N110 Week 1 Flashcards

1
Q

Name 7 Challenges often faced by Nurses.

A
Assertiveness
Communication
Ethical Decision Making
Being a “whistleblower”
Professional Behavior
Conflict Resolution
Recognizing Impending Problems
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2
Q

Who?

  • Founder of modern nursing
  • Lived in Britain: 1820-1910
  • Daughter of privileged, aristocratic family
  • Stifled by her social position, entered nurse’s training at age 30
  • Spurred reform of British Army medical system based on her efforts during Crimean War
  • Founded first training school for nurses in London (1860)
A

Florence Nightingale

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3
Q

Florence Nightingale:

  1. Demonstrated the value of _____ and infection control procedures
  2. Honored for her contributions to nursing ____
  3. Demonstrated the value of __ to affect health care reform
  4. Established the first nursing ______ in England
  5. Honored as the founder of professional ____ services, initiated social services.
  6. Introduced principles of asepsis and infection control, a system for _____ doctor’s orders, and a system to maintain patient _____
  7. Kept careful stats—documented a decrease in the ____ rate of soldiers from 42% to 2% as a result of health care reforms that emphasized ____ conditions
A
  1. aseptic techniques
  2. research
  3. political activism
  4. school
  5. nursing
  6. transcribing, records
  7. death, sanitary
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4
Q

Which war is connected to the origin nursing?

A

American Civil War

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5
Q

Name 3 nursing leaders that emerged from the Civil War

A
  1. Dorothea Dix: Union Superintendent of Women Nurses, champion for mental health
  2. Mary Ann “Mother” Bickerdyke: Lay nurse
  3. Clara Barton: Founded American Red Cross
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6
Q

During the civil war, _______ was appointed to organize military hospitals, provide trained nurses, and disperse supplies; she received no official status and no salary for this position

A

Dorothea Dix

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7
Q

Who was known for/as:

  • Copyist in U.S. patent office
  • Independently campaigned for supplies for soldiers in the Civil War
  • Set-up a make-shift field hospital to care for the wounded and dying
  • Known as “Angel of The Battlefield”
  • Founded the American Red Cross
A

Clara Barton

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8
Q

With the need for trained nurses, which 3 women were associated with Union nursing?

A
Need for Trained Nurses
Union nursing
Dorothea Dix
Sojourner Truth
Harriet Tubman
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9
Q

Who?

  • Early teacher
  • Educated women in prison
  • Passion for treatment of mentally ill
  • Responsible for the development of inpatient hospitals for mentally ill
A

Dorothea Dix

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10
Q

Who?

  • Abolitionist during the Civil War
  • Cared for soldiers during the Civil War
  • Assist in the freeing of thousands of slaves during the Civil War
A

Sojourner Truth

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11
Q

Who?

  • Moses
  • Underground Railroad-Civil War
  • Former Slave/Spy
  • Served as a nurse and a cook in the Civil War
A

Harriet Tubman

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12
Q

The Civil War prompted a move toward formal education of nurses and the 1st 3 American schools were modeled after Nightingale’s school and opened in 1873. Where were the first 3 schools?

A
  1. Bellevue Training School for Nurses (New York City)
  2. Connecticut Training School for Nurses (New Haven)
  3. Boston Training School for Nurses at Massachusetts General Hospital
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13
Q

Who was America’s first trained nurse?

A

Linda Richards

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14
Q

Who was the 1st black American trained nurse?

A

Mary Eliza Mahoney

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15
Q

Requirements for early nursing school applicants were based on Victorian stereotypes of female qualities including….

A
  1. “Good breeding” and “lady-like behavior”
  2. Submission to authority
  3. Sensitivity
  4. Intelligence
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16
Q

Early discrimination in nurse training impacted which 3 groups?

A

Men
African Americans
Jewish

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17
Q

Where was the 1st school for men?

A

School for Male Nurses at the New York City Training School (1886)

18
Q

Where was the 1st school exclusively for African Americans?

A

Atlanta Baptist Female Seminary (later Spelman College)

19
Q

The Chicago World’s Fair (1893) included a pivotol point for nursing. Describe.

A

Several nursing leaders emerged after gathering there to share ideas:

  • Isabel Hampton (Robb)- founded ANA
  • Lavainia Lloyd Dock
  • Bedford Fenwick- founded ICN
  • Paper by Florence Nightingale
  • National League for Nursing formed (with early name) at this meeting
20
Q

In 1896 the American Nurses Association was

Founded by _________ and the name changed to ANA in 1911

A

Isabel Hampton Robb

21
Q

What is social justice?

A

Respect for human life, dignity whether disability, mental illness, race, religion etc

22
Q

The ______ ______ ______ was:

  • Established in New York City
  • Founded by Lillian Wald
A

Henry Street Settlement

23
Q

What was the purpose and services provided by the Henry Street Settlement?

A
  • address serious health conditions of immigrants

- Services: Visiting nurses, well baby clinics, disease prevention, health education, treated minor illnesses

24
Q

_____ at the Henry Street Settlement was known for

  • Addressed plight of immigrant women in New York
  • Fought for safe contraception and family planning
  • Dangerous, controversial work
  • Renowned for preserving reproductive and contraceptive rights for women
A

Margaret Sanger

25
Q

What are Jessie Sleet Scales and Elizabeth Tyler known for?

A
  • Established the Stillman House which was a Branch of Henry Street Settlement
  • Served “colored people” through community health nursing programs
  • Their courageous activism broke through racial barriers
26
Q

Which war that started in 1898 created another need for nurses?

A

Spanish American War

27
Q

During the Spanish American War, 1. 1. Widespread epidemic of ______ generated great need for professional nurses

  1. Not enough nurses were available to supply need and _____ men were forced to work as untrained lay nurses.
  2. This set the stage for developing the _____Corps (1901) and ______ Nurse Corps (1908)
A
  1. typhoid fever
  2. enlisted
  3. Army, Navy
28
Q

From 1917-1930, what nursing challenges occurred? What was established during this era?

A
  1. Influenza epidemic swept the United States, United States entered WWI
  2. Frontier Nursing Service
29
Q

Who?

  • Provided first organized U.S. midwifery program.
  • Established the Frontier Nursing Service (FNS) in 1925 in rural Kentucky to assist disadvantaged women and children
  • documented the impact of nursing services on improving the health of communities
  • well known for midwifery services
A

Mary Breckinridge

30
Q

Which era is known for:

  • Civil Works Administration (CWA): Nurses provided rural and school health services
  • Social Security Act: Enhanced public health nursing
  • World War II
  • 124,000 volunteer student nurses formed Nurse Cadet Corps
A

1931-1945

Great Depression

31
Q

The Hill-Burton Act (1946) caused what nursing challenge?

A
  • Act provided funds to construct hospitals

- The rapid expansion of facilities caused an acute shortage of nurses and ‘Team nursing’ was introduced

32
Q

Medicare and Medicaid (1965) caused what nursing challenge?

A

ensured access to health care for elderly, poor, disabled which Increased employment of nurses in hospitals

33
Q

What nursing challenges occurred during 1961-1985?

A
  • Clinical specialization for nurses: Initiated by psychiatric nursing, intensive care nursing
  • 1971: Nurse practitioner role for primary care nursing
  • Vietnam War: Necessitated mobile hospital units staffed by nurses without direct supervision of physicians
34
Q

What nursing challenges occurred during 1986-2010?

A
  • Managed Care health care restrictions: Attempts to obtain third-party reimbursement for advanced practice nurses
  • Technology changes: Electronic medical records
  • Diversity: Nurses serve populations with diverse cultures and languages
35
Q

How do Flexner and Hall define profession?

A
Flexner: Intellectual, has own body of knowledge, practical, taught through specialized education, altruism
Hall: Qualifications, organized, calling
Consistent criteria: 
Specialized knowledge and autonomy
Ethics/standards
Service/altruism
36
Q

How do you distinguish occupation from profession?

A
  1. Type and length of preparation required
  2. Level of commitment
  3. Body of values, beliefs
  4. Core competencies
37
Q

Occupation vs. Vocation vs. Profession

  1. ____: The principle business of one’s life.
  2. ____: A summons/strong inclination for a particular career/course of action.
  3. ____: A calling requiring specialized knowledge and often long and intensive academic preparation. Not mechanical/agricultural.
A
  1. Occupation
  2. Vocation
  3. Profession
38
Q

Name 7 traits of an Occupation.

A
  1. Training may be OJT
  2. Training time varies
  3. Mostly manual work
  4. Trial and Error
  5. Commitment varies
  6. Workers are supervised
  7. Employer accountability
39
Q

Name 7 traits of a profession.

A
  1. Intellectual endeavors
  2. Accountability
  3. Specialized body of knowledge
  4. Public service/altruistic
  5. Autonomy
  6. Code of ethics
  7. Professional identity
40
Q
The following are all barriers to \_\_\_\_\_\_\_\_.
variability in Educational Preparation
Professional vs. technical nursing 
Gender issues
Lack of balance between men and women
Historical influences and Historical connections with religion and military
External and internal conflicts
Conflicts with medicine
Fragmentation between nursing subgroups
A

Professionalism

41
Q

Nursing ______ _______:

  • Defines the practice of professional nursing
  • Establishes educational criteria for licensure
  • Sets title protection for legal titles and abbreviations (e.g. “RN”)
  • Enforces disciplinary action for licensees as needed
  • State legislature approves nurse practice act
  • State board of nursing enforces the act
A

Practice Acts

42
Q

What is Certification?

A

Validation of specific competencies demonstrated by a registered nurse in a defined area of practice