Roles and Values

NVT2 - Professional Roles and Values
Course of Study

Your competence will be assessed as you complete a series of Professional Roles and Values performance tasks (NVT2), which are listed in the sequence below. This course of study may take up to 6 weeks to complete.

Introduction
Did you know that in 2005, only 43% of nurses in the United States held baccalaureate degrees in nursing (National Council on Nurse Education and Practice)? At that time, the US Congress was advised to support efforts to raise that number to 67% by 2010. How do you think they are doing? Why is it important to increase the percentage of nurses with baccalaureate degrees in nursing? What do you think your nursing education is going to do for you? Do you think it will help you develop confidence? Nurse leaders are shaping the future of healthcare and serve as clinician, manager, and mentor. In a few short weeks, you will be more confident, better prepared to assume a leadership role, and able to actively help to direct more positive outcomes for your organization. You already mastered your prerequisites, including the basic principles of nursing theory, nursing process, and nursing models of care. That is a great accomplishment. Now you will build upon those concepts and build a comprehensive body of knowledge that includes quality management, quality improvement, case management, utilization management, risk management in all healthcare settings, and basic healthcare finance. Some of the reasons why knowledge of professional roles and values are important for nurses include the following: Ethics is an integral part of the nursing profession in advocating for and care of patients. Nurses delegate care to others in order to provide competent, safe care. Nursing competency development continues throughout the nurse's professional lifetime. Upon completion of this course of study, you will be able to influence not only your own nursing practice but also the practice of those with whom you work. Outcomes and Evaluation There are 4 competencies covered by this course of study; they are listed in the "Competencies for Professional Roles and Values (NVT2)" page. You will complete the following assessments as you work through the course of study. Performance Assessment You will complete the following performance assessment in TaskStream:

1 / 16

NVT2 - Professional Roles and Values
Course of Study

NVT2 Previews of task instructions and rubrics for this assessment are available in via the 'Assessment Preparation' box in the online course of study. Nursing Dispositions Statement Please review the Statement of Nursing Dispositions.

Preparing for Success
The information in this section is provided to help you become ready to complete this course of study. As you proceed, you will need to be organized in your studies in order to gain competency in the indicated areas and prepare yourself to pass the final assessments.

Your Learning Resources
Enroll in or order the learning resources for this course as early as possible so as to give them time to arrive and give you enough time to become familiar with them. Automatically Enrolled Learning Resources You will be automatically enrolled at the activity level for the following learning resources. Simply click on the links provided in the activities to access the learning materials. The following e-texts are available to you free of charge, but you may purchase hard copies at your own expense through a retailer of your choice. If you choose to do so, please use the ISBN listed to ensure that you receive the correct edition. CourseSmart E-Texts The following textbooks are available to you as e-texts within this course of study. You will be directly linked to the specific readings required within the activities that follow. Roux, G. & Halstead, J.A. (2009). Issues and Trends in Nursing: Essential Knowledge for Today and Tomorrow. Sudbury, MA: Jones and Bartlett. ISBN-13: 9780763752255 Note: If you wish to purchase a hard copy of this textbook, you may do so at your own expense through the retail or online outlet of your choice. Be sure to order early and use the correct ISBN listed above to get the correct edition. Accessing the Companion Website for Roux text Access the companion website that you will be using in this course of study. This site provides activities, critical thinking questions, and case studies that will help you apply the competencies you are developing. Enroll in Learning Resources

2 / 16

NVT2 - Professional Roles and Values
Course of Study

You will need to enroll in or subscribe to additional learning resources as a part of this course of study. You may already have enrolled in these resources for other courses. Please check the "Learning Resources" tab and verify that you have access to the following learning resources. If you do not currently have access, please enroll or renew your enrollment at this time. Note: For instructions on how to enroll in or subscribe to learning resources through the "Learning Resources" tab, please see the "Acquiring Your Learning Resources" page. CE Direct Enroll in CE Direct if you have not previously enrolled in another course. You only need to enroll once. After you are enrolled through the Learning Resources tab on this course you will receive access information in an email. In order to access the assigned items in CE Direct, follow these instructions: 1. 2. 3. 4. Access the CE Direct website Log in with your account information Use the Search feature to locate the item by number or title Click the item in the search results to load the material and begin

Additional Preparation
There are many different learning tools available to you within your course of study in addition to the learning resources already discussed. Take the time to familiarize yourself with them and determine how best to fit them into your learning process. Message Boards, Learning Communities, Study Notes, FAQs Message boards, learning communities, study notes, and FAQs are available in every course of study. Use the "Additional Learning Tools" document to review these tools. In addition, you will find a link to the Nursing Professional Roles and Values Learning Community on your Learning Resources tab. This community contains announcements, student postings and mentor tips for successfully completing this course of study. Course Mentor Assistance Course mentors are available to help you. Their job is to aid understanding in areas where you need to improve and to guide you to learning resources. Request their help as needed when preparing for assessments.

3 / 16

NVT2 - Professional Roles and Values
Course of Study

Course mentors cannot provide reviews of entire assessments. If you fail assessment attempts, review the provided feedback first, then ask the course mentor specific questions about what you can do to meet the competency standard. Request course mentor assistance as necessary in preparing for second attempts at objective assessments or performance task revisions. Mentors cannot guarantee you pass as they do not evaluate assessments; however, they can provide the assistance and advice necessary to help you succeed. Nursing Standards You will be able to access Nursing Professional Standards as they apply to your program through the WGU Library. Please access these documents at the following website: WGU Library Nursing E-Reserves

Nursing Through History
History has glorified figures like Florence Nightingale, but what effect did she really have on the field of nursing? What effect did she have on the field of public health? When you read stories of nurses such as that of Florence Nightingale and the nurses who survived through crises of war in the Crimea, the South Pacific, and Vietnam, it helps you to focus on the true role of the nurse, their courage under difficult circumstances, and their dedication to safe quality care. How different are these nurses from the ones who responded to disasters in the United States, such as Hurricane Katrina? Or the nurses who fight every day for care of vulnerable populations? For this section you will look at the history of nursing and how it frames the profession today. Competencies covered by this subject 724.7.4 - Roles of the Professional Nurse The graduate investigates the nurse’s unique role in providing interprofessional care, patient care quality and safety, cost effective healthcare, and care to diverse patients/populations; recognizes the difference between research and quality improvement; recognizes how informatics affects patient care quality; and analyzes the various roles of nurses.

Nursing History
In this section you will investigate the history of nursing and apply your findings to understand your place in the field. In the "Notes" feature of this course of study, answer the following questions: How can understanding the history of nursing affect your own practice? Are these just a few heroes who stand out, or are there many nurses throughout history who have added to the knowledge, skills, and growth of nursing as a profession? What can history tell nurses about where they will go as a profession in the

4 / 16

NVT2 - Professional Roles and Values
Course of Study

future? Concept Mapping and Reflection: Nursing History Draw a concept map of the key components that you think are important in the history of nursing. Call this concept map "Nursing History: Initial." Nursing's Place in History Read the following in the Issues and Trends in Nursing: Essential Knowledge for Today and Tomorrow text: chapter 1 ("History of Nursing") This provides a good overview of the history of nursing, including key nurses in history and their contributions. When you have completed your reading, answer the reflection questions at the end of the chapter. Now add the key women in history of nursing to your concept map with their major contribution. History of Nursing as a Profession Go to the companion website for the Roux text. Select Reflective Case Studies in the left hand column. Select History of Nursing as a Profession - read and complete the case study. You may email your responses to your Course Mentor for this course of study. While this is not required, it may be helpful for you if you would like feedback. You might also want to post some insights in the message board for your peers. Diversity in Nursing Investigate how diversity of nurses has enhanced the field of nursing at "Nursing Notes: History". Choose one of the following topics listed on the website to research: men in nursing black nurses in history women in war Post a comment in the message board to teach others what you have learned. Crossword on Nursing Education: Past, Present, and Future Go to the companion website for the Roux text as instructed in the introduction to

5 / 16

NVT2 - Professional Roles and Values
Course of Study

this course of study. Select Crossword Puzzles in the left hand column. Complete the puzzle and then check your answers. This is a fun way to check your understanding. You might want to also complete the chapter review for chapter 1 to test your understanding. DO NOT submit your answers. Look up questions you are unsure of. Reflection and Concept Map: Nursing History Reflect on what you have learned about the history of nursing. How can history affect your practice? Go back to your concept map and add to it or modify it.

Ethical Leadership
In national emergencies caused by natural or man-made disasters, a triage nurse may have to make ethical decisions about who will be treated and who will be left without treatment or treated when possible, if at all. These are difficult decisions and are often based on codes, practice acts, and organization or national standards. Ethical leadership in nursing involves using the nursing code of ethics, state practice acts, and organization or institutional standards of patient care. Nursing roles emphasize developing safe and ethical patient care based on standards of care. For this section, you will review roles and responsibilities of a nurse to provide ethical leadership in all nursing practice. Competencies covered by this subject 724.7.1 - Ethical Leadership The graduate analyzes and demonstrates how codes of ethics affect practice, discusses specific issues in safety for quality care, recognizes the importance and role of confidentiality for security of information and professionalism, determines the appropriate standards under which nurses work, and understands how these standards guide nursing practice.

Ethical Leadership
What is meant by ethical leadership? Every nurse has a story about a defining moment or a personal strength that was needed to face an ethical dilemma. Employing knowledge of ethical principles can help the nurse prepare to take the right course of action in difficult circumstances. Concept Mapping and Reflection: Nursing Ethics Draw a concept map of the key components that you think comprise a code of nursing ethics. Call of this concept map "A Code of Nursing Ethics: Initial." Case Study: Sex and Vaccination Access the "Sex and Vaccination" case study. 1. Read through "Part I-A Texas Tempest" scenario. 2. Answer the questions at the end of Part I.

6 / 16

NVT2 - Professional Roles and Values
Course of Study

3. 4. 5. 6.

Go to "Part II-The Governors Case" and read the case and answer questions. Go to "Part III-Arguments against the HPV Mandatory Vaccination Policy." Go to Part IV-Now What?" Complete the case study with questions.

How does what you have read help you better understand the "Sex and Vaccination" case study? Or does it? Go to your message board and post your thoughts in the appropriate discussion. Case Study: Ethical Scenarios Go to the companion website for the Roux text as directed in the introduction to this course of study. Select Reflective Case Studies from the left hand column. Select Ethical Decision Making and Moral Choices Complete the case study. If you would like feedback you may submit your answers to the course mentor for this course of study. You might also want to post a message for your peers. Go to the message board and post your thoughts on the scenarios presented in this activity. Ethical Codes: Three National and International Nursing Ethical Codes Use the Internet to investigate the codes of ethics listed below that are important for nurses: American Nurses Association (ANA) Code of Ethics Bill of Rights for Registered Nurses International Council of Nurses (ICN) Code of Ethics Develop a graphic to show the major points of each of the above and any overlap among them. Then complete the Ethics Exercises on the companion website for the Roux text. Access this site as directed in the introduction to this course of study. You may submit your answers to the Course Mentor if you need feedback. This is not required. Ethical Decision Making Go to the companion website for the Roux text. Select Critical Thinking Questions from the left hand column. Complete the critical thinking questions. You may email your answers to the course mentor for this course of study if you need feedback.

7 / 16

NVT2 - Professional Roles and Values
Course of Study

Post your thoughts on the message board and write pertinent information in your notes. Test Your Understanding - Chapter Review on Ethical Decision Making Complete the chapter review to test your understanding. Access the chapter review on the companion website for the Roux text as directed in the introduction to this course of study. This should not be submitted but you should use this as a tool to check understanding. Look up any questions you do not know. Health Care Ethics Think about a health care ethics issue that you have been involved in or read about. Be prepared to discuss on the message board an example you have seen that might have been unjust, incompetent, or illegal in your clinical experience. Consider the following related to your example: What did you observe? What did you do about it? Might you have done something different? What might you do in the future? Final Concept Map and Reflection: Nursing Ethics Have any of your initial ideas about nursing ethics, safety, or quality of care changed? If so, go back and edit your concepts. If not, why not? What new insights have you gained about responding to ethical dilemmas in your nursing practice? Explain. TaskStream Task 724.7.1-01,03,05, 7.2-01--05,07 (2008) Complete the first task, which is on ethics, in TaskStream: 724.7.1-01,03,05, 7.2-01--05,07 (2008)

Continuing Competence in Professional Nursing
Imagine you are a patient in the hospital; you are a nurse who has just had surgery. You are in a private room on the floor reserved for the VIPs; in other words, you probably have health insurance and you know the rooms are all private in that unit-that is why you requested to be on that unit. However, you notice that your IV is running dry and in spite of repeated efforts to gain the attention of an RN to change it, it is about to run out. A licensed practical nurse (LPN) (without IV privileges) comes into the room and you demand that the LPN follow your instructions on how to change the IV, because you know how difficult it is to find a vein in your arm. The LPN does so. Now consider the following:

8 / 16

NVT2 - Professional Roles and Values
Course of Study

Is the LPN competent because of your instruction? Is the RN that is responsible for your care competent when your IV has not been changed in a timely manner? Are these legal, ethical, and competency issues all rolled up into one event? What would the state board of nursing say? Competencies covered by this subject 724.7.2 - Continuing Competence in Nursing The graduate identifies the federal and state regulations under which nursing is practiced, recognizes how these regulations affect the practice of nursing in a specific care setting, recognizes the professional nursing role in a changing health care delivery system, describes unprofessional conduct rules, and determines the importance of maintaining competence through recurring measurement and validation of nursing expertise.

Continuing Nursing Competence
Continued competence in nursing is often regulated by state boards of nursing as well as specialty nursing groups such as ANCC (American Nurses Credentialing Center) or ACNM (American College of Nurse Midwives). It is essential that nurses understand the standards for competence by which they are regulated. It is equally important that nurses stay current as new fields and practices become the standard of care. Concept Mapping and Reflection: Continuing Nursing Competence Access your state board of nursing rules and regulations about continuing education. Does your state require continuing education credit for continued licensure? If not, how would you remain current in your practice? Construct a concept map that depicts what competency in nursing means. Professional Nursing Organizations Read the following in the Issues and Trends in Nursing: Essential Knowledge for Today and Tomorrow text: chapter 5 (on "Professional Nursing Organizations") Now, go to the companion website for the Roux text. Click on "Critical Thinking Questions" in the left-hand column. Select "Chapter 5-Professional Nursing Organizations". Work through the situations. Share your thoughts in the message board. You do not need to submit these to your course mentor unless you need feedback. Professional Nursing Practice Regulations Login to CE Direct and complet the following module: "Protect Yourself: Know Your Nurse Practice Act" 1. 2. 3. 4.

9 / 16

NVT2 - Professional Roles and Values
Course of Study

Download the CE (continuing education) certificate when you are done. Consider the following questions: Why is it important to know your particular nurse practice act? Does this differ from state to state? What violations are important to learn? Professional Conduct Login to CE Direct and complete the following module: "Do You Reflect a Positive Image of Nursing?" Consider the following questions: How does your self-image affect the image of nurses by the public? What ways can you, as a nurse, market the image of nursing internally and externally? What actions can nurses take individually to improve the image of nursing? Unprofessional Conduct Read the module on unprofessional conduct at the "Legal Basics for Professional Nursing: Nurse Practice Acts" website. What are your conclusions about unprofessional conduct, assisted suicide, and euthanasia? Discuss your ideas on the message board. Crossword Puzzle on Professional Nursing Organizations For this activity, complete the following: Go to the companion website. Click on "Crossword Puzzles" in the left-hand column. Select "Chapter 5-Professional Nursing Organizations". Complete the puzzle and then check your answers. This is a fun way to test your understanding. Checking Understanding: Chapter Review for Professional Nursing Organizations For this activity, complete the following: 1. 2. 3. 4. Go to the companion website. Click on "Chapter Review" in the left-hand column. Select "Chapter 5-Professional Nursing Organizations". Complete the review. 1. 2. 3. 4.

Do not submit your answers but go back and check them with your text. Review

10 / 16

NVT2 - Professional Roles and Values
Course of Study

areas you were unsure of. Staff Development for New and Returning Nurses Login to CE Direct and complete the following: Look through the list of online short courses and select an area that you feel you need a refresher or more information about. Complete the module and download your CE (continuing education) certificate. Now, go to the message board and discuss what you have learned.

Staffing and Scheduling
According to Aiken, et al. (2002), on average for each additional patient assigned to a registered nurse, the risk of mortality for that registered nurse's patients rises by 7%. Think about it-one extra patient! What does appropriate staffing mean to the patient, the patient care unit, and the organization? As a leader, what is your role in providing safe, optimal staffing? What are the challenges? (Reference: Aiken, L.H., et al. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of the American Medical Association, 288, 1987-1993.) Developing Effective Staff Login to CE Direct and complete the following modules: "Learning to Lead: From Staff Nurse to Charge Nurse" "Precepting: The Chance to Shape Nursing's Future" "Coaching Makes Nurses' Careers Grow" "Coaching: An Essential Skills for Nurses" When you have completed all modules, develop a graphic to show how the BSN prepared nurse can take a role in staff development and advancement. Final Concept Map and Reflection: Continuing Nursing Competence Go back to your initial concept map for this topic. Consider the following What new information have you learned? How will you use it? What do you think about your own level of competency in your chosen field? How have your ideas changed? Do you have a broader understanding of the term competency than before? Explain. Revise your concept map as needed.

Delegation

11 / 16

NVT2 - Professional Roles and Values
Course of Study

Nursing care involves more than those who are licensed as registered nurses. Patient care often involves unlicensed assistive personnel (UAPs) and licensed practical nurses (LPNs or LVNs) who are supervised by RNs. Therefore, it is crucial that the RN know when and how to delegate care appropriately. During this section, you will review the nurse's responsibilities for delegation of care to other healthcare personnel. Competencies covered by this subject 724.7.3 - Delegation The graduate recognizes the role of a nurse in working with a diverse workforce, applies principles of delegation, utilizes staffing principles in negotiating staffing needs, recognizes and determines when and how to delegate, and explains the nurse’s responsibility in developing delegation skills.

Delegation
Telling someone else to do something is not delegation. So what exactly is this concept that you hear so much about in nursing? Are there legal implications? Who is accountable for the work that needs to be done? As the nurse leader, are you going to try to do it all yourself? What is your responsibility to the person you are delegating assignments to? What is your responsibility in ensuring that people assigned to each task have the proper qualifications, authority, and responsibility? It is not so simple, right? Move ahead in this section, keeping these questions in mind. Reflection and Concept Mapping: Delegation How do you visualize delegation? Draw a concept map depicting all the aspects of delegation that you can think of. Delegating to Unlicensed Assistive Personnel Login to CE Direct and complete the following: "Delegating to Unlicensed Assistive Personnel" Answer the following question: What are the five rights of delegating? Download your CE (continuing education) certificate when you are done. Written and Collaborative Exercise Read the Five Rights of Delegation. Think about when you have had to delegate to other people, either in a formal or informal setting. Using the five rights of delegation, reflect back on the experience. Write an analysis of how you might have used the five rights or what you might have been able to use

12 / 16

NVT2 - Professional Roles and Values
Course of Study

retrospectively. Case Study on Delegation: Sarah For this activity, complete the following: 1. Access the Sarah case study 2. Work through the case study on delegation. 3. As you work through each section, be sure to pause and answer the questions before proceeding to the next section. Discuss your final answers to these questions with your peers: What situation is Sarah in? Why? How could this have been avoided? What was Sarah's priority for care? How did this affect the outcome? Final Concept Map and Reflection: Delegation Go back to your concept map. What have you learned? How would you use that knowledge? Revise your concept map as needed. TaskStream Task 724.7.3-01-08 (2008) Complete the third task, which is on delegation, in TaskStream: 724.7.3-01-08 (2008)

Roles of the Professional Nurse
As a BSN graduate, you will be expected to assume the role of a leader. This may be a leader at the bedside of a patient or in an administrative role in a healthcare facility. As a professional nurse, are you going to be a leader, a manager, or a follower? You probably answered "all three." You are right. Consider the following: What role will you play when and with whom? Will you be an official leader or an unofficial leader-will you lead the unit or lead at the bedside? Will you manage your staff, or will you manage your patients' care? Will you follow your unit manager, or will you follow your patients' cues as they reach toward wellness? Competencies covered by this subject 724.7.4 - Roles of the Professional Nurse

13 / 16

NVT2 - Professional Roles and Values
Course of Study

The graduate investigates the nurse’s unique role in providing interprofessional care, patient care quality and safety, cost effective healthcare, and care to diverse patients/populations; recognizes the difference between research and quality improvement; recognizes how informatics affects patient care quality; and analyzes the various roles of nurses.

Roles of Professional Nurses
The nurse needs to understand the roles and responsibilities of professional nursing practice in providing safe care to patients. In this section, you will investigate the roles and responsibilities of professional nursing practice. Consider what processes are involved in each of these roles. Concept Map and Reflection: Roles of Professional Nurses Construct a concept map depicting what you think is the role of the professional nurse. Consider the roles the nurse will play on the unit as member of a team. Are there different types of nurses that might be on the team? Who else might you find on an interdisciplinary team? Interprofessional Practice Read the following in the Issues and Trends in Nursing: Essential Knowledge for Today and Tomorrow text: chapter 6 ("Interprofessional Practice") Focus on the following issues as you review the text: The importance of interprofessional collegiality The ways that individuals in different health professions can work together to improve patient outcomes Specific actions that you might undertake to resolve interprofessional differences Why interprofessional differences occur and ways that you might head them off before they occur The significance of collegiality and collaboration in today's healthcare environment Case Study on Interprofessional Practice: Terri For this activity, complete the following: 1. 2. 3. 4. Go to the companion website for the Roux text. Select "Reflective Case Studies" from the left-hand column. Select "Chapter 6". Read and complete the case study on Terri. Do not submit this to the course mentor unless you need feedback. 5. Post a comment on the case in the message board for your peers.

14 / 16

NVT2 - Professional Roles and Values
Course of Study

Critical Thinking in Interprofessional Practice For this activity, complete the following: Go to the companion website for the Roux text. Select "Critical Thinking Questions" from the left-hand column. Select "Chapter 6". Work through the questions. If you need feedback, submit your answers to the course mentor for this course of study, but note that this is not required. Crossword Puzzle: Interprofessional Practice For this activity, complete the following: 1. 2. 3. 4. Go to the companion website for the Roux text. Select "Crossword Puzzles" from the left-hand column. Select "Chapter 6". Complete the puzzle to check your understanding. Then check your answers. 5. Go back and review areas that you still have questions about. To additionally check your understanding, you can complete the chapter review or NCLEX-RN review questions, but you should not submit these. Reflecting on Effective Teams Write a reflection of when you have been a member of a team. As you do, consider the following: Was the team effective? What characteristics did it have of an effective team? What were some of the barriers to the team's effectiveness? The Nurse's Role in Cost-Effective Healthcare Login to CE Direct and complete the following modules: "HCAHPS Is All About Patient Satisfaction" "Healthcare Fraud" Consider the following question: What is the nurse's responsibility and role in maintaining cost effective healthcare that is patient centered? Final Concept Map and Reflection: Roles of Professional Nurses Reflect and modify your conceptions about the roles of the professional nurse. What have you learned that might enrich your concept map about the role of the nurse in healthcare? 1. 2. 3. 4.

15 / 16

NVT2 - Professional Roles and Values
Course of Study

Revise your concept map as needed. TaskStream Task 724.7.1-02, 04, 7.2-06, 08, 7.4-01-08 (2008) Complete the second task, which is on interviews, in TaskStream: 724.7.1-02, 04; 7.2-06, 08; 7.4-01-08 (2008)

Final Steps
Congratulations on completing the activities in this course of study! This section will guide you through the assessment process.

Assessment Information
At this point you have already completed the performance tasks in TaskStream that constitute the assessment associated with this course of study. Hopefully you were successful on your first try; if not, please work with your mentor for additional preparations before attempting the task again. Accessing Performance Assessments You should have completed the tasks as you worked through this course of study. If you have not completed the tasks in TaskStream, do so now. NVT2 For directions on how to receive access to performance assessments, see the "Accessing Performance Assessments" page.

Feedback
WGU values your input! As part of an opportunity to participate in student governance within the nursing program, we encourage students to provide feedback upon course completion. Please remember to utilize the Feedback form below to contribute your comments for the course. Thank you! To provide feedback on this or any other course of study, please use the Course of Study Feedback form. ADA Requirements Please review the University ADA policy.

16 / 16
Powered by TCPDF (www.tcpdf.org)