Chapter 1 Flashcards
Who was the founder of modern day nursing
Florence Nightingale
Who founded the American red cross?
Clara Barton
Who were the 2 pioneers of nursing
- founded Henry Street settlement in NY to fight spread of disease among poor immigrants
Lillian Wald
Mary Brewster
Who was:
- A nurse, feminist, social activist
- compiled the first manual of drugs for nurses in 1890
- helped establish the American society of superintendents of training schools for nurses of the United States ( now called the National league of Nursing)
Lavina Dock
Who was:
- the first African American graduate nurse in the USA
- cofounder of the National Association of colored graduates in 1908 ( merged with the American nurses Association)
Mary Mahoney
4 steps for safe, effective nursing care
- Establish mutual goals with patients
- show respect for patient’s values, beliefs, needs, and preferences
- implement interventions to promote patent comfort
- provide patent education to foster informed decisions, involvement in care, and to facilitate post-discharge health
What are the 3 thinking skills
- Clinical judgement
- critical thinking/reflective thinking
- problem solving
consists of:
- observing, comparing, contrasting, & evaluating patients condition
- involves careful consideration of patients health status of what is expected based on patients condition, medications, and treatments
Clinical judgement
Consists of:
- involves collecting & analyzing Information & carefully considering options for action
- nurses use this in every aspect of nursing care
Critical thinking ( reflective thinking)
Consists of:
- considering an issue and attempting to find a satisfactory solution to achieve the best outcomes
- often used in your professional life
Problem solving
RN’S use the _______________ to plan and provide individualized care to healthcare consumers
Nursing process
Why define nursing?
Helps students understand what is expected of them
Technical and scientific knowledge; be evaluated by a community of peers; have a service orientation and a code of ethics (definition)
Profession
One’s regular, principal, or immediate business (definition)
Occupation
To be considered a discipline, a profession must have a domain of knowledge that has both theoretical and practical boundaries
Discipline
5 phases of nursing (benner)
Stage 1- novice
Stage 2- advanced beginner
Stage 3- competent
Stage 4- proficient
Stage 5- expert
Which Benner stage:
Little experience and is at the first stage of acquiring clinical knowledge
Stage 1 - Novice
Which Benner stage:
Begins to focus on more aspects of a clinical situation, uses more facts, makes more sophisticated use of the rules and recognizes similarities in situations
Stage 2- advanced beginner
Which Benner stage:
2-3 years of nursing practice in the same area
Competent performers have gained additional experiences and wrestle with more complex situations
Stage 3- competent
Which Benner stage:
Can quickly take in all aspects of a situation and immediately give meaning to the cluster of assessment data
Resource for less experienced nurses
Stage 4 - proficient
Which Benner stage:
Can see what needs to be achieved and now to do it
They trust in and use their intuition; operate with deep understanding of a situation often recognize a problem In the absence of the classic S/S’s
Stage 5- expert
-Each state has its own NPA; laws that regulate nursing practice
- the state board of nursing is responsible for regulations
- protects the health, safety, and welfare of the general public
Nurse Practice acts
Responsible for:
- approving nursing education programs
- defining the practice of professional nursing
- establishing criteria that allow a person to be licensed as an RN or LPN/LVN
- defining professional practice, which determines nurses scope of practice or those activities that RN’S are expected to perform
- developing rules and regulations for guidance to nurses
- enforcing the rules that govern nursing
State Board of Nursing
-Issued by the state
- renews every 2 years
- all states require graduation from approved nursing program and successful completion of the NCLEX
Licensure
2 forces that influence nursing practice
- Outside nursing
- inside nursing