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ICN launches new definition of ‘a nurse’

ICN launches new definition of ‘a nurse’
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The International Council of Nurses (ICN) has launched a new definition of a ‘nurse’ and ‘nursing’ in a bid to help better describe the profession’s scope and contribution to global health.

The council has defined a nurse as a ‘professional who is educated in the scientific knowledge, skills and philosophy of nursing, and regulated to practice nursing based on established standards of practice and ethical codes’.

It also states that nurses ‘enhance health literacy, promote health, prevent illness, protect patient safety, alleviate suffering, facilitate recovery and adaptation, and uphold dignity throughout life and at end of life’.

‘They work autonomously and collaboratively across settings to improve health, through advocacy, evidence-informed decision-making, and culturally safe, therapeutic relationships,’ the ICN’s definition added.

‘Nurses provide people-centred, compassionate clinical and social care, manage services, enhance health systems, advance public and population health, and foster safe and sustainable environments. Nurses lead, educate, research, advocate, innovate and shape policy to improve health outcomes.’ (See box for full definition).

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Separately, it defines ‘nursing’ as promoting health, protecting safety and enhancing continuity of care.

It adds that nursing is a profession ‘dedicated to upholding everyone’s right to enjoy the highest attainable standard of health, through a shared commitment to providing collaborative, culturally safe, people-centred care and services’.

‘Nursing’s practice is underpinned by a unique combination of science-based disciplinary knowledge, technical capability, ethical standards, and therapeutic relationships,’ the ICN’s description states. ’ (See box for full definition).

ICN chief executive officer Howard Catton accepted that nursing can be ‘difficult to define’ but said it is ‘vital’ to do so to ensure it is ‘visible’ and ‘valued’.

‘We urge all organisations to use our new definition in their policy, legal, standard setting, education and regulatory frameworks,’ he added.

The new definitions follow a year-long global initiative led by an expert panel supported by a Delphi consultancy group including nurses from every ICN region.

They were unanimously approved at the ICN Council of National Nursing Association Representatives.

ICN director of nursing policy and practice David Stewart said the new definitions were more than a ‘professional statement’ but are a ‘powerful reaffirmation’ of the role nurse leadership plays in shaping healthcare.

‘With voices from across every ICN region, we have created a definition that is bold, inclusive, and future facing.

‘It equips us to lead with purpose, grounded in our values and unified by our vision,’ he said.

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In May, the government announced plans to introduce new legislation to protect the title of ‘nurse’ so only those with relevant qualifications and registration can use it.

The change will make it a criminal offence to use the title without the right Nursing and Midwifery Council (NMC) registration.

Dawn Butler, the Labour MP who led the campaign for the bill, said the legislation shows ‘respect’ for the nursing profession in an exclusive interview with Nursing in Practice.

How does the ICN define ‘nursing’?

Nursing is a profession dedicated to upholding everyone’s right to enjoy the highest attainable standard of health, through a shared commitment to providing collaborative, culturally safe, people-centred care and services. Nursing acts and advocates for people’s equitable access to health and health care, and safe, sustainable environments.

The practice of nursing embodies the philosophy and values of the profession in providing professional care in the most personal health-related aspects of people’s lives. Nursing promotes health, protects safety and continuity in care, and manages and leads health care organizations and systems. Nursing’s practice is underpinned by a unique combination of science-based disciplinary knowledge, technical capability, ethical standards, and therapeutic relationships. Nursing is committed to compassion, social justice and a better future for humanity.

How does the ICN define ‘a nurse’?

A nurse is a professional who is educated in the scientific knowledge, skills and philosophy of nursing, and regulated to practice nursing based on established standards of practice and ethical codes. Nurses enhance health literacy, promote health, prevent illness, protect patient safety, alleviate suffering, facilitate recovery and adaptation, and uphold dignity throughout life and at end of life. They work autonomously and collaboratively across settings to improve health, through advocacy, evidence-informed decision-making, and culturally safe, therapeutic relationships. Nurses provide people-centred, compassionate clinical and social care, manage services, enhance health systems, advance public and population health, and foster safe and sustainable environments. Nurses lead, educate, research, advocate, innovate and shape policy to improve health outcomes.

Related Article: Interview: Protection of ‘nurse’ title shows respect for profession

Further, nurses play a unique role in health and care for populations of all ages, and in all settings, building trust with individuals, families and communities and gaining valuable insights into people’s experiences of health and illness. Building on a foundation of personalized direct and social care, nurses advance their capabilities through ongoing education, research and exploration of best practices.

A nurse’s scope of practice is defined by their level of education, experience, competency, professional standards and lawful authority. They play a key role in the coordination, supervision of, and delegation to others who may assist in the provision of health care. Often at the front line, they respond to disasters, conflicts and emergencies, demonstrating courage, dedication, adaptability and commitment to the health of individuals, communities and the environment.

Source: The International Council of Nursing

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