1. 1 Today’s Agenda Welcome and introductions Completion of demographic cards Review of course documents –Course outline –Content outline –Addendum –Reading list –Fact sheet Nursing unit tour of facilities Survey of students needs Introduction to web-based servicesweb-based services Lecture and activities

2. 2 Demographic card Name______________________ Contact Number_____________ BY 44 completed Y/N NR23 completed Y/N Professional experience Setting # of years Additional education Currently employed Y/N Demographic card

3. 3 Survey of students needs Take a few moments to identify what your priority is in developing skills to survive nursing school Results will be reported at the next lecture session

4. 4 NR 10 course webpage

5. 5 Nursing department policies Student handbook Everything you wanted to know about the nursing program but were afraid to ask –Program policies –Procedures Faculty information –Office hours –Faculty handbook

6. 6 LPN to RN Transition Course Professional Behaviors

7. 7 Unit Objectives I.Compare and contrast differences in role responsibility/ accountability of the PN and the RN II.Explain the role ambiguities and conflicts, which might interfere with the return to student role.

8. 8 What does it mean to be a registered nurse? Where have we been and where are we headed? Envisioning the future of nursing…..

9. 9 Professional Role and Responsibility. Evolution Of Nursing –Ancient origins –Multiple changes in direction –Impact of Nightingale Researcher Position on education –licensure

10. 10 Nightingale's Principles For The Education Of Nurses (table 4-2) Nursing is an art and science. Student must be taught to treat the patient as a total human being, not a disease and there must be compassion and empathy for each person Emphasis must be on education not service (school should be independent from hospital) Graduate nurses should always continue their education Nurses should be taught how to take care of the sick and must not do laundry, clean run errands…. Education for nurses should be a combination of theory and practice.

11. 11 Professional Role and Responsibility. Professionalization Of Nursing –Nurses Associated Alumnae of Canada and United States Evolved into ANA –American Nurses AssociationAmerican Nurses Association National professional organization –NLNNLN Accrediting body for nursing education that focuses on research and professional development –NYSNANYSNA Largest union

12. 12 Educational Pathways for Nursing Diploma — hospital based education and training of 2-3 years which awards a diploma certificate Associate Degree (ADN) — community/junior college education of 2-3 years which awards an associate degree Baccalaureate Degree (BSN) — university education of 4 years awarding a bachelor's degree Master's Degree (MS/MSN) — a 3-year program of study for an individual who already has a bachelor's degree in a field other than nursing.

13. 13 Professional Role and Responsibility. Educational Mobility –NYS task force http://www.lpntorn.info –RN to BSN A2480/S294 would require registered professional nurses (RNs) to attain bachelor’s degrees in nursing (BSN) within ten years of their initial licensure, while “grandfathering” nurses already in practice and nursing students already enrolled. Memorandum of SupportA2480/S294 Memorandum of Support –Assembly Higher Education Committee –Senate Higher Education Committee

14. 14 Emerging Expanded Roles Entry into practice Advanced practice

15. 15 What does it mean to be a registered nurse? What are the expectations of performance? Stepping into the RN’s shoes…

16. 16 Interrelated and Complimentary Roles (refer to Appendix 3) The Provider role –the nurse utilizes a systematic process –assists clients in meeting health care needs in a wide variety of settings –coordinates the care of clients using a multidisciplinary approach. The Manager role –the nurse optimizes resources to achieve desired outcomes for promotion of health in client populations. The Member of the Profession –the nurse is accountable for the ethical, legal, and professional dimensions of the practice of nursing.

17. 17 Review of Clinical Competencies Professional Behaviors Communication Assessment Clinical Decision Making Caring Intervention Teaching/Learning Collaboration Managing Care

18. 18 How are these competencies shaped? Professional organizations that contribute to defining competency –NLNNLN Established standards for nursing education – ANAANA Is the professional voice for competency Professional office responsible for monitoring competency –Office of the ProfessionsOffice of the Professions Is the NYS office that regulates nursing practice

19. 19 Theory in Practice example How would a nursing program integrates expectations of competence? –Definitions –Clinical competencies according to level Core Component Tutorial How does the student perceive direction?

20. 20 Review Study Care plan