Ch . 1 Nursing Today Flashcards
How did Florence Nightingale see the role of the nurse in the early 1800s?
She saw the role of the nursing as being in charge of a patient’s health based on the knowledge of how to put the body in such a state as to be free of disease or to recover from disease.
Describe nursing’s code of ethics?
Is the philosophical ideals of right & wrong that define the principles you will use.
Clara Barton
Founder of the American Red Cross
Lillian Wald and Mary Brewster
Opened the Henry Street Settlement, focusing on the health needs of the poor
Mary Adelaide Nutting
Instrumental in moving nursing nursing education into universities. First nursing professor at Columbia Teacher’s College.
Mary Mahoney
First professionally trained African American nurse.
Define Autonomy
Independent nursing interventions that the nurse initiates without medical orders.
Define Caregiver
Helps the patient maintain and regain health, manage disease and symptoms, and attain a maximal level of function and independence.
Define Advocate
Protects patients’ human and legal rights and provides assistance in asserting these rights.
Define Educator
Explains, demonstrates, reinforces, and evaluates the patient’s progress in learning.
Define Communicator
Is central to the nurse-patient relationship
Define Manager
Has personnel, policy, and budgetary responsibility for a specific nursing unit.
Advanced Practice Registered Nurse (APRN)
Four core roles: Certified nurse-midwife, certified nurse practitioner, clinical nurse specialist, and certified registered nurse anesthetist.
Clinical Nurse Specialist (CNS)
Expert clinician in a specialized area of practice.
Nurse Practitioner
Detects and manages self-limiting acute and chronic stable medical conditions.
Certified Nurse-Midwife (CNM)
Involves the independent care for women in normal pregnancy, labor, and delivery and care of newborns.
Certified Registered Nurse Anesthetist
Provides surgical anesthesia.
Nurse Educator
Works primarily in schools of nursing and staff development.
Nurse Administrator
Manages patient care and the delivery of specific nursing services within a health care agency.
Nurse Researcher
Investigates problems to improve nursing care and to expand the scope of nursing practice.
Novice 1
Nursing students or any nurse with no previous experience and they learn from a specific set of rules or procedures.
Advanced Beginner 2
Experience may only be observational, but the nurse is able to identify different aspects of care.
Competent 3
In the same position for 2 to 3 years and understands the organization and specific care required by certain patients. The nurse has experience with all types of psychomoter skills needed for certain groups.
Proficient 4
In the same position for more than 2 or 3 years. Looks at the situation as a whole and able to transfer knowledge gained from many previous experiences to a situation. Focused on managing care as opposed to managing performing skills.
Expert 5
Has a grasp of an existing or potential clinical problem. Able to identify problems and focus on focus on dimensions of the situation. Skills at identifying both patient centered problems and problems.
Assessment
Collect data pertaining to the patient.
Diagnosis
Analyze data to determine the diagnosis.
Outcome Identification
Identifies expected outcomes for a plan
Planning
Develops a plan that include strategies to get the outcomes.
Implementation
Implement the identified plan.
Evaluation
Evaluates progress and outcomes.
Define Nursing according to ANA
Is the protection, promotion, and optimization of health and abilities; preventing of illness and injury; alleviation of suffering through the diagnosis and treatment of human response; and advocacy in the care of individuals, families, communities, and populations.
Identify ANA Standards of Professional Performance
Ethics, Education, Evidence-Based Practice, Quality of practice, Communication, Leadership, Collaboration, Professional practice evaluation, Resources, Environmental Health.
Two Health Care Advocacy Groups
Robert Wood Johnson Foundation (RWJF) Future of Nursing: Campaign of Action. Institute of Medicine (IOM) publication on the Future of Nursing.
Compassion Fatigue
Term used to describe a state of burnout and secondary traumatic stress. May contribute to lateral violence such as withholding information, making snide remarks, and demonstrating nonverbal expressions such as making faces. Burnout and secondary traumatic stress
Contemporary Influences
Importance of Nurses’ self care, the affordable care act and rising health care, demographic changes, medically undeserved, human rights (unemployment, low paying jobs, mental illness, homelessness, and rising health care costs).
Quality and Safety Education for Nurses
Addresses the challenge to prepare nurses with the competencies needed to continuously improve the quality of care in their work environments.
QSEN Patient-Centered Care
Recognize the patient as the source of control and full partner in providing compassionate and coordinated care based on patient’s values. Example: involving family and friends in care.
QSEN Teamwork and collaboration
Function effectively in teams, foster open communication, respect, and shared decision making. Example: Recognize the contributions and patient’s family members. Resolve conflict.
QSEN Evidence-Based Practice
Practice best current evidence with clinical expertise and patient family preferences and values.
QSEN Quality Improvement
Use data to improve outcomes of care and improve methods to test changes.
QSEN Safety
Minimize risk of harm to patients and providers through effective performance.
QSEN Informatics
Use technology to communicate, mange knowledge, mitigate errors, and support decision making. For example: Navigate an electronic health record.
Continuing Education
Involves formal, organized educational programs offered by universities, hospitals, state nurses associations, professional nursing organizations, and educational and health care institutions.
Nurse Practice Acts
Overseen by State boards, of nursing. Regulate the scope of nursing practice and protect public health, safety, and welfare. Protect the public health, safety, and welfare.
