Introduction
Nursing has afascinating history that parallels the history of human
kind and is an integral part of health care system.
For, as long as there has been life, human beings seek care and
comfort from illness and injury.
The nursing has been called the oldest of the arts and youngest of
the professions”.
The word nurse’ evolved from the Latin word nutricius which
means “nursing”.
 The roots of the medicines and nursing are intertwined and found in
mythology, ancient cultures, religion and reasoned thinking.
4.
Definition of Nursing
•“Nursingis the unique function of the nurse that is to
assist the individual (sick or well) in the performance of
those activities contributing to health or its recovery (or
to a peaceful death) that he would perform unaided if he
had the necessary strength, will or knowledge.”
- Virginia Henderson
5.
PROFESSION
The dictionary meaningof profession is “vocation, calling,
especially one which involves some branch of learning or service
as the learned professions of divinity, law, medicine, nursing etc.”
Profession is defined as “a vocation requiring advanced training
and usually involving mental rather than manual work, as teaching,
engineering, especially medicine, law or theology” (Webster 1989)
PROFESSIONALISM
•Early use of"professional" meant a commitment
to a certain way of life.
•The verb "profess" meant to be received formally
into a religious community such as a monk, they
follow a path of high moral ideals.
8.
Definition
•. Professionalism constitutesthose attitudes and
behaviors that serve to maintain others interest above
physician Self-interest.
-The American Board of Internal Medicine
•Professionalism in nursing means providing top-quality
care to patients, while also upholding the values of
accountability, respect, and integrity.
-American Nurses Association
9.
Profession Professionalism
Profession isa field of study or
a career.
Professionalism is a set of
accepted behavior at the
workplace.
It is limited and specified to
particular fields.
However, it applies to any job.
Examples are medicine, law,
and accounting.
Example – showing respect,
working on time, and accepting
accountability.
10.
Characteristics of Professionalism
1.Ethics:Acting with integrity and adhering to ethical guidelines, regardless of
formal codes.
2.Reliability: Keeping commitments, responding promptly, and meeting
expectations through strong communication.
3.Competence: Continuously striving for expertise, furthering education, and
earning relevant credentials to stand out in the field.
4.Appearance: Dressing appropriately and adhering to dress codes to make a
positive impression.
5.Accountability: Taking responsibility for actions, owning up to mistakes, and
learning from experiences.
6.Communication: Mastering both listening and expressing ideas clearly to convey
messages effectively.
11.
Attributes of Professionalism
SlNo Attribute Meaning
1 Competence Ability to do the job/vocation successfully
2 Excellence Conscientious effort to perform beyond ordinary
expectation & commitment to life-long learning.
3 Team work Work and communicate effectively with other team
members for achieving the patient goal.
4 Conflict
resolution
This involves a professional’s ability to de-escalate a
problem. It requires the nurse to consider the needs of
everyone involved in the conflict, while communicating
possible solutions with respect.
12.
Attributes of Professionalism
SlNo Attribute Meaning
5 Ethical thinking This skill enables nurses to make value-based judgments
that align with professional standards and moral codes,
prioritizing the needs of patients and colleagues ahead of
their own.
6 Adaptability This demonstrates the capacity to combine new information
with education, experience, and professional guidelines to
re-evaluate a situation and make changes that lead to more
effective solutions
7 Leadership Professionals commonly build leadership skills as they
move on to more senior roles in which they can guide
others to provide higher levels of care.
8 Altruism Giving priority to patient interests rather than self-interests
13.
Attributes of Professionalism
Sl
No
AttributeMeaning
9 Honor and
integrity
Being fair, truthful, straightforward, and
keeping to one's work.
10 Respect for other
Respect for patients & families,
colleagues, other healthcare professionals
and students and trainees.
11 Duty/responsibility
Free acceptance of commitment to
service. i.e. undergoing inconvenience to
achieve a high standard of patient care
Indicators of Professionalism
•Dress code
• Time management
• Have a positive attitude
• Keep your drama at home
• Accountability
• Truthfulness
• Master the art of organization
• Effective communication
• Collaborate with others
• Have integrity
Professional Identity inNursing
Definition
•A sense of oneself, and in relationship with others,
that is influenced by characteristics, norms, and
values of the nursing discipline, resulting in an
individual thinking, acting, and feeling like a nurse
- Godfrey & Young, 2020
20.
Strategies To ImproveProfessional Identity
Reflect and Align: Regularly evaluate your personal values and ensure they align
with your professional duties to address conflicts without compromising either
aspect of your identity.
 Set Boundaries: Establish clear boundaries between personal and professional
lives to respect personal values and beliefs, and prevent burnout or emotional stress.
 Seek Mentorship: Engage with experienced mentors for insights into balancing
personal identity and professional roles, managing ethical issues, and maintaining
personal integrity.
21.
Preservation of Self-Integrity
•Self-integrityin professionalism means adhering
to ethical standards and values while carrying out
the professional duties.
•It includes being honest, transparent, and
consistent in actions, which helps build trust and
credibility in the workplace.
22.
Strategies to improveself-integrity
 Uphold Transparency: Committing to honesty and transparency in all
professional dealings ensures in maintaining integrity. This will help in building
trust with patients, colleagues, and the wider community while safeguarding
personal ethics.
 Ethical Support: If there are any ethical challenges, seek guidance from ethical
committees, professional bodies, or trusted peers.
 Documentation: Maintaining proper documentation is a fundamental practice of
integrity.
23.
Deceiving Patient: WithholdingInformation and Falsifying
Records
• Withholding information without client’s knowledge is
unethical except in emergencies where a patient is incapable of
making an informed decision.
•In some cases, full disclosure might cause significant
psychological distress or harm.
•For instance, disclosing a terminal diagnosis to a patient who is
already in a fragile mental state might worsen their condition.
•It is the responsibility of nurse/health care professional to
provide information once the emergency has been sort out.
24.
Falsifying Medical Records
•Falsifyingpatient records involves alteration or modification of patients
records for an illegal purpose.
•It is an ethical and legal breach that reduces trust, compromises patient
safety, and can lead to serious consequences such as criminal charges, loss
of professional license, and damage to reputation.
•Falsification is commonly reported are medication charts, patient care
plans, vital signs, patient treatment records etc.
• To prevent this, healthcare organizations need to train the health care
professional on ethical standards, conduct regular audits, and promote a
culture of honesty and transparency.
25.
Communication & Relationshipwith Team Members
•Challenges: Miscommunication, lack of respect, and conflicting interests can
undermine collaboration and hinder the decision-making process in healthcare settings.
•Strategies to improve:
 Respectful Communication: Open communication with trust encourages team
members to maintain a good interpersonal relationship.
 Regular Meetings: Conducting regular team meetings to discuss roles,
responsibilities, and ethical dilemmas ensures that everyone is on the same track.
 Conflict Resolution: Implement conflict resolution mechanisms to address disputes
amicably. Disagreements can arise in any professional setting, but handling conflicts
professionally and constructively can improve teamwork and strengthen
relationships.
Code Of ProfessionalConduct
1. Professional Responsibility And Accountability
To maintain professional responsibility and accountability, the nurse
Appreciates a sense of self-worth and nurtures.
Maintains standards of personal conduct, reflecting credit upon the profession.
Carriers out responsibilities within the framework of the professional boundaries
is accountable for maintaining practice standards set by the Indian Nursing
Council.
Is accountable for his/her own decisions and actions.
Is compassionate.
Is responsible for the continuous improvement of current practices
Provides adequate information to individuals these allows them to make informed
choices.
Practices healthful behavior.
28.
2. Nursing Practice
Provide care in accordance with set standards of practice
 Treats all individuals and families with human dignity in providing the
physical, psychological, emotional, social and spiritual and aspects of care
 Respects individuals and families in the context of traditional and cultural
practicing.
 Presents realistic practices truthful in all situations for facilitating autonomous
decisions making by individuals and families
 Promote participation and individuals and significant others in the care
 Ensures safe practice
 Consults, co-ordinates, callboards and follow p approximately when an
individual’s care needs exceed the his or her competence
29.
3. Communication andinterpersonal relationships
This plays a key role in the interaction of the nurse with his or
her clients. To effect optimal interaction the nurse
 Establishments and maintains effective interpersonal
relationships with individual families and communities
 Upholds the dignity of team members and maintains
effective interpersonal relationship with them
 Appreciates a and nurtures the professional role of team
members
 Co-operates with other health professionals to meet the
needs of individual, families and communities
30.
4. Valuing humanbeing
The nurse values human life. He or she
o Takes appropriate action to protect individuals from harmful unethical practices
o Considers relevant facts while taking cons… decisions in the best interest of individuals
o Encourages and supports individual in their right to speak for themselves on issues affecting health and welfare
o Respects and supports choices made by individuals.
5. Management
Proper management of resources and unfortunate is essential for improving the overall efficiency of the nurse. Hence
the nurses
Ensures appropriate allocation and utilization of available responses
 Participates in supervision and education of students and other formal providers
 Uses judgment in relation to individual competence which accepting and delegating responsibility
 Facilitates conducive work culture in order to achieve institutional objectives
Communicates effectively following appropriate channels of communication
 Participates in performance appraisal
Participates in evaluation of nursing services
 Participates in policy decision, following the principles of equity and accessibility of service
 Works individuals to identify the needs and sensitizes policy makers and funding agencies for resource allocation
31.
6.Professional Advancement
To escapethat he or she is at part with contemporaries in the nursing
field the nurse must.
a. Ensures the protection of human rights, while pursuing the
advancement of knowledge
b.Participate in determine and implementing quality
c. Take responsibility for updating one’s own knowledge and
competencies
d.Contribute to the core of professional knowledge and conducting and
participating in research