Chapter 1-2 Flashcards
What is nursing
- Art & science
- Commitment to the application of knowledge and clinical experience
- focuses on the whole person, not just the presenting health problem
Florence Nigtingale
- Founding of nursing (mid 1800s)
- First nursing philosopher
+ “Charge of somebody’s health”
+ “how to put the body in such a state to be free of disease or to recover from disease”
Influences on nursing
\+keep people healthy \+health care reform \+demographic undeserved \+Threat of bioterrorism \+rising health care costs \+nursing shortage
Nursing as a profession
- extended education
- Theoretical body of knowledge
- specific service-provided
- autonomy in decision-making and practice
- code of ethics
Benner: from novice to expert
+Novice: Beginning nursing student
+Advance beginner: Some level experience
+Competent: Same clinical position for 2-3 hours
+Proficient: a nurse greater than 2-3 years
+Expert: Nurse w/ diverse experience
Code of ethics
philosophical ideals of right and wrong that define principles used to provide care.
Profession responsibilities
- Autonomy and accountability
- caregiver
-Advocate: Protect clients humans legal rights and provide assistance in asserting those rights if the need arises
- Educator
- communicator
- manager
- career development
Trends in Nursing
- New kinds of health care agencies
- Cultural diversity
- safety
- genomics: study of all genes
- impact of nursing on politics and health policy
QSEN
+ Quality and safety education for nurses
6 KSA’s
+knowledge, skills and attitudes
- patient centered care
- teamwork and collaboration
- evidence-based practice
- quality improvement
- safety
- informatics
Components of health care systems
- people
- settings
- regulatory agencies
- health care financing mechanisms
Health care delivery system
-Compromised of interaction between health care providers and clients within constraint of financing mechanisms and regulatory agencies
Levels of health care
- preventive care
- primary care
- secondary acute care
- tertiary care
- restorative care
- continuing care
Preventive care
+Reducing and controlling risk factors for disease
+Immunizations and health screenings
Primary Care
Prenatal care, exercise classes
Secondary acute care
Emergency care, acute med-surg
Tertiary care
Intensive care, oncology, burn, sub acute units
Restorative care
+regain maximal functional
+ Rehabilitation, extended care facilities
Continuing care
+retirement homes, hospice
Issues in health care delivery
- competency
- ecidence-based practice
- quality and safety health care
- magnet recognition program
- technological advancements and nursing informatics
- globilization of health care
Competency
emphasizes the importance f public service, caring for the health of communities, and developing ethically responsible behaviors
Evidence-based practice
- problem-solving approach to clinical practice that involves the conscientious use of current best evidence, along with expertise references
quality and safety in health care
health plans rely on the health plan employer data and information set (HEDIS)
-The national committee for quality assurance (NCQA)
Magnet recognition program
To help nurses find other good nurses
Technological advancements and nursing informatics
technology is a great influence on nurses
Nursing informatics:
-best computer science and information science with nursing science
Globalization of health care
nurses need to understand the worldwide communication and globalization of health care influences nursing practice
