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The Profession of Nursing Section I of This Textbook Introduces the Begin- Ning Nursing Student to the Profession of Nursing

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The Profession of Nursing Section I of This Textbook Introduces the Begin- Ning Nursing Student to the Profession of Nursing © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION SECTION I The Profession of Nursing Section I of this textbook introduces the begin- ning nursing student to the profession of nursing. The content in this textbook is built on the Institute of Medicine (IOM) core competencies for healthcare professions. Chapter 1 discusses the development and history of nursing and what it means for nursing to be a profession. The chapter concludes by discussing some issues that nursing students encounter as they enter a professional education program. Chapter 2 discusses the essence of nursing; it focuses on the need for knowledge and caring and how nursing students develop throughout the nursing education program to be knowledgeable, com- petent, and caring. Chapter 3 addresses the critical issue of the image of nursing—an image that is not always clear and not always positive. Chapter 4 examines nursing education (which is complex), accreditation of nursing educa- tion programs, and regulation of the practice of nursing. 9298 46066_CH01_6031.indd 1 10/14/11 2:14 PM © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 9298 46066_CH01_6031.indd 2 10/14/11 2:14 PM © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION CHAPTER 1 The Development of Professional Nursing: History, the Profession, and the Nursing Education Experience CHAPTER OBJECTIVES At the conclusion of this chapter, the learner will be able to: ■■ Identify key figures and events in nursing history ■■ Explain the relevance of standards to the nursing ■■ Discuss critical nursing history themes within the profession sociopolitical context of the time ■■ Discuss the development and roles of nursing ■■ Compare and contrast critical professional associations concepts ■■ Describe the roles of the nursing student and faculty ■■ Examine professionalism in nursing ■■ Apply tools for success in a nursing education program CHAPTER OUTLINE ■■ Introduction ■■ Roles of the Student and the Faculty ■■ From Past to Present: Nursing History ■■ Tools for Success ■■ From Paternalism to Professionalism: Movement ■■ Time Management From Trained Assistants With Religious Ties to Highly ■■ Study Skills Educated Individuals ■■ Networking and Mentoring ■■ Nurse Leaders: History in the Making ■■ Nursing Education: Different Teaching and Learning ■■ Florence Nightingale Approaches ■■ The History Surrounding the Development of Nursing ■■ Clinical Laboratory and Simulation Learning as a Profession ■■ Clinical Experiences ■■ Themes: Looking Into the Nursing Profession’s History ■■ Caring for Self ■■ Professionalism: Critical Professional Concepts ■■ Conclusion ■■ Nursing as a Profession ■■ Discussion Questions ■■ Sources of Professional Direction ■■ Critical Thinking Activities ■■ Nursing Associations ■■ Chapter Highlights ■■ Professional Association Activities ■■ Linking to the internet ■■ Major Nursing Associations ■■ Case Study ■■ Why Belong to a Nursing Association? ■■ Words of Wisdom ■■ Your Pursuit of a Profession: Making the Most of Your ■■ References Educational Experience to Reach Graduation and Licensure 3 9298 46066_CH01_6031.indd 3 10/14/11 2:14 PM © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 4 SECTION I The Profession of Nursing KEY TERMS Accountability Networking Simulation Autonomy Nursing Social policy statement Burnout Professionalism Standards Clinical experience Reality shock Stress Code of ethics Responsibility Stress management Mentor Scope of practice Time management Mentoring Introduction the future. It is important to remember that “nurs- ing is conceptualized as a practice discipline with This textbook presents an introduction to the a mandate from society to enhance the health and nursing profession and critical aspects of nursing well-being of humanity” (Shaw, 1993, p. 1654). But care and the delivery of health care. To begin the the past portrayal of nurses as handmaidens and journey to graduation and licensure, it is impor- assistants to physicians has its roots in the profes- tant to understand several aspects of the nursing sion’s religious beginnings. The following sections profession. What is professional nursing? How did examine the story of nursing and how it began. it develop? How can one prepare to be successful as a student, to graduate, and to obtain licensure and From Paternalism to Professionalism: then provide quality care? This chapter addresses Movement From Trained Assistants these questions. With Religious Ties to Highly Educated Individuals From Past to Present: The discipline of nursing slowly evolved from the Nursing History traditional role of women, apprenticeship, humani- tarian aims, religious ideals, intuition, common It is important for a student eager to provide patient sense, trial and error, theories, and research, as well care to learn about nursing history. Nursing’s his- as the multiple influences of medicine, technology, tory provides a framework for understanding how politics, war, economics, and feminism (Brooks & nursing is practiced today and the societal trends Kleine-Kracht, 1983; Gorenberg, 1983; Jacobs & that shape the profession. The characteristics of Huether, 1978; Keller, 1979; Kidd & Morrison, 1988; nursing as a profession and what nurses do today Lynaugh & Fagin, 1988; Perry, 1985). It is impos- have roots in the past, not only in the history of sible to provide a detailed history of nursing’s evolu- nursing but also of health care and society in gen- tion in one chapter, so only critical historic events eral. Today, health care is highly complex; diagno- will be discussed. sis methods and treatment have been developed to Writing about nursing history itself has an offer many opportunities for prevention, treatment, interesting history (Connolly, 2004). Historians and cures that did not exist even a few years ago. who wrote about nursing prior to the 1950s tended Understanding this growth process is part of this to be nurses, and they wrote for nurses. Though discussion; it helps us to appreciate where nursing nursing, throughout its history, has been inter- is today and may provide stimulus for changes in twined with social issues of the day, the early pub- 9298 46066_CH01_6031.indd 4 10/14/11 2:14 PM © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION ChapTEr 1 The Development of Professional Nursing 5 lications about nursing history did not link nursing including legislation at the state and national levels. to “the broader social, economic, and cultural con- Chapter 5 focuses on health policy and nursing. text in which events unfolded” (Connolly, 2004, p. Schools of nursing often highlight their own 10). There was greater emphasis on the “profession’s history for students, faculty, and visitors to the purity, discipline, and faith” (Connolly, 2004, p. 10). school. This might be done through exhibits about Part of the reason for this narrowed view of the the school’s history and, in some cases, a mini- history of nursing is that the discipline of history museum. This provides an opportunity to identify had limited, if any, contact with the nursing profes- how the school’s history has developed and how its sion. This began to change in the 1950s and 1960s, graduates have had an impact on the community when the scholarship of nursing history began to and the profession. The purpose of this chapter is grow, but very slowly. In the 1970s, one landmark to explore some of the broad issues of nursing his- publication, Hospitals, Paternalism, and the Role of tory, but this should not replace the history of each the Nurse (Ashley, 1976), addressed social issues school of nursing as the profession has developed. as an important aspect of nursing history. The key issue addressed was feminism in the society at large Nurse Leaders: History in the Making and its impact on nursing. As social history became Learning something about the people is one place to more important, there was increased exploration of begin. EXHIBIT 1–1 provides vignettes that describe nursing, its history, and influences on that history. the contributions of some nursing leaders. People, In addition, nursing is tied to political history today. however, do not operate in a vacuum, and neither For example, it is very difficult to understand cur- did the nurses highlighted in this exhibit. Many fac- rent healthcare delivery concerns without includ- tors influenced nurse leaders, such as their com- ing nursing (such as the impact of the nursing munities, the society, and the time in which they shortage). This all has an impact on health policy, practiced. EXHIBIT 1–1 A Glimpse Into the Contributions of Nurses This list does not represent all the important Linda Richards (1869) nursing leaders but does provide examples of the I was the first of five students to enroll in the New broad range of contributions and highlights specific England Hospital for Women and Children and the achievements. first to graduate. Upon graduation, I was fortunate Dorothea Dix (1840–1841) to obtain employment at the Bellevue Hospital in New York City. Here I created the first written re- I traveled the state of Massachusetts to call at- porting system, charting and maintaining individual tention to the present state of insane persons patient records. confined within this Commonwealth, in cages, stalls, pens! Chained, naked, beaten with rods, Clara Barton (1881) and lashed into obedience. Just by bettering the The need in America for an institution that is not conditions for these persons, I showed that mental selfish must originate
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