- Sandra Evangelista, RN, MSN, CNML
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- A Short Guide to Nursing Fundamentals
A Short Guide to Nursing Fundamentals
Nursing Notes: Past, Present, Future
A Guide to Nursing Fundamentals
Greetings, Nurses and Aspiring Caregivers,
Nursing isn’t just a profession; it’s a calling filled with compassion, knowledge, and skill. At the heart of this journey are the fundamentals of nursing—the building blocks that make it all possible. Whether you’re a seasoned nurse or just starting out, revisiting these basics is a wonderful way to stay grounded and inspired. Let’s explore these fundamentals and why they matter so much.
What Are Nursing Fundamentals?
Nursing fundamentals are the core principles and skills that form the foundation of our practice. They ensure we deliver high-quality care while respecting the dignity and well-being of every patient. But don’t worry, we’ll keep this light and fun as we break down the essentials.
1. Patient-Centered Care
This is all about putting the patient first. It’s seeing the whole person—not just their symptoms or charts—and honoring their unique needs.
Key Practices:
Listen—and I mean really listen—to what your patients are saying.
Respect cultural, spiritual, and personal preferences.
Advocate for their needs. Your voice can make all the difference!
2. Effective Communication
If nursing were a recipe, communication would be the secret ingredient. It’s how we connect with patients, families, and teams to ensure seamless care.
Key Practices:
Use empathy. A kind word or understanding tone goes a long way.
Be clear and concise, especially when explaining complex information.
Work with your team like a well-oiled machine—collaboration is key!
3. Safety and Infection Control
We’ve all heard it: “Wash your hands!” But safety goes beyond that—it’s about protecting patients and yourself.
Key Practices:
Proper hand hygiene and PPE use (bonus points if you make it look stylish!).
Stay alert for potential hazards, from slippery floors to faulty equipment.
Double-check medications and dosages.
I was taught the 5-Rights:
Patient
Medication
Dose
Route
Time.
Five more RIGHTs have been added:
Documentation
Reason
Response
to Refuse
Education
4. Basic Clinical Skills
The bread and butter of nursing! These skills ensure you’re ready for anything, from taking vitals to helping with daily activities.
Key Practices:
Master the art of measuring blood pressure without the patient holding their breath (yes, it happens!).
Administer medications safely and confidently.
Support patients with ADLs like a pro—and always with a smile.
5. Compassion and Emotional Support
This is what sets nurses apart. We’re there for patients not just physically but emotionally, too.
Key Practices:
Offer words of encouragement when patients need it most.
Show patience and understanding, even during tough moments.
Celebrate small wins—every step forward matters.
Additional Resources and Recommended Reading
Books:
"Fundamentals of Nursing" by Patricia Potter and Anne Griffin Perry – A classic resource covering all the basics.
"Notes on Nursing: What It Is and What It Is Not" by Florence Nightingale – A timeless reminder of the heart of nursing.
"Mary Eliza Mahoney: America’s First Black Nurse" – A powerful reminder of resilience, leadership, and the heart of nursing
Mary Eliza Mahoney and the Legacy of African American Nurses (Women in Medicine)
One of my personal favorites I frequently reference: “Transcultural Health Care. A Culturally Competent Approach” by Larry Purnell


Online Training Programs:
CDC’s Infection Control Training: Free modules to keep your safety skills sharp.
American Nurses Association (ANA) Online Courses: Covering topics from communication to patient-centered care.
Podcasts:
"Nurse Keith Show" – For career inspiration and wellness tips.
"FreshRN" – Perfect for new nurses navigating the basics.
Community Resources:
Join a local or online nursing group to share tips and stories—because we’re all in this together!
Tips for Strengthening Your Fundamentals
Never Stop Learning: Sign up for workshops or online courses to stay updated.
Ask Questions: No one has all the answers, and that’s okay!
Practice Self-Care: A healthy nurse is a better nurse. Take breaks and recharge.
Reflect Often: Think about what’s working and what you can improve.
Inspiring the Next Generation
Whether you’re mentoring a new nurse or just lending a listening ear to a colleague, sharing your knowledge and experience helps keep the heart of nursing alive. Together, we can continue to uphold the fundamentals that make this profession so meaningful.
Thank you for being part of this incredible journey. Your dedication to mastering nursing fundamentals inspires not just your patients but everyone around you. Keep growing, keep learning, and most importantly, keep caring.
Warmly,
Sandra
