NRG108-HE Flashcards

1
Q

What phase in the Development of organized health care in 1800 to 20th century.

A

First Phase

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2
Q

What phase in the Development of organized health care in 1
st four decades of 20th century.

A

Second Phase

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3
Q

What phase in the Development of organized health care Began after WW2.

A

Third Phase

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4
Q

Third phase

A

– Committee on Educational Tasks in Chronic Illness in 1968
– Educational processes
– President Nixon and the concept of patient education
– U.S. Department of Health, Education, and Welfare
– American Hospital Association’s Statement on a Patient’s Bill of Rights
– The Joint Commission’s Accreditation Manual for Hospitals
– Healthy People 2000, Healthy People 2010, and Health People 2020
established
– Pew Health Professions Commission

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5
Q

The Evolution of the Teaching Role of Nurses

A
  • major component
  • Florence Nightingale, the ultimate educator
  • National League of Nursing Education
    (NLNE), now the National League for
    Nursing (NLN)
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6
Q

Observed in_____ that health teaching is an
important function within the scope of
nursing practice

A

1981

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7
Q

Responsible for establishing standards and qualifications for practice, including patient
teaching

A

American Nurses Association (ANA)

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8
Q

Endorses health education as an essential
component of nursing care delivery

A

International Council of Nurses (ICN)

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9
Q

Nursing career ladders often incorporate teaching effectiveness as a measure of
excellence in practice.

A

State Nurse Practice Acts

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10
Q

Serving as a clinical instructor for students in
the practice setting

A

Professional nurses are responsible for:

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11
Q

Social, Economic, and Political Trends Affecting Health Care

A
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12
Q

Significant forces influencing nursing
practice:

A

Federal government and Healthy People 2020
– Recommendations from the Institute of
Medicine
– The Affordable Care Act (ACA)
– Growth of managed care
– Emphasis on public education for disease
prevention and health promotion
Importance of health education to reduce the
high costs of health services
– Concern for continuing education as vehicle to
prevent malpractice and incompetence
– Expanding scope and depth of nurses’ practice
responsibilities
– Consumers demanding more knowledge and
skills for self-care
– Increasing number of self-help groups
– Demographic trends influencing type and
amount of health care needed
– Incidents of medical harm
– Increased prevalence of chronic conditions
– Impacts of advanced technology
– Health literacy increasingly required
– Research findings that client education
improves compliance
– Advocacy for self-help groups
– Increased use of online technologies
– Screenings occasioned by advances in genetics
and genomics

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13
Q

To increase the competence and
confidence of clients for self-management.

A

Purpose

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14
Q

To increase the responsibility
and independence of clients for self-care

A

Primary goal

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15
Q

Benefits of education to clients

A

Increases consumer satisfaction
Improves quality of life
Ensures continuity of care
– Decreases client anxiety
– Reduces complications of illness and
incidences of disease
– Promotes adherence to treatment plans
– Maximizes independence
– Empowers consumers to become involved in
planning their own care
– Enhances job satisfaction
– Improves therapeutic relationships
– Enhances patient-nurse autonomy
– Increases accountability in practice
– Provides opportunity to create change that
matters

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16
Q

A systematic, sequential,
planned course of action on the part of both
the teacher and learner to achieve the
outcomes of teaching and learning

A

Education Process:

17
Q

A deliberate
intervention that involves sharing
information and experiences to meet the
intended learner outcomes

A

Teaching/Instruction

18
Q

A change in behavior
(knowledge, attitudes, and/or skills) that
can be observed or measured, and that can
occur at any time or in any place as a result
of exposure to environmental stimuli

A

Learning

19
Q

The process of helping
clients learn health-related behaviors to
achieve the goal of optimal health and
independence in self-care

A

Patient Education

20
Q

The process of helping
nurses acquire knowledge, attitudes, and
skills to improve the delivery of quality
care to the consumer

A

Staff Education

21
Q

A useful paradigm to assist nurses to organize
and carry out the education process

A

ASSURE Model

22
Q

A
S
S
U
R
E

A

A-Analyze the learner
S-State the objectives
S-Select instructional methods and materials
U-Use instructional methods and materials
R-Require learner performance
E-Evaluate/revise the teaching plan

23
Q

Nurses act in the role of educator for a
diverse audience of learners—patients
and their family members, nursing
students, nursing staff, and other agency
personnel.

A

The Contemporary Role of the Nurse as Educator

24
Q

The new educational paradigm focuses on the
learner learning.

A

– Instead of the teacher teaching
– The nurse becomes the “guide on the side.”

25
Q

Nursing education transformation

A

Gap between nursing education and practice

26
Q

Nursing Alliance for Quality Care (NAQC) goals: Consumer-centered health care, performance
measurement and public reporting, advocacy,
and leadership

A

Patient engagement

27
Q

What are the competencies of QSEN:

A
  • Patient-centered care
  • Teamwork and collaboration
  • Evidence-based practice
  • Quality improvement
  • Informatics
  • Safety
28
Q

Who is the founder of RWJF?

A

Robert Wood

29
Q

Institute of Medicine report: The future of
nursing

A

Written in response to the Affordable Care Act
– Describes the role of nursing in a transformed
healthcare system

30
Q

The Future of Nursing recommendations

A
  • Remove scope of practice barriers.
  • Expand opportunities for nurses to lead in
    collaborative efforts.
  • Implement nurse residency programs.
  • Increase proportion of nurses with baccalaureate
    degrees to 80% by 2020.
  • Double number of nurses with a doctorate by 2020.
  • Ensure that nurses engage in lifelong learning.
  • Prepare and enable nurses to lead change to advance
    health.
  • Build infrastructure for the collection and analysis of
    data.
31
Q

Are those factors
impeding the nurse’s ability to deliver
educational services.

A

Barriers to teaching

32
Q

Are those factors that
negatively impact the learner’s ability to pay
attention and process information.

A

Obstacles to learning

33
Q

What are the factors affecting the ability to teach:

A

– Lack of time to teach
– Inadequate preparation of nurses to assume
the role of educator with confidence and
competence
– Personal characteristics
– Low-priority status given to teaching
– Environments not conducive to the teaching–
learning process
– Lack of time to teach
– Inadequate preparation of nurses to assume
the role of educator with confidence and
competence
– Personal characteristics
– Low-priority status given to teaching
– Environments not conducive to the teaching–
learning process
– Absence of third-party reimbursement
– Doubt that patient education effectively
changes outcomes
– Inadequate documentation system to allow
for efficiency and ease of recording the
quality and quantity of teaching efforts