Chapter 1 Yoost Concepts Of Nursing Flashcards

1
Q

Nightingales definition of nursing:

A

“To put the patient in the best condition for nature to act upon him”

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2
Q

Holistic definition

A

Treating the patients physical, mental, emotional, spiritual, and social self

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3
Q

Profession definition

A

An occupation that requires at a minimum specialized training and a specialized body of knowledge

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4
Q

What are the primary roles and functions of a nurse? (9)

A
Care provider
Advocate
Change agent
Researcher 
Educator
Leader
Manager
Collaborator
Delegator
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5
Q

Health literacy definition

A

The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions

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6
Q

What is low health literacy associated with?

A

Increased hospitalization, greater emergency care use, lower use if mammography and lower receipt of influenza vaccine

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7
Q

What is evidence based practice? (EBP)

A

And integration of the best available research evidence with clinical judgement about a specific patient situation

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8
Q

EBP components (8)

A
Assessing the need for change 
Linking problem with interventions
ID resources that answer the question
Critically appraise the evidence 
Synthesize the best evidence
Design a change for practice 
Implement and evaluate
Integrate and maintain change while monitoring
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9
Q

What are the characteristics of collaboration? (6)

A

Clinical competence and accountability
Common purpose
Interpersonal competence and effective communication
Trust and mutual respect
Recognition and valuation of diverse complementary knowledge and skills
Humor

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10
Q

Roles of the nurse (9)

A
Leader
Manager
Researcher
Collaborator 
Delegator
Change agent
Care provider
Educator
Advocate
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11
Q

Florence Nightingale

A

1860, founder of modern nursing
Known for care of sick in Crimean War
Influenced epidemiology
Establish nursing as a respected profession
Founded a nursing school
Stressed university based and continuing education

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12
Q

Discipline definition

A

A specific field of study or branch of instruction or learning

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13
Q

Metaparadigm definition

A

A global set of concepts that identify and describe the central phenomena of the discipline

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14
Q

Philosophy definition

A

A statement about the beliefs and values of nursing

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15
Q

Conceptual framework or model definition

A

A collection of interrelated concepts that provides direction for nursing practice, research and education

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16
Q

Nursing theory definition

A

Represents a group of concepts that can be tested in practice and can be derived from a conceptual model

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17
Q

Grand theory definition

A

A global conceptual framework that defines broad perspectives for nursing practice and provides ways of looking at nursing phenomena from a distinct nursing perspective

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18
Q

Middle range theory definition

A

Moderately abstract theory with a limited number of variables

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19
Q

Florence nightingale

A

Concept of balance between environment and patient: emphasized prevention; clean air, water and housing

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20
Q

Hildegard Peplau

A

Interpersonal process between nurse and patient:
1. Orientation
2. Working
3 resolution

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21
Q

Virginia Henderson

A

14 components based on Maslow’s hierarchy of needs

Defined nursing

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22
Q

Virginia hendersons definition of nursing

A

Assisting individuals to gain independence in relation to the performance of activities

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23
Q

Martha rogers

A

Science of unitary human beings; four dimension are used in developing principles of resonancy

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24
Q

Sister Callista Roy

A

Adaptation model: humans and adaptive open system

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25
Q

Dorothea Orem

A

self care deficit theory of nursing: self-care deficit, nursing systems

26
Q

Imogene King

A

Three level systems:
individual/personal,
group/interpersonal,
society/social

27
Q

Betty Neuman

A

Systems model: holistic concept with open-system approach

28
Q

Rosemarie Rizzo Parse

A

Human becoming school of thought= rogers science of unitary human beings + existential phenomenologic thought

29
Q

Jean Watson

A

Based on caring, with nurses dedicated to health and healing

30
Q

Maslows hierarchy of needs (top to bottom)

A
  1. Self actualization- creativity, problem solving, acceptance
  2. Esteem- confidence, achievement, respect
  3. Love/belonging- friendship, family
  4. Safety- security of body, employment, resources, property
  5. Physiological- breathing, food, water, sex, sleep

The lowest block (5) is where we want to live as a nurse

31
Q

Erikson’s Psychosocial Theory

A

Based on individuals interacting and learning about their world

32
Q

Lewin’s Change Theory

A

A three step process: unfreezing, moving or change; refreezing

33
Q

Paul’s Critical Thinking Theory

A

Nurses analyze data; develop, implement and evaluate a care plan

34
Q

Rosenstock’s Health Belief Model

A

Study diagram

35
Q

Criteria for a profession

A
Altruism (looking at big picture)
Body of knowledge and research 
Accountability
Higher education
Autonomy 
Code of ethics 
Professional organization
Licensure 
Diversity
36
Q

Diversity considerations

A

Cultural and linguistic competence
Culture
Competence
Cultural competence

37
Q

Cultural and linguistic competence definition

A

A set of behaviors, attitudes, and policies that allow for effective work in cross-cultural situations

38
Q

Cultural competence definiton

A

Method of bringing health care providers together to discuss health concerns where cultural differences enhance conversation

39
Q

Standards of Nursing practice published by ANA

FIRST PART

A
Assessment 
Diagnosis 
Outcomes identification 
Planning
Implementation
Evaluation
40
Q

Standards of Nursing Practice based on professional performance; SECOND PART

A
Ethics
Education
EBP and research
Quality of practice 
Communication 
Leadership 
Collaboration
Professional practice evaluation
Resource Utilization 
Environmental health
41
Q

A scope of practice does what?

A

It defines boundaries and clarifies how it may intersect with other professions

42
Q

What is ethics? What concepts does it include?

A

The standards of right and wrong behavior. Concepts are accountability, advocacy, autonomy, confidentiality, justice, nonmaleficence, responsibility

43
Q

What is socialization to professional nursing?

A

A process that involves learning the theory and skills necessary for the role of nurse

44
Q

Benner’s Novice to Expert Model:

A

Novice- has no professional experience
Advanced beginner- can note recurrent meaningful situational components but not prioritize them
Competent- begins to understand actions in terms of long term goals
Proficient- perceives situations as wholes, rather than in terms of aspects
Expert- has intuitive grasp of situation

45
Q

What is the essentials of Baccalaureate education for professional nursing practice updated by?

A

American associated of colleges of nursing (AACN)

46
Q

National League for Nursing (NLN) competencies

A

Human flourishing
Nursing judgement
Professional identity
Spirit of inquiry

47
Q

Registered nurse needs

A

Attend a 2 or 4 year degree program or 3 year diploma program
Associate degree in nursing
Diploma programs
Bachelor of science in nursing

48
Q

Master of science in nursing needs

A

Advanced practice nurses

Other advanced roles

49
Q

Two types of licensed nurses

A

LVN/LPN and RN
Both must obtain a license by passing an exam
Different scopes of practice

50
Q

LPN/LVN

A

12-18 months of training

NCLEX-PN

51
Q

RN credential

A

Graduate from approved nursing school

Pass a state licensing exam called National Council Licensure Exam for Registered Nurses (NCLEX-RN)

52
Q

Advanced degrees

A

Master of Science in Nursing (MSN)
Advanced practice nurse (APRN)
Doctor of Philosophy (PhD)
Doctor of Nursing Practice (DNP)

53
Q

Certifications

A

May become certified in a specialty
Certification has minimum work experience and education requirements
After meeting criteria, nurses must pass an exam before continuing education and work

54
Q

Professional Nursing Organizations

A

Sigma Theta Tau International Honor Society of Nursing

National Student Nurses Association (NSNA)

55
Q

Nursing shortage

A

70% of countries that participated in the survey were experiencing a nursing/midwife shortage
Predicted that US will reach a shortage of 500,000 by 2025

56
Q

Quality and safety education for nurses

5 core areas of proficiency

A
delivering patient-centered care
Working as part of a team
Practicing EBM
Quality improvement 
Using info as technology
57
Q

Institute of medicine report

A

Practice to full extent
Achieve higher levels of education and training
Full partners with physicians and other health care professionals in redesigning in health care
Workforce planning, better data collection and improved information infrastructure

58
Q

National patient safety goals

A
Identify patients correctly 
Improve staff communication
Use medicines safely 
Use alarms safely 
Prevent infection 
Identify patient safety risks
Prevent mistakes in surgery
59
Q

Independent nursing practice

A

Obtained a certain degree of autonomy
Code of ethics
Nurses don’t always have full freedom
NP’s are increasing independence in their practice

60
Q

Nurse practice acts…

A

Provide the scope of practice defined by each state or jurisdiction and set legal limits of nursing practice