Under supervision / Dr maha prepared by Shaimaa Taher Samah Mohamed Asmaa Ahmed
OUTLINES: • Introduction. • Definition of scope of nursing practice. • Types of clients. • Areas of nursing practice. • Nursing activities. • Settings of nursing. • Standards of nursing practice. • Role of the nurse.
INTRODUCTION: Scope of practice describes the services that a qualified health professional is deemed competent to perform, and permitted to undertake – in keeping with the terms of their professional license. The Nursing Scope and Standards of Practice describe the “who,” “what,” “where,” “when,” “why,” and “how” of nursing practice.
DEFINITION: Scope of Practice refers to range of roles, function, responsibilities and activities, which a nurse is educated, component and has the authority to Perform TYPES OF CLIENTS: Nurses Provide Care for Three Type of Client; Nurses Provide Care for Three Type of Client Individual ,Families and Communities
AREAS OF NURSING PRACTICE: 1. Promotion of health and wellness 2. Preventing illness 3. Restoring heath 4. Care of the dying
1-HEATH PROMOTING AND WELLNESS Heath promoting : it’s the science and art of helping people change their life style toward optimal heath and enjoy life to the fullest associated with wellness behaviour rather than disease preventive one Wellness : its active process of becoming aware of and making choice to ward more successful existence of heath.
Nursing activities: - Nurses promote wellness in client who are both healthy and ill The nurse should motivate individual and community to engage in healthy behavior and considering beliefs and experience of them to plan appropriate care and Education For Example: 1. Improving nutrition and physical fitness 2. Preventing drug and alcohol misuse 3. Restricting smoking 4. preventing accidents and injury in the home and work place
2-PREVENTING ILLNESS: The goal is providing specific protection against disease to prevent it occurrence and to maintain optimal heath Nursing activities: 1.Immunization 2.Prenatal and infant care 3.Prevent of sexually disease
3-RESTORING HEALTH: Focuses on the ill client and it extends from early detection of disease through helping the client during the recovery period. Nursing activities: - 1) Providing direct care to ill person, such as administrating medication, baths, and specific procedure and treatment. 2) Performing diagnostic and assessment procedure (screening) such as measuring blood pressure and examining feces for occult blood.
3) Teaching client about recovery activities to minimize disease effect and prevent further disability These activities are exercise that will accelerate recovery after stroke 4) Rehabilitating is the process that achieves adaptation with heath condition and prevent dysfunction.
4-CARE OF DYING: This area of nursing practice involves, comforting and caring of people of all ages who are dying it include helping clients live as comfortably as possible until death and helping support cope with death
Health care setting for nursing * In the past the acute care hospital was the main practice setting open to most nurses. Today many nurses work in hospitals, but increasingly they work in client's homes, community agencies, ambulatory clinics, long- term care health maintenance organization and nursing practice centres .
Role of nurse: Nurses have different degree of nursing autonomy and nursing responsibility in The various setting . They may provide direct care ,teach client and support persons ,serve as: nursing advocates and agents of change ,and help determine heath policies affecting Consumers in the community and in hospitals.
DIFFERENT ROLES OF NURSE: - • Caregiver • Decision maker • Communicator • Manager of Care • Patient Advocate • Educator
Nurse as Caregiver The caregiver role has traditionally included those activities that assist the client physically and psychologically while preserving the client’s dignity. Caregiving encompasses the physical, psychosocial, developmental, cultural and spiritual levels
Nurse as counselor Counseling is a process of helping a client to recognize and cope with stressful psychologic or social problems, to developed improved interpersonal relationships, and to promote personal growth. It involves providing emotional, intellectual, and psychologic support.
Nurse as decision makers Nurses play an important role in patient's decision-making. ... This position employs health care professionals to help guide patients through the health care system, assisting them to better understand their medical treatment options and even explain insurance.
Standards of clinical nursing practice: - - Establishing and implementing standards of practice are major of a professional organization. The standard: - Reflect the values and priorities of the nursing profession. - Provide direction for professional nursing practice. - Define the professions accountability to the public and client outcome for which nurses are responsible. - Provide a framework for the evaluation of nursing practice
STANDARDS OF NURSING PRACTICE : - Assessment ; the nurse collects patient heath data. • Diagnosis ; the nurse analyses the assessment data in determining diagnosis. • Outcome identification ; The nurse identifies expected outcomes individualized to the patient. • Planning ; the nurse develops a plan of care that prescribes intervention to attain expected outcomes. • Implementation ; the nurse implements the interventions identified in the plan of care. • Evaluation ; the nurse evaluates the patients progress toward attainment of outcomes .