3. Stewart Philosophy Early Philosophy Paradigms Beliefs Values Developing a Personal
Philosophy of Nursing Conclusion References 100 101 103 104 106 110 112 114
Foundations of Ethical Nursing Practice 117 Janie B. Butts and Karen L. Rich Ethics Ethical
Theories and Approaches Professional Ethics and Codes Ethical Analysis and Decision
Making in Nursing Conclusion References 118 121 126 129 134 135 Social Context of
Professional Nursing 137 Mary W. Stewart, Katherine Elizabeth Nugent, Rowena W. Elliott,
and Kathleen Masters Nursing’s Social Contract with Society Public Image of Nursing The
Gender Gap Changing Demographics and Cultural Competence Access to Health Care
Societal Trends Trends in Nursing Conclusion References 138 139 143 146 148 151 156
166 166 Education and Socialization to the Professional Nursing Role 173 Social Context of
Professional Nursing EssayKathleen Masters and Melanie Gilmore Professional Nursing
Roles and Values The Socialization (or Formation) Process Facilitating the Transition to
Professional Practice Conclusion References 174 176 180 181 183 CONTENTS 7 Advancing
and Managing Your Professional Nursing Career UNIT II: PROFESSIONAL NURSING
PRACTICE AND THE MANAGEMENT OF PATIENT CARE Patient Safety and Professional
Nursing Practice 185 187 190 193 194 197 198 199 201 202 205 207 Jill Rushing and
Kathleen Masters Patient Safety Critical Thinking, Clinical Judgment, and Clinical Reasoning
in Nursing Practice Conclusion References 9 185 Mary Louise Coyne and Cynthia Chatham
Nursing: A Job or a Career? Trends That Impact Nursing Career Decisions Showcasing Your
Professional Self Mentoring Education and Lifelong Learning Professional Engagement
Expectations for Your Performance Taking Care of Self Conclusion References 8 XI Quality
Improvement and Professional Nursing Practice 207 216 231 233 237 Kathleen Masters
Healthcare Quality Measurement of Quality The Role of the Nurse in Quality Improvement
Conclusion References 237 240 249 251 253 Professional Nursing Practice 10 Evidence-
Based Kathleen Masters 255 Evidence-Based Practice: What Is It? Barriers to Evidence-
Based Practice Promoting Evidence-Based Practice Searching for Evidence Evaluating the
Evidence Implementation Models for Evidence-Based Practice Conclusion References 255
257 258 259 262 265 268 270 XII 11 CONTENTS Patient-Centered Care and Professional
Nursing Practice 273 Kathleen Masters Dimensions of Patient-Centered Care
Communication as a Strategy to Patient-Centered Care Patient Education as a Strategy to
Patient-Centered Care Evaluation of Patient-Centered Care Conclusion References in
Professional Nursing Practice 12 Informatics Kathleen Masters and Cathy K. Hughes
Informatics: What Is It? The Impact of Legislation on Health Informatics Nursing
Informatics Competencies Basic Computer Competencies Information Literacy Information
Management Current and Future Trends Conclusion References and Collaboration in
Professional Nursing Practice 13 Teamwork Sharon Vincent and Kathleen Masters
Healthcare Delivery System Nursing Models of Patient Care Roles of the Professional Nurse
Interprofessional Teams and Healthcare Quality and Safety Interprofessional Collaborative
Practice Domains Interprofessional Team Performance and Communication Conclusion
References Issues in Professional Nursing Practice 14 Ethical Janie B. Butts and Karen L.
Rich Relationships in Professional Practice Moral Rights and Autonomy Social Justice Death
and End-of-Life Care Conclusion References 274 276 278 293 294 295 301 301 302 304
307 311 314 319 320 321 325 326 328 332 335 338 339 343 344 347 348 353 355 360
4. 370 371 CONTENTS and the Professional Nurse 15 LawSocial Context of Professional
Nursing EssayKathleen Driscoll, Kathleen Masters, and Evadna Lyons XIII 375 The Sources
of Law Classification and Enforcement of the Law Nursing Scope and Standards Malpractice
and Negligence Nursing Licensure Professional Accountability Conclusion References 376
378 381 384 387 392 400 402 Appendix A Standards of Professional Nursing Practice
Appendix B Provisions of Code of Ethics for Nurses Appendix C The ICN Code of Ethics for
Nurses Glossary Index 405 407 409 411 429 PrefaCe Although the process of professional
development is a lifelong journey, it is a journey that begins in earnest during the time of
initial academic preparation. The goal of this book is to provide nursing students with a
road map to help guide them along their journey as a professional nurse. This book is
organized into two units. The chapters in the first unit focus on the foundational concepts
that are essential to the development of the individual professional nurse. The chapters in
Unit II address issues related to professional nursing practice and the management of
patient care, specifically in the context of quality and safety. In the fourth edition, the
chapter content is conceptualized, when applicable, around nursing competencies,
professional standards, and recommendations from national groups, such as Institute of
Medicine reports. The chapters included in Unit I provide the student nurse with a basic
foundation in areas such as nursing history, theory, philosophy, ethics, socialization into the
nursing role, and the social context of nursing. All chapters have been updated, and several
chapters in Unit I have been expanded in this edition. Revisions to the chapter on nursing
history include the addition of contributions of prominent nurses and achievements related
to nursing in the United Kingdom, Canada, and Australia. The theory chapter now includes
additional nursing theorists as well as a brief overview of several non-nursing theories
frequently used in nursing research and practice. The social context of nursing chapter now
incorporates not only societal trends, but also trends in nursing practice and education.
Social Context of Professional Nursing EssayThe chapter related to professional career
development in nursing has been completely rewritten for this edition. The chapters in Unit
II are more directly related to patient care management. In the fourth edition, Unit II
chapter topics are presented in the context of quality and safety. Chapter topics include the
role of the nurse in patient safety, the role of the nurse in quality improvement, evidence-
based nursing practice, the role of the nurse in patient-centered care, informatics in nursing
practice, the role of the nurse related to teamwork and collaboration, ethical issues in
nursing practice, and the law as it relates to patient care and nursing. Most Unit II chapters
have undergone major revisions with a refocus of the content on recommended nursing and
healthcare competencies. PrEfaCE The fourth edition continues to incorporate the Nurse of
the Future: Nursing Core Competencies throughout each chapter. The Nurse of the Future:
Nursing Core Competencies “emanate from the foundation of nursing knowledge”
(Massachusetts Department of Higher Education, 2010, p. 4) and are based on the American
Association of Colleges of Nursing’s Essentials of Baccalaureate Education for Professional
Nursing Practice, National League for Nursing Council of Associate Degree Nursing
competencies, Institute of Medicine recommendations, Quality and Safety Education for
Nurses (QSEN) competencies, and American Nurses Association standards, as well as other
professional organization standards and recommendations. The 10 competencies included
5. in the model are patient-centered care, professionalism, informatics and technology,
evidence-based practice, leadership, systems-based practice, safety, communication,
teamwork and collaboration, and quality improvement. Essential knowledge, skills, and
attitudes (KSA) BOARD OF HIGHER EDUCATION NURSING INITIATIVE NURSING CORE
COMPETENCIES im Qu pr alit ov y em en t Safety s Leade rship Nursing knowledge d ication
Commun ali sio n PR A CT IC E ofe s Team w colla ork and bora tion ed as -b e em tic st ac Sy
pr sm re nte -ce t n ie are Pat c Pr d e bas ce- e n e tic id Ev prac ENVIRONMENT TICE AC PR
ic at rm fo In PR AC TI CE The science and practice of nursing PRACTICE ENVIRO NM EN T
XVI K-Knowledge S-Skills A-Attitudes Source: Modified from Massachusetts Department of
Higher Education. (2010). Nurse of the future: Nursing core competencies (p. 5). Retrieved
from http://www.mass.edu/currentinit /documents/NursingCoreCompetencies.pdf
PrEfaCE reflecting cognitive, psychomotor, and affective learning domains are specified for
each competency. The KSA identified in the model reflect the expectations for initial nursing
practice following the completion of a prelicensure professional nursing education program
(Massachusetts Department of Higher Education, 2010, p. 4). The Nurse of the Future:
Nursing Core Competencies graphic illustrates through the use of broken lines the
reciprocal and continuous relationship between each of the competencies and nursing
knowledge, that the competencies can overlap and are not mutually exclusive, and that all
competencies are of equal importance. In addition, nursing knowledge is placed as the core
in the graphic to illustrate that nursing knowledge reflects the overarching art and science
of professional nursing practice (Massachusetts Department of Higher Education, 2010, p.
4). Social Context of Professional Nursing EssayThis new edition has competency boxes
throughout the chapters that link examples of the KSA appropriate to the chapter content to
Nurse of the Future: Nursing Core Competencies required of entry-level professional
nurses. The competency model in its entirety is available online at www.mass
.edu/currentinit/documents/NursingCoreCompetencies.pdf. This new edition continues to
use case studies, congruent with Benner, Sutphen, Leonard, and Day’s (2010) Carnegie
Report recommendations that nursing educators teach for “situated cognition” using
narrative strategies to lead to “situated action,” thus increasing the clinical connection in
our teaching or that we teach for “clinical salience.” In addition, critical thinking questions
are included throughout each chapter to promote student reflection on the chapter
concepts. Classroom activities are also provided based on chapter content. Additional
resources not connected to this text, but applicable to the content herein, include a toolkit
focused on the nursing core competencies available at
www.mass.edu/nahi/documents/Toolkit-First%20Edition -May%202014-r1.pdf and
teaching activities related to nursing competencies available on the QSEN website at
www.qsen.org/teaching-strategies/. Although the topics included in this textbook are not
inclusive of all that could be discussed in relationship to the broad theme of role
development in professional nursing practice, it is my prayer that the subjects herein make
a contribution to the profession of nursing by providing the student with a solid foundation
and a desire to grow as a professional nurse throughout the journey that we call a
professional nursing career. Let the journey begin. —Kathleen Masters References Benner,
P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses: A call for radical