RNSG 1413: Foundations for Nursing Practice

Module 1: Nursing as a Profession & Member of the Health Care Team

Module Objectives:

Upon completion of this module the student will be able to:

Chapter 1 The Nursing Profession

  1. Compare the American Nurse's Association's (ANA) definition of nursing to NANDA's definition of nursing.
    • NANDA: Nursing is the diagnosis and treatment of actual and potential responses to health problems/situations.
    • ANA: Nursing is the protection, promotion, and optimization 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 populations.
  2. Identify the characteristics that make nursing a profession.
  3. Discuss the major historical factors affecting the development of contemporary nursing.
  4. Describe the educational pathways into professional nursing practice (registered nurse):
    • Diploma
    • Associate degree
    • Baccalaureate degree
    • Masters degree
    • Doctoral degree
  5. Discuss the roles and functions of professional organizations: ANA, TNA, NSNA, NOADN, TOADN, ICN, and NLN.
  6. Identify various specialty nursing organizations.
  7. Define the various roles of the professional nurse:
    • care giver
    • teacher
    • communicator
    • manager
    • leader
    • advocate
    • researcher
    • critical thinker
    • Rehabilitator
  8. List the elements of the ANA standards of care and standards of professional practice (see appendix in Harkreader).

Chapter 4 The Health Care Delivery System

  1. Differentiate among the four types of health care services: (chapter 4)
    • health promotion & illness prevention
    • diagnosis & treatment
    • rehabilitation
    • supportive care
  2. Identify the roles and functions of the health care team.
    • What is the focus for registered nurses? How is that different from the practice of medicine?
    • What is the difference between technologist and technician?
    • What is the difference between nurse practitioner and physician's assistant?
    • What is the difference in a social worker and nurses? What roles overlap?
  3. Define the different types of health care settings:
    • Inpatient
    • Outpatient
    • Community (out of hospital)
    • for profit
    • not for profit
    • non profit
  4. Define current influences on the health care delivery system:
    • managed care,
    • health maintenance organization,
    • preferred provider organization,
    • financing: Medicare, Medicaid, DRG, PPS, capitation.
  5. Describe the issues and opportunities in health care delivery.
    • health care for all
    • care of the elderly
  6. Discuss factors that influence the patient's entry into and use of the health care delivery system.
    • accessibility
    • availability

Chapter 14 Managing Client Care

  1. Identify the significance of a philosophy or mission statement in the function of a health care organization such as a hospital.
  2. Differentiate between a policy, procedure, and protocol.
  3. Identify the importance of The Joint Comission (TJC-- formerly JCAHO) to a health care organization.
  4. Discuss methods of managing quality of care in a health care organization.
  5. Describe the pros and cons of various patterns of work: primary nursing, functional nursing, and team nursing as a method of organizing the work on a nursing unit.
  6. Identify the purpose and elements of a change-of-shift report.
  7. Identify strategies for organizing your day for an 8 hour hospital shift.
  8. Describe the steps in effective delegation.
  9. Discuss Risk Management

Learning Activities:

Review module objectives.

Read:  Harkreader, H. and Hogan, M.A., and Thobaben, M. (2007) 3rd Edition. Fundamentals of Nursing: Caring and Clinical Judgment, St. Louis: Saunders-Elsevier.

  • Harkreader Second Edition: Chapter 1, 4, 14 (as needed to meet objectives)
  • Harkreader, Third Edition: Chapter 1, 4, 14 (as needed to meet objectives)

"What is Managed Care?"

Methods of Managing Care on a Nursing Unit

Learning Guide

Additional Resources (not required):

  • Want to see some fun pictures? Take a peek at nurses of the past at the University of Pennsylvania nursing history photo gallery

Complete module exercises:

Review module objectives and check for knowledge gaps.

Complete the module quizzes. Nursing Leaders and Nursing History