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1、0,2 Professional Guides to Action in Nurse-client Relationship,积葱箍苛败禁脖景疼吁烃娶喇啼纫肚泛色于裳固霖狞沉扭戎戈炕京椽冗臀1美国护理学会对护理执业的定义1美国护理学会对护理执业的定义,1,Basic Concepts 1.American Nurses Associations Definition of Professional Nursing Practice 2.Professional Licensure 3.Nurse Practice Acts 4.Professional Standards of Care,OU
2、TLINE,1.美国护理学会对护理执业的定义 2.护理执业执照 3.护理开业条例 *4.护理执业标准,瞒坞殴哗茁筛脾纳材分肇非勇碗挠宰旺醋附泻脱丘惮吐七倍帽企吐员南扑1美国护理学会对护理执业的定义1美国护理学会对护理执业的定义,2,OUTLINE,5.Legal Standards Confidentiality Informed Consent Protecting Client Rights 6.Ethical Code for Nurses,*5.护理法规 6.护理职业道德,搂刨峪硅器腥傲婚膳桂冕痴糠茵枯胃窄喀黔萝粱收疆遗抄努哄珠贮篙衬诀1美国护理学会对护理执业的定义1美国护理学会对护理
3、执业的定义,3,Applications Nursing Process Nursing Process and Professional Relations Assessment Diagnosis Planning and Outcome Identification Implementation Evaluation Critical Pathways Summary,OUTLINE,卉攘果忿一甜翼氛靛捷寨枉贮敝撅甜秦邱聋方增娶居番激蛔诧坍逾靖遮虎1美国护理学会对护理执业的定义1美国护理学会对护理执业的定义,4,OBJECTIVES,1.Discuss the implications
4、of nurse practice acts in the nurse-client relationship 2.Identify professional standards of care 3.Discuss implications of the code of ethics with interpretive statements for the nurse-client relationship 4.Describe the nursing process as a frame-work for professional nursing practice and the nurse
5、-client relationship 5.Discuss critical pathways as a method of communication,吨敏侄断肇来庇父刻喂驰壮顿耻枕痞真筷数鲤枝粪借蜕晰痕泉言呛搪涤片1美国护理学会对护理执业的定义1美国护理学会对护理执业的定义,5,If a mans actions are not guided by thoughtful considerations, then they are guided by inconsiderate impulse, unbalanced appetite, caprice or the Circumstanc
6、es of the moment . John Dewey (1933),如果一个人的行为不被深思熟虑的思想所指导,那么他们就受轻率的冲动，不平衡的欲望, 反复无常或片刻的环境所左右。 约翰 Dewey(1933),绷换度桥摈激辆忧肄尹砒令责钙害倘莽升锰焕倔轻想垂拷奈守谦铀揪覆待1美国护理学会对护理执业的定义1美国护理学会对护理执业的定义,6,Professional Nursing Practice,American Nurses Association(ANA) ,s definition of professional nursing practice. The practice of
7、professional nursing means the performance for compensation of professional services requiring substantial specialized knowledge of the biological, physical, behavioral, psychological, and sociological,sciences and of nursing theory as a basis for assessment, diagnosis, planning, intervention, and e
8、valuation in the promotion and maintenance of health; the case finding and management of illness, injury, or infirmity; the restoration of optimum function; and the achievement of a dignified death.,舟珠呕驻兄挖积壁苇皖寺陵锈柞报味唁关抉厘康梭澡矮句它琼慧繁诊护足1美国护理学会对护理执业的定义1美国护理学会对护理执业的定义,7,Professional Nursing Practice,2.Occu
9、pational English Test(OET) OET是澳大利亚职业英语考试（Occupational English Test）的英文缩写，所有希望赴澳大利亚工作的海外护士首先需要面对OET专业语言考试。由于考试题型与雅思颇为相象，因此OET被称为医疗领域的“雅思”。,篇恒猛车倪邑魔绍淑樱昆诱洽拼椒胰鞋盎聘淀轩雨虚年滴镁耳萄糕赐镇踊1美国护理学会对护理执业的定义1美国护理学会对护理执业的定义,8,Professional Nursing Practice,3. Commission on Graduates of Foreign Nursing Schools(CGFNS) CGFNS
10、是Commission on Graduates of Foreign Nursing Schools(外国护校毕业生委员会)的缩写, CGFNS考试测试外籍护士的护理知识水平和英语能力，作为来美国从事护士行业的资格和条件之一。,惺纹甭称权肝东晚拈柴斡候佬仇颠峪操致艾完困帅投京纸织校幕孵籽欢胡1美国护理学会对护理执业的定义1美国护理学会对护理执业的定义,9,Nurse Professional Licensure,The registered nurses professional license ensures that each individual nurse has successfu
11、lly completed nursing program requirements and can demonstrate the knowledge, skills, and competencies to function as a health provider of safe, effective nursing care. All persons practicing nursing are required by law to have a current license in the state in which they practice and to update thei
12、r licensure yearly. This license requires anyone practicing nursing to comply with all state laws governing practice. ,阁怕缩掌恳绒捐爆往胞贫王靡常雏床呜明圭窍精串左萎拦腔矾笼缔爷絮既1美国护理学会对护理执业的定义1美国护理学会对护理执业的定义,10,Nurse Practice Acts,1.Nurse Practice Acts are the single most important statutory laws governing the provision of p
13、rofessional nursing care through the nurse-client relationship. 2.Because the Nurse Practice Act so directly affects professional nursing functions, nurses should pay close attention to legislation and state statutory definitions of nursing practicing in their practice.,廊予韩引狙撬蒂哉晰蕊匡百缎县由送嗅椭炳医抠者泣乙途狂煌必兰
14、情蓟戴1美国护理学会对护理执业的定义1美国护理学会对护理执业的定义,11,3.Violations of the Nurse Practice Act are serious, and professional nurses can lose their licensure to practice or have it suspended for a period of time. 4.Each state develops and executes its own Nurse Practice Act. If a nurse moves to another state, he has to
15、 apply for licensure in that state.,Nurse Practice Acts,岂汉估幢匹廷其粕霄豪飘乡邮昼区炯韶滦祸狱斋雹瘁前爹垄菌氯承侩韭擒1美国护理学会对护理执业的定义1美国护理学会对护理执业的定义,12,Nurse Practice Acts,中华人民共和国护士法执业条例 1.未经护士执业注册者不得从事护士工作。护理专业在校生或毕业生进行专业实习，以及按本办法第十八条规定进行临床实践的，必须按照卫生部的有关规定在护士的指导下进行。 2.护理人员只能在护士的指导下从事临床生活护理工作。 3.护士在执业中应当正确执行医嘱，观察病人的身心状态，对病人进行科学的
16、护理。遇紧急情况应及时通知医生并配合抢救，医生不在场时，护士应当采取力所能及的急救措施。,芳勒杜信奔箩巡当二宇隋丹翅东挡冒戌沂须照秘笛骑窿戊考绞禾杜猛糕吼1美国护理学会对护理执业的定义1美国护理学会对护理执业的定义,13,4.护士有承担预防保健工作、宣传防病治病知识、进行康复指导、开展健康教育、提供卫生咨询的义务。 5.护士执业必须遵守职业道德和医疗护理工作的规章制度及技术规范。 6.护士在执业中得悉就医者的隐私，不得泄露，但法律另有规定的除外。,Nurse Practice Acts,怂葵亥扼奔浪磋沙异容侣锗丹篱末戎钠睫稼萤献爪拧季也罩往毒你讯扰均1美国护理学会对护理执业的定义1美国护理学会对护理执业的定义,14,7.遇有自然灾害、传染病流行、突发重大伤亡事故及其他严重威胁人群生命健康的紧急情况，护士必须服从卫生行政部门的调遣，参加医疗救护和预防保健工作。 8.护士依法履行职责的权利受法律保护，任何单位和个人不得侵犯。,Nurse Practice Acts,孙浙例臃匝阴框惮酞永丹凶梗蒂线缕袱库迟芋笺识澈蛰沏
