Module 2 Flashcards
What is a professional?
- Professionals have:
1. A body of knowledge
2. A scope of practice
3. Agreed upon values
4. Oaths or Codes
5. Accountability to our society, profession, and professional behavior
Why does being part professional organizations identify you as a professional?
You get specific training as it related to society and guidelines for practice making you an expert in that organizations field
Examples of Nursing Professional Organizations?
ANA - American nursing association
NCSBN - national council of state boards of nursing
NLN - national league of nurses
Sigma Theta Tau International
ONS - oncology nursing society
AACN - american association of critical care nurses
What is professionalism?
A term describing BEHAVIOR in the workplace based on values and the professional role. It becomes apparent someone has it or not through their behavior
How is Professionalism Judged?
Against a set of expectations or standards (personal values and understanding, situations, cultural influences, organization influence)
Professionalism is in the ___ ___ ___ ___
eyes of the beholder
What is professionalism determined by?
- our image
- our communication
- our competence
- our demeanor
Things a Patient looks for in Professionals?
Trustworthiness
Competence
Empathy
Respectfulness
Caring
Things a Patient Perceives as Non-Professional?
Non Therapeutic Relationships
Inappropriate Communication
Inappropriate Self Disclosure
Exploitation (money, gifts)
Confidentiality Breaches
Things Coworkers perceive as professional?
Trustworthiness
Competence
Supportive
Respectful
Accountable
Things Coworkers perceive as unprofessional?
Inappropriate relationships
Disengagement-texting, inappropriate internet and phoning use
Provision of misleading information
Disrespect
Early Civilization to 16th Century Perspectives on Health/Nursing
-Animism
-Ancient Greek civilization sin theory
-Early christian period
-16th century
Theory of Animism
-belief good and evil spirits caused health or sickness/death
-Roles of nurse and physician were very distinct with a physician being a medicine man and a nurse being a caring mother
Ancient Greek Civilization perspective on nursing?
Temples acted as medical centers where nurses cared for the sick in the home and community as nurse-midwives.
Believed sin and god displeasure caused bad health
Early Christian Period and Nursing
-Nursing was more formal and clearly defined with deaconesses developing purpose, direction, and leadership
- both male and female nursing orders rose during the crusades in the 11/13th centuries
-Nursing became a very respected vocation
Deaconess
Nurses role in the early christian periods
What did the 16th Century do to nursing?
- Caused a “Nursing Dark Age”
-Shift from religion to warfare/exploration/expansion of knowledge led to monasteries and convents closing leading to nurses have poor reputations
-Nurses ended up being women convicted of crimes who were paid low and worked long hours in bad conditions
What happened in the 19th to 20th CE that changed nursing?
-social reforms changes nursing and women roles in general
- Florence Nightingale established training schools for nurses, wrote books on health care, and changed prejudice on women to elevate nursing status
The Mother of Nursing
Florence Nightingale
Florence Nightingale
-Modern Nursing mother
-Established first nursing training schools and wrote books on healthcare and nursing education
-ID’ed personal needs of the patient and the role of nurses to meet them
-Established hospital management standards, established nursing education and respect, set nursing and medicine separate from each other, recognized the importance of nutrition and therapy for sick people, stressed the need for continuous education, maintained first accurate hospital records and started nursing research
Nursing from the 19th Century to WWII
-Hospital schools were organized to make inexpensive and controlled female nursing staff under male physician and administrator control
-The autonomy boom of women during WWII lead to an explosion in medicine and tech thus broadening the role of nurses and growing them as a profession
Nursing from the 1950s to Present
Nursing broadened in all areas (conduct, health care situations, knowledge development, growth as a profession, promotion of health as part of it)
EBP
Evidence Based Practice
Nutrix
latin word meaning “to nourish” that originated the word Nursing
What is the central focus of all definitions of nursing?
- The Patient
-care in all dimensions (physical, social, emotional, and spiritual)
Interrelated Roles of Nursing?
-Caregiver
-Communicator
-Educator/Teacher
-Counselor
-Leader
-Researcher
-Advocate
-Collaborator
Difference between Art and Science of Nursing?
Art is the skills and application while the Science is the critical thinking and knowledge base
Nursing’s Aims and Goals
- Promote Health
- Prevent illness
- Restore health
- Facilitate coping with disability or death
The Four Blended Competencies needed for Nursing?
TICE
T- Technical (Doing)
I - Interpersonal (Education)
C - Cognitive (Understanding and Rationalizing)
E -Ethical/Legal (Literacy in it)
QSEN
-Quality safety education for nurses
-it prepares nurses to continually improve quality and safety for the health care system
QSEN Competencies
Patient centered Care
Teamwork and collaboration
quality improvement
safety
EBP
informatics
What are some factors affecting health?
- All these factors can make health and nursing tricky, but understanding of them can help us educate the patient to maintain health
- Genetic inheritence
- cognitive abilities
- education level
- race, ethnicity, culture
- age and gender
- developmental level
- lifestyle and environment
- socioeconomic status
What does nursing strive to do?
PROMOTE HEALTH
ID, analyze, and maximize every patient’s individual strengths to prevent illness, restore health, and cope with disability/death
Main goals of the HP2020
Strive to be free of preventable disease, improve health, promote quality of life for all groups and life stages
Ways to Prevent Illness?
-Educational programs
-Community programs and resources encouraging healthy lifestyles
-literature, TV, radio, internet information on good health habits
-Health assessments in institutions that ID areas of strengths and risk for illness
Ways to Restore Health?
-Assessments that detect illness
-collaboration and referral with other professionals as appropriate
-direct care to the ill
-collaboration with others in patient care
-planning, teaching, carrying out rehabilitation
-working in mental health and addiction programs
Ways to facilitate Coping with Disability and Death?
-Maximize the person’s strengths and potentials through teaching and referral to community support systems
-Providing end or care (i.e. hospice programs)
Different Levels of Nursing Education
- Practical and Vocational nursing education
-RN education (diploman, ADN, BSN)
-graduate education in nursing (NP, FNP, PHD, etc)
-continuing education
-in-service education
Diploma in Nursing
- 3 year hospital based education
-Biological science and direct patient care foundation
-acute, long term, ambulatory care
ADN
-associates degree in nursing
-2 year degree
-attractive to men, minorities, and non-traditional students
-strong technical skills basis
BSN
-4 year
-entry level of professional practice
-required for many administrative, managerial, and community positions
3 Guidelines for Nursing practice
- Standards of nursing Practice
- Nursing Practice Act and Licensure
- The Nursing Practice
Nurse Practice Acts
- Acts in each state that define the legal scope of nursing practice
- it creates a state board to enforce rules and regulations
- define important terms/activities in nursing and legal requirements like education and licensure
The Nursing Process
-Major guideline for practice
-helps implementation of role and integrates the art and science of nursing
-defines areas of care and ability to critically think
Steps: Assessment –> Diagnosis –> Planning –> Implementation –> Evaluation
10 Trends to Watch for Nursing Education
- Need for education and collaborative practice
- nursing shortage and more opportunities
- advances in science and research
- changing demographics and increasing diversity
- tech explosion
- globalization
- educated consumer, alt therapies, genomic care era
- Shift to population based care and increasing complexity
- cost of healthcare
- impact of health policy and regulation
Early Signs of Fatigue in Nursing Practice
- Compassion Fatigue
- Burnout
- Secondary Traumatic Stress
Compassion Fatigue
Loss of satisfaction from providing good care for your patient
Burnout
accumulated state of frustration in work environment that accumulates over time (doing the same thing/more than you should)
Secondary Traumatic Stress
Movement of emotional stress from victim to caregiver (ex: abused child puts stress on you)
