Mission of Columbia Basin College
Mission and Philosophy of the CBC Nursing Program
The scientific process of nursing involves the application of research-based knowledge to the assessment of client needs, planning, implementation, evaluation of client outcomes, and of one's own practice. Under the concept of nursing, students show a progressive competence in use of the nursing process.
Application of the nursing process is evident by the end of the first three quarters in the Nursing program. By this time, the student is able to complete a basic nursing care plan for clients with common alterations in health. During the last three quarters of the program, the student has increased knowledge in the application of the nursing process in acute and complex situations.
Scheffer and Rubenfeld’s (2000) description of critical thinking1 has been adopted by the faculty:
“Critical thinking in nursing is an essential component of professional accountability and quality nursing care. Critical thinkers in nursing exhibit these habits of mind: confidence, contextual perspective, creativity, flexibility, inquisitiveness, intellectual integrity, intuition, open-mindedness, perseverance, and reflection. Critical thinkers in nursing practice the cognitive skills of: analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge.”1
Critical thinking skills are introduced to first year students in clinical and didactic classes using a variety of methods, including discussion, problem-solving exercises, and case study analysis. Throughout the nursing program, critical thinking skills are emphasized through continued use of the nursing process. Students in the second year are expected to refine their use of problem- solving skills and demonstrate increasing independence.
Ethical principles reflect the direct, focused interest in positive human values and their meaning. These principles act to promote an interest in making human values more effective through moral choices. A nursing professional is responsible and accountable for his or her actions and judgments. Professional nurses are knowledgeable of nursing standards of care, perform within their legal scope of practice, and demonstrate responsibility for their own learning.
First year students are introduced to ethical and legal issues in theory and clinical courses. Professional roles in healthcare, nursing standards of care, and development of the practical and registered nurse roles are emphasized.
Leadership in nursing is the process of directing the activities of others through appropriate guidance, teaching, and motivation. Delegation is the transfer of performance of selected nursing tasks in selected circumstances to competent individuals. The nurse delegating such tasks retains responsibility and accountability for the nursing care of the client.
Nursing students are introduced to the roles and responsibilities of the Practical and Registered Nurse, including team leading, delegation, and leadership. Emphasis is placed on collaboration as a member of the healthcare team, with increasing autonomy and decision-making.
Four levels of practice are incorporated into the career ladder at Columbia Basin College; nursing assistant, nursing technician, practical nurse graduate, and associate degree graduate. Each is unique, and has an identifiable practice level as outlined by The Law Relating to Nursing Care and Regulation of Health Professions – Uniform Disciplinary Act.
Upon completion of the AAS degree, opportunity exists for career development through cooperation between Columbia Basin College and other institutions of higher education that provide baccalaureate outreach opportunities.
Internal forces are defined as those factors that influence an individual’s intrapersonal make- up, and include physiologic, psychologic, sociologic, cultural, spiritual and developmental components.
External forces are defined as those factors that influence an individual’s extra personal existence, and include such entities as education, financial status, employment, and relationships with family, friends, acquaintances, and caretakers.
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