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University of Miami School of Nursing and
                           Health Studies
The faculty and staff commend
you on your commitment to
academic advancement. You
are entering into the role of a
professional nurse. As a
professional nurse you have
standards, codes of ethics and
regulations you must follow.
Let’s start by taking a look at
some definitions of nursing.
ANA's Definition of Nursing:
 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.


  The American Nurses Association(ANA) is an organization
  that represents registered nurses in the United States. The
  following website can be accessed
  for more detailed information.

  http://www.nursingworld.org/FunctionalMenuCategories/AboutANA
  .aspx
   Provision of a caring relationship that
    facilitates health and healing,

   Attention to the range of human experiences
    and responses to health and illness within the
    physical and social environments,

   Integration of objective data with knowledge
    gained from an appreciation of the patient or
    group's subjective experience,
   Application of scientific knowledge to the
    processes of diagnosis and treatment
    through the use of judgment and critical
    thinking,

   Advancement of professional nursing
    knowledge through scholarly inquiry, and

   Influence on social and public policy to
    promote social justice.
          Nursing's Social Policy Statement, Second Edition, 2003, p. 6 & Nursing: Scope
          and Standards of Practice, 2004, p. 7
While many definitions of the term “profession” exist most
Describe common characteristics that are considered essential.
These include:

   Educational Background-Systematic Theory- Research
   Adherence to the code of ethics
   Participation in the Professional Organizations
   Commitment to life long learning and competency
   Communication
   Autonomy- Self Regulation

Each of these characteristics will be explored in more detail.


Miller, B, Adams, D. & Beck, L (1993)
   Nursing practice is guided by a body of knowledge and
    skills. Nursing researchers utilize the scientific method
    to expand on the body of knowledge unique to the
    discipline of nursing. Contributions of major nurse
    theorists will be discussed in your courses. Nurses
    utilize a specific nomenclature and classification
    systems.

   These include :

    ◦ North American Nursing Diagnosis Association(NANDA)
    ◦ Nursing Interventions Classification (NIC)
    ◦ Nursing Outcomes Classification(NOC)

    These concepts will be taught in your courses.
The professional nurse adheres to a code of
ethics that has been developed to
address ethical issues . The American
Association of Nurses (ANA) Code of Ethics for
Nurses can be found at:

               Code of Ethics
A few specific considerations include:

1. Maintaining appropriate boundaries with
   peers, faculty, clients and their significant
   others.

2. Confidentiality must be maintained.
     Refrain from gossiping about clients, staff, other
      students or faculty. This is non – productive and
      unethical behavior . Concerns should be
      communicated to the appropriate individual.
 Maintain confidentiality for information
   regarding the client

 Do not remove any paperwork that could identify a
  client from the clinical area. For example you may
  not remove a laboratory report that has the clients
  name on it from the clinical area.

 Do not discuss clinical information in a non secured
  areas such as the elevator, Metro rail, cafeteria, etc.
Nurses are ethically and
legally accountable to
maintain confidentiality .
The Health Insurance
Portability and
Accountability Act of 1996
(HIPAA) Privacy and Security
Rules protects the privacy of
individually identifiable
health information. You will
be given additional
information regarding HIPAA
in your courses.
University of Miami Undergraduate Honor Code
 “This code has been established to protect the academic integrity
  of the University of Miami, to encourage consistent ethical
  behavior among undergraduate students, and to foster a climate
  of fair competition.”


 Examples of violations include: cheating, plagiarism, collusion,
  falsifying documents and other acts of academic dishonesty.



Please refer to the University of Miami Undergraduate Honor Code Policy for further
details.
   http://www6.miami.edu/dean-students/pdf/undergrad_honorcode.pdf
Professional nurses are encouraged to participate
in nursing organizations such as the American
Association of Nurses (ANA) and other specialty
groups based on a nurses interest. For example a
nurse who works in the intensive care setting may
choose to join the American Association of Critical
Care Nurses (AACN). For an extensive list of
nursing organizations please visit the website
listed below.

http://www.nurse.org/orgs.shtml
As a nursing student you will have the
opportunity to join an organization.
Below is a list of possible organizations
you can become active in as a nursing
student:

 National Student Nurses
  Organization
 National Black Nursing Student
  Association
 National Association of Hispanic
  Nurses
 The Honor Society of Nursing,
  Sigma Theta Tau International
Nurses strive to provide the best nursing care to clients to
promote wellness. In order to maintain excellence, a nurse
must commit to life long learning and competency. Life long
learning has been described as “a continuously supportive
process which stimulates and empowers individuals...to
acquire all the knowledge, values, skills and understanding
they will require throughout their lifetimes...and to
apply them with confidence, creativity, and enjoyment”

Commission for a Nation of Lifelong Learners(1997). “A Nation
Learning: Vision for the 21st Century” Washington, DC:
Nurses utilize a variety of
methods to achieve their
educational goals including:
attendance to seminars,
involvement in professional
organizations, obtaining
advance degrees, research
activities, subscriptions to
journals, and specialty
certification, collaboration with
other disciplines such as
medicine, occupational and
physical therapy.
 Utilizing effective goal oriented communication
is an essential competency for a nurse. You
will communicate with your student peers, faculty,
clients, clients families/significant others, nurses,
and other members of the health care team.

 Inadequate or poor communication among health
care providers has been associated with increased
errors that jeopardize patient safety.
 Utilizing the Chain of Command approach
when communicating is recommended to
provide for an organized method of
communication. This also allows the
opportunity for clarification and resolution of
issues.
:



     Example : Flow of communication



             Student                       Associate Dean
                              Faculty            for        Dean
             Concern
                             Teaching      Undergraduate
            Regarding                                       SONHS
                              Course
             Course                            Program




Please refer to the “Communication” learning
module for more detailed information.
Nurses are responsible for
planning, implementing and
evaluating the care of
clients/families/significant
others. While nurses are
often part of a
multidisciplinary team of
health care providers, nurses
have autonomy over their
practice.
 Remember you represent the University of
Miami School of Nursing and Health Studies(UMSONHS)
on campus and in the community. Your dress,
communication and overall presentation are a
reflection of UMSONHS and the future of nursing.

 Be on time to class. Not only is it disruptive to other
classmates and the faculty when students arrive late,
valuable information may be missed. Turn cell phones
off or to silence mode. Refrain from distracting
behavior such as talking and surfing the internet.
Be on time for your clinical
experiences. This includes
lab and simulation activities.
You are expected to
participate in change of shift
report at the beginning of
the clinical day. The client
depends on the nurse to be
there.
The faculty and staff at the University of Miami
School of Nursing and Health Studies support
your educational endeavor. We look forward to
the opportunity to facilitate the learning
process and your professional growth.

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Professional nursing

  • 1. University of Miami School of Nursing and Health Studies
  • 2. The faculty and staff commend you on your commitment to academic advancement. You are entering into the role of a professional nurse. As a professional nurse you have standards, codes of ethics and regulations you must follow. Let’s start by taking a look at some definitions of nursing.
  • 3. ANA's Definition of Nursing: 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. The American Nurses Association(ANA) is an organization that represents registered nurses in the United States. The following website can be accessed for more detailed information. http://www.nursingworld.org/FunctionalMenuCategories/AboutANA .aspx
  • 4. Provision of a caring relationship that facilitates health and healing,  Attention to the range of human experiences and responses to health and illness within the physical and social environments,  Integration of objective data with knowledge gained from an appreciation of the patient or group's subjective experience,
  • 5. Application of scientific knowledge to the processes of diagnosis and treatment through the use of judgment and critical thinking,  Advancement of professional nursing knowledge through scholarly inquiry, and  Influence on social and public policy to promote social justice. Nursing's Social Policy Statement, Second Edition, 2003, p. 6 & Nursing: Scope and Standards of Practice, 2004, p. 7
  • 6. While many definitions of the term “profession” exist most Describe common characteristics that are considered essential. These include:  Educational Background-Systematic Theory- Research  Adherence to the code of ethics  Participation in the Professional Organizations  Commitment to life long learning and competency  Communication  Autonomy- Self Regulation Each of these characteristics will be explored in more detail. Miller, B, Adams, D. & Beck, L (1993)
  • 7. Nursing practice is guided by a body of knowledge and skills. Nursing researchers utilize the scientific method to expand on the body of knowledge unique to the discipline of nursing. Contributions of major nurse theorists will be discussed in your courses. Nurses utilize a specific nomenclature and classification systems.  These include : ◦ North American Nursing Diagnosis Association(NANDA) ◦ Nursing Interventions Classification (NIC) ◦ Nursing Outcomes Classification(NOC) These concepts will be taught in your courses.
  • 8. The professional nurse adheres to a code of ethics that has been developed to address ethical issues . The American Association of Nurses (ANA) Code of Ethics for Nurses can be found at: Code of Ethics
  • 9. A few specific considerations include: 1. Maintaining appropriate boundaries with peers, faculty, clients and their significant others. 2. Confidentiality must be maintained.  Refrain from gossiping about clients, staff, other students or faculty. This is non – productive and unethical behavior . Concerns should be communicated to the appropriate individual.
  • 10.  Maintain confidentiality for information regarding the client  Do not remove any paperwork that could identify a client from the clinical area. For example you may not remove a laboratory report that has the clients name on it from the clinical area.  Do not discuss clinical information in a non secured areas such as the elevator, Metro rail, cafeteria, etc.
  • 11. Nurses are ethically and legally accountable to maintain confidentiality . The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules protects the privacy of individually identifiable health information. You will be given additional information regarding HIPAA in your courses.
  • 12. University of Miami Undergraduate Honor Code  “This code has been established to protect the academic integrity of the University of Miami, to encourage consistent ethical behavior among undergraduate students, and to foster a climate of fair competition.”  Examples of violations include: cheating, plagiarism, collusion, falsifying documents and other acts of academic dishonesty. Please refer to the University of Miami Undergraduate Honor Code Policy for further details. http://www6.miami.edu/dean-students/pdf/undergrad_honorcode.pdf
  • 13. Professional nurses are encouraged to participate in nursing organizations such as the American Association of Nurses (ANA) and other specialty groups based on a nurses interest. For example a nurse who works in the intensive care setting may choose to join the American Association of Critical Care Nurses (AACN). For an extensive list of nursing organizations please visit the website listed below. http://www.nurse.org/orgs.shtml
  • 14. As a nursing student you will have the opportunity to join an organization. Below is a list of possible organizations you can become active in as a nursing student:  National Student Nurses Organization  National Black Nursing Student Association  National Association of Hispanic Nurses  The Honor Society of Nursing, Sigma Theta Tau International
  • 15. Nurses strive to provide the best nursing care to clients to promote wellness. In order to maintain excellence, a nurse must commit to life long learning and competency. Life long learning has been described as “a continuously supportive process which stimulates and empowers individuals...to acquire all the knowledge, values, skills and understanding they will require throughout their lifetimes...and to apply them with confidence, creativity, and enjoyment” Commission for a Nation of Lifelong Learners(1997). “A Nation Learning: Vision for the 21st Century” Washington, DC:
  • 16. Nurses utilize a variety of methods to achieve their educational goals including: attendance to seminars, involvement in professional organizations, obtaining advance degrees, research activities, subscriptions to journals, and specialty certification, collaboration with other disciplines such as medicine, occupational and physical therapy.
  • 17.  Utilizing effective goal oriented communication is an essential competency for a nurse. You will communicate with your student peers, faculty, clients, clients families/significant others, nurses, and other members of the health care team.  Inadequate or poor communication among health care providers has been associated with increased errors that jeopardize patient safety.
  • 18.  Utilizing the Chain of Command approach when communicating is recommended to provide for an organized method of communication. This also allows the opportunity for clarification and resolution of issues.
  • 19. : Example : Flow of communication Student Associate Dean Faculty for Dean Concern Teaching Undergraduate Regarding SONHS Course Course Program Please refer to the “Communication” learning module for more detailed information.
  • 20. Nurses are responsible for planning, implementing and evaluating the care of clients/families/significant others. While nurses are often part of a multidisciplinary team of health care providers, nurses have autonomy over their practice.
  • 21.  Remember you represent the University of Miami School of Nursing and Health Studies(UMSONHS) on campus and in the community. Your dress, communication and overall presentation are a reflection of UMSONHS and the future of nursing.  Be on time to class. Not only is it disruptive to other classmates and the faculty when students arrive late, valuable information may be missed. Turn cell phones off or to silence mode. Refrain from distracting behavior such as talking and surfing the internet.
  • 22. Be on time for your clinical experiences. This includes lab and simulation activities. You are expected to participate in change of shift report at the beginning of the clinical day. The client depends on the nurse to be there.
  • 23. The faculty and staff at the University of Miami School of Nursing and Health Studies support your educational endeavor. We look forward to the opportunity to facilitate the learning process and your professional growth.