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    Chapter 2

    The Essence of Nursing:Knowledge and Caring

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    CHAPTER 2 OBJECTIVES

    Discuss issues related to defining nursing.

    Discuss the knowledge-caring dyad.

    Describe knowledge, knowledge worker, andknowledge management.

    Explain the meaning of caring to nursing.

    Discuss the relevance of scholarship tonursing.

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    CHAPTER 2 OBJECTIVES

    Describe the relationship of theory to nursing

    and identify several critical nursing theories.

    Discuss the importance of research to nursing.

    Illustrate how professional literature and new

    modalities of scholarship are part of nursing

    scholarship.

    Compare and contrast the major nursing roles.

    Summarize the critical elements of leadership

    in nursing.

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    INTRODUCTION

    Science of nursing: knowledge

    Art of nursing: caring

    Nurses devalue the care they provide

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    NURSING:

    HOW DO WE DEFINE IT? (1 of 4)

    Can nursing be defined?

    Why do we need a definition?

    Is there one universal definition? What needs further consideration in defining

    nursing?

    What drives nurses to do what they do Why nurses do what they do

    What is achieved by what nurses do

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    NURSING:

    HOW DO WE DEFINE IT? (2 of 4)

    Purposes of defining nursing

    To guide research

    For political acceptance

    To convince legislators of nursings importance

    To explain to consumers what nursing is

    To explain in general what nurses do

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    NURSING:

    HOW DO WE DEFINE IT? (3 of 4)

    What are the critical terms found in many

    definitions of nursing?

    Promotion of health

    Prevention of illness and injury

    Diagnosis

    Human response

    Treatment

    Advocacy

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    NURSING:

    HOW DO WE DEFINE IT? (4 of 4)

    What are the six essential features of

    professional nursing?

    Caring relationship

    Range of human experiences and responses

    Integration of data with knowledge

    Application of knowledge and use of judgment

    Advancement of the profession

    Influence on social and public policy

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    KNOWLEDGE AND CARING:

    A TOTAL CONCEPT (1 of 4)

    Knowledge and caring form critical dyad

    Clinical reasoning and judgment (critical thinking)

    Knowledge Five ways of knowing

    ANAs knowledge base for nursing practice

    Knowledge Management

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    KNOWLEDGE AND CARING:

    A TOTAL CONCEPT (2 of 4)

    Knowledge

    Critical Thinking, Reflective Thinking, and

    Intuition: Impact on Knowledge Development and

    Leading to Clinical Reasoning and Judgment Critical Thinking: components, intellectual traits

    Reflective Thinking: use ways of knowing

    Intuition: related to experience

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    KNOWLEDGE AND CARING:

    A TOTAL CONCEPT (3 of 4)

    Caring

    Four perspectives

    Watsons Theory

    Nurse-patient relationship

    Four aspects of offering of self

    Impact of technology

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    KNOWLEDGE AND CARING:

    A TOTAL CONCEPT (4 of 4)

    Competency

    Expected demonstrable behaviors

    Changing focus of nursing

    IOM core competencies

    Provide patient-centered care.

    Work with interdisciplinary teams.

    Employ evidence-based practice. Apply quality improvement.

    Utilize informatics.

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    SCHOLARSHIP IN NURSING (1 of 4)

    What Does Scholarship Mean?

    Other activities that are scholarly

    Scholarship not limited to educational institutions

    Science as accessible to practitioners

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    SCHOLARSHIP IN NURSING (2 of 4)

    Nursing Theory

    Justify nursing as an academic discipline

    Theories as abstract guides

    Possible issues of future theories

    Consumerism

    Empowering nurses

    Globalization

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    SCHOLARSHIP IN NURSING (3 of 4)

    Nursing Research

    Basic and applied

    Patient centered

    The National Institute of Nursing Research

    (NINR)

    Evidence-Based Practice

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    SCHOLARSHIP IN NURSING (4 of 4)

    Professional Literature

    Textbooks

    Journals

    New Modalities of Scholarship

    Web-based learning

    Technology

    Teaching and learning

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    MULTIPLE NURSING ROLES

    AND LEADERSHIP (1 of 2)

    Key Nursing Roles

    Provider of Care

    Educator

    Counselor

    Manager

    Researcher

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    MULTIPLE NURSING ROLES

    AND LEADERSHIP (2 of 2)

    Key Nursing Roles

    Collaborator

    Change Agent (Intrapreneur)

    Entrepreneur

    Patient Advocate

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    THE IMPORTANCE OF

    LEADERSHIP TO NURSING ROLES

    Use of transformation leadership

    Patient safety net

    Transformational qualities

    Management vs. leadership

    AONE Guiding Principles for Future Patient

    Care Delivery