Ward Class

An Online Resource Site For Student Nurses

Welcome

Ward Class is an online resource for student nurses. Created with the aim of helping student nurses cope with the demands of nursing school and clinicals, it offers free downloads, notes, sample NCPs, sample drug studies, study aids, news and updates, and practical tips to its users.

Site Announcement

The December 2012 PRC Nursing Board Exam Result is already available here at Ward Class and at Pinoy R.N.




Roles of the Professional Nurse

The following roles describe the professional nurse's activities in practice:

1. The Nurse as Care Provider
  • knows and and is sensitive to what matters and what is important for the client
  • conveys understanding and provides support
  • shows concern through attitudes and actions that convey concern for the client's welfare
  • accepts client as a person
2. The Nurse as Communicator/Helper
  • utilizes effective communication to establish helping relationships with clients, support persons, and colleagues
  • communicates matters relevant to client's care to other members of the health care team in a clear and concise manner
  • collaborates with other health care personnel matters pertaining to client's care through the nursing care plan
  • conscientiously documents assessment findings, interventions implemented, and client's responses on the client's records
3. The Nurse as Teacher
  • conducts activities designed to help students to learn
  • the nurse's goal in teaching is to attain behavior change in students and this is usually the acquisition of new knowledge or technical skills
  • utilizes the teaching process (parallel to the nursing process):
    • assessment-->the nurse determines the client's learning needs and readiness to learn
    • planning-->the nurse sets specific learning goals and teaching strategies to be utilized
    • implementation-->utilization of teaching strategies; the nurse needs to be flexible as the whole teaching plan may need revising
    • evaluation--> an ongoing an final process; the nurse measures the client's learning in relation to the specific learning goals set during the planning phase
  • factors that increase the need for health teaching by nurses include:
    • trends in healthcare that place emphasis on health promotion and health maintenance rather than on teaching alone
    • shortened hospital stays--> requires clients to be knowledgeable in self-care
    • increase in long-term illnesses and disabilities--> requires the client and family to understand the illness and treatment to be able to actively participate in the client's care
4. The Nurse as Counselor
  • helps the client to recognize and cope with stressful psychologic or social problems, to develop interpersonal relationships, and to promote personal growth
  • provides emotional, intellectual, and psychologic support
  • counsels primarily healthy individuals with normal adjustment difficulties
  • encourages the client to look at at alternative behaviors, recognize choices, and develop a sense of control
  • utilizes therapeutic communication skills in helping the client develop new attitudes, feelings, and behaviors
  • also performs a skilled nurse-leader who is able to analyze a situation, synthesize information and experiences, and evaluate the progress of the individual or group during individual or group-counseling sessions
5. The Nurse as Client Advocate
  • promotes what is best for the client, ensuring that the client's needs are met, and protects the client's rights
  • also involved in social advocacy in creating healthy environments through political action, community education, and involvement in professional organizations
6. The Nurse as Change Agent
  • initiates changes or assists the client in in making modifications (eg. knowledge, skills, feelings, and attitudes) essential to client's care and well-being
  • the nurse as change agent performs the following:
    • identifies the problem
    • assesses client's motivation and capacity for change
    • determines alternatives
    • explores the possible outcomes of alternatives
    • assesses resources
    • determines appropriate helping roles
    • establishes and maintains a helping relationship
    • recognizes the phases of the change process
    • guides the client through the phases if the change process
7. The Nurse as Leader
  • assumes leadership roles at many different levels: individual, family, groups, communities, or society.
  • helps a client make decisions in establishing and achieving goals to improve the client's well-being
  • the goals of the nurse-leader in relation to nursing leadership include:
    • improving the health status and potential of individuals or families
    • increasing the effectiveness and level of satisfaction among professional colleagues providing care
    • positively changing citizens' and legislators' attitudes and expectations of the nursing profession
8. The Nurse as Manager
  • plans, gives direction, develops staff, monitors organization, gives rewards fairly, and represents staff members and the administration in an organizational setting
  • manages the care of individuals, groups, families, and communities
  • delegates nursing activities to ancillary workers and other nurses, supervise and evaluate performance
  • when functioning as a case manager, utilizes principles of leadership and management in coordinating with other members of the healthcare team in delivering the most appropriate and cost-effective care to clients
9. The Nurse as Researcher
  • investigates into health promotion and health restoration of individuals, families, groups, and communities
  • investigates issues related to nursing education, nursing administration, and nursing's role in health policy formation
  • engages in the following research-related activities:
    • identification of clinical problems suitable for nursing research
    • participation in data collection
    • participation in a unit, organization, or community research committee or program
    • sharing research activities with others
    • involvement in independent or collaborative research
    • determination of appropriateness of study for application to nursing practice
    • utilization of of research findings in the development of policies, procedures, and guidelines for client care
10. Expanded Nursing Roles
  • nurse generalist--> different areas include: general nursing practice, medical-surgical nursing, gerontologic nursing, pediatric nursing, perinatal nursing, college health nursing, school nursing, community health nursing, psychiatric and mental health nursing, nursing continuing education and staff development, and home health nursing
  • nurse clinician--> provides bedside or direct care in specialty area
  • nurse practitioner-->may be genralists or specialists; skilled in making nursing assessments, performing physical assessments, counseling, teaching, treating minor self-limiting illnesses, and long-term, stable illnesses
  • nurse specialist-->requires advance knowledge and skills in a particular area in nursing; requires a master's degree in nursing

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