Professional Nursing Practice | Transitions to Professional Nursing Practice (2024)

Nursing practice has evolved over the centuries, beginning with Florence Nightingale in the 19th century conducting her own research on caring for soldiers in the Crimean War, to contemporary nursing practice in the 21st century where healthcare delivery has become complex, requiring a highly educated nursing workforce to meet the needs of a diverse, aging population.

This opening chapter on professional nursing practice begins with the definition of nursing. The American Nurses Association (ANA, 2021) defines the concept of nursing:

Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations (p. 1)

Nursing: An Art and a Science

Nursing has been referred to as an art and a science since the early 20th century when nurse licensure laws were first enacted. The concepts art and science are considered the defining characteristics of nursing, thus helping nurses understand and explain the nature of nursing practice (Peplau, 1988).

Art of Nursing

In the mid-nineteenth century, the art of nursing was characterized as mothering and homemaking. A century later, the art of nursing was referred to as “nursing arts”, characterized as bathing, bedmaking, positioning patients, comforting techniques, and hospital housekeeping (. , 1981).

Peplau (1988) categorizes the art of nursing as “. . . enabling, empowering, or transforming art. It’s aim, among other goals, is to produce favorable changes within clients through nursing services” (p. 9). People are changed on a personal level as a result of the acts provided by nurses (Peplau, 1988). Creating trusting relationships with patients, and others, comes from the art of nursing, it gives nurses the opportunity to speak freely and honestly, to counsel and share their thoughts, knowledge, and feelings in a caring, genuine way.

Pagana (1987) suggests “. . . nurses are major keepers of the morality, goodness, honesty, ethics of client care, [often referred to as] a patient advocate” (p. 9). Expressions associated with the art of nursing includes “individualized care”, “uniqueness of the patient”, and “the patient as a person” (Peplau, 1988, p. 9). The art of nursing relies on nurses using common sense, reflection of client experiences, and personal observation (Peplau, 1988).

Today, the ANA (2021) describes the art of nursing as the act of caring and respect for human dignity. Approaching care in a compassionate way brings about competent care. Embracing spirituality, healing, empathy, mutual respect and compassion promotes health and healing. Nurses express art through helping, listening, mentoring, coaching, touching, intuition, cultural competence, tolerance, acceptance, and nurturing.

Many of the attributes of the art of nursing are an inherent part of nursing practice, such as respect for human dignity and compassion. Though some nurses may need to learn some of these attributes through observation of others, such as touching and nurturing. Consider how the art of nursing can be taught in nursing school or learned/strengthened throughout one’s career.

A Caring Profession

Nursing is a caring profession, and those who enter the profession often do so for altruistic reasons. People are attracted to the profession because of their desire to help those in need, those who are vulnerable. Gormley (1996) writes “Altruism represents an amalgamation of intrinsic and extrinsic factors which either permit or coerce individuals to take responsibility for or care for another and to sacrifice things dearly held” (p. 581). When caring originates from a group of altruistic individuals, called collective altruism, such as a hospital unit, the generalized concern results in the success of the group’s goals and desires (Gormley, 1996).

Nursing theorists have studied the nature of caring and how it impacts both the patient and the nurse. Watson (1988) explains how nurses assist patients to find meaning in their illness by protecting them and preserving human dignity through caring moments. These caring moments lead patients to self-discovery and self-knowledge. For example, the act of holding a patient’s hand the night before surgery or listening to a grieving patient’s sorrow become long-lasting memories for both the patient and the nurse.

Science of Nursing

Up until the 1940s, the science of nursing was considered knowledge gleaned from science courses during nursing education. By the 1970s, the science of nursing was referred to as systematized knowledge and became a more significant component in nursing education (Peplau, 1988).

As time passed, nurses wanted to further the professionalization of nursing practice. In order for nursing to be considered a profession, science needed to become a more significant component of practice (Peplau, 1988). According to the ANA (1980), a profession must include the use of scientific knowledge to understand and treat phenomena. Through use of scientific inquiry, nurses use theory to investigate and explain phenomenon, determine interventions, and design a plan of care (ANA, 1980). The science of nursing explained the patterns and problems of human beings as a group (Peplau, 1988).

Today, a chief component of nursing practice includes application of evidence-based practice and research in the clinical setting, and scientific investigation. Nurses are actively involved in scientific research at academic institutions as well as the federal level. The National Institute of Nursing Research (NINR, n.d.) is a federally funded nursing research program with a focus on improving population health through scientific research inbehavioral and biological sciences. Additional information on NINRs research programs can be found at the National Institute of Nursing Research website.

As a scientific discipline, nursing draws on knowledge from scientific research, nursing theory, the relationship between patients, nurses, and the environment within the context of health, theories from science, humanities, and other related disciplines.

Foundational Documents of Professional Nursing

The ANA has developed three foundational documents for registered nurses, listed below. These documents were written for all registered nurses and are used to inform their thinking and decision-making in nursing practice settings.

  • Code of Ethics for Nurses with Interpretive Statements
  • Nursing: Scope and Standards of Practice.
  • Nursing’s Social Policy Statement: The Essence of the Profession

Code of Ethics for Nurses with Interpretive Statements

The Code of Ethics is an expression of the values, duties, and commitments of registered nurses. The first Code of Ethics was written in 1893 in the form of a pledge similar to the Hippocratic Oath and is now a living document that continually evolves in accordance with the changing social context of nursing (ANA, 2015a).

Provision 1Affirming health through relationships of dignity and respect
  • 1.1 Respect for human dignity
  • 1.2 Relationships with patients
  • 1.3 The nature of health
  • 1.4 The right to self-determination
  • 1.5 Relationships with colleagues and others (ANA, 2015a, pp1-18)
Provision 2The patient as nursing’s foundational commitment
  • 2.1 Primacy of the patient’s interests
  • 2.2 Conflict of interest for nurses
  • 2.3 Collaboration
  • 2.4 Professional boundaries (ANA, 2015a, pp. 25-35)
Provision 3Advocacy’s geography
  • 3.1 Protection of the rights of privacy and confidentiality
  • 3.2 Protection of human participants in research
  • 3.3 Performance standards and review mechanisms
  • 3.4 Professional responsibility in promoting a culture of safety
  • 3.5 Protection of patient health and safety by action on questionable practice
  • 3.6 Patient protection and impaired practice (ANA, 2015a, pp. 41-53)
Provision 4The expectations of expertise
  • 4.1 Authority, accountability, and responsibility
  • 4.2 Accountability for nursing judgments, decisions, and actions
  • 4.3 Responsibility for nursing judgments, decisions, and actions
  • 4.4 Assignment and delegation of nursing activities or tasks (ANA, 2015a, pp. 59-68)
Provision 5The nurse as person of dignity and worth
  • 5.1 Duties to self and others
  • 5.2 Promotion of personal health, safety, and well-being
  • 5.3 Preservation of wholeness of character
  • 5.4 Preservation of integrity
  • 5.5 Maintenance of competence and continuation of professional growth
  • 5.6 Continuation of personal growth (ANA, 2015a, pp. 73-90)
Provision 6 The moral milieu of nursing practice
  • 6.1 The environment and moral virtue
  • 6.2 The environment and ethical obligation
  • 6.3 Responsibility for the healthcare environment (ANA, 2015a, pp. 95-105)
Provision 7Diverse contributions to the profession
  • 7.1 Contributions through research and scholarly inquiry
  • 7.2 Contributions through developing, maintaining, and implementing professional practice standards
  • 7.3 Contributions through nursing and health policy development (ANA, 2015a, pp. 113-122)
Provision 8Collaboration to reach for greater ends
  • 8.2 Health is a universal right
  • 8.3 Collaboration for health, human rights, and health diplomacy
  • 8.4 Obligation to advance health and human rights and reduce disparities
  • 8.5 Collaboration for human rights in complex, extreme, or extraordinary practice settings (ANA, 2015a, pp. 129-140)
Provision 9Social justice: Reaching out to a world in need of nursing
  • 9.1 Articulation and assertion of values
  • 9.2 Integrity of the profession
  • 9.3 Integrating social justice
  • 9.4 Social justice in nursing and health policy (ANA, 2015a, pp. 151-160)

Nursing: Scope and Standards of Practice

The ANA’s (2021) Nursing: Scope and Standards of Practice contains the Scope of Nursing Practice and the Standards of Professional Nursing Practice. The latter is comprised of the Standards of Practice (standards 1-6) and the Standards of Professional Performance (standards 7-18).

Scope of Nursing Practice

The scope describes the activities performed by the nurse as the who, what, where, when, why, and how nursing is practiced (ANA, 2021). Responses to these questions are answered “to provide a complete picture of the dynamic and complex practice of nursing” (ANA, 2021, p. 2). The following describes how each of these questions are answered:

  • Who: the registered nurse
  • What: this is the definition of nursing, as listed above.
  • Where: any place there is a need for care, advocacy, or knowledge
  • When: anytime there is a need for nursing knowledge, wisdom, leadership, caring
  • Why: nurses need to maintain the social contract with society, adapting care based on the changing needs of the society
  • How: the method and manner to which nurses practice professionally (ANA, 2021, p. 3)

Standards of Practice

The Standards of Practice describe a competent level of nursing care expected of all registered nurses, regardless of their role, specialty, or position. The depth and breadth of how nurses employ these practices are dependent upon level of education, self-development, experience, role, setting, and patient population being served (ANA, 2015b). These Standards are often referred to as the nursing process or the acronym ADPIE (assessment, diagnosis, planning, implementation and evaluation). Registered nurses are expected to demonstrate critical thinking throughout all actions taken during each standard, which forms the foundation for decision-making (ANA, 2021). See Table 1 for the Standards of Practice.

Table 1 lists the 6 Standards of Practice

Table 1: Standards of Practice
Standard 1: AssessmentThe registered nurse collects pertinent data and information relative to the healthcare consumer’s health or the situation.
Standard 2: DiagnosisThe registered nurse analyzes the assessment data to determine actual or potential diagnoses, problems, and issues.
Standard 3: Outcomes IdentificationThe registered nurse identifies expected outcomes for a plan individualized to the healthcare consumer or the situation.
Standard 4: PlanningThe registered nurse develops a plan that prescribes strategies to attain expected, measurable outcomes.
Standard 5: ImplementationThe registered nurse implements the identified plan
Standard 5A: Coordination of CareThe registered nurse coordinates care delivery.
Standard 5B: Health Teaching and Health Promotion
The registered nurse employs strategies to promote health and a safe environment.
Standard 6: Evaluation
The registered nurse evaluates progress toward attainment of goals and outcomes.
(ANA, 2021, pp. 75-87)

Standards of Professional Performance

The Standards of Professional Performance describes competent behaviors of the professional registered nurse, depending on role, position, and level of education. Some standards may or may not be applicable to patient care. Registered nurses are expected to engage in professional activities related to their role, such as leadership, formal or informal, based upon level of education. Registered nurses are held accountable to themselves, the healthcare consumer, peers, employer, and society as they carry out the competencies of each standard (ANA, 2010). See Table 2 for the Standards of Professional Performance.

Table 2 lists the Standards of Professional Performance

Table 2: Standards of Professional Performance

Standard 7: Ethics

The registered nurse practices ethically.

Standard 8: Advocacy

The registered nurse demonstrates advocacy in all roles and settings.

Standard 9: Respectful and Equitable Practice

The registered nurse practices with cultural humility and inclusiveness.

Standard 10: Communication

The registered nurse communicate effectively in all areas of professional practice.

Standard 11: Collaboration

The registered nurse collaborates with the healthcare consumer and other key stakeholders.

Standard 12: Leadership

The registered nurse leads within the profession and practice setting.

Standard 13: Education

The registered nurse seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking.

Standard 14: ScholarlyInquiry

The registered nurse integrate scholarship, evidence, and research findings in to practice.

Standard 15: Quality of Practice

The registered nurse contributes to quality nursing practice.

Standard 16: Professional Practice Evaluation

The registered nurse evaluates one’s own and others’ nursing practice.

Standard 17: Resource Stewardship

The registered nurse utilizes appropriate resources to Plan, Provider, and sustain evidence-based nursing services that are safe, effective, financially responsible, and used judiciously.

Standard 18: Environmental Health

The registered nurse practices in a manner that advances environmental safety and health.

(ANA, 2021, pp. 89-107)

Nursing’s Social Policy Statement: The Essence of the Profession

Nursing’s social policy statement describes the value of the nursing profession within society, defines the concept of nursing, reviews the standards of practice, and regulation of nursing practice. The nursing practice is inherently connected to society, thus requiring a social contract between society and the profession (ANA, 2015b).

Nursing’s core values and ethics serve as a social contract to society, which provides a foundation for the health of society. Through licensure, affirmation, and legislation, society validates the need for and trust in nursing profession. The nursing profession meets society’s need to obtain healthcare, regardless of cultural, social, or economic standing (ANA, 2015b).

Since 2001, the Gallup poll found Americans ranked nurses as the most trustworthy, with the highest ethical standards compared to 21 other professions (Reinhart, 2020). The nursing profession is trusted by society to provide quality, ethical care. Society gives permission to the profession of nursing to work autonomously to meet the needs of society as a whole. In return, the nursing profession is expected to provide healthcare in a responsible manner while maintaining the public’s trust (Donabedian, 1976).

Accrediting and Professional Organizations

There areseveral important organizations and documents that have significant impact on practice, education, and professional growth. Below is a list of organizations and research reports that have are foundational to implementing practices that ensure high standards of care.

American Nurses Association

The American Nurses Association (ANA, n.d.-a) was founded in 1896 with the goal of advancing the nursing profession and improving the quality of care for all. Since its inception well over a century ago, membership is widespread throughout all 50 states and U.S. territories, and known as the “strongest voice of the profession”. The ANA advances the profession through the development many foundational documents, white papers, position statements, initiatives, among others:

  • Standards of Practice and Performance for nursing including practice-focused standards for 25 nursing specialties
  • Code of Ethics
  • Social Policy Statement
  • Advocacy efforts with health policy and safe working environments
  • Research and funding opportunities
  • Self-care for nurses
  • Lobbying Congress

The ANA (n.d.-a) fights for what nurses need, what they believe in, and supports nurses to lead change in this ever-evolving healthcare environment. The ANA empowers nurses in the hopes of making positive changes in healthcare and fighting for what their patients need. Below are some of the efforts the ANA continues to work towards:

  • Expanded roles for RNs and Advanced Practice Registered Nurses (APRN)
  • Federal funding for nursing education and training
  • Improvement of the healthcare environment
  • Medicare reform
  • Safe staffing
  • Workplace violence
  • Whistleblowing protection

The ANA (n.d.-b) has developed the following organizational platforms focused on nursing excellence:

  • Magnet Recognition Program
  • Pathway to Excellence
  • American Nurses Credentialing Center
  • ANA Enterprise
  • American Nurses Foundation
  • ANCC Accreditation
  • ANA Certifications

For more information about ANA’s programs and services, visit the ANA website.

National League for Nursing

The National League for Nursing (NLN, 2020) was founded in 1893 as the as the American Society of Superintendents of Training Schools for Nurses, the first U.S. professional nursing organization. The NLN is considered the premier organization for nursing education. Membership includes individual faculty members and leaders in nursing education including healthcare organizations and agencies. The organization offers its 40,000 individual members and 1200 institutional members a wide array of services and opportunities:

  • Professional development
  • Networking
  • Research and grant opportunities
  • Testing services
  • Recognition programs
  • Certification for nurse educators
  • Advocacy and public policy initiatives.
  • Commission for Nursing Education Accreditation (CNEA) activities for associate, diploma, baccalaureate, and post-graduate degree nursing programs.

For more information about the NLN, visit the NLN website.

American Association of Colleges of Nursing

The American Association of Colleges of Nursing (AACN, 2020b) was founded in 1969 as the voice of academic nursing education. Some of the major activities of the AACN include establishment of quality standards for nursing education, assist nursing schools on how to be implement quality standards, and promote public support of nursing education, research, and practice.Membership includes 814 schools of nursing that offer baccalaureate, graduate, and post-graduate programs, 45,000 individual members, with 513,000 students. AACN (2020b) offers the following programs, foundational documents, and initiatives:

  • The Essentials document, visit the AACN website.
  • Position Statement: The Baccalaureate Degree in Nursing as Minimal Preparation for Professional Practice. To view the Position Statement, visit the AACN website.
  • Curriculum standards: includes TheEssentials, which outlines the competencies for graduates of undergraduate, graduate, and Doctor of Nursing Practice (DNP) degrees
  • Conferences and webinars
  • Grant funding
  • Policy and Advocacy
  • Commission on Collegiate Nursing Education (CCNE) Accreditation activities for baccalaureate, graduate, and residency programs in nursing
  • Certifications
  • Journals, white papers, position statements, faculty tool kits, and more

For more information about AACN, visit the AACN website.

National Council of State Boards of Nursing

The National Council of State Boards of Nursing (NCSBN, 2020b) was founded in 1978 as an independent, not-for-profit organization. NCSBN’s core goal is focused on ensuring safe patient care and protecting the public through implementation of unbiased regulation (NCSBN, 2020c). NCSBN membership consists of the following boards of nursing (BON):

  • 50 U.S. states, including District of Columbia
  • Four U.S. territories: American Samoa, Guam, Northern Mariana Islands, and the Virgin Islands
  • Three states have two BONs; one for RNs and one for LPNs: California,Louisiana, and West Virginia
  • Nebraska has theBON for RNs and the BON for advanced practice nurses (NCSBN, 2020a)

The NCSBN (2020b) is responsible for the following activities:

  • Regulation of over 4.8 million nurses
  • Developed the National Council Licensure Examination (NCLEX-RN and NCLEX-PN)
  • Collaborative research
  • Position papers
  • Nursing disciplinary database
  • Verification of nursing licensure
  • Practice privileges
  • Nurse Practice Act designed and published (see Accountabilitychapter for more information)
  • Gathers national data on RNs, LPNs
  • Publishes theJournal of Nursing Regulation

For more information about NCSBN, visit the NCSBN website.

National Academy of Sciences and the Health and Medicine Division

The Health and Medicine Division (HMD) (formerly the Institute of Medicine (IOM)) is part of theNational Academies of Sciences, Engineering, and Medicine(NAS). The organization has been in operation since 1863. The NAS conducts research by request from federal agencies, independent organizations, or by Congressional mandate. The NAS is responsible for conducting objective research that is used to advise and inform public policy in relation to science, technology, and medicine. The overarching goal of HMD is to inform those working in both the government and the private sectors on how to make healthcare decisions by providing reliable, objective, and informative research findings (NAS, 2020).

The NAS conducts research on a variety of healthcare topics, including aging, health literacy, obesity, cancer, social determinants of health, among others. For more information about NAS research, visit the NAS website.

Previous to the naming of the NAS organization, the IOM published landmark reports on The Future of Nursing (listed below) which explore nursing roles, responsibilities, standards of practice, education, among other topics. These reports were conducted to meet the needs of a diverse, aging, and complex healthcare environment.

  • To view the report on the Future of Nursing: Leading Change, Advancing Health,download the PDF file in week 1.

For more information about NAS, visit the NAS website.

Characteristics of a Profession

Brown (1992) explains the origins of the concept profession from 1675. The concept was first used in secular society with the following definition: “… to define, organize, and publicize their own particular expertise and cultural authority (p. 18)”. Many occupations today have similarities with this definition. Consider the professions of nursing, lawyers, and accountants requiring a particular expertise. They are all organized entities, publicized to those who are in need of such expertise, and they subscribe to a particular culture or way of being.

Today, scholars have defined particular characteristics of a profession in order to differentiate from an occupation. Buhai (2012) lists the following characteristics of a profession:

  • specialized training/education
  • autonomy of practice
  • ethical practice
  • expert knowledge
  • trust
  • self-regulation
  • continuing education
  • service to society

Nursing has been referred to as a profession for many years, meeting all of the above characteristics, though its status as a profession has been debated. One of the characteristics of a profession under debate is the educational requirement, entry level to practice. Nursing offers multiple pathways to practice, including diploma, associate, and baccalaureate. Each program of study varies widely with depth and breadth of nursing content, though each graduate takes the same licensure exam (Krugman & Goode, 2018).

By the early 21st century, disciplines within the healthcare field have increased minimum preparation for practice to higher levels of education, including physical therapy (master’s degree or doctorate) and pharmacy (doctorate) (Krugman & Goode, 2018). Since nursing does not have a clear pathway to practice (Blais & Hayes, 2011; Krugman & Goode, 2018) it has been argued that nursing has still not met the educational requirement of a profession (Joel & Kelly, 2002). Until the entry to practice issue is resolved, some may not consider nursing as a true profession.

Characteristics of Professional Nursing Practice

The ANA (2021) lists five core tenets of nursing practice, all of which are weaved throughout the standards of practice and professional performance:

1. Caring and health are central to the practice of the registered nurse

Professional nursing promotes healing and health in a way that builds a relationship between nurse and patient (Watson, 2012).

2. Nursing practice is individualized

Respect for human dignity and diversity is at the core of identifying and meeting the unique needs of the healthcare consumer or situation (ANA, 2015c, p. 8).

3. Registered nurses use the nursing process to plan and provide individualized care for healthcare consumers

Nurses apply the six standards of practice during encounters with the healthcare consumer, groups, or populations. The use of theory and evidence-based knowledge is used to collaborate with the healthcare consumer [or others] to achieve the best outcomes (ANA, 2015c, p. 8).

4. Nurses coordinate care by establishing partnerships

Partnerships with persons, families, groups, support systems, and other stakeholders should be established using multiple forms of communication. Share goal-setting should include delivery of safe, quality care (ANA, 2015c, p. 8).

5. A strong link exists between the professional work environment and the registered nurse’s ability to provide quality health care and achieve optimal outcomes

Nurses have an ethical obligation to create healthy practice environments that are conducive to provision of quality healthcare (ANA, 2015c, p. 9)

See chapter 4, Leadership in Nursing, for more information about healthy working environments

Competencies for Professional Nursing Practice

The ANA (2014) published a Position Statement on Professional Role Competence for all registered nurses. The following summarizes the main points of the Position Statement, outlining the expectations of society, nurses, the profession, and employers:

  • The public has a right to expect all nurses demonstrate competence in their role throughout their career
  • Nurses are responsible and accountable for maintaining role competence
  • The nursing profession and regulatory agencies verify the processes for measuring competence is appropriate, and they meet the minimum standards to protect the general public
  • Employers are responsible and accountable for providing a safe working environment conducive to competent practice

To view the Position Statement on Professional Role Competence, visit the ANA website

Massachusetts Department of Higher Education Nursing (2016) created the Nurse of the Future competencies for professional nursing practice:

  • Patient-Centered Care

Provision of “holistic care that recognizes an individual’s preferences, values, and needs and respects the patient or designee as a full partner in providing compassionate, coordinated, age and culturally appropriate, safe and effective care” (p. 10)

  • Professionalism

“Accountability for the delivery of standard-based nursing care that is consistent with moral, altruistic, legal, ethical, regulatory, and humanistic principles” (p. 14)

  • Leadership

“Influence the behavior of individuals or groups of individuals within their environment in a way that will facilitate the establishment and acquisition/achievement of shared goals” (p. 18)\

see Chapter 4 for more information on nursing leadership

  • Informatics and Technology

“Use advanced technology and to analyze as well as synthesize information and collaborate in order to make critical decisions that optimize patient outcomes” (p. 26)

  • Evidenced-Based Practice

“Identify, evaluate, and use the best current evidence coupled with clinical expertise and consideration of patients’ preferences, experience and values to make practice decisions” (p. 47)

see Chapter 3 for more information on evidence-based practice

  • Systems-Based Practice

“Awareness of and responsiveness to the larger context of the health care system, and will demonstrate the ability to effectively call on work unit resources to provide care that is of optimal quality and value” (p. 20)

  • Safety

“Minimize risk of harm to patients and providers through both system effectiveness and individual performance” (p. 42)

  • Communication

“interact effectively with patients, families, and colleagues, fostering mutual respect and shared decision making, to enhance patient satisfaction and health outcomes” (p. 32)

see Chapter 3 for more information on communication

  • Teamwork and Collaboration

“Function effectively within nursing and interdisciplinary teams, fostering open communication, mutual respect, shared decision making, team learning, and development” (p. 37)

see Chapter 3 for more information on teamwork and collaboration

  • Quality Improvement

“Use data to monitor the outcomes of care processes, and uses improvement methods to design and test changes to continuously improve the quality and safety of health care systems” (p. 45)

Professional Nursing Practice | Transitions to Professional Nursing Practice (2024)


What does it mean to practice effectively in nursing? ›

You communicate effectively, keeping clear and accurate records and sharing skills, knowledge and experience where appropriate. You reflect and act on any feedback you receive to improve your practice.

Why is professional practice important as a student nurse? ›

Professional behaviour was understood by student nurses as having important values such as respect and dignity to interact with others in a caring way. Being treated with respect has a positive impact on trust and the self-image of a person.

What do you think is the best professional quality of a nurse how do you say so? ›

One of the most important qualities of a good nurse is compassion. In their career, nurses will see patients suffer. Beyond simply offering a solution, they must be able to express compassion for patients and their families. This allows them to form meaningful relationships with their patients.

Why is it so important for the nursing profession to have a clear definition? ›

Nursing competency is a core ability that is required for fulfilling nursing responsibilities. Therefore, it is important to clearly define nursing competency in order to establish a foundation for nursing education curriculum.

Why is professional practice important? ›

It promotes autonomy in decision-making and the ability of critical thinking. Student practice is also a part of certain academic study programmes, but it is not mandatory.

What are professional nursing practices? ›

A professional practice model describes how registered nurses practice, collaborate, communicate, and develop professionally to provide the highest-quality care for those served by the organization.

Why are professional values important in nursing? ›

Nurses, as the largest health care group, have well-known and important professional values. The use of these values in nursing practice increased the quality of patients care, nurses' occupational satisfaction, their retention in nursing and commitment to the organization [4, 5].

How should you apply professionalism as a nursing student? ›

Other guidelines speak to additional core components of nursing professionalism, including the following. Care Comes First – Communication is key. Listen to others, and provide information and advice clearly so every patient can understand. Make well-informed decisions that are best for the patient.

What are professional nursing values? ›

(1) Professional nursing values are defined as important professional nursing principles of human dignity, integrity, altruism, and justice that serve as a framework for standards, professional practice, and evaluation.

What qualities do you think make a good nurse? ›

What Makes Someone a Good Nurse?
  • Caring. ...
  • Communication Skills. ...
  • Empathy. ...
  • Attention to Detail. ...
  • Problem Solving Skills. ...
  • Stamina. ...
  • Sense of Humor. ...
  • Commitment to Patient Advocacy.
25 Feb 2020

What is the most unique characteristics of nursing as a profession? ›

Caring. The most unique characteristic of nursing as a profession is that, it is a CARING profession.

What is the most important thing in nursing? ›

The key to being a successful nurse is communication.

Communication skills are one of the most important requirements of a nurse's job—both following directions and communicating with patients and families. Patients who are sick or suffering often are not in a position of strength to speak up for themselves.

What is the role of a professional nurse? ›

A registered nurse's primary role is to ensure that every patient receives the direct and proper care they need, and they go about doing this in a number of ways. RNs assess and identify patients' needs, then implement and monitor the patient's medical plan and treatment.

How can healthcare professionalism be improved? ›

Here are nine ways nurses can uphold professionalism in their workplace:
  1. Communicate effectively. ...
  2. Have a positive attitude. ...
  3. Attend to patients with compassion. ...
  4. Deliver top-quality care. ...
  5. Collaborate with others. ...
  6. Be accountable for your actions. ...
  7. Dress professionally. ...
  8. Stay knowledgeable about current standards for best practice.

Why is it important to uphold professionalism and respect within a healthcare team? ›

Why is professionalism so important? The primary rationale for professionalism and collaboration is to promote patient safety. Health care is delivered by teams of professionals who need to communicate well, respecting the principles of honesty, respect for others, confidentiality and responsibility for their actions.

What is good professional practice? ›

Good Professional Practice also defines a foundation of principles for effective, competent and safe practice that hold true for any changes in science, technology and service delivery.

What is the meaning of professional practice? ›

The term 'professional practice' refers to the conduct and work of someone from a particular profession. Professions are occupations that require a prolonged period of education and training. They are often overseen by professional bodies who may accredit educational establishments and qualified professionals.

What are some examples of professional practice? ›

Professional Practice means the practice of medicine, dentistry, podiatry, osteopathy, chiropractic or veterinary medicine.

What are five professional nursing practices? ›

Apply these professional nursing values in your everyday practices:
  • Compassion. Compassion encompasses empathy, caring, and the promotion of each patient's dignity. ...
  • Trustworthiness. Nurses are among the most trusted groups of people. ...
  • Humility. ...
  • Accountability. ...
  • Curiosity.
15 Mar 2016

What is an example of a nursing professional practice model? ›

An example of a professional practice model is Watson's Theory of Caring, which includes 10 carative factors. 13 To carry on this example, Watson's theory would lead the organization to select a care delivery model (such as relationship-based care) integrat- ing the carative factors.

What does professional practice mean in healthcare? ›

The Professional Practice Framework (the Framework) integrates medical expertise and professional skills, recognising that physicians will be experts in their field of practice and use a range of professional skills in order to work in partnership with patients, families, or carers.

How do professional nurses grow? ›

In alignment with your organization's goals, here are five examples of professional goals for nurses:
  1. Pursue advanced certifications (relative to clinical practice area)
  2. Remain focused on career path.
  3. Seek advancement opportunities.
  4. Prioritize continuing education and advanced learning opportunities.
14 Sept 2018

What is a professional nurse essay? ›

A professional nursing essay explains to readers why professionalism among nurses is one of the utmost importance which nursing educators need to highlight the fact early on so that nursing students can establish professional tendencies that will follow them throughout their career.

How do you promote the nursing profession? ›

10 Ways to Boost Your Nursing Career and Get Promoted
  1. Always Have Good Intentions. ...
  2. Go with Your Gut. ...
  3. Advance Your Knowledge. ...
  4. Be Honest. ...
  5. Be a Leader. ...
  6. Respect Your Patients' Privacy. ...
  7. Represent Your Profession Well - In and Out of the Office. ...
  8. Take Time for Yourself.

How can nurses improve professionalism? ›

Nurses can demonstrate professionalism in nursing by mastering essential nursing skills necessary for patient care. Using evidence-based practices is an excellent way to demonstrate the element of care competence, as it improves the quality of patient care and safety and contributes to better patient outcomes.

How do you maintain professionalism? ›

Here are 12 ways you can develop and practice professionalism:
  1. Be productive. Use your time productively at work. ...
  2. Develop a professional image. ...
  3. Take the initiative. ...
  4. Maintain effective work habits. ...
  5. Manage your time efficiently. ...
  6. Demonstrate integrity. ...
  7. Provide excellence. ...
  8. Be a problem-solver.

How do you develop professional values? ›

What are professional values?
  1. portray a professional image through reliability, consistency and honesty.
  2. dress and act appropriately.
  3. deliver work outcomes to agreed quality standards and timescales.
  4. be accountable for their actions.

What is the importance of professionalism in healthcare? ›

Professionalism is how a doctor should look and behave even when faced with challenges, such as insufficient time with patients. It's all about treating others how you would like to be treated. During your training you will be assessed on various aspects of professionalism, such as your bedside manner.

What is nursing Short answer? ›

Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. It includes the promotion of health, the prevention of illness, and the care of ill, disabled and dying people.

What is nursing professional identity? ›

Professional identity in nursing is defined as a sense of oneself, and in relationship with others, that's influenced by the characteristics, norms, and values of the nursing discipline, resulting in an individual thinking, acting, and feeling like a nurse.

What is your strength as a nurse? ›

Having empathy to interact with the patient and their family and helping them to cope with problems is very important in a nursing position. Having the ability to understand and share those feelings with the patient and their loved ones is an essential strength for a nurse.

What should I say in a nursing interview? ›

If you're leaving your current position because of salary, say it. If you want more leadership opportunities, express your aspirations and goals. Be sure to share your passion for nursing, your enthusiasm to help patients, and your eagerness to excel at the career you've worked so hard for.

What is quality nursing care? ›

Quality nursing care entails meeting client needs and expectations, through conformance to relevant. standards/requirements. Itis the degree to which health services for individuals and populations increase the. likelihood of desired health outcomesand are consistent with current professional knowledge (Neil H. P, 2015 ...

What is the most important trait of professionalism Why? ›


Integrity is what keeps professional people true to their word. It also stops them compromising their values, even if that means taking a harder road. Integrity is bound up with being honest – to yourself, and to the people you meet.

What makes nursing a profession and how it differs from other profession? ›

Nursing is a healthcare profession that focuses on the care of individuals and their families to help them recover from illness and maintain optimal health and quality of life. Nurses are distinct from other healthcare providers as they have a wide scope of practice and approach to medical care.

What is the most challenging aspect of nursing? ›

7 hardest parts of nursing
  • Losing patients. ...
  • Being judged for their career choice. ...
  • Working long hours. ...
  • Experiencing physical/verbal abuse. ...
  • Navigating hospital politics. ...
  • Using outdated or time-consuming technology. ...
  • Feeling pressure to know everything.
31 May 2019

What makes you different from other nurses? ›

Kindness, fairness, caring, trustworthiness, emotional stability, empathy, and compassion are components that make you human on a personal level and serve you well as a nurse. You exhibit strong communication skills. You communicate well with patients and colleagues — sometimes at their worst life moments.

What does practice effectively mean? ›

They define effective practice as "consistent, intensely focused and target[ing] content or weaknesses that lie at the edge of one's current abilities." That's another way of saying: Don't waste your time practicing the stuff you already know, just to fill up those minutes.

What is safe and effective practice in nursing? ›

Minimising risk and maximising effectiveness are two key underlying principles of nurse prescribing practice. Safe and effective practice is founded on a thorough understanding of the theory, concepts, legislation, frameworks, policies, procedures and guidelines pertaining to nurse prescribing.

What are examples of best practices in healthcare? ›

Providers must deliver quality care, compassion, and convenient care access to ensure a positive patient experience.
  • Frame patient safety as key to positive patient experiences.
  • Treat patient consumerism like a retail experience.
  • Make healthcare access convenient.
2 Mar 2017

What are best practice principles in nursing? ›

Principles of care underpinning the clinical care standards
  • Treating patients with dignity and respect.
  • Encouraging patient participation in decision-making.
  • Communicating with patients about their clinical condition and treatment options.

How can we make a good practice? ›

10 tips to help you practise more effectively
  1. Create atmosphere. Get the right set-up for you. ...
  2. Warm up. Like a physical workout, a warm-up is essential. ...
  3. Have a goal. ...
  4. Be realistic. ...
  5. Identify and overcome the problems. ...
  6. Being a musician is so much more than just playing the notes. ...
  7. Write on your music. ...
  8. Record yourself.
27 Dec 2018

How can I do better practice? ›

How to get the most out of your practice time
  1. Focus on the task you're trying to accomplish. ...
  2. Pick something specific that you aim to improve, instead of trying to improve everything at once. ...
  3. Minimise distractions that can take your focus away from your goal. ...
  4. Start slowly or in slow-motion.
27 Aug 2020

How does practice improve performance? ›

If we practice poorly and do not correct our mistakes, we will myelinate those axons, increasing the speed and strength of those signals – which does us no good. The takeaway: practicing skills over time causes those neural pathways to work better in unison via myelination.

Why are professional values important in nursing? ›

Nurses, as the largest health care group, have well-known and important professional values. The use of these values in nursing practice increased the quality of patients care, nurses' occupational satisfaction, their retention in nursing and commitment to the organization [4, 5].

What is the role of a professional nurse? ›

A registered nurse's primary role is to ensure that every patient receives the direct and proper care they need, and they go about doing this in a number of ways. RNs assess and identify patients' needs, then implement and monitor the patient's medical plan and treatment.

What are nursing professional values? ›

Core values of nursing include altruism, autonomy, human dignity, integrity, honesty and social justice [3]. The core ethical values are generally shared within the global community, and they are a reflection of the human and spiritual approach to the nursing profession.

What is a nursing practice problem example? ›

The nursing shortage; job dissatisfaction; burnout; and turnover were the identified nursing practice problems. Causes and solutions of these problems were explored. Content may be subject to copyright. satisfaction; burnout; and turnover were the identified nursing practice problems.

Why is good practice important in healthcare? ›

1 Hospital-specific management practices are strongly related to a hospital's quality of patient care and productivity outcomes. For example, this research shows that improved management practices in hospitals are associated with significantly lower mortality rates and better financial performance. 2.

Why is best practice important in healthcare? ›

Best practices comprise recent, relevant, and helpful nursing practices, methods, interventions, procedures or techniques based on high-quality evidence. Best practices should be implemented to improve individual patients' health outcomes the overall quality of health care, and to strengthen the health system at large.

How can I improve my nursing practice? ›

How to Improve Your Skills for Nursing
  1. Continue Your Education. ...
  2. Explore Advanced Nursing Education. ...
  3. Learn How to Effectively Communicate. ...
  4. Join a Professional Nursing Organization. ...
  5. Make a Commitment to Service and Knowledge.
23 Mar 2022

What is quality nursing care? ›

Quality nursing care entails meeting client needs and expectations, through conformance to relevant. standards/requirements. Itis the degree to which health services for individuals and populations increase the. likelihood of desired health outcomesand are consistent with current professional knowledge (Neil H. P, 2015 ...

How do nurses promote professionalism and trust? ›

There are various qualities that all nursing professionals should seek to emulate in order to maintain professionalism, including positive attitude, compassionate patient interactions, professional responsibility, teamwork and integrity.

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