exist:
◦ Nursing Diagnosis
◦ Outcome identification
◦ Therapeutic Nursing Interventions


 This is taught using standard language of: NANDA,

NIC, NOC which promote:
◦ reasoning process
◦ communication
◦ utilization of nursing informatics w/in discipline
Application of Nursing Process at
Associate at Bachelor Level
 Associate
◦ Focuses on individual/client in contract of families and
communities
◦ Requires management of less complex client care
situations; comfort, physiological & spiritual care
w/in culturally sensitive framework & other
delegated care activities
◦ Expected to focus on evidenced-based practices
Application of Nursing Process at
Associate at Bachelor Level
 Bachelors:
◦ Focuses on clients, families, aggregates and
communities that contemplates the physiological,
psychosocial and spiritual dimension w/in a
culturally sensitive framework
◦ Care offered; w/in range of safety and
predictable/unpredictable outcomes that require
management of complex client care
◦ Scope of Care: continuity of care from admission to
post-discharge and home/community care
◦ Expected to integrate concepts and theory in care and
promote evidence-based practices
◦
◦
Humanistic Care
Humanistic Care

 Humanistic approach to a patient/client

centered care.
 Encompasses ethical and cultural sensitivity.
 Preserve human dignity as a central value in a
patient/nurse relationship.



Humanistic Care
Maintenance and 
preservation of 
principles and 
professional codes of 
ethics. 

Cultural competence: to
achieve the ability to work
within the cultural context
of the client.
Humanistic Care


 Values pertinent to human

dignity and cultural
competence: cultural desire,
awareness, knowledge,
skills and encounters.
 Goal for students to achieve
an appreciation &
awareness of the humanistic
approach to client-centered
care.
 Incorporation of this approach
into professional conduct.
 Humanistic Care

Associate Degree Nursing Baccalaureate Degree



Nursing
 Students are introduced Students are expected to
to the basic knowledge, show an active
skills and behaviors of leadership role as
humanistic care. client advocate
towards ethical values
and cultural
competence.
Both levels of practice are expected to integrate humanistic
care within legal and ethical frameworks of the nursing
profession.
Wellness-Illness

Equilibrium of a person’s bio-



physiological, psychosocial, and

spiritual dimensions that allows
for the achievement of an optimal
level of functioning and wellness.

Marjorie Gordan’s functional Health
Patterns
 Health Perception and Health Management
 Nutrition and Metabolism
 Elimination
 Activity and Exercise
 Cognition and Perception
 Sleep and Rest
 Self Perception and Self Concept
 Roles and Relationships
 Sexuality and Reproduction
 Coping and Stress Tolerance
 Values and Belief

 What is the level of function or dysfunction within the health pattern?
 How might this affect other health patterns?


Goal

 Assess and interpret data

 Identify a precise nursing diagnosis and
collaborative or interdisciplinary problems
 Select appropriate outcomes and effective
Interventions based on EBP
 Provide activities of health promotion, health
maintenance, and health restoration

Research

 Is a scientific process of inquiry and/or

interpretation that involves purposeful and
systematic collection, analysis and
interpretation of data.

Purpose

 Implement changes within the system based on

the highest level of evidence available.
 Communication
 Exchange information, feelings, ideas, and
energy.

Purpose
 Is to establish relationships


 Nurses need the ability to:

◦ it is fundamental for students to gain the knowledge, skills
and attitudes to communicate:
◦ the care needed and provided
◦ for safer transitions of care
◦ for continuity of care
◦ to maximize opportunities for involving patients and
caregivers in their care and treatment
◦ to collaborate within the interdisciplinary team
◦ to share decision making
◦ to achieve mutual respect
◦ and for conflict resolution

 Listen, assimilate, interpret, discriminate, gather, and
share information

Leadership
and
Management
Leadership

“the ability to influence other in a conscious

and effective way”
Leadership
 Vision, goal or change
 Transformation and quality improvement

− Process of care
− Personal behavior
− Communication
− Organization
− Accountability
Leadership
 Effective leaders facilitate
− Cognitive, coordination and collaboration
processes
− Resource management
− Conflict resolution
− Team's motivation and behaviors
Management

“the ability to accomplish a goal on behalf of

the client's welfare”
Management
 Get clinical and auxiliary personnel to
improve productivity
 Establish order and stability in the clinical

areas
 Make all nursing care activities run

smoothly in any given setting

Management
 Effective managers
− Plan, organize, prioritize
− Problem solve
− Delegate safely
− Supervise and educate
− Manage resources
 People, environment, budget, time,
information and technology
Leadership &
Management
 Associate Degree Roles
− Independent nurse – client level
 Determine plan of care
 Collaborate and coordinate
effectively
− Interdisciplinary care
− Positive health outcomes
Leadership &
Management
 Baccalaureate Roles
− Leadership and management level
 Facilitate coordination of care
 Identify opportunities to implement
EBP
 Understand / implement safety
principles to avoid patient harm
 Workload balance
 Inspire others to follow
 Obtain positive changes in direct and
indirect nursing care
 Promote nursing as a profession
 Function as health care advocate
