University of Hawai’i Maui College Career Ladder Nursing Program Philosophy

 

The University of Hawai’i Maui College Career Ladder Nursing Program philosophy builds on the basic liberal arts, behavioral and natural sciences. Knowledge is applied through development of critical thinking skills. Concepts of Neuman’s System Model are threaded throughout the curriculum.

 

We believe that nursing is an essential health discipline whose practitioners provide quality care within a client system framework that encompasses client, family and community. Health is viewed as a continuum, with wellness and illness on opposite ends of the spectrum. Wellness is the best possible state at any given time and is equated with optimal system stability. Illness occurs when stressors break through the normal lines of resistance.

 

We believe the practice of nursing is expressed through the application of the nursing process to identify, assess, classify, and evaluate the dynamic interactions among the physiological, psychological, socio-cultural, spiritual and developmental variables comprising the client system. The nursing program emphasizes bioethical issues, application of technology, cultural awareness, and evidence-based nursing practice.

 

The nursing program is committed to providing an educationally sound, comprehensive program of study which recognizes the trends in health care delivery that indicate increased complexity and variation in future health care settings and economics. We believe that trends or the approaches to health care delivery are dynamic. Therefore, the manner in which care is delivered must change to meet the needs of the consumer/client. We believe that the new nurse graduate must be flexible, culturally aware and able to provide nursing care in changing health care and economic environments. We believe health care settings or places in which care is delivered are increasingly community based.

 

The Neuman System’s Model is used to provide a wholistic, dynamic, and systems-based perspective of nursing. In addressing the concepts of person, environment, health, and nursing, the Neuman System’s Model provides a unifying focus for approaching possible or actual responses to stress in the intrapersonal, interpersonal, and extrapersonal environments. The retention, attainment, or maintenance of client system stability is the main goal of nursing. Optimal wellness is viewed on a continuum and includes physiological, psychological, developmental, sociocultural, and spiritual client variables. Nursing actions are based on the collection and evaluation of comprehensive client data, the client’s perception of need, and on the actual or potential functional competencies of each individual, family, or group. (Neuman, B., & Fawcett, J. (2002). The Neuman Systems Model (4th ed.). Upper Saddle River, New Jersey: Prentice Hall.)

 

At University of Hawai’i Maui College, the nursing faculty’s challenge is to facilitate the variety of opportunities necessary for students with diverse abilities, backgrounds, and learning styles to demonstrate the knowledge, attitudes, and skills that are basic to the practice of nursing utilizing current available technologies. Given the dynamic relationships between knowledge and technology, we are committed to inclusion of new knowledge related to technologies used to provide care for clients in health care facilities and the community. These efforts include, but are not limited to, the use of monitoring devices, devices enabling the efficient and safe distribution of medications and therapeutic treatment, and devices that enable access to information. To facilitate students’ ability to embrace new technologies, it is important that the nursing faculty utilize technology for instruction and clinical practice.

 

Self-motivation is regarded as an essential element in the learning process. Therefore, faculty members are viewed as communication models, learning facilitators, resource individuals, motivators, and evaluators as they assist students to attain their potential. The faculty fosters knowledge of the various roles within the nursing profession and an awareness of the need for life-long learning and advancing competency over a lifetime of clinical practice.

 

The role of the practical nurse graduate includes providing basic client care, client education, and communication within the health care team. The scope of practice of the practical nurse graduate includes direct care of clients in acute and long-term care facilities and ambulatory settings under the direction of a registered nurse or physician.

 

The role of the associate degree graduate includes planning and management of client care, beginning supervision and delegation responsibility, provider of basic client care, client education, and collaboration with the interdisciplinary team. The scope of practice for the associate degree graduate includes direct care for clients with commonly occurring health problems within acute and long-term care settings and selected community settings.

 

The role of the Baccalaureate nurse graduate includes: all of the above (ADN) and, in addition, involves management of nursing and leadership for the health care team. The scope of practice of the Baccalaureate nurse generalist includes comprehensive care of individuals, families, and groups in health care settings through the application of theory to practice.

 

In each of these roles, decisions and practices are determined on the basis of knowledge and skills, the nursing process, and established protocols of the setting.

 

University of Hawai’i Maui College nursing program provides Maui County and other geographic locations with highly qualified practical and registered nurses. Individual counseling is available both pre-enrollment and throughout the nursing program to assist s students to work to their highest ability. The nursing program remains responsive to community needs by providing basic nursing education and continuing education for graduate nurses.