Tuesday, January 20, 2009

Chapter 2 Discussion: The Contemporary Image of Professional Nursing

The earliest Western image of nursing is that of patient advocate in 1900 B.C. Four thousand years later, what is nursing's highest priority advocacy role in contemporary society?

25 comments:

  1. At this point in history with so many people using the internet to get their health information it is vitally important that nurses act as educators. As an advocate for the patient we must provide information that is correct, precise and easily understood. By providing education we can alleviate fears and misconceptions and our patients will then have the ability to take an active role in their healing process.

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  2. There are many things which are influencing modern nursing.Among many new trends and changes emerging in nursing practice, holisticare have generated a good deal of interest for several years.It is important that despite all the concetration of technology nursing is not losing its focus on person centered integrated care.

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  3. Nursing's highest priority advocacy role in contemporary society is client’s safety. Due to that matter nurses supposed to be more politically active because 19% reported client’s death were directly related to low staffing hours. In a 2005 survey of licensed physicians the state of Massachusetts, 74% support the idea that minimal nurse-patient ratio supposed to be legislated for patient’s safety. I support this belief that there supposed to be a fixed maximum number of patients that nurse can have.

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  4. At this point nurses have found that their looks matter. At this point nurses highest priority is caring for their clients in every aspect starting with safety and ending with teacging and education. At this point patients are able to find imformation on their illness just a click away.so nurses should be able to educate their patients correclty.

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  5. The earliest Western image of nursing is that of patient advocate in 1900 B.C. Four thousand years later, nursing's highest priority/advocacy role in contemporary society hasn’t changed much, since it still is based upon patient care and treatment of illness. However, an important aspect that has changed is the way in which the profession is portrayed and the amount of respect it is regarded with. Many medical errors gave nursing a not so good image and in 1905 BC, Judeo-Christian heritage portrayed nurses as untrained servants, soldiers, and women of religious orders. Victorian England had a similar portrayal-untrained caregivers, etc. Florence Nightingale changed society’s view of the nurse to one of dignity and value and worthy of respect. In addition, nurses are more often then not thought to be a female profession. Therefore, the main change in four thousand years of nursing is the stereotype of a nurse and the advancements in medical care.

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  6. The highest priority advocacy role in contemporary society is to convey knowledge as well as quality health care to our patients. In contemporary society, nursing is not just about caring for the patient but doing so with research and science. Evidenced base practice is the evolution of contemporary society nursing.

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  7. Nursing's highest priority advocacy in contemporary society is establishing that nursing is a profession, not just about caring and advocating for patients. In order to get recognized as a profession we must take into account what a profession is. A profession has it's own body of knowledge, members are able to have autonomy, and it is based on scientific knowledge.

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  8. The highest priority advocacy in contemporary society is to provide safe, efficient, and economical care to are patient. Even though, view of society falsely destroyed and stereotyped nurses, a new image of professionalism was recognize.

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  9. Nursing then and now, historically, nursing was a profession people in the past did wthout expecting anything back. In the case of Florence Nightingale who serve with all that she has without expecting anything in return. Today lots of nurses work extra shift to help, though they were paid for the service, but still the heart of helping others is the key. In the conterary, nursing is not just taking cring but the love one shows while rendering the service.The issue of racism, sexism, and sometimes disgrace nurses get from patient and family is been in the past and till today.Coping with all this make nursing a very dynamic profeession.

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  10. The nursing priority in those days is to stand as an advocacy for the patients.They stand as the intermediary between the doctors, management and the patients. As of today,they still perform all those duties including been a teeacher, educator, but new technology has made nurses to be a reseacheras well, which help patients in finding some answers to their various questions.The appearance of nurses today goes beyoung white dress and hat. the designed uniform and lab coat added a new face to the nursing of today as a professional.In contemporary, nurses of today alleviating and given hope to the society which they serve.

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  11. The nursing’s highest priority advocacy role in contemporary society is safety and illness care. As technology advances, society is growing older. The older the society becomes, the need for nurses is more prevalent. The nurses role as an advocate involves making sure patients receive the best quality care possible by preventing illness and promoting health.

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  12. In today's contemporary society, the highest priority advocacy role of nursing is to convey to the clients and public that nurses are expert clinicians who are able to interpret technical data in usable ways as well as coordinate and negotiate health care to provide the best quality of life to the clients.

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  13. The highest priority advocacy role in contemporary society today is privacy. The patient has the right for treatment of all health care and family information to be protected and confidential. The patient should always be kept safe and well informed regarding their individual treatment. “The 2002 HIPAA law mandates protection of an individual’s privacy by health care providers and throughout society, which has changed many previously careless and harmful practices” (Cherry/Jacob, pg. 56).

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  14. Today’s nurse is more than ever the conduit of care, and focus more than ever on the patient care. Virginia Henderson was one of the first modern nurses to define nursing, “The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will, or knowledge, and to do this in such a way as to help him gain independence as rapidly as possible” (Henderson, 1966, p.3). A desired goal of nursing is professionalism, which necessitates specialized education; a unique body of knowledge, including specific skills and abilities; ongoing research; a code of ethics; autonomy; a service orientation; and a professional organization.

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  15. Well, it looks like”Shiphrah and Puah of 2009” has more complex challenges than were in Egypt 1900 B.C. In Egypt they advocate for baby boys today nurses as a first importance got to advocate for nurses, so their job can be done in right way.
    This logic makes sense for me. Like a nursing mother first need to feed herself to be strong in order to raise strong kids. It goes with her identity that she is a provider. Nurses think about own strengths, identity and weaknesses to be improved. Nurses feel responsible to not allow anybody to define them. They are capable and equipped to define themselves. “Nursing is not jut a caring, but a profession based on science, and the nurse is a knowledge worker”- that is the highest priority advocacy role in contemporary nursing. Why it is priority? Nursing image is distorted by media, lack of co working willingness in care team, job dissatisfaction due to shortage of stuffing and increase patient/ nurse ratio, high error accuracy –all of these factors presses on image of nursing today.
    The way it can be done- according to Toni Bargagliotti; it is to protest when media negatively portrait nurses (Center for Nursing Advocacy- established in 2001). It is to work out through ANA to demand sufficient stuffing. It is to improve nurse-physician interaction, act professionally, look professionally (“tattoos do not enhance professional look”), and celebrate saved life. In addition it is to use nurses’ authority to supervise assistive personnel to be sure that care deliver is excellent, valuing role of nursing, caring and adding the role of business person, researcher, policy maker, legislator. To advocate for nursing profession it is to guard the image of nursing in self and colleagues on daily basis.In other word it is to be makers of the circumstances’ not the victims of the circumstances’ -paraphrasing G. B Show (“People are always blaming circumstances for what they are. I do not believe in circumstances. The people who get on in theirs world are the people who get up and look for the circumstances they want, and if they can’t find them, make them.”)

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  16. The historical aspects of nursing have lead to increased knowledge of nursing care, patient care, teaching, and technology that is used today. For instance, in Early Civilization they were the first to use the concept of suture in repairing wounds. Today the concept still is used but has advanced due to trial and error. Egyptians developed the calendar and writing which is used in our everyday lives on and off the job. Calendars are essential for reminders of scheduled appointments, birthdays, holidays, etc. In the middle ages according to contemporary Nurses, Issues, Trends, and Management page 9, physicians spent most timed translating medical essays and provided little medical care. Today the physician doesn’t spend as much time with the patient it is the nurse who reports to the doctor the s/s of the patient. In the past poorly trained barbers who lacked formal education performed surgery. Today to perform a surgery a number of years has to be invested with schooling to perform surgery. In conclusion the history aspects of the past with trial and error have lead to improvement for today.

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  17. The highest priority advocacy role is showing what nursing truly is. It is not just about caring. It is a science that we as nurses should show daily and when asked explained with compassion. We should be acknowledged as knowledge workers who require education to do work that requires jugdement, judgement of human lives and financal cost. We uphold every aspect of our patients life not only while hospitalized but everyday living.

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  18. I believe that the highest priority advocacy role is educating the patient about his/her disease and educating the patient how to live life to fullest potential with quality and respectable nursing care. The client must feel secure and trust the person giving them optiumum care. If the client does not feel confident in your knowlegde as an advocater, it will be likely that the medical regimen will not be followed. Thus, nures should be knowlegdable and confident in the care of nursing.

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  19. The higest priority for nursing in the twentieth century, is knowledge base nursing along with patient care. For the 21st century we as nurses, have to have a lot of knowledge and science ethics based concepts, along with practice to be able to perform safe, and effectivly for our patients.

    Another difference from previous centuries is that today's world not just any worker can be nurse there are many test, councils, associtations and alumni's that we have to show our integrity to as an R.N.!!!

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  20. 2. Nursing’s highest priority advocacy role in contemporary society is client centered care. As a nurse and also an advocate, educator and a provider of care: it is vital that our care is solely based on the patient, not allowing our own values and beliefs to interfere with our care.
    Holistic care is also a priority whereby we can be taking care of the body we must include the mind and soul.

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  21. The highest priority advocacy role of nurses in todays world should be safety. We, as nurses should strive to ensure the safety of our patients. With different technologies on the rise, nurses should ensure accuracy of devices, rather than rely on them. Physicians are able to make plan of care without physical assessment (based on report only) and sign them digitally. Nurses should advocate for patient's safety by carefully reviewing the plan, and questioning what is not clear or seem inappropriate for the client.

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  22. The highest and one of the most significant advocacy roles for the nurse nowadays is that of patient safety and welfare. Even though nursing care may have transformed over-time, a unique feature of nursing is that its basis is derived around patient-centered care. This envelopes many other sub-categories but being an advocate a role in which all nurses are expected to accept, the nurse is obligated to have the patient's best interest at heart. Therefore, in advocating for a patient, the nurse is always required to have the patient's safety and welfare prioritized.

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  23. I believe that the highest advocacy role is putting the patient first. The nurse should always protect her patient and make sure that the patients rights are not being violated. This includes the right for privacy with HIPAA, the right to know who are her caregivers whether they are student nurses or medical student,and the right to be informed about medical treatment.

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  24. Nursing's highest priority advocacy role in contemporary society today would happen to be that of research. Nursing research worldwide is committed to rigorous scientific inquiry that provides a significant body of knowledge to advance nursing practice, shape health policy, and impact the health of people in all countries. Nurse researchers bring a holistic perspective to studying individuals, families, and communities involving a wide approach. Nursing research provides the scientific basis for the practice of the profession. Using multiple philosophical and theory-based approaches as well as diverse methods, nursing research focuses on the understanding of the symptoms of acute and chronic illness and prevention or delayed onset of disease or disability. The priorities for nursing research reflect nursing's commitment to the promotion of health and healthy lifestyles, the advancement of quality and excellence in health care, and the critical importance of basing professional nursing practice on research.

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  25. Nursing's highest priority advocacy role would be to put the patient's well being first. It is our duty to keep the patient safe, provide excellent quality of care, patient teaching especially to help them understand therapies prescribed to adhere to compliance (example: treatment for hypertension) and health promotion to prevent and reduce illness.

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