exam 1 Flashcards
What is a theory?
helps explain an event by defining ideas or concepts, explain relationships among the concepts, and predicting outcomes.
What is a nursing theory?
conceptualizes an aspect of nursing to describe, explain, predict, or prescribe nursing care.
What are the different components of a theory?
- Phenomenon: term, description, or label given to describe an idea or responses about an event, a situation, a process, a group of events, or a group of situations.
o EX: caring, self-care - Concepts: ideas and mental images
o EX: meeting human needs - Definitions: used to communicate general meaning of the concepts of a theory
- Assumptions: “taken for granted” statements that explain the nature of the concepts, definitions, purpose, relationships, and structure of a theory.
Nursing is a _____ and an ______
Nursing is a science and an art
- Art: nursing stems from a nurse’s experience and the unique relationship that a nurse develops with a patient
- Science: based on date obtained from current research
What is a domain?
perspective or territory of a profession or discipline
What is a pradigm?
pattern of beliefs used to describe the domain of a discipline
What is a conceptual framework?
provides a way to organize major concepts and visualize the relationship among phenomena.
What is the nursing metaparadigm?
allows nurses to understand and explain what nursing is, what nursing does, and why nurses do what they do. Includes four concepts:
- Person, health, environment/situation, and nursing.
How are nursing theories created?
Nursing theories often build on the works of prior theories.
What are the types of theories?
- grand theories
- middle-range theories
- practice theories
- descriptive theories
- prescriptive theories
What are grand theories?
abstract, broad in scope, and complex. Require further clarification with research
What are middle range theories?
more limited in scope and less abstract. Address a specific phenomenon and reflect practice (administration, clinical, teaching, etc). Focus on a specific field of nursing
What are practice theories?
situation-specific theories, bring theory to bedside. Guide the care to specific pt population and specific time.
What are descriptive theories?
first level of theory development. Describe phenomena and identify circumstances.
What are prescriptive theories?
addressing nursing interventions
What is a shared theory?
explains a phenomenon specific to the discipline that developed the theory. Help nurses organize and deliver patient-centered care.
- EX: Paiget’s theory of cognitive development to help explain how children think, reason, and perceive the world.
What is input?
data or information that comes from a pts assessment
What is output?
end product of a system; does the pt improve? Decline?
What is Nightingale’s environmental theory?
She stated that the environment the pt is in is very important for their health
What is peplau’s interpersonal theory?
Nurses help patients reduce anxiety by converting it into constructive actions. As a nurse, when you develop a relationship with your pt you can solve problems together. You act as a surrogate, counselor, resource person, etc.
What is Orem’s self-care deficit nursing theory?
People who participate in self-care activities are more likely to improve their health outcomes.
What is Leininger’s culture care theory?
Human caring varies among cultures. Social structure factors such as a pt’s politics, culture, and traditions are significant forces affecting care and influencing the pt’s health and illness patterns.
What does theory testing research determine?
Theory-testing research determines how accurately a theory describes nursing phenomena.
What does the relationship between nursing theory and nursing research build?
the scientific knowledge base of nursing, which is then applied to practice.
What is caring?
universal phenomenon influencing the ways in which people think, feel, and behave in relation to one another. Word for being connected.
What is Leninger’s transcultural caring theory?
describes the concept of care as the essence and central, unifying and dominant domain that distinguishes nursing from other health disciplines. Stresses that cultural caring behaviors are important for nurses
What is watson’s transpersonal caring theory state?
suggests that a conscious intention to care promotes healing and wholeness. Talk to your patients, understand what its like to be in their shoes, looks for deeper sources of inner healing to protect, enhance, and preserve a person’s dignity, humanity, wholeness, and inner harmony.
What does Swanson’s theory of caring state?
defines caring as a nurturing way of relating to an individual. Provides direction for how to develop useful and effective caring strategies appropriate for multiple age-group and health care settings. Five caring processes include:
- Knowing
- Being with
- Doing for
- Enabling
- Maintaing belief
What is ethics?
ideals of right and wrong bx
What is ethic of care?
concerned with relationships between people and with a nurse’s character and attitude toward others.
What are the ways to provide care?
- Presence: person-to-person encounter conveying a closeness and sense of caring.
- Touch
- Listening: necessary for meaningful interactions w/ pts. Interpreting and understanding what the pt is saying and giving back that understanding.
- Knowing the pt: Knowing emerges from a caring relationship between a nurse and a pt, in which the nurse engages in a continuous assessment
- Spiritual caring: nurses who develop spiritual caring practice early in their career development are able to identify methods to incorporate these practices into routine care and do not perceive variables such as a lack of sufficient time or pt census as barriers.
- Relieving symptoms and suffering: caring nursing actions that give a pt comfort, dignity, respect, and peace.
- Family: get to know the family of the pt to provide adequate care.
What is nursing (the ANA definition)?
protection, promotion, and optimization of health and abilities; prevention 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
What are the steps of the nursing process?
AD PIE
- Assessment
- Diagnosis
- Outcomes identification and planning
- Implementation
- Evaluation
What is code of ethics?
philosophical ideals of right and wrong that define the principles you will use to provide care to your patients
What is autonomy?
essential element of professional nursing that involves the initiations of independent nursing interventiosn without medical orders.
What is a clinical nurse specialist (CNS)?
an APRN who is an expert clinician in a specialized area of practice.
What is the founder of the american red cross?
Clara Barton
What is compassion fatigue?
term used to describe a state of burnout and secondary traumatic stress
What is genomics?
the study of all the genes in a person and interactions of these genes with one another and with that person’s environment.
What is infection?
invasion of a susceptible host by pathogens (microorganisms) resulting in disease
What is colonization?
presence and growth of microorganisms within a host but without tissue invasion or damage
What is a communicable disease?
when an infectious disease can be transmitted directly from one person to another
What does symptomatic mean?
if the pathogens multiply and cause clinical signs and symptoms
What does asymptomatic mean?
if clinical signals and symptoms are not present
What is the order of a chain of infection?
Infectious agent or pathogen –> a reservoir or source for pathogen growth –> a port of exit from the reservoir –> a mode of transmission –> a port of entry to a hose –> a susceptible host
If the chain of infection interrupts or breaks, can infection occur?
NOOOOOO
What do microorganisms include?
bacteria, viruses, fungi, and protozoa
Microorganisms on the skin are either:
- Resident: (normal flora) permanent residents of the skin and within the body, where they survive and multiply without causing illness
- Transient: attach to the skin when a person has contact with another person or object during normal activities. They can give you an infection
What does virulence mean/
ability to produce disease; ability to enter and survive in a host; susceptibility of the host
What is a reservoir?
place where microorganisms survive, multiply, and await transfer to a susceptible host.
_____ bacteria cause more infections in humans than ______ bacteria
aerobic; anaerobic
What is an example of aerobic bacteria?
Staph
What is an example of anaerobic bacteria?
bacteroides fragilis
What is a spore?
a form of bacteria that is resistant to drying and can live in inanimate surfaces
are a ‘survival’ form of certain bacterial genera that show extreme resistance to chemical and physical inactivation.
What is bactericidal?
temperature or chemical that destroy bacteria
What is a portal of exit?
after microorganisms find a site to grow and multiply, they need an exit to enter another host and cause more disease.
What are some examples of a portal of exit?
- Blood, skin and mucous membranes, respiratory tract, GU tract, GI tract, and from mother and fetus
What. is susceptibility?
being likely or liable to be influenced or harmed by a particular thing.
What are the stages of infection?
- Incubtion - interal between entrance of pathogen into body and appearance of 1st symptom
- Prodromal - interval from onset of nonspecific signs and symptoms to more specific symptoms
* **person is most infectious - Illness - interval when pt manifests signs and symptoms specific to type of infection
- Convalescence - recovery from the infection
What does localized mean?
if an infection is localized, a pt usually experiences localized symptoms such as pain, tenderness, warmth, and redness at the wound site.
What does systemic mean?
an infection that affects the entire body instead of just a single organ
What does suprainfection mean?
secondary infection usually caused by an opportunistic pathogen
an additional infection that happens during or immediately after an existing infection. An example of a superinfection is having an ear infection caused by microorganisms which are resistent to the antibiotics taken for a recent throat infection.