Clients, whether they are individuals, families, groups, or communities, are multi-
dimensional with physiologic, psycho-emotional, social, spiritual, and cultural
experiences. All of these factors have bearing on client well-being directly or indirectly as
they may influence health care and lifestyle decisions. Like client needs, the healthcare
system is complex. The faculty thus believe that interdisciplinary teams, characterized by
collaboration among a variety of professionals, offer the richest approach to client care.
Nurses bring a distinct set of knowledge, skills, and caring to such teams.
The faculty believe that caring is an essential element of nursing and that it requires
sensitivity to clients’ health and comfort across the dimensions of human experience.
Caring requires respect for clients and belief in their fundamental dignity. Caring includes
a commitment to assisting/supporting others. A sense of altruism forms the basis of
caring.
Professional nurses are educated at the Baccalaureate level and draw on the discipline
of nursing as well as other disciplines to create an amalgam of knowledge necessary to
guide practice. The faculty values contributions from biological and behavioral sciences
as well as arts and humanities. The faculty supports nursing science as the chief means
of developing a codified knowledge base for the profession. A broad general education,
knowledge base in supportive disciplines, and focused content in nursing theory,
research and practice prepares the professional nurse for autonomous and
interdependent practice.
Nurses use the nursing process to guide decision making with clients. Effective use of the
nursing process requires communication and critical thinking skills such as analysis,
interpretation, and drawing inferences from assessment data. The primary goal of the
nurse in interaction with clients and other professionals is to promote adaptive
exchanges. People are in constant interaction with their internal and external
environments, but adaptive exchanges with the environment are those that move clients
closer to ideal health: the best possible level of function, a sense of safety, and a
satisfactory level of challenge. Adaptive exchanges are also characterized by willingness
to change and to seek accommodation from others. Nurses support adaptive exchanges
by intervening in the process by which health problems or barriers to health evolve.
Nurses may eliminate problems or barriers to health, Increase the client’s resistance to
problems/barriers, and/or assist the client in dealing with the consequences of the
problem. Nurses also may recruit others to intervene in the client’s behalf or support the
client’s own efforts to help him, herself.
Regardless of the number and types of interventions, professional nurses are mindful that
client values must be taken into account when assessing their health status and
establishing objectives of care. Thus, clients have the right to participate in health care
decisions and may need assistance from nurses to access, interpret, and evaluate the
plethora of information available in today’s world of instant communication. Nurses
provide care, promote health, and act as clients’ teachers, consultants, and advocates in
supporting adaptive exchanges.