ADN Handbook, Section 1: Overview


Mission Statement

The mission of Truckee Meadows Community College’s Maxine S. Jacobs Nursing Program is congruent with the College’s mission, providing high-quality associate degree nursing education in order to positively influence the health and well-being of the community and the clients our students serve. Valuing social and cultural differences, the faculty believes that students are active learners and use current nursing educational theory and practice to prepare students to be critical thinkers and competent professionals. The importance of lifelong learning for the graduate is emphasized.

Philosophy of the Maxine S. Jacobs Nursing Program

The philosophy of the Maxine S. Jacobs Nursing Program at TMCC embraces the nursing paradigm of person, health, environment and nursing.

Nursing Paradigm Definitions

Person: An individual who has the moral right to make life choices without interference from others to the best of his/her/their ability; who actively seeks meaning and creates knowledge from his/her/their prior experience; and is biologically, spiritually, and culturally unique.

Nursing Instructor Checking Patient

The individual also possesses unique biological, psychosocial, spiritual, cultural, religious, and intellectual qualities. The person defines the specific cultural, ethnic, religious, social, family structure and gender identification. All of the aforementioned are considered by the professional nurse when collaborating with the person to attain, maintain, or recover optimal health and quality of life.

Health: Health is the extent to which an individual or group is able to realize aspirations and satisfy needs and to change or cope with the environment. The optimum level of wellness, which is uniquely identified by the person, is the level that allows maximum participation in personally valued activities of daily living and interpersonal interactions.

Health is a resource for everyday life, not the objective of living; it is a positive concept, emphasizing social and personal resources, as well as physical capacities (World Health Organization, 1984).

Source: The World Health Organization. Regional Office for Europe (1984). Health promotion: a discussion document on the concept and principles: summary report of the Working Group on Concept and Principles of Health Promotion, Copenhagen, 9–13 July 1984 (ICP/HSR 602(m01)5 p). Copenhagen: WHO Regional Office for Europe.

Environment: Environment is the aggregate of all dynamic internal and external conditions affecting the life and development of a person or a population. These influences, any or all of which may allow the person to attain, maintain, or recover optimal health and quality of life, influence the health status of the person or population and may be biological, spiritual, social, or cultural. These environmental influences may either positively or negatively affect the health of the person or population.

Nursing: Nursing is both art and science and is an evolving profession requiring dedication to lifelong learning.

The nurse is an expert in the art and science of nursing, which is the application of knowledge, skills, and attitudes to the collaborative education and care of individuals and population groups across the lifespan. The art and science of nursing also encompass the integration of objective data with subjective experiences to assist persons, families, and populations to attain, maintain, or recover optimal health and quality of life.

The nursing program incorporates the six competencies outlined by the Quality and Safety Education for Nurses (QSEN), which include Patient-centered Care, Safety, Teamwork and Collaboration, Evidence-based Practice, Quality Improvement, and Informatics. This philosophy also provides additional structure and support and outlines some of the challenges of nursing education within a state-supported community college.

Nursing is both art and science, incorporating theories and concepts from the biological, physical, behavioral and social sciences. Evidence-based nursing practice, nursing process, and standards of nursing care are combined with legal, ethical and cultural considerations to provide collaborative holistic care to individuals, families and communities.

Nursing is an evolving profession and requires dedication to lifelong learning. The core nursing concepts addressed throughout the program include professional behaviors, communication, assessment, clinical decision making, caring interventions, teaching and learning, collaboration and managing care (Coxwell, G. & Gillerman, H. (Eds) (2002). Educational competencies for graduates of associate degree Nursing Programs. (Sudbury, MA: Jones and Bartlett Publishers)