Exam #1 Flashcards

1
Q

Who was Florence Nightingale?

A

“founder of modern nursing”

-inspected hospitals, studied sanitary report and wrote books on public health

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2
Q

What were some of Florence Nightingale’s accomplishments?

A

1853- became superintendent of a charity hospital
1854- took nurses to assist in military hospital during Crimean War in Turkey
-first nurse researcher
1860- established first nurse training school

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3
Q

What ideologies did Florence Nightingale believe in?

A
  • believed nurses were present to nurse, separation between nursing and medicine
  • equal compensation with men for equal work
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4
Q

Who did Nightingale believe should be in charge of nurses?

A

nurse supervisor (not physicians)

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5
Q

What principles did Nightingale stress?

A

importance of assessment/reporting for continuity of care

sick nursing vs. health nursing (prevention)

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6
Q

Nursing in Pre-Civil War

A

similar to European standards - nurses didn’t have any formal education

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7
Q

Who was Dorothea Dix?

A
  • increased care for the mentally ill
  • founded a state instituted mental hospital (no real improvement in treatment for psych pts)
  • appointed superintendent of union nurses during Civil War
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8
Q

Nursing during the Civil War

A
  • unorganized, lay nurses provided care (army)
  • little support from physicians
  • large military hospitals (over 300,000 beds)
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9
Q

Clara Barton in Civil War

A

known for cure of injured soldiers

Red Cross

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10
Q

Harriott Tubman in Civil War

A

cared for union soldiers

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11
Q

Development of Nursing School

A

1869- AMA recommended training
1872- New England Hospital initiated primitive program (intense one year 7 days/week)
1873- 3 formal nursing schools (Bellevue, Connecticut, Boston Training Schools)
1891- 1st training school for black nurses (Providence Hospital)

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12
Q

Who were graduates of the New England Hospital nursing program?

A
Linda Richards (1873)
Mary Mahoney (1879)
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13
Q

What were the three formal nursing schools instituted in 1873?

A

Bellevue Training School
Connecticut Training School
Boston Training School

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14
Q

Nursing in the early 1900s

A

immigration increased –> large cities with slums, increased vermin, overcrowding, decreased sanitation
-nurses: did private duty in homes or provided care on street
*Lillian Ward
1893- American Society of Superintendents of Training Schools for Nursing = maintain school standards
1896- Nursing Associated Alumnae of the US/Canada for ALL nurses
1900- American Journal of Nursing
1903- legislation passed to register nurses
Army Nurse Corps established

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15
Q

Lillian Ward

A

left med school to provide care for poor

  • increased public health rate
  • established school of nursing (1902)
  • president of National Organization for Public Health Nursing
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16
Q

Nursing Pre-WWI

A

1912- National Organization for Public Health Nursing

  • Margaret Sanger: 1st birth control education clinic
  • nurse anesthetist role established
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17
Q

Margaret Sanger

A

opened first birth control education clinic in US, many died from abortion at this time

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18
Q

Nurses during WWII

A
  • nursing recruitment standards decreased and need for nurses increased (many didn’t want to be nurses for the strenuous work/long hours)
  • poor military hospital conditions
  • Army Nursing School created
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19
Q

Nursing during the Great Depression

A
  • 19th amendment (women’s right to vote)
  • poor image of nursing
  • Yale Nursing School –> first sole nursing school under University umbrella
  • increased nursing discrimination of men/blacks
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20
Q

What was the Frontier Nursing Service?

A

Mary Breckinridge- saw maternal mortality increasing, wanted to provide more prenatal care

  • worked in Appalachian Mountains, poor community
  • increased maternal death rates (10,000 times todays)
  • 1925: established nursing birthing service in homes
21
Q

Who was Mary Breckinridge?

A

the founder of the Frontier Nursing Service

22
Q

Nursing during WWII

A
  • Cadet Nurse Crops
  • inactive nurses returned to work to help war effort
  • nurse assistant jobs opened b/c of shortage
  • Nurse POWS
  • 1947: female nurses received full commissioned status in military (same pay as men)
23
Q

Nursing Post-WWII

A

-increase in nurse assistants/practical nurses
-concept of “team” nursing evolved
-flight nursing
1950- NLN accredits nursing schools
1952- AD initiated (associate degree nurse)
1965- ANA’s position paper on Education for nursing made BSN minimum professional nurse standard

24
Q

Modern Nursing

A

1986- Medicare DRGs: told hospital how much money they would receive based on pt dx –> shorter stays, increased outpatient treatment
-nursing shortage: increased graduate nursing education/increased nurse roles

25
Q

Today’s Nurses

A
  1. 1 million in US
    - mostly female
    - avg age in 1980 (40), avg age today (45.5)
    - mostly caucasian, greatest disparity in hispanic nurses
    - Aging of America–> more potential for chronic illnesses
    - Increased demand–> b/c of increased population/age of population
26
Q

What is the public image of nursing?

A
  • trustworthy
  • not associated with power
  • advocates of health/safety
  • RNs increase quality of healthcare (untapped resource)
27
Q

What is the media image of nursing?

A
  • Drs handmaid
  • sexy nurse
  • mean nurse (pain inflicter)
  • MASH increased image
  • ER neg image
28
Q

How do we improve the image of nursing?

A
  1. be visible at work
  2. be educated
  3. be active
29
Q

Mizzou Nursing

A

1901: est. Parker Memorial Hospital
1940: approved BSN curriculum
1975: Nursing School became separate division
- –> 1994: became Sinclair

30
Q

What is Flexner’s Criteria?

A

ten classic criteria used as a standard to identify characteristics of a profession → nursing meets most of criteria

31
Q

What areas of Flexner’s Critera does nursing not meet?

A
  • Not all nurses are educated in institution of higher learning (diploma, associates degree thru community college)
  • Nursing is not totally autonomous (dependent on access to patients through hospitals/clinics)
  • Entry to practice is unclear (nursing’s entry has 3 different levels, no requirement for grad/post-grad for initial practice)
32
Q

What are the IOM Core Competencies? (nursing meets all)

A
  • Provide patient centered care
  • Work in interdisciplinary teams (physician, RT, etc)
  • Employ evidence-based practice
  • Apply quality improvement principles (ensure care given is evaluated for effectiveness)
  • Utilize informatics (technology)
33
Q

ANA (1965) definition of nursing

A

Care, Cure, Coordination

34
Q

ANA Social Policy Statement (1995)

A

Three part statement

35
Q

What are the four main nursing roles?

A

o To promote health
o prevent illness
o restore health
o facilitate coping

36
Q

What are some basic nursing roles?

A
  • Caregiver
  • Communicator/collaborator
  • Counselor
  • Advocate
  • Leader/Manager/Delegator
  • Educator
  • Researcher
37
Q

What are the specific staff roles?

A
  1. staff nurse
  2. hospital nursing
  3. long term care
  4. nursing administration
  5. staff development
  6. public health
  7. school nursing
  8. Entrepreneur & Intrapreneur
  9. advanced practice nurse
  10. nurse educator
  11. nurse researcher
  12. case managers
  13. Military Nursing
  14. Nursing Journal Editors
  15. Lobbyists
  16. Nurse Lawyers
  17. Travel Nursing
38
Q

During what world was was the first army nursing school created?

A

WWI

39
Q

During what world war did female nurses receive full commissioned status in the military?

A

WWII

40
Q

Increased outpatient treatments, a nursing shortage, increase in graduate nursing education, and increase in nursing roles are all outcomes of what time in history?

A

current history

41
Q

How many nurses are there in the US today?

A

over 3 million

42
Q

She began crusading to improve care for the mentally ill?

A

Dorothea Dix

43
Q

What are four main nursing goals?

A

Promote health, prevent illness, restore

health, and facilitate coping

44
Q

Clinical Nurse Specialist, Nurse Practitioner, Certified Registered
Nurse Anesthetist, and Certified Nurse Midwifes are all examples of?

A

Advanced Practice Nurses

45
Q

Nurse educators may be responsible for teaching in which three areas?

A

academia, staff education, and community education

46
Q

Ten classic criteria used as a standard to

identify characteristics of a profession are?

A

Flexner’s Criteria

47
Q

Who defined nursing as “put the patient in the best condition for nature to act upon him”?

A

Florence Nightingale

48
Q
Provide patient-centered care, work in 
interdisciplinary teams, employ evidence-
based practice, and apply quality 
improvement principles are all examples 
of?
A

IOM Competencies

49
Q

Life long learning, identification of one’s self

with a profession, responsibility and accountability, and promoting a profession are all examples of?

A

professional commitment