Nursing - School Philosophy

School Philosophy

The philosophy of the Nursing Program is exemplified through the Mission, Vision, Program Outcomes, and Theoretical Framework upon which the entire program is based.

Mission Statement

Students, faculty, and staff of the nursing program interact in teaching and learning processes that empower students to build upon an assimilation of nursing knowledge, scholarship, and skills that lead to the provision of competent and compassionate multicultural nursing care. The philosophy of the Nursing Program is exemplified through the Mission, Vision, Program Outcomes, and Theoretical Framework upon which the entire program is based.

Vision Statement

Our vision is to promote a multicultural, humanistic nursing program that provides excellence in nursing education through scholarship of teaching and learning.

Program Outcomes

Nursing Process: The graduate will demonstrate a beginning competence in critical, creative and reflective thinking within the nursing process that serves to provide the foundation for safe, effective care delivery in a wide variety of health care settings.

Communication: The graduate will demonstrate effective communication through the exchange of messages in a variety of contexts using multiple methods.

Professional Role: The graduate will demonstrate responsibility in the registered nurse role by participating as a member of a team to promote holistic, ethical, and compassionate care while functioning within the scope of practice for the registered nurse.

Cultural Competence: The graduate will demonstrate multicultural competence by valuing open-mindedness, inclusion, multicultural perspectives and multiple ways of knowing, thinking and being for clients, families, and colleagues in health care.

Information Competency: The graduate will seek, find, evaluate and use information in health care to support evidence based practice and engage in lifelong learning for nursing practice.

Theoretical Framework

The theoretical framework organizes the program by providing a clear guideline in which faculty can teach and students can learn nursing in an educational milieu that is supportive of the developing entry-level nurse.

The theoretical framework operationalizes the Pierce College Core Abilities, the Nursing Program Mission and Vision Statements, as well as the Nursing Program Outcomes.

Ida J. Orlando’s Nursing Process

The strengths and characteristics of Ida Orlando’s theory of Nursing Process are interrelated to nursing concepts and are logical in sequence. Her theory is simple, easy to use, and applicable to the everyday practice of nursing and nursing students, no matter where the patient is situated.

Orlando’s theory of Nursing Process keeps the focus on the patient. Her theory describes the importance of including the patient in all aspects of the care (Tomey and Alligood, 2002). As discussed in Nursing-Theory.org (2011) nurses frequently use the standard nursing process from Orlando’s Nursing Process Theory. The theory focuses on the interactions of the patient and the nurse, take in the perception of both parties and attempt to produce a positive outcome.

The Five Interrelated Concepts

As described in Tomey and Alligood (2002), “Orlando’s theory involves five major and interrelated concepts. These include 1) the function of professional nursing 2) the presenting behavior of the patient 3) the immediate or internal response of the nurse 4) the nursing process discipline and 5) improvement” (pg 401, par 5). Orlando’s Theory of Nursing Process involves a reciprocal relationship between the patient and the nurse. Her description of this relationship is a good fit for the pre-licensure level of nurse as the interactions with the nurse are actions decided upon after evaluating or ascertaining a need from the patient as being unmet, interacting with the patient to meet the need and then again evaluating the patient to see if improvement has taken place.

The Metaparadigm Assumptions

Person (Nursing Client) - patients who are under medical care or who cannot deal with their needs or who cannot carry out medical treatment alone.

Nursing - is responsible to individuals who suffer or anticipate a sense of helplessness.

Environment - not defined directly, but implicitly in the immediate context for a patient.

Health - sense of adequacy or well-being. Fulfilled needs, sense of comfort.

The Nursing Process Major Concepts

Nursing Process framework contains dimensions that assist the nursing student to act in the role of the nurse to meet the immediate needs of the patient. As cited in Currentnursing.com (2012), the major concepts of Orlando’s theory include:

Function of professional nursing – organizing principle – nursing is responsible to individuals who suffer or anticipate a sense of helplessness. Its focus is on the process of care in an immediate experience and is concerned with the providing of direct assistance to a patient in whatever setting they are found for the purpose of avoiding, relieving, diminishing or curing the sense of helplessness in the patient.

Presenting behavior – problematic situation - the nurse finds the immediate need for help. The nurse must first find the patients immediate need for help.

Immediate reaction – internal response- the person perceives with any one of his five sense organs an object or objects; the perceptions stimulate automatic thought. Each thought stimulates an automatic feeling, and then the person acts.

Nursing process discipline – investigation- any observation shared and explored with the patient is immediately ascertaining and meeting his need or finding out that he is not in need at that time. The nurse does not assume that any aspect of her reactions to the patient is helpful or appropriate until she checks the validity of it in exploration with the patient. The nurse initiates a process of exploration to ascertain how the patient is and what she says or does.

Improvement - resolution - It is not the nurses activity that is evaluated but rather its result: whether that serves to help the patient communicate her or his need for help and how it’s received. In each contact the nurse repeats a process of learning how to help the patient.

By using nursing theory to guide the Pierce College Nursing Program curriculum, students develop the recognition that nursing practice is comprised of nursing professionals, rather than merely routine technicians. The Nursing Process is the functional way in which students approach their role. The Nursing Program courses will guide the student nurse through this important transformation.

Contact

Leah Webster
Nursing Program Coordinator
Front Office
253-864-3272

Becky Piper RN, MN
Program Director/ Associate Professor
253-864-3111

Eustenia Kasjan M.A.
Allied Health Manager Nursing Advising/Admissions
253-840-8355

Ronda Durano MN, RN
Nursing Faculty, Clinical Liaison
253-840-8379

Elizabeth Webber RN, MSN, CCRN
Nursing Faculty
253-840-8375

National Accreditation

This nursing program is
accredited by:

Accreditation Commission for Education in Nursing, Inc. (ACEN)
3343 Peachtree Rd. NE
Suite 850
Atlanta, GA 30326
404-975-5000
www.acenursing.org