Foundations of Professional Nursing

Integrates the science of self-care with other nursing and multidisciplinary perspectives

This is the first text for the Professional Nursing Practice course in RN to BSN curriculum to present a conceptual framework for contemporary nursing practice based on the science of self-care that also incorporates other nursing and multidisciplinary perspectives. Built upon the premise that nursing is both a caring and a knowledge-based profession, this cutting-edge text illustrates how to attain and integrate knowledge from nursing theory and theories of related disciplines to achieve optimal evidence-based nursing practice. Using case studies to demonstrate the relationship between nursing theory and practice, the text underscores the importance of having a deep understanding and conceptual model of the unique role of nursing in society and its practice domain.

The text instills a foundational understanding of the science of self-care and its contribution to contemporary nursing. It describes how this paradigm is gaining recognition as an effective anti-burnout strategy and demonstrates how it can be applied. Case examples from a variety of clinical situations integrated with nursing theory demonstrate the variables needed to achieve optimal nursing practice. The book illustrates what data to collect, how to analyze that data, how to design and implement intervention strategies, and how to determine their effectiveness. Key concept boxes, measurable objectives with critical thinking questions, and learning activities reinforce content. Additionally, more complex cases included at the end of the text and frequent links to nursing literature provide fodder for more in-depth analysis.

Key Features:

• Provides an integrative model for nursing practice based on self-care that is useful in all clinical settings

• Illustrates how to attain and integrate knowledge from the science of self-care with other nursing theories

• Demonstrates the relationship between theory and practice through case studies

• Introduces students to the importance of recording and analyzing data to achieve evidence-based practice

• Includes measurable objectives with review questions at the end of chapters and many other pedagogical features

TABLE OF CONTENTS

PREFACE

PROLOGUE

PART ONE: THE WORLD OF THE NURSE

CHAPTER ONE: NURSING: PROFESSION AND DISCIPLINE

Profession

Change

The evolution of care/caring

Evolution and change in nursing and health care

Globalization

Complexity

Discipline

The discipline of nursing: Developing through research and science

The structure of the discipline

CHAPTER TWO: HEALTH, WELL-BEING AND SELF-CARE

Evolution of the concept of health

Contemporary views of health and well-being

Health

Well-being

Self-Care

Self-Care and Nursing

CHAPTER THREE: THINKING AND DOING NURSING

The object and purposes of nursing

Doing nursing: the subject of nursing

Thinking nursing

The Human Person

Speaking nursing

CHAPTER FOUR: THE NURSING SYSTEM

Action systems

Systems theory

Nursing Systems

Nursing agency

Nursing as helping

Dimensions of the nursing system

Patient centered care

PART TWO: NURSING PRACTICE

CHAPTER FIVE: CONDITIONING FACTORS AND HEALTH-RELATED SELF-CARE

Basic conditioning factors

Gender

Health state and health care system factors

Conditions and patterns of living

Family system factors

Personal sociocultural factors

Educational system factors

Resources

Developmental state and developmental system factors

CHAPTER SIX: THE “WHY” OF SELF-CARE: Determining the self-care demand

Defining self-care demand

Universal self-care requisites

Developmental self-care requisites

Health deviation self-care requisites

Describing the therapeutic self-care demand

Clinical example: the therapeutic self-care demand for a person with heart failure

CHAPTER SEVEN: THE “HOW” OF SELF-CARE: Self-care agency

Overview of the capability for engaging in self-care

Action theory and understanding self-care agency

Self-care operations and related capabilities

Foundational capabilities, dispositions and deliberate action

The power components for self-care

The structure of self-care agency: a tool for understanding self-care practices

CHAPTER EIGHT: NURSING PRACTICE OPERATIONS: from diagnosis to designing the nursing system

Nursing practice operations

The theory of self-care deficit

Self-care limitations

Overview of diagnosis and prescription

The diagnostic process and related questions

Case example

Design: a core professional operation

Example of a nursing system

CHAPTER NINE: PRODUCTION AND CONTROL OPERATIONS AND EVIDENCE BASED PRACTICE

Production and control operations

Professional nurse as caregiver

Performing as skilled expert

Appropriate caring

Age and developmentally appropriate care

Culturally appropriate care

Medical definition of appropriate care

Appropriate level of care

Professional nurse as manager

Interdisciplinary cooperation

Care coordination

Organizational responsibilities and related responsibilities of professional nurse

Recording system

Integrating nursing components into the data bank

Data elements and outcome measurements

Defining a population

Utility of population descriptions utilizing variables of concern to nursing

The data bank, standards of practice and measuring outcomes

Performance review guidelines

PART THREE: BEYOND THE SELF

CHAPTER TEN: THE DEPENDENT-CARE SYSTEM

Dyads are complex systems

Dependent and collaborative care

Importance of caring for self while caring for other

Collaborative Self-Care

Dependent care systems

Parenting and dependent-care for an ill child

CHAPTER ELEVEN: MEANING OF FAMILY IN NURSING

General constructs related to family

Family and nursing

Family as system

Family as basic conditioning factor

Family unit as focus of nursing care

Family and self-care

CHAPTER TWELVE: NURSING AND COMMUNITY

The community as system

Level of systems and community based nursing

Data collection and analysis

What is?

What should be?

Achieving what should be

Community as place of nursing services

Community as unit of service: population health

Conceptual models associated with population health

Conceptual model of nursing practice and population health (Fawcett & Ellenbecker)

Integrated model of population health and health promotion ( Government of Canada)

Nursing agency and population health

Collecting data to inform population health policies and strategies

CHAPTER THIRTEEN: ETHICAL AND LEGAL FOUNDATIONS FOR NURSING

The conduct of nurses

Decision-making in nursing

Nursing and law

Some basic legal concepts

Self-regulation: The National Council of State Boards of Nursing

Ethics and nurses

Ethics of caring

Codes of ethics

Ethical decision making

CHAPTER FOURTEEN: CARE OF THE SELF: a nursing imperative

Nursing agency

Nurses’ self-care

Stress in nursing

Types of occupational stress

Effects of nurses’ stress on patients

Effects of nurses’ stress on organizations

Organizational strategies to reduce stress/burnout

PART IV: CLINICAL SITUATIONS

Instances of nursing practice representing a variety of clinical cases/settings including:

- Individual as focus of concern

- Dependent-care situation

- Family situation

-Population

-Supportive-developmental-educational nursing system

-Partly compensatory nursing system

-Wholly compensatory nursing system