Chapter 1: Community Health Nursing Flashcards
Series of selected events that influenced nursing practice.
Historical Perspectives
These includes the theme of Women’s roles
and status, religious (Christian) values, war, societal attitudes, and visionary nursing leadership have influenced nursing practice in the past, and these factors still exert their influence today.
Historical Perspectives
Viewed as the traditional female roles of wife, daughter and sister have always included the care and
nurturing of other family members.
Women’s Roles
They were even called on to care for others in the community who were ill.
Women’s Roles
The care that they provide is related to physical maintenance and comfort.
Women’s Roles
traditional nursing roles
Humanistic caring
Nurturing
Comforting
Supporting
The Christian value of “love thy neighbors as thyself” and Christ’s parable of the Good Samaritan had a significant impact on the development of Western nursing.
Religion
wealthy matrons such as Fabiola, converted to Christianity and used the ir wealth to
provide houses of care and healing (forerunner of hospitals) for the poor, the sick and the homeless.
3rd and 4th century
wealthy matrons
Fabiola
dedicated themselves to the care of people with leprosy, syphilis and chronic
skin condition.
Knights of Saint Lazarus
the two brothers who organized care for victims of Black Plague in the 14th century in
Germany.
Alexian Brothers
Alexian Brothers, organized care for victims of Black Plague in the 14th century in
Germany.
Medieval times
Early religious values such as:
Self- denial
Spiritual calling
Devotion to duty
Hard work
inadequacy of care given to soldiers led to a public outcry in Great
Britain.
Crimean War (1854-1856)
Year of the Crimean War
1854-1856
Florence Nightingale was tasked to recruit contingent nurses to provide care to the sick and injured in the Crimea.
Crimean War
Florence Nightingale transformed the military hospitals by setting up sanitation practices, such as handwashing and washing clothing regularly.
Crimean War
Florence Nightingale was credited with performance after the mortality rate decreased from _____ to____ in 6 months.
42% to 2%
Year of the American Civil War
(1861-1865)
provided care and safety to slaves fleeing to the North on the Underground railroad during the American Civil War
Harriet Tubman and Sojourner Truth
searched the battlefields and gave care to injured and dying soldiers.
Mother Biekerdyke and Clara Barton
volunteered as nurses to give care to injured soldiers in military hospitals.
Walt Whitman and Louisa May Alcott
became the Union’s superintendent female nurse responsible for recruiting nurses and
supervising the nursing care of all women nurses working in the army hospitals.
Dorothea Dix
towards nurses and nursing have significantly influenced professional nursing.
Society’s attitudes
According to the ____, a woman’s place was in the home and that no respectable woman should have a
career.
society
book written by Charles Dickens
Martin Chuzzllewit (1896)
when was Martin Chuzzllewit written
1896
Martin Chuzzllewit was written by
Charles Dickens
what did Charles Dickens reflect in Martin Chuzzllewit
reflected his attitude toward nurses through the character of Sairy Gamp,
Sairy Gamp cared for the sick by
neglecting them, stealing from them, and physically abusing them.
she cared for the sick by neglecting them, stealing from them, and physically abusing them.
Sairy Gamp
She brought respectability to the nursing profession
Florence Nightingale
nurses were viewed as:
Noble
Compassionate
Moral
Religious
Dedicated
Self-sacrificing
Nursing Leaders
Florence Nightingale
Clara Barton
Linda Richards
Mary Mahoney
Lilian Wald
Lavinia L. Dock
Margarett Higgins Sanger
Mary Breckinridge
Steve Miller
Luther Christman
Florence Nightingale years
(1820-1910)
“Lady with the lamp”
Florence Nightingale
First to nurse to exert political pressure on government
Florence Nightingale
Recognized as 1st scientist-theorist
Florence Nightingale
Believed that she was called by God to help others and improve the well-being of mankind
Florence Nightingale
Believed in personalized and holistic client care
Florence Nightingale
First nurse researcher
Florence Nightingale
Clara Barton years
(1821-1912)
Responsible to organize the nursing services
Clara Barton
Responsible to organize the nursing services
Clara Barton
Established American Red Cross
Clara Barton
Linda Richards years
(1841-1930)
America’s first trained nurse
Linda Richards
Known for introducing nurse’s notes and doctor’s notes
Linda Richards
Initiated the practice of nurses wearing uniforms
Linda Richards
Credited for her pioneering work in psychiatric and industrial nursing
Linda Richards
Mary Mahoney years
(1845-1926)
1st African American professional nurse
Mary Mahoney
Worked for the acceptance of African American in nursing and for the promotion of equal opportunities.
Mary Mahoney
Lilian Wald years
(1867-1940)
Founder of public health nursing
Lilian Wald
First to offer trained nursing services to the poor in the New York slums with Mary Brewster
Lilian Wald
Provided nursing services, social services, and organized educational and cultural activities
Lilian Wald
Lavinia L. Dock years
(1858-1956)
Participated in protest movements for women’s rights that resulted in 1920 passage of the the 19th Amendment to the US Constitution, which granted women the right to vote.
Lavinia L. Dock
Campaigned for legislation to allow nurses to control their profession instead of the physicians
Lavinia L. Dock
Margarett Higgins Sanger years
(1879-1966)
A public health nurse
Margarett Higgins Sanger
Was imprisoned for opening the first birth control information clinic in America
Margarett Higgins Sanger
Founder of Planned Parenthood
Margarett Higgins Sanger
Mary Breckinridge years
(1881-1965)
Notable pioneer nurse, established the Frontier Nursing Service
Mary Breckinridge
In 1918, she worked with the American Committee for Devastated France, to distribute food, clothing, and
supplies to rural villages and taking care of sick children
Mary Breckinridge
Started one of the first midwifery training schools in the US.
Mary Breckinridge
Schools of nursing in the United States existed from the
late 1880s until 1969.
Male nurses were denied admission to the Military Nurse Corps during World War II based on gender
Military Nurse Corps during World War II based on gender
During ____ men were denied admission to most nursing programs
20th century
Steve Miller year
Steve Miller (1971)
Male nurse in Michigan
Steve Miller
formed an organization called Men in Nursing.
Steve Miller
Luther Christman year
(1974)
Organized a group of male nurses in Chicago
Luther Christman
First man to be a dean at a university of school of nursing.
Luther Christman
First man to be nominated for president of the ANA
Luther Christman
Named the “Living Legend” as he was the first to be elected to the American Academy of Nursing
Luther Christman
First man inducted into ANA’s Hall of Fame for his extraordinary contributions to nursing.
Luther Christman
American Assembly for men in Nursing (AAMN) year
1981
1981 – (AAMN)
American Assembly for men in Nursing
1981 – American Assembly for men in Nursing (AAMN) was formed by
Miller and Christman
purpose of American Assembly for men in Nursing
to provide a framework for nurses, as a group, to meet to discuss and influence factors that affect men as nurses.
Refers to formalized experiences designed to enhance the knowledge or skills of practicing professionals.
Continuing Education
Inform nurses of new techniques and knowledge
Continuing Education
Help nurses attain expertise in a specialized area of practice, such as critical care nursing
Continuing Education
Provide nurses with information essential to nursing practice, such as knowledge about legal and ethical aspects of nursing.
Continuing Education
Specific type of continuing education that is offered by an employer,
In – service Education
Designed to upgrade the knowledge or skills of employees, as well as to validate continuing competence in selected procedures and areas of practice.
In – service Education
Definitions of Nursing
Nursing is caring
Nursing is an art
Nursing is a science
Nursing is client centered
Nursing is holistic
Nursing is adaptive
Nursing is concerned with health promotion, health maintenance, and health restoration
Nursing is helping profession
Recipients of Nursing
Consumer
Patient
Client
an individual, a group of people, or community that uses a service or commodity.
Consumer
a person who is waiting for or undergoing medical treatment and care
Patient
a person who engages the advice or services of another who is qualified to provide this service.
Client
Scope of Nursing
3 types of clients
4 areas of Nursing Practice
4 areas of Nursing Practice:
Promoting Health and Wellness,
Preventing Illness,
Restoring health,
Care of the dying
3 types of clients:
individuals
families
communities
Nurses promote wellness in clients who are both health and ill.
Promoting Health and Wellness
Its goal is to maintain optimal health by preventing disease.
Preventing Illness
Focuses on the ill client, extends from early detection of disease through helping the client during the recovery period.
Restoring Health
Nursing activities include the following:
Providing direct care to the ill person
Performing diagnostic and assessment procedures
Consulting with other health care professionals
Teaching clients about recovery activities
Rehabilitation of clients to their optimal functional level
Caring for the dying
Involves comforting and caring for people of all ages who are dying
Helping clients live comfortably as possible until death
Supporting persons to cope with death
Roles and Functions of the Nurse
Caregiver
Caregiver
Teacher
Client Advocate
Counselor
Change Agent
Leader
Manager
Case Manager
Research Consumer
the nurse helps maintain and regain health, manage disease and symptoms, and attain a maximal level of function and independence through the healing process.
Caregiver
the nurse is primarily concerned with the client’s needs
Caregiver
the effectiveness of the nurse as a communicator is central to the nurse-patient relationship.
Communication
allows the nurse to know the patient, including their strengths, weaknesses, and needs.
Communication
essential to all nursing roles and activities
Communication
the nurse explains concepts and facts about health, describe the reason for routine care activities, demonstrate procedures such as self-activities, reinforce learning or patient behavior, and evaluate the patient’s
progress in learning.
Teacher
the nurse protects the patient’s human and legal rights and provides assistance in
asserting their rights if the need arises.
Client Advocate
The nurse act on behalf of the patient and secure the patient’s health
care rights
Client Advocate
nurse helps the patient to recognize and cope with stressful psychologic or social problems, to develop improved personal relationships and to promote personal growth.
Counselor
This role includes providing emotional, intellectual, and psychological support.
Counselor
the nurse initiates changes and assists the client make modifications in the lifestyle to
promote health.
Change Agent
the nurse through the process of interpersonal influence helps the client make decisions in establishing and achieving goals to improve his well-being.
Leader
nurse manages plans, gives directions, develop staffs, monitors operations, gives rewards fairly, and represents both staff members and administration as needed.
Manager
The nurse manages the nursing care of
individuals, groups, families and communities.
Manager
The nurse manager delegates nursing activities to ancillary workers and other nurses and supervises and evaluates their performance
Manager
The nurse coordinates the activities of other members of the health care team, such as
nutritionists and physical therapists.
Case Manager
The nurse works with the multidisciplinary health care team to measure
the effectiveness of the case management plan and to monitor outcomes.
Case Manager
the nurse participates in scientific investigation and uses research finding in
practice.
Research Consumer
Nurses used research to improve client care.
Research Consumer
Factors Influencing Contemporary Nursing
Health Care Reform
Quality and Safety in Health Care
Family Structure
Science and Technology
Consumer Demands
Information, Telehealth, and Telenursing
Legislation
Demography
Nursing Shortage
Collective Bargaining
Nursing Associations