3. Masters Overview of Selected Nursing Theories Nurse of the Future: Nursing Core
Competencies Overview of Selected Non-Nursing Theories Relationship of Theory to
Professional Nursing Practice Conclusion References 51 84 87 88 89 92 X 3 4 5 6
CONTENTS Philosophy of Nursing 99 Mary W. 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 Kathleen 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.
4. 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
370 371 CONTENTS and the Professional Nurse 15 Law Kathleen 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
AppendixDiscussion: Describe the importance of evidence-based practice.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. Discussion: Describe the
importance of evidence-based practice.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. The 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
5. 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 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). This 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, Discussion: Describe the importance of evidence-based
practice.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