Nurses play vital caring roles in tertiary hospitals through providing appropriate, effective, efficient, acceptable and scientific quality care. As the hospitals are also teaching facilities, nurses are responsible for teaching colleagues and students while performing their duties. The additional teaching role makes nurses in tertiary hospitals unique in imparting their specialized knowledge and skills.

1. THE ROLE OF NURSES IN TERTIARY
HOSPITAL
PRESENTED
BY
SALEH AHMED
SCHOOL OF MIDWIFERY, BAUCHI
On 30th may 2012

2. INTRODUCTION
• Tertiary hospital is the highest level of health care in
Nigeria. The promotive, preventive, restorative and
alleviative caring roles of nurses in this hospital remain
vital in provision of appropriate, effective, efficient,
acceptable and scientific quality care. In teaching
hospital, these roles are provided by well trained
professional nurses with cognate experience and
advanced knowledge and skills. In consonant with the
objectives of teaching hospital, they are responsible for
teaching colleagues and students as they perform their
duties. Yes, the teaching role is prominent and
desirous. This invariably makes nurses in teaching
hospital unique and special.

3. Hospital
• The word hospital is derived from Latin word
“Hospice” or French word Hospitale; All meant
to take care of or treat clients very well
• Hospital is an institution in which sick or
injured persons are treated

4. The supposed hospital
• A supposed hospital has
• Suitably located, constructed, and organized
institution
• Staff to provide quality health care to people
• Functioning facilities for medical care and
training of staff and students
• Team approach care system

5. Requirement for good hospital care
• It is called the 7 A’s and 3 C’s,
• Availability – available at anytime to people
• Adequacy – sufficient to meet the need of people and
community
• Accessibility – easily affordable & reachable
• Acceptability – acceptable to all people
• Appropriateness- care are selected based on nature of
health problem/illness/sickness
• Assessability- can be readily evaluated
• Accountability- accept responsibility or to account for
one's actions

6. -
• Completeness – provide complete care(
preventive, promotive, diagnostic,
rehabilitative)
• Comprehensiveness- care is provided for all
types of health problems
• Continuity- continuous coordinated care
among heath care providers without
disruption.

7. Classification of hospital
• There are various criteria for classifying hospital
but classification based on objectives is adopted
for this paper
• Based on objectives, hospital can be classified
into three categories
a) teaching-cum research hospital
b) General hospital for treatment of common
diseases and conditions
c) Specialized hospital for specific diseases and
conditions e.g. orthopedic hospital

8. Tertiary hospital
• This is a type of hospital that provides highly
specialized medical care that involves
advanced and complex procedures and
treatments performed by medical specialists
( e.g. Doctor, Nurses, pharmacists, medical
scientists etc)
• Tertiary hospital provides tertiary care.

9. -
• Tertiary care- this is the third level of care
which is specialized consultative health care,
usually for inpatients and on referral from a
primary or secondary health professional, in a
facility that has personnel and facilities for
advanced medical investigation and
treatment, such as a tertiary referral hospital
• Teaching hospital is one examples of tertiary
hospital

10. -
• A teaching hospital is a hospital that provides
clinical education and training to future and
current doctors, nurses, and other health
professionals, in addition to delivering medical
care to patients. They are generally affiliated
with medical schools or universities (hence
the alternative term university hospital), and
may be owned by a university or may form
part of a wider regional or national health
system

11. -
• thus teaching hospital is composed of
personnel of advanced knowledge with
cognate experience in their professional field.
They all have the expected qualifications and
attributes to teach and train.

12. The nurse
• A Nurse - In a wider perspective, a nurse is a
trained health practitioner with sound
scientific knowledge and technical skills to
effectively respond and solve health –illness
problems of both the healthy and sick
individual. The Nurse, practices the art of
caring by utilizing the “3Hs”: Heart (affection,
love& feeling), Hand (psychomotor –skills} and
Head (cognitive –knowledge)

13. -
• A nurse is a person trained in scientific basis in
nursing, meeting certain prescribed standards of
education and clinical competence to provide
services that are essential to or helpful in the
promotion, maintenance and restoration of
health and wellbeing. The competency of the
great nurse is seen through the technical skill,
human skill (interpersonal relationship) and
conceptual skills (ability to see picture of being a
part of a team).

14. Roles of a nurse in tertiary hospital
• The rudiment role of a nurse is caring.
• Thus, The heart of nursing is caring.
• The roles of nurses in providing the optimum
and scientific caring in respective of the types
of the hospital are as follows:

15. -
• 1. Caregiver/ Care provider – the traditional and
most essential role. The nurse functions as
nurturer, comforter, and provider “mothering
actions” of the nurse: - i.e. provides direct care
and promotes comfort of client.
• The activities to achieve this, involves knowledge
and sensitivity to what matters and what is
important to clients and showing concern for
client welfare and acceptance of the client as a
person

16. -
• 2. Teacher – provides information and helps
for the client to learn or acquire new
knowledge and technical skills, encourages
compliance with prescribed therapy, promotes
healthy lifestyle, interprets information to the
client

17. -
• 3. Counselor- helps client to recognize and cope with
stressful psychologic or social problems;
• to develop an improve interpersonal relationships and
to promote personal growth,
• provides emotional, intellectual to and psychological
support,
• focuses on helping a client to develop new attitudes,
feelings and behaviors rather than promoting
intellectual growth,
• encourages the client to look at alternative behaviors
recognize the choices and develop a sense of control.

18. -
• 4. Change agent- initiate changes or assist clients
to make modifications in themselves or in the
system of care.
• 5. Client advocate- involves concern for and
actions on behalf of the client to bring about a
change, promotes what is best for the client,
ensuring that the client’s needs are met and
protecting the client’s right, provides explanation
in clients language and support clients decisions.

19. -
• 6. Manager – makes decisions,
• coordinates activities of others,
• allocates resources,
• evaluates care and personnel,
• Plans and gives direction,
• develops staff and monitors operations,
• gives the rewards fairly and represents both
staff and administrations as needed.

20. -
• 7. Researcher – participates in identifying
significant researchable problems,
• participates in scientific investigation and
must be a consumer of research findings,
• must be aware of the research process, &
language of research,
• be sensitive to issues related to protecting the
rights of human subjects.

21. Modified roles of a Nurse in teaching
hospital
• 1 Clinical Specialists:. She/he provides expert
care to individuals, participates in educating
health care professionals and ancillary, acts as
a clinical consultant and participates in
research.
• 2. Nurse Practitioner: She/he is skilled at
making nursing assessments, counseling,
teaching students and colleagues and treating
minor and self- limiting illness.

22. -
• 3. A role model- a nurse who is competent,
proficient, morally upright, socially and
academically outstanding, worthy of emulation
by many people.
• How punctual, committed &dedicate are you?
• How do you dress?
• How do you interact & communicate with other?
• How do you perform the nursing activities?
• Answer to these questions makes you a role
model

23. -
• 4. Teacher/Educator- A nurse usually with
advanced knowledge and skills of teaching,
• who works in clinical or educational settings,
• He teaches theoretical knowledge & clinical
skills to students and colleagues and conduct
research.

24. -
• 5. Nurse administrator- a nurse who functions
at various levels of management in health
settings;
• responsible for the management and
administration of resources and personnel
involved in giving patient care.
• He/she is willing and desirous to impart
managerial skills to his/her subordinates

25. -
• 6. Researcher – A researcher to the core.
• Who always identifies major problems
affecting nurses, nursing practices and
services in the unit he works and the hospital.
• who conducts research, documents and
publishes them.
• A nurse willing and ever ready to assist
student and colleagues to conduct research

26. Conclusion
• To be very effective and efficient as a nurse in a
tertiary hospital like ATBUTH you should have
requisite qualification and advanced knowledge.
The need for in service and continuous education
is a must and a yardstick for promotion,
placement, and professionalism.
• The hospital as a teaching hospital should in all its
activities put teaching as the ultimate in order to
keep to its laudable objectives

27. -
• In this teaching hospital, Nurses shall be driven by
the desire
• to teach and train nurses
• To conduct research and implement research
findings
• To render scientific and technological nursing
care
• To uplift the profession and
• To exhibit profound professionalism in all their
practice and services.

28. 000000000000000000000000
• Oh, oh, oh, oh what next?

29. Thank You
nagode