ABSTRACT
In a rapidly changing healthcare environment, nurses approaching career planning need a stable core of principles and a flexible set of guidelines from which to consider existing and emerging opportunities. A five-stage, decision-making career plan is discussed.
Subject(s)
Career Choice , Education, Nursing, Continuing/organization & administration , Faculty, Nursing , Students, Nursing/psychology , Vocational Guidance/organization & administration , Decision Making , Humans , Planning TechniquesABSTRACT
The cluster of activities called ROPES is borrowed and modified for teaching from OUTWARD Bound, the renowned outdoor management training program. ROPES uses experiential learning situations in which characteristic problem-solving tasks encourage the participants to stretch their personal limits and to learn teamwork. In doing so, trust, self-confidence, and communication and leadership skills develop through accomplishment of specific challenging activities. ROPES activities were found to be an effective method of instruction for teaching leadership in a senior nursing leadership course.
Subject(s)
Curriculum , Education, Nursing, Baccalaureate/organization & administration , Leadership , Clinical Competence , Humans , Program Evaluation , Self ConceptABSTRACT
Nursing process has guided clinical nursing practice for more than 25 years. During this time, many changes have occurred in healthcare practices, delivery systems, and nursing. The cumulative effects of such changes show a need to restructure the basic nursing process model. The author presents a three-level differentiated nursing process model.
Subject(s)
Models, Nursing , Nursing Process , Education, Nursing , Humans , Nursing Theory , RoleSubject(s)
Job Description , Personnel Management , Professional Practice , Psychiatric Nursing , Specialties, Nursing , HumansABSTRACT
This paradigm of professional nursing caring unifies aspects of humanistic and scientific perspectives. Through interconnections of the holistic nursing perspective, person-environment interactions, and the caring ethic, fusion occurs that reorganizes old orders and structures. From this dynamic, creative energies are generated and used in being, relating, and acting by the nurse through therapeutic use of self. Through professional nursing caring, the wholeness and integrity of a patient-client is maintained and assisted toward actualization, with wellness and illness outcomes altered, and more caring health-related environments restructured that preserve and support the humanness of patients and people in those environments. The professional nursing paradigm has been guided in organization by a holographic perspective of reality, a perspective that envisions two realms: the implicate and the explicate, with the implicate available to the explicate realm in dealing with reality. The two realities have been unified into a holonomic order in which the essences (qualities) and entities (actions) of professional nursing caring have been restructured into a new order. The paradigm opens avenues for constructing a nursing theory in which caring is systematically embedded in concepts, structure, and relations. The imperative for nursing education is to reconceptualize professional nursing caring and undertake the effort and energy required to place this essence in the heart of nursing theory, practice, education, and research. This is the profession's challenge for the coming decade.
