hi everyone it's Dr chairs DMP faculty at charity School of Nursing this is adult Health nursing level one nursing 113 this lecture is on professional behaviors I love this lecture because I feel like everything we do starts with professionalism starts with The Way We Carry ourselves and our professionalism so we're going to get into just a little discussion about professional behaviors and what's important uh when we talk professionalism and professional behaviors so when we talk about professional behaviors the first thing we need to do is identify what a profession is a profession has been identified as an occupation that requires extensive education or calling that require special knowledge skills and preparation a profession refers to professional character Spirit or methods the nursing professionalism owes much of his influence to Florence Nightingale and so when we talk about a profession we're all here and you guys are on this lecture because you've all chosen a profession in nursing and so some of you this may be a second profession for you or you you're coming from another profession but to be identified as a profession it is any occupation that requires extensive education uh so some other professions are uh maybe uh correctional officers uh police officers uh attorneys is another profession teachers teaching is a profession uh surgical text that's a profession truck driver is a is a profession so anything that requires uh a defined uh extensive education or knowledge something that requires uh special skills photomy photomy is a profession uh so these are are this just kind of helps us identify a profession and every profession that I have named refers to uh they have different characters uh there there's uh it refers to different uh different Norms uh bartending is a profession uh cosmetology is a profession and so if you're looking at nursing and you're looking at bartend then they're both professions but they both have uh they both require uh extensive education or or learning or skills uh but they also have different uh professional characters because the character of a nurse uh is not identified to the character of a bartender or the character of a police officer may not be identified to the character of a truck driver so um this just kind of puts in to perspective for us what a profession is uh and that different uh professionals have different uh spirits and different measures uh different methods that they go by uh does everybody agree on that awesome so here are some characteristics of a profession right some characteristics of a profession uh professions require prolonged specialized training uh it requires a body of knowledge pertinent to the role being performed uh professions uh provide a specific Service uh professions have ongoing research I mean nursing has ongoing research if you're in cosmetology as a profession there's ongoing uh studies and things that you need to do to keep up with what the current trends are uh there's code of ethics for every profession uh each profession has its own autonomy and then there are different professional organizations uh with every different profession so every uh profession has different characteristics well gallup's annual survey of professional nursing released December 6th of 2024 says that 80% of Americans called nurses honest and of ethical iCal high standards are very high standards so a survey went out I don't know uh if the survey you guys used to get surveys in the mail all the time but now everything's mostly done electronically so you may have gotten an email or may have gotten a card in the mail or may have gotten a text message to say to take this survey and this survey goes out every year and basically um it was released uh this Ser these survey results are actually from December of 23 and basically it said that 80% of Americans called nursing honest and ethical of high standards or are very high standards that means that 80 out of a 100 Americans feel that nurses are of high standards that nurses are honest um and said that as a profession as of a whole in its entirety that Americans feel that nurses have high standards and that they're very honest so some characteristics that identify nursing as a profession nursing provides a specific service everybody agree nurses require an extended education I'm sure we all agree there nurses has a code of conduct for practice nursing has a theoretical body of knowledge nurses have autonomy in decisionmaking and practice so these are just some characteristics that identify nursing as a profession basically uh we have a specific service we have a an extended education we have a code of ethics we have theoretical body of knowledge and we also have autonomy in our decision making these are just some characteristics of nursing some other characteristics of a professional nurse uh these are just characteristics that a professional nurse demonstrates uh we demonstrate professional behaviors we demonstrate teaching and learning we demonstrate competence we collaborate with other team members we advocate for our patients we provide caring interventions and we're ethical in our actions and these these are just some things as a professional nurse that we are characterized with maybe that's why 80 out of 100 Americans feel that nurses are very honest uh that nursing as a profession is very honest and here are some of the professional roles uh that we carry out as a nurse all of the roles of the professional nurse basically center around being autonomous and being accountable we're caregivers we're communicators we're teachers ERS we advocate for our patients and their families we serve as counselors we serve as Leaders as managers and case managers we also serve as research consumers and nursing so nursing practice as defined by the American Nurses Association so we talked about what a profession is we talked about some characteristics of a profession we talked about some characteristics of a professional Nur nurse and so now we're going to we talked about some different roles of a nurse and now we're going to look at nursing as defined by the American Nurses Association what does the American Nurses Association say we do as a nurse basically we protect we promote and we optimize health and abilities we prevent illness and injury we help in the alleviation of suffering through the diagnosis and treatment of of human response and we advocate in the care of individuals families communities and and different populations and these are just some of the this is what American Nurses Association say we do as a nurse so we talked about our Gallup survey we said that 80 out of 100 Americans feel that nurses of a high standards and we talked about some of those standards we talked about some of the different things that we do as a professional nurse and so let's talk about some things that are unprofessional some things that we should not do uh as a nurse some things that when we're in uniform when we're wearing our name badges and just some things that we should not do in our professional setting as a nurse we should not be little or use uh any patronizing language uh we shouldn't deliver negative or despairing nonverbal messages our ver verbal and non-verbal messages should be congruent our the way we speak and the way we look and the way we do things uh should all match they should be congruent we should never deliver any negative messages verbal or nonverbal we Enga we should never engage in constant criticism we should never undermine someone's activities uh emotional outbursts are also unprofessional when we're reluctant to answer questions that's also uh unprofessional behaviors and if we pit staff members one against the other those are some other unprofessional behaviors some guidelines that we should maintain some guidelines for our nursing demeanor uh does everybody agree that a nurse is we have a certain demeanor uh we have a certain look about ourselves we have a certain way that we act our profession nationalism is different look everybody wears scrubs these days right housekeeping got their colors restor got their color surgeries got their color occupational therapy and physical therapy have their color the social workers have their color but it's just something different about the nurse does everybody agree that the nurse has a different demeanor that the the nurse you could usually point out uh from everybody else I mean you could easily identify the nurse from the X-ray track Tech just because we're we're different because we have a different set of Professional Standards because we we do things different uh some guidelines for our nursing demeanor uh should be to avoid loud talking we should maintain a positive attitude uh we should avoid making personal calls at work look we're we all have families we all have lives we all have different things that we have to do uh but and we're we're working more than we're home so avoiding taking those calls is really sometimes unrealistic but we should avoid taking those calls in patient care areas we should avoid taking those calls where someone else can hear us we need to step out of the room and take those calls look I have kids I have El I have parents that are older and my kids don't live here and so if I get a call sometimes I might have to step out and take that call but I'm not going to take that call in a patient's room I'm not going to take that call in a patient uh area in a hallway where other patients and family members can hear uh so you need to avoid taking those personal calls uh in the work area there's designated areas for that uh we should never discuss personal problems with our patients absolutely never we should avoid gossiping and bullying of co-workers we should not complain to patients or family members uh we should not use illegal substances we should not use our personal cell phones to document patients information and we should never ever share patient information over social media uh these are things that we just never do uh these are just guidelines uh for nursing demeanor so you've all been here uh at charity School of Nursing for almost an entire semester now and so you know that uh the handbook is very strict about guidelines for our attire and demeanor uh as well as electronic use uh we should not have on excessive jewelry uh long or artificial finger nails we should not chew gum uh our hair should be secured away from the individuals that we're caring for we should have a personal cleanliness about ourselves our uniform should be clean and iron and uh we should avoid strong odors and perfumes uh we should not have any visible body modifications or any unusual piercings uh and we should not have visible tattoos on part of the body that's not covered by the scrubs uh these are just uh guidelines for our our demeanor as a nurse this is what sets us apart as a profession because again every profession has different guidelines every profession has different expectations every profession has different demeanors every profession has uh different behaviors uh every profession has different characteristics uh so as a nurse these are just some of the things that we should avoid and that we should never do and this is what sets us apart this is why 80 out of 100% of Americans feel that nurses are honest and of high standards because we have all the these guidelines and we have all these goals and we have all these different characteristics that we have to form that we have to set into right so what do we do as a nurse what does a nurse do first and foremost we respond to the needs of our patients we respond and adapt to challenges we make clinical judgments and decisions about our patients Health Care needs based on knowledge experience and standards of care and we actively participate in policy how do we actively participate in policy you say when there are staff meetings when there are Town Hall meetings when there are surveys we participate and this helps our organizations that we work for to develop different policies uh and so we actively participate in policy the American Nurses Association is actively involved in shaping the public policy at a national level but in our ARG organizations we could also actively participate in policy very important Integrity as nursing as a professional nurse we do what is right even when it's difficult again as a professional nurse we do what's right even when it's difficult we have integrity it is the adherent to a strict moral or ethical code that means we allow our patients to make informed decisions about their care that means that we even if we know that our patient is has anemia and their hemoglobin and hum adquate is low but their religious beliefs say that we do not receive blood our job as a nurse is to provide our patient with the advantages and disadvantages and then to allow them to make an informed decision and then once they make that decision we have to respect that decision and we may know that giving this blood is going to help our patient it's going to enhance their well-being but if they refuse it they absolutely have the right to refuse it and so even when it's difficult we do what's right and and doing what's right is allowing our patients to make their decisions if they're capable of making decisions for themselves so why does it take all this education because 80% of 100 Americans say that we are of high standards that we're ethical because we have all these guidelines for professional demeanor we have all these guidelines for professional Behavior we have all these different characteristics we are uh bond by the American Nurses Association uh we have identified all of these professional roles of a nurse and everything is just for a nurse everything is just different we just have C different characteristics and our professionalism and so that's why all the nursing education so let's talk a little bit about Nursing education and why it's so important and why it's so demanding uh so the professional Registered Nursing education uh there are no longer any diploma programs but years ago there were diploma programs I think turo had one and Charity Hospital uh and these programs were uh older programs and you went through the nursing course and you graduated and you were a nurse and so that was a diploma program now entry level as a registered nurse starts with an associates degree and that's a two-year program like the one that you're enrolled in here at charity Delgado CH Delgado charity School of Nursing it's a 2-year associate program and then there are the four-year back Boral programs are the BSM programs now the 2-year programs and the fouryear programs differ uh the two-year programs again is an associates degree and then the four-year programs are the bachelor's degree the four-year program has more research and more Theory uh and more more paperwork uh whereas the 2-year programs are more directed toward clinical experience however the Institute of medicine is recommending that 80% of nurses be prepared with a BSN by 2026 so what does that mean for you uh here today in charity School of Nursing to receive an associates degree that means that you're on the right course now do you absolutely have to go back and get a bachelor's degree absolutely not but if you are interested in uh taking taking any manager positions or case worker or uh case manager positions or if you're interested in continuing your education then you're ABS absolutely going to go back uh and do your bachelor's program uh once you take the inlex RN you're an RN and there is no inlex that you need to take uh once you finish your RN you're an RN and basically there's not another incx exam uh when you finish if you decide to go back and get your bachelor's degree then you go through the program you graduate your transcript is uh conferred and you receive your degree but there is not another inlex exam that you have to take at the RN level the inlex RN is the same inlex R in for associate prepared nurses as well as uh Bachelor prepared nurses the next column is graduate nursing education uh it's the master's degree uh nursing education uh the the APRN are the advanced practice registered nurses uh then there are nurse practitioner roles uh under the Master's Degree role uh and with nurse practitioner roles there are different uh Specialties there there's the family nurse practitioner uh who can take care of everybody there's the adult nurse practitioners who can only take care of adults there are neonatal nurse practitioners who can take care of only a a neonate there's acute care and gerontology and then there are also mental health nurse practitioners there are also cpms are certified professional midwives uh they are crnas are certified registered nurse anesis and those nurse uh those crnas usually work in surgery or o uh with the anesthesia doctors and then the terminal nursing degrees are either your DMP your doctorial nurse doctoral nursing practice degree or your PhD your do of uh phys physiology uh and so those are your uh your terminal nursing degrees and then continuing uh in service uh as healthc care continues to evolve healthc care is always growing there's always nobody knows everything there's always something to learn and as Healthcare continues to evolve and continues to grow as a nurse you will always be continuing your education and doing inservice uh and and in in order to uh continue your nursing uh lure you have to have so many continuing education service hours uh to renew your license so nurses are responsible for obtaining and maintaining specific Knowledge and Skills and so these uh cus are going to be continuous and ongoing throughout the entirety of your nursing profession there are professional nursing organizations uh each Professional Organization advances the nursing profession uh they Define standards of practice uh they Define professional behaviors uh they support nursing research and they participate in policy development some professional nursing organizations the American Nurses Association or Ana there's the national league for nursing or the nln the the ICN is the international Council of Nursing and then there's the nsna the national student Nurses Association uh in which everyone in here can be uh uh in the nsna it's the national student Nurses Association and what it does is it allows you as a nursing student to uh network and to become involved in the nursing Community you meet nursing students from other colleges and universities and you are uh allowed to uh network with them uh there are also different uh grants that are available and different things but I would uh recommend that if you are not in a professional nursing organization that you join one and as a student nurse I would recommend that you would join the National Student Nurses Association uh there's also cazin our charity Association of student nurses which you guys are also eligible to join as a student nurse here at charity there's the Sigma Theta Thai the international Honor Society for nurses and then there all kind of other professional organisms that focus on specific areas like if you wanted to do mental health there's a mental health professional nursing organization if you are interested in mother baby there's different mother baby nursing organizations and if you were interested in intensive care then there are intensive care professional nursing organizations identify where it is that you want to be identify what it is that you want to do and join these different organizations now become active in what it is that you want to do some different areas uh of nursing there's also uh different certifications that if you wanted to get certified by specialty there are different requirements that uh help set us apart uh from from others in the profession one of the most common ones is the CCRN for those intensive care uh nurses registered nurses who plan on going back to Anesthesia school um there's geriatric care and Pediatrics and mental health and I know you guys are probably saying right now I just want to be a nurse and I haven't really gotten to where it is that I want to specialize I haven't decided on a specialty area or anything yet uh but there's a vast majority of different areas that um that you can can indulge in as a nurse there's so many different things that we can do as a professional nurse there's so many different Avenues and so many different um research and and different things so just uh identify where it is that you want to be uh and if you want to be certified by specialty then there are also these different certifications by specialty so the SC scope of practice for nursing um there is a nurse Practice Act that is our scope of practice it defines basically what we can and cannot do as a nurse it varies from state to state uh again it defines what we can and cannot do it also defines uh what advanced practice nurses can and cannot do it licensed us and the inlex exam is the same for all 50 states so once you take the inlex exam here in Louisiana uh if you move away to Texas you have to apply for lure in Texas but you don't have to take the inlex exam again once you take it and you're successful and you pass it then you never ever have to take that inlex RN again uh once you take uh the the nurse practitioner exam then you never have to take that exam again if you move to another state you apply for lure there but you don't have to take uh that exam again one of the things uh because there is such a medical shortage and and we're seeing a lot of uh PA schools or physician assistant schools I had a um I had a peer ask me about going back to school uh and did I think they should do the nurse practitioner or the uh the PA and they said well you're going to say nurse practitioner because you're a nurse practitioner and so basically I said no I'm going to give you the advantages and disadvantages of both and I'm going to let you allow you to make an informed decision and so once I said as a nurse practitioner we take the the exam once and once we're successful we we don't have to take it anymore and when we move to a different state and we want to apply for other lure we apply for that licensure in those different states but we never have to test again uh The Physician assistants test like every 5 or six years uh and they have to take sit for their board exam like every five or six years and she said okay you don't have to say anything else I think I've made my decision uh but the scope of practice for nurses uh is mandated by our state the Louisiana State Board of Nursing you guys have already had some experience with dealing with in order to get into charity School of Nursing they are one of the strictest Boards of Nursing uh and basically it mandates what we can and cannot do and it varies from state to state quality and sa and safety education for nurses uh there are six competencies of quality and safety education for nurses the first one is patient centered care there is teamwork and collaboration evidence-based practice quality improvement safety and informatics uh these quality and safety education for nurses address the challenge to prepare nurses with competencies to continuously improve the quality of care in their work environments so these quality and safety education measures basically help to improve the quality of care in your work environment for each competency there are targeted knowledge skills and attitudes and these targeted knowledge skills and attitudes are elements that are integrated into a nursing pre-licensure program and as you see here on the wheel there's Care Management there's mental health counseling adherence counseling gynecological care nutrition counseling Outreach education HIV counseling testing and Pharmacy services and again uh each competency has targeted knowledge skills and attitudes that are integrated into a nursing pre-licensure program standards of practice standards of Nursing practce practice provide the guidelines for implementing and evaluating nursing care there are six standards of practice which govern how we care for our patients assessment diagnosis outcome identification planning implementation and evaluation again there are six standards of practice which govern how we care for our patients assessment diagnosis outcome identification planning implementation and evaluation standards of practice the American Nurses Association there are 10 standards of practice and they govern our behavior and hold us accountable as nurses and basically the American Nurses Association holds us accountable with these things standards ethics education evidence-based practice and research quality of practice communication leadership collaboration professional practice and evaluation resources and environmental needs the American Nurses Association hold us accountable and that's why it is so important that as a nurse we're always professional we have a certain code of ethics we have certain education requirements our quality of practice is different we we should demonstrate leadership and we we communicate and collaborate in different ways and so the American Nurses Association holds us accountable uh and they govern our Behavior so as nurses there we as a nursing student you can no longer do some of the things that you used to do we can no longer get into some of the trouble that we used to get into because it's going to affect our nursing lure it's going to affect everything that we worked so hard for look the stateboard of nursing probably fingerprinted you and ided you and you probably had to bring your mama and your Grandmama to get into nursing school because they went through all your background and everything else and they're going to do it again before they present you with licens and you're subject to have it done anytime throughout your nursing career and you're mandated to report different things that happen so everything that you're working so hard for you want to make sure that you're protecting because the American Nurses Association holds us to these different standards and they govern our behavior and they hold us accountable and we're accountable for so many things and that is why 80% of Americans feel that nurses are of high standards because they know the education that we go through and they know the different characteristics of a nurse and they know our demeanor and some of our professional behaviors and they know that we're held accountable by our licensure board and so it's important that we make sure that we're protecting ourselves that we're protecting our careers and we're protecting our lure and everything that we've worked so hard for so these are these things are important uh because they hold us accountable uh for for these things they hold us accountable for our education they make sure that we we're continuing our education they make sure that we have so many continuing education credits before they relicense US every year so these things are um we have to hold hold accountable uh to these different standards so why why do you think why do you think we have so many rules and why do you think nurses are professional and why do you think professionalism matters why do you think it matters if you demonstrate professional behaviors and why does everything for a nurse require so much and why so much education and why is nursing schools so difficult because we are caring for people's loved ones we are caring for people's family we're caring for people's children and grandchildren and we're caring for people's husbands and wives and we're we we're taking care of of families we're we're taking care of of of our patients and so everything starts with professionalism because when we become unprofessional we leave ourselves open to error uh unprofessional when we are not uh doing what's right when we're not properly resting when we're not when we're engaging in unprofessional demeanor it leaves us open for medical errors The Institute of medicine um talks about the number of people who die each year from medical errors and and that number is is is grave uh it's equivalent to they say three jumbo jet crashes every two days uh and so the Institute of medicine got involved and started looking at the number of people and and all the different medical errors and I don't know if you guys are paying attention now but medical errors are becoming bigger and bigger and so there was one time that they used to try to take the medical errors and say okay this is you know this is what happened and this is it but now nurses now more than ever are are being prosecuted and are having to go to court and um because they they made one error and it cost somebody their life uh and that's something that we can't get back and basically that all starts with unprofessional behaviors that all starts with uh not doing what we're supposed to do that all starts with not following the characteristics of a nurse it all starts with not following the Ana guidelines and not following the standards of practice so it is important that we follow these standards of practice and that we make sure that we're doing what we're mandated what we've signed up to do uh as a nurse and so the Institute of medicine basically says that that too many people are dying from medication errors are never events things never happened uh so basically The Institute of medicine says that the impact of era is a never event that is something that should have never happened 44,000 to 98,000 annual debts occur as a result of an error that means 44,000 to 98,000 people die every year because of of a result of a medical error a never event something that should have never happened medical errors are the leading cause of death followed by Surgical mistakes and complications more Americans die from medical errors than from breast cancer and AIDS and car accidents that's crazy 7% of hospital patients experience a serious medication error and the cost associated with medical errors is 8 to 29 billion dollar a year that's absurd and these are all statistics from The Institute of medicine and every medical error every impact of error every never event starts with unprofessional behavior and so professionalism is of the utmost importance to protect our patients to protect ourselves to protect our lure so what happens never events keep happening people keep dying the hospitals are losing money uh families are are losing loved ones and so Congress in 2005 said okay this is it so CMS uh the center for Medicare and Medicaid said okay look if you make a never event if you perform a medical area then era then we won't pay you you will not get paid that means that they started withholding reimbursement to the hospitals for certain medical errors if your patient came into the hospital and didn't have a urinary tract infection and during their hospitalization they gained a urinary tract infection then that's a never event in your hospital will not get paid for that entire hospitalization can you imagine working and not getting paid for working so that's what started happening hospitals started losing out on money uh people patients were dying family members were losing loved ones hospitals were losing money and so Congress passed a law that said is look anything that happens uh any never event you will not get paid for it that's why it's important when you when your patients come into the hospital and you do that initial assessment you make sure that if there's anything there you document it if you don't document it and somebody comes the next day and they document it then it looks like that patient developed that during their Hospital state so it's important that you document well and your Baseline initial assessment is very very important and you document exactly what you see did you know that not being on time is unprofessional that poor time management is unprofessional that not being honest is unprofessional that not taking responsibility is unprofessional that not being reliable is unprofessional that not listening is unprofessional that's right if your patient is talking to you and if you're not listening to them that's unprofessional not being prepared and organized is unprofessional not paying attention is unprofessional and not demonstrating care is unprofessional professionalism means everything professionalism is where it starts and that's why nurses are held to different standards and that's why nurses have so much education and that's why nursing school is not simple uh that's why nursing is of a high standard and that's why 80% of Americans feel that nurses are ethical and of high standards because of our professionalism because of our professional attire because of our professional demeanor and our professional characteristics everything starts with professionalism and I end with the late great Maya Angelo it basic basically says that I've learned that people will forget what you said but PE people will forget what you did but people will never forget how you made them feel so when you're caring for your patients they may not remember your name when you come back in the room and they may not remember anything that you told them even our Alzheimer's and Dementia patients they will remember how you made them feel and it all starts with professionalism if you have any questions there is a discussion board and you are free to put your questions in the discussion board if you need to contact me my email address is j c h a i r at dccc.edu thank you