1. Legal issues in nursing and Health Care

2. "Nursing is an art, and, if it is to be made an art, requires as exclusive a devotion, as hard a preparation, as any painter’s or sculptor’s work; for what is the having to do with dead canvas or cold marble, compared with having to do with the living body- the temple of God’s spirit? It is one of the fine Arts; I had almost said, the finest of the Fine Arts" Florence Nightingale (1868).

4. “A set of activities, tasks and nurse duties carried out by the registered nurses, at any time whenever it is required keeping the person’s health as their first priority”.

7.  Knowledge  Spirit of inquiry  Accountability  Autonomy  Advocacy  Innovation and Visionary  Collegiality and collaboration  Ethics and Values

8. Definition: Understanding of or information about a subject, which has been obtained by experience or study.

9. Professionalism includes:  A body of theoretical, practical, and clinical knowledge.  Being able to apply that knowledge.  Using theoretical and/or evidence-based rationale for practice.

10.  Synthesizing information from a variety of sources.  Using information or evidence from nursing other disciplines to inform practice.  Sharing or communicating knowledge with colleagues, clients, family and others.

11. Definition: An inquisitive, inquiring approach to one’s own practice.

12. Definition: Responsibility for one’s conduct or the willingness to be answerable for one’s actions.

13. Definition: Right of self-government; personal freedom. Professionalism includes:  Working independently and exercising decision-making within one’s appropriate scope of practice.

14. Definition: An advocate is a person who supports or speaks out for a cause, policy.

15. Definition: Innovative: Bring in new methods, ideas, etc.; make changes; introduce for the first time. Visionary: The act or faculty of seeing, sight; imaginative insight; ability to plan or form policy in a far-sighted way.

16. Professionalism includes:  Fostering a culture of innovation to enhance nursing practice and client/family outcomes.  Showing initiative for new ideas and being involved through taking action.  Influencing the future of nursing, delivery of health care and the health care system.

17. Definition:  A colleague is a fellow official or worker, especially in the same profession or business. Collaborate means to work jointly with, co- operate.

18. Professionalism includes:  Developing collaborative partnerships within a professional context.  Acting as a mentor to nurses, nursing students and colleagues to enhance and support professional growth.  Acknowledging and recognizing interdependence between care providers.

19.  Definition: Ethics: a system of valued behaviors and beliefs for determining right or wrong and for making judgments about what should be done to or for other human beings.

20. Professionalism includes:  K Knowledgeable about ethical values, concepts and decision-making.  B Being able to identify ethical concerns, issues and dilemmas.  A Applying knowledge of nursing ethics to make decisions and to act on decisions.

21.  B Being able to collect and use information from various sources for ethical decision- making. CCollaborating with colleagues to develop and maintain a practice environment that supports nurses and respects their ethical and professional responsibilities.  E Engaging in critical thinking about ethical issues in clinical and professional practice.

23.  Membership  Communication  Changes in Nursing Practice  Diversity in the Population  Lack of Autonomy  Lack of Leadership skills  Nature of the job  Shortage of Nurses  Limited Opportunities

25.  Autonomous Practice  Often in peoples home  Accountability to multiple stake holders  Population health context

26.  Public right to know  Allocation of resources  Gifts  Surveillance  Maintaining therapeutic relationships  Maintaining confidentiality

27.  CHN Standards of Practice  Regulatory standards  Legislation  New ethical frameworks  CNA code of ethics

29.  Regulatory standards  Legislation  New ethical frameworks  CNA code of ethics  Community ethics toolkit, etc.

30. RRural Health Issues SSelf, Home, Community Care AAccess to Acute Care MMajor Health Problem JJob Difficulties

31.  Author : Susan Jane Fetzer  Title : Professionalism of Associate Degree Nurses: The role of self actualization

32. General System Theory

33. CONCLUSION