Chapter 1: Introduction to Professional Nursing

ANA definition of nursing (5)

1. protects, promotes, and advances the clients health

2. averts illness and injury through health promotion

3. uses the nursing process to facilitate recovery

4. minimizes or eliminates suffering

5. advocates for the care and health of the client, family, or community

Nursing workforce size (fact sheet)

nursing is the nations largest healthcare profession

Median age of nurses (fat sheet)

50 years old

Nursing is becoming more racially diverse. True or False

true

Percent of nursing workforce that is male (fact sheet)

about 10.5 percent

Percent of nurses with a BSN or higher (fact sheet)

72.9 percent

Average nurse salary (fact sheet)

about 97,260 dollars per year, among the highest paying occupations

Projected RN employment growth 2024 to 2034 (fact sheet)

5 percent growth

Nurses _____ but does not ____ medicine or other fields

collaborate, assist

Definition of a profession (7)

specialized occupation that requires advanced education and intellectual training,
distinct body of knowledge grounded in research, serves the public,
follows a code of conduct (ANA Code of Ethics),
distinct professional culture,
governs itself through professional organizations, autonomous and accountable

Nursing Code of Ethics source

American Nurses Association Code of Ethics

What are the five pillars to nursing profession? top to bottom

self determination, policies and procedures, nurse practice act, scope and standards of practice, code of ethics

Self determination meaning (Nursing Profession)

responsibility of each individual to act professionally within their role as a nurse

Policies and Procedures (Nursing Profession)

governing rules and regulations established by institutions and organizations which direct nursing practice

Nurse Practice Act (Nursing Profession)

Rules and regulations which are determined by each state to guide the delivery of nursing care to clients

Scope and Standards of Practice (Nursing Practice)

explanatory statement that describes a competent level of nursing care and professionalism

Code of Ethics (Nursing Profession)

interpretive statements that address the values, clients obligations, and ideals of the nursing profession

Nursing roles (8)

care provider, case manager, change agent, educator, advocate, researcher, teacher, leader

Key competencies in nursing: the knowledge, attitudes, values, and skills nurses are expected to know to provide safe care (4)

advocacy, change management, communication, collaboration

Advocacy as a nursing competency

supports, protects, and promotes the rights, health, and safety of the client

Change management as a nursing competency

championing (support) improvements in client care, processes, and teamwork

Communication as a nursing competency

intentional listening, showing compassion, and demonstrating respect for individual clients, including understanding their needs, culture, beliefs, and health practices

Collaboration as a nursing competency

working with the interprofessional team to provide quality care

Future of Nursing Report (2011) education goal

at least 80 percent of nurses should hold a BSN by 2020

Future of Nursing Report 2011 doctoral goal

increase the number of nurses with doctoral degrees by 100 percent by 2020

Future of Nursing Report 2011 on APRNs

should be allowed to practice at the full scope recommended in each state

Future of Nursing Report 2011 on interprofessional collaboration

leadership roles in collaboration with other professionals for heath care improvement

Future of Nursing Report 2011 on Leadership

leadership roles in decisions about healthcare

Future of Nursing Report 2011 on Data n the workspace

create better systems for data collection

Future of Nursing Report 2011 on diversity in the workspace

hire individuals with diverse backgrounds to leadership positions

Progress the nursing profession has made (4)

more nurses have BSN and graduate education,
more racially and ethnically diverse,
representation of men is increasing,
nurses have expanded roles in advanced practice, leadership, research, and healthcare improvement

Challenges the next generation of nurses will inherit (4)

better reflecting the populations served,
responding to aging population and workforce,
meet the need for more nurses in primary care, public health, home care, and community settings,
leading healthcare improvement and advocacy

Goal of Healthy Nurse Healthy Nation 2017

promote healthy lifestyles for nurses and improve the health of US nurses, healthy nurses are role models

Healthy Nurse Healthy Nation 2017 initiatives (5)

increase physical activity,
improve quality of life,
obtain adequate rest,
improve nutrition (healthy eating),
increase nurse safety (professional and personal lives)

Nursing shortage expected duration: expected to continue until at least

2030

A large number of nurses retiring in the next… (Nursing Shortage)

10 to 15 years

Factors contributing to the nursing shortage: (5)

nurses retiring,
rising numbers of people with chronic illness,
a limited number of nursing faculty (limits the number of students who can enroll in the nursing program),
growth in the population over age 65,
high turnover due to burnout worsened by the COVID-19 pandemic

2024 National Nursing Workforce survey compared workforce between….

2022 and 2024

2024 National Nursing Workforce survey results of the workforce:

showing signs of stabilization after a large number of nurses left the workforce between 2022 and 2024, incomplete

Turnover definition

leaving a particular nursing job or employer, but not leaving the nursing profession altogether (changed specialties, reduced working hours)

Workforce exit definition

leaving nursing entirely

Burnout influence

strongly influenced by the nursing work environment (with lower rates in organizations with better staffing, supportive leadership, meaningful participation in decisions, and manageable workloads)

American Association of Critical Care Nurses (AACN)

Healthy Work Environment: Ring Diagram (3)

clinical excellence, optimal patient outcomes, healthy work environment

What are the Components of an HWE? (6)

skilled communication, true collaboration, effective decision making, appropriate staffing, meaningful recognition, authentic leadership

Bottom line on workforce retention: improving nurse retention requires changes in (5)

staffing, leadership, workload, professional autonomy, work environments (not simply asking nurses to be more resilient)

Other current healthcare issues: (8)

aging population, opioid epidemic, AI and digital transformation, health literacy, mental health, workplace violence, health inequity, rising healthcare costs

Predictions for the next 10 years are: (4)

ai assistant workflows, decentralize care, advanced practice roles, higher education

Predicted role of AI in nursing over the next 10 years: AI assistant workflows:

spend less time on administrative burdens, more time interpreting data and coordinating care, focusing on clinical judgment, patient education, and relationship-based care

Predicted role of AI in nursing over the next 10 years: Decentralize care

shift away from acute hospital settings toward community-based, telehealth, and remote patient monitoring (with an emphasis on prevention and chronic disease management)