History of nursing

1. HISTORY OF NURSING CODE OF ETHICS CODE OF CONDUCT AUTONOMY,ACCOUNTABILITY ASSRTIVENESS AND VISIBILITY BY Mr. SHON DAVIS 1 ST YEAR MSc NURSING MCON UNDER GUIDENCE OF: PROF.LT.COL.(RETD.)MRS.ROSY K.O H.O.D CHN MCON

2. A NURSE.. N – Nobility, Knowledge U - Usefulness, Understanding R – Righteousness, Responsibility S - Simplicity, Sympathy E - Efficiency, Equanimity

3. NURSING DEFINED Nursing is the unique function of the nurse, that is to assist the individual (sick or well) in the performance of those activities contributing to health or its recovery (or to a peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge.” - ICN

4. NURSING DEFINED According to ANA “ Nursing is the protection, and optimisation of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response and advocacy in the care of individuals, families, communities and population.”

5. HISTORY OF NURSING

6. HISTORY OF NURSING 300 AD Entry of women into nursing. 1633 -Sisters of Charity founded by Louise de Marillac -established the first educational program to be affiliated with a religious nursing order 1809 - Mother Elizabeth Seton introduced the Sisters of Charity into America, later known as the Daughters of Charity.

7. HISTORY OF NURSING CONT’D.. 1836 -Deaconess Institute of Kaiserwerth , Germany, founded -institute where Florence Nightingale received her initial education in nursing 1860 - establishment of the Nightingale Training School for Nurses at St. Thomas's Hospital in London, England -first organized program for training nurses

8. HISTORY OF NURSING CONT’D.. 1884 - Mary Snively assumed directorship of Toronto General Hospital and began to form the Canadian National Association of Trained Nurses -later became the Canadian Nurses Association 1890 - establishment of the Nurses' Associated Alumni of the United States and Canada - later became the American Nurses Association

9. HISTORY OF NURSING CONT’D.. 1901 - first university-affiliated nursing program -Army Nurse Corps established 1911 -formed American Nurses Association 1920 - graduate nurse-midwifery programs were established

10. HISTORY OF NURSING CONT’D.. 1926 - ANA Code of Ethics approved   1953 - National League for Nursing in collaboration with other universities, developed graduate nursing education

11. (12 May 1820 – 13 Aug 1910) Founded many Schools of Nursing with theoretical and practical basis in the care of the sick. First to stress on aseptic precautions while caring for the patient. Her favourite dictum  “Do the Patient no harm” FLORENCE NIGHTINGALE (The lady with the lamp)

12. NURSING IN INDIA 1664 the  East India Company  started a hospital for soldiers 1935 onwards- State-wise councils started developing 1947 - Indian Nursing Council (INC) Act passed by the Parliament Now India has 23 State Nursing Councils Colleges of Nursing started in Delhi (1946) and Vellore (1947 ) Nursing education in the country integrated into the system of higher education.

13. NURSING CODE OF ETHICS A code of ethics is a formal statement of a group’s ideals and values. It is a set of ethical principles that (a) Is shared by members of the group (b) Reflects their moral judgements over time (c) Serves as a standard for their professional actions.

14. THE ICN CODE OF ETHICS An international code of ethics for nurses was first adopted by the International Council of Nurses (ICN) in 1953 . 1. NURSES AND PEOPLE 2. NURSES AND PRACTICE 3. NURSES AND THE PROFESSION 4. NURSES AND CO-WORKERS

15. THE ICN CODE OF ETHICS,CONT’D.. 1 . NURSES AND PEOPLE The nurse’s primary professional responsibility is to people requiring nursing care. In providing care, the nurse promotes an environment in which the human rights, values, customs and spiritual beliefs of the individual, family and community are respected. The nurse ensures that the individual receives sufficient information on which to base consent for care and related treatment. The nurse holds in confidence personal information and uses judgement in sharing this information.

16. THE ICN CODE OF ETHICS,CONT’D.. 2. NURSES AND PRACTICE The nurse carries personal responsibility and accountability for nursing practice, and for maintaining competence by continual learning. The nurse maintains a standard of personal health such that the ability to provide care is not compromised. The nurse uses judgement regarding individual competence when accepting and delegating responsibility. The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence. The nurse, in providing care, ensures that use of technology and scientific advances are compatible with the safety, dignity and rights of people.

17. THE ICN CODE OF ETHICS,CONT’D.. 3. NURSES AND THE PROFESSION The nurse assumes the major role in determining and implementing acceptable standards of clinical nursing practice, management, research and education. The nurse is active in developing a core of research-based professional knowledge. The nurse, acting through the professional organisation, participates in creating and maintaining safe, equitable social and economic working conditions in nursing.

18. THE ICN CODE OF ETHICS,CONT’D.. 4 . NURSES AND CO-WORKERS The nurse sustains a co-operative relationship with co-workers in nursing and other fields. The nurse takes appropriate action to safeguard individuals, families and communities when their health is endangered by a co-worker or any other person.

19. THE ANA CODE OF ETHICS 1. The nurse, in all professional relationships, practices with compassion and respect. 2. The nurse’s primary commitment is to the patient. 3. The nurse promotes, advocates for the rights of the patient. 4. The nurse is responsible and accountable for individual nursing practice . 5. The nurse owes the same duties to self as to others. 6 . The nurse participates in establishing values of the profession . 7. The nurse participates in the advancement of the profession. 8. The nurse collaborates with others to meet health needs . 9.Associations and their members are responsible for the articulating of nursing values.

20. CODES OF PROFESSIONAL CONDUCT FOR NURSES: 1.Professional responsibility and accountability 2. Nursing practice 3. Communication and interpersonal relationship 4. Valuing human being 5. Management 6. Professional advancement

21. AUTONOMY Autonomy means that individuals are able to act for themselves to the level of their capacity. It is the right of individuals, governing their actions according to their own purpose and reason. Professional nurse autonomy is defined as belief in the centrality of the client when making responsible discretionary decisions, both independently and interdependently, that reflect advocacy for the client.

22. ACCOUNTABLITY According to Sullivan and Deekan , “accountability is being responsible for ones actions and accepting the consequences of one’s behaviour”. Accountable to whom? Your patients, through a duty of care Your employer, as defined by your contract of employment and job description; Your profession, as stated in the relevant codes of conduct The public

23. ACCOUNTABILITY OF NURSING PERSONNEL Nurses are accountable for; Providing safe and therapeutic environment for the patients. Delivering component and personalized care. Maintaining adequate supplies of materials and equipments for smooth functioning of ward. Maintaining accurate and up-to-date records and reports. Protecting client’s legal rights and privacy. Maintaining good interpersonal relationships. Working within ethical and legal boundaries. Delegating responsibility appropriately. Contributing to the development of profession.

24. ASSERTIVENESS

25. ASSERTIVENESS Assertiveness is a style of behaviour to interact with people while standing up for your rights. It is a tool for expressing ourselves confidently and a way of saying yes and no in an appropriate way. BENEFITS: 1. Helps to create healthy and meaningful relations. 2. Less friction and conflicts. 3. Enhances the self esteem. 4. Increases the productivity. 5. Improves emotional and physical health. 6. Lessen the stress at work.

26. A-S-E-R-T MODEL

27. TECHNIQUES FOR BEING ASSERTIVE: Identify the personal needs, wants and rights. Identify the situation. Always be direct. Own the message promptly. Avoid assumptions about others feelings. Ask for feedbacks. Stop apologising all the time. Learn to take a compliment. Evaluate your expectation. Act confident in all situations. Feel free to say no according to situation.

28. VISIBILITY OF NURSES

29. VISIBILITY The word visibility means capacity of providing a clear unobstructed view. Although nurses comprise the majority of healthcare professionals, they are largely invisible. The public views of nursing and nurses are typically based on personal experiences with nurses, which can lead to a narrow view of a nurse often based only on a brief personal experience. Profession needs to be more concerned about visibility because nursing is struggling to attract qualified students and keep current nurses in practice .

30. STEPS TO IMPROVE THE VISIBILITY Nurses Week is used as an opportunity to recognize nurses in practice and to advertise the profession of nursing, increasing its visibility and portraying a positive image. During Nurses’ Week, healthcare organizations typically hold special celebrations to honour nurses, and announce via the media. Attract more men in to nursing profession. Give out awards for leadership and other accomplishments in nursing Uphold the professional dignity. Ensure active participation in society, i.e. by involvement through rescue mission in natural calamities like flood, storm etc.