Islamic University of Gaza

Faculty of Nursing

Trends And Issues

Ali Hassan Abu Ryala
NURSING PROFESSION
 NURSING PROFESSION
 Many nursing leaders believe that nursing
established itself as a profession rather than
being an occupation or a discipline.
 Acceptance as a profession allows nursing to
have more knowledge, authority, and self
governing.
 There are as yet no clear-cut answer to “Is
nursing a profession” but as nursing continue to
develop in it’s three primary areas (education,
practice, and research) it more and more meets
the criteria defining a profession.
 NURSING PROFESSION…cont
 Over the years nurses developed many
philosophies and definition of nursing.
 Nursing as a profession is a unique in that
it addresses in humanistic and holistic
responses of the individual clients and their
families to actual or potential health
problems.
 Expertise in nursing is the result of
theoretical knowledge and clinical practice.
 The Aims of Nursing
The aim of Nursing is to:-
 Maintain and promote wellness, prevent
illness, care for and rehabilitate the sick of
disabled through the human science of
nursing.
 Reduce stress.

 Provide comfort to the client during

diseases process.
 The Aims of Nursing…cont
 Provide service to individual families and
societies.
 Work independently with other health
workers assisting the client to gain
independence as quickly as possible.
 Develop interaction between nurse and
client.
 Focus on a man a living unity and man’s
qualitative participation with experience.
 Characteristics of Nursing Profession

 Well defined and well organized body of

knowledge.
 Constantly enlarged body of knowledge
improves techniques, used scientifically
based.
 Entrusts education of practitioners
(increase education).
Characteristics of Nursing Profession…cont

 Apply knowledge into practice.

 Function autonomously (comparison
between nursing and medicine).
 Wanted as chosen occupation as life
work.
 Provides freedom of action and
opportunity for continues professional
growth and economic security.
 Steps of Professional Development
 Recognition of a problem by community
 Untrained personnel deal with problem,
using skills and procedures to handle the
problem.
 Theoretical body of knowledge basic to
procedures is developed.
 Members continue to work together.
 Steps of Professional Development…cont

 Professional interests or common interests

are formed and developed.
 People pay for service.
 Codes and standards are developed.
 These codes concerned with formed rules
and formal practice.
 Methods of enforcing standards are
established.
 Status of Profession

 People expect special person of this

profession and high quality service.
 Professional should have high knowledge
and high ideals.
 Professional will have high status in
society.
 Nursing is a Unique and Essential Public
Service
 In the practice of nursing great emphases is
placed on the acquisition of knowledge,
application of scientific principals, and the
development skills.
 When planning patient care, each nurse is
expected by the public to use good common
sense and mature judgment.
 Developing and implementing this plan requires
nurse to function both dependant and
independent role as follows:-
 Dependant Function
 Independent Function
 Dependant Function
 Dependant function of nursing is the traditional
one of implementing the doctor’s order, but the
major difference today lies in the interpretation
of these orders.
 Nurse is not blind obedient servant for doctor,
but must know (why) the medication or
treatment is prescribed, (what) to observe, (how)
to prevent unwanted reaction, and (when)
intelligently intervene if reaction should occur.
 Dependant Function…cont
 Nurse may have occasion to question the advisability
of putting the doctor’s order into action.
 Questioning the physician order doesn’t mean that the
nurse countermands the order. It means seeking
clarification for safety of patient.
 If you deem an order written by the physician and
administer it without thoughtful contemplation, you
may cause harm to your patient.
 You -as a nurse or student nurse- are obliged to bring
knowledge, skill competence to all aspects of patient
care.
 Independent Function
 The independent functions of nurse are
related to three factors:
 The limitation as defined in the nurse
practice act.
 The level of competence achieved as a
nurse practitioner
 What is deemed prudent and safe nursing
according to local regulation?
 Example of Independent Functions
 Supervision of patients (as a whole) management care-
bio psycho social and spiritual).
 Observation of symptoms and reactions (physical and
mental).
 Accurate recording and reporting (facts and evaluation).
 Supervision of nursing personnel and coordination of
others (contributions).
 Application of nursing procedures and techniques.
 Direction and education to secure physical and mental
care for patient.
 The Professional Nurse
 The role of professional nurse can be seen in:-
 Providing skilled nursing care in hospital and
community, performing complex functions requiring
specific skill and judgment (assessment, diagnoses,
plan, implementation, and evaluation).
 Maintain collaborative relationship with the physician
and other health workers and coordinating nursing care
plan with medical care plan.
 Observing assessing and reporting effects of therapy
making changes in nursing regime if indicates.
 The Professional Nurse…cont
 Interpreting and demonstrating skills of nursing
care to others requiring this service.
 Initiating changes in nursing care plan based on
understanding of principals and assessment of
advances in medical and social sciences.
 Recognizing and using health practice, utilizing
opportunity to teach the patient and the family
about health problem.
 Performing to the level of team leader at the
beginning, and by experiences and higher
education may progress to positions of
administration, teaching, consultation and
research.
 The Professional Nurse…cont
 Recognizing the extent need of patient for
personal counseling and maintaining a relation
with him that provide support and security
without losing him his identity and not violating
his privacy.
 Participating with member of allied profession,
other professionals and community groups in
solving health problems of community.
 Understanding and fulfilling the historic role of
nursing.
 The Code for Professional Nurse
 The nurse provides service with respect for
dignity of man, unrestricted by considerations of
nationality, race creed, color, or status.
 The nurse safeguards individual’s right to
privacy by judiciously protecting information of
confidential nature, sharing only that
information relevant to his care.
 The nurse maintains individual competence in
nursing practice, recognizing and accepting
responsibility for individual action and
judgment.
The Code for Professional Nurse…cont
 The nurse acts to safeguard the patient when his
care and safety are affected by incompetent,
unethical, or illegal conduct of any person.
 The nurse uses individual competence as
criterion in accepting delegated responsibility
and assigning nursing activities to others.
 The nurse participates in research activities
when assured that the rights of individual
subjects are protected.
 The Code for Professional Nurse…cont
 The nurse participates in the efforts of the profession to
define and upgrade standards of nursing practice and
education.
 The nurse participates in establishing and maintaining
conditions of employment conductive to high quality
nursing care.
 The nurse work with members of health professions and
other citizens in promoting efforts to meet health needs
of the public.
 The nurse refuses to give or imply endorsement to
advertising, promoting, or sale for commercial products,
services, or enterprises.
 Thank you
Abu Al Hassan