nursing today Flashcards
ANA Provisions
A nurse practices with compassion and respect, primary commitment to the patient. They advocate for the patient. Promote patients, protect their rights, health, and safety of the patient. they have authority and responsibility towards the nursing practice. they owe the same duties to themselves. Improve ethical work environment of work setting, advance profession through research and scholarly inquiry, collaborate with other health professionals and the public. while maintaining the integrity of the profession.
Advanced practice nurses have a set of core competencies
direct clinical practice, collaboration, expert coaching and guidance, research ethical decision making, consultation, leadership.
Nurse Educator
Have a MSN. They have extensive clinical background and may continue to work in a clinical setting while practicing as faculty in an academic or health care setting. There is no specialized licensure.
Nurse Administrator
coordinate the use of human, financial, and technological resources to provide patient care services. a minimum of MSN is required and may include non-nursing focus like hospital administration, public health, or business administration.
What does the CCNE, CNEA and ACEN accredit?
CCNE accredits baccalaureate and graduate nursing programs. The CNEA and ACEN accredit a variety of nursing programs including practical, diploma, associate, baccalaureate, and graduate programs.
Benner: from novice to expert
Novice, Advanced beginner, competent, proficient, expert
Novice
Beginning Nursing student. No level of experience
Advanced Beginner
Some level of experience. experience may only be observational in nature
Competent
Same clinical position for 2-3 years. Understand organization and specific-care required by the type of patient. Able to anticipate nursing care and long-range goals.
Proficient
More than 2-3 years of experience in the same clinical position. Perceives patients clinical situation as a whole, is able to assess an entire situation and can readily transfer knowledge gained from previous experiences to a situation. Focuses on managing care.
Expert
Nurse with diverse experience. able to zero in on the problem and focus on multiple dimensions of a situation.
ANA definition of Nursing
protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and population.
ICN
International Council of Nurses
ICN Definition of nursing
nursing encompasses autonomous and collaborative care of individuals all ages, families, groups, and communities, sick or well, and in all settings. It includes health promotion, prevention of illness, and the care of ill, disabled or dying people. Advocacy, promotion of safe environment, research, participation in shaping health policy and in patient and health systems management, and education.
Nursing code of ethics
set of principles that reflect primary goals, values, and obligations of the profession.
ANA standards of nursing practice
Assessment
Diagnosis
Outcome Identification
Planning
Implementation
Evaluation
(ADPIE)
Assessment
Collect pertinent data and information relative to the patient’s health or the situation.
Diagnosis
analyzes the assessment data to determine the actual or potential diagnosis, problems, and issues.
Outcome Identification
identifies expected outcomes for a plan individualized to the healthcare consumer or the situation.
Planning
develops a plan encompassing the strategies to achieve expected outcomes.
Implementation
implements the plan
Evaluation
evaluates progress towards attainment of goals and outcomes.
ANA stands of professional performance
ethics, advocacy, respectful and equitable practice, communication, collaboration, leadership, education, scholarly inquiry, quality of practice, professional practice evaluation, resource stewardship, environmental health.
Ethics
integrates ethics into all standards of practice
advocacy
demonstrates advocacy in all roles and settings
Respectful and Equitable Practice
The registered nurse practices with cultural humility and inclusiveness
Communication
communicates effectively in all areas of professional practice
Collaboration
collaborates with healthcare consumers and other key stakeholderes
Scholarly Inquiry
integrates scholarship, evidence, and research findings into practice
Quality of Practice
contributes to quality nursing practice
Professional practice evaluation
the RN evaluates one’s own and others’ nursing practice
resource stewardship
utilizes appropriate resources to plan, provide and sustain evidence-based nursing services that are safe, effective and fiscally responsible and avoid waste
environmental health
practices in a manner that advances environmental safety and health
APRN
The most independently functioning nurse, MSN
Nurse Practitioner
a nurse with graduate training who often works as a primary care provider
Certified Nurse-Midwife (CNM)
An APRN who is also educated in midwifery and is certified by the American College of Nurse-Midwifes
Genetics
the study of inheritance
Genomics
the study of all the genes in a person and interactions of these genes with one another and with that person’s environment
Genes
carry the instructions for making proteins, which in turn direct the activities of cells and functions of the body that influence traits such as hair and eye color
professional organization
deals with issues of concern to those practicing in the profession
Nurse researcher
have additional education and training in conducting evidenced-based practice research to improve nursing practice and health care. Can achieve certification as a Certified Clinical Research Professional (CCRP)
Three accrediting bodies for schools and colleges of nursing
The American Association of Colleges of Nursing (AACN) Commission on Collegiate Nursing Education (CCNE), The Accrediting Commission for Education in Nursing (ACEN), National League for Nursing Commission for Nursing Education Accreditation (CNEA)
ANA
American Nurses Association
Leadership
leads within the professional practice setting and the profession
Education
seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking
autonomy
involves the initiation of independent nursing interventions without medical orders
accountability
you are responsible professionally and legally for the type and quality of nursing care provided
caregiver
help patients maintain and regain health, manage disease and symptoms, and attain a maximal level of function and independence through the healing process
patient advocate
Protect patients human and legal rights and provide assistance in asserting these rights if the need arises
educator
identify patients willingness and ability to learn, explain concepts and facts about their health, describe the reason for care activities, demonstrate procedures such as self care activities, reinforce learning or patient behavior, and evaluate the patient’s progress in learning
communicator
allows you to know your patients, including their preferences, strengths, weaknesses and needs
manager
coordinates the activities of members of a nursing staff in delivering nursing care and has personnel, policy and budgetary responsibility for a specific nursing unit or agency
Clinical Nurse Specialist (CNS)
an APRN who is an expert clinician in a specialized area of practice
Certified Registered Nurse Anesthetist (CRNA)
An APRN with advanced education in a nurse anesthesia accredited program
Nurse Educator
works primarily in schools of nursing, staff development departments of health care agencies, and patient education departments
Nurse Administrator
manages patient care and the delivery of specific nursing services within a health care agency
American Organization of Nurse Executives (AONE)
describes caring and knowledge as the core of nursing, with caring being a key component of what a nurse brings to a patient experience
Nurse Researcher
conducts evidence-based practice and research to improve nursing care and further define and expand the scope of nursing practice
Florence Nightingale
Established sanitary nursing care units. Founder of modern nursing. began professional education of nursing
Clara Barton
Launched the American Red Cross in 1881. An “angel” in the Civil War, she treated the wounded in the field.
Dorothea Lynde Dix and Mother Bickerdyke
organized hospitals and ambulances, appointed nurses, cared for the wounded soldiers, and oversaw and regulated supplies to the troops
Mary Mahoney
First professionally trained African American nurse
Isabel Hampton Robb
founded American Nurses Association
Lillian Wald and Mary Brewster
Opened the Henry Street Settlement, focusing on the health needs of the poor
Mary Adelaide Nutting
first professor of nursing
Magnet Recognition Program
The only national designation built on and evolving through nursing research that is designed to recognize nursing excellence of healthcare organizations through a self-nominating, appraisal process.
Last Acts Campaign
developed standards and policies for end of life care
Compassion fatigue
a state of exhaustion experienced by medical and psychological professionals, as well as caregivers, which leaves the individual feeling stressed, numb, or indifferent
Secondary Traumatic Stress
trauma that health care providers experience when witnessing and caring for others suffering trauma
Burnout
a condition that occurs when employees become so stressed that they experience emotional exhaustion, depersonalization, and a sense of reduced personal accomplishment
Lateral Violence
verbal, emotional, or physically abusive behavior of a registered nurse toward another staff member
Healthcare Reform
Great emphasis on health promotion, disease prevention, and illness management
Quality and Safety Education for Nurses (QSEN)
addresses the challenge to prepare nurses with the competencies needed to continuously improve the quality of care in their work environments
QSEN Core Competencies
- Patient-centered care
- Teamwork and collaboration
- Evidence-based practice
- Quality improvement
- Safety
- Informatics
Patient centered care
Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.
Teamwork and collaboration
Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care.
evidence-based practice
clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences
Quality Improvement
Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems.
Safety
Minimize risk of harm to patients and providers through both system effectiveness and individual performance.
Informatics
use information and technology to communicate, manage knowledge, mitigate error, and support decision making
National Student Nurses Association (NSNA)
Student-run and student-funded organization for student nurses.
How did Florence Nightingale see the role of the nurse in the early 1800s?
having “charge of somebody’s health” based on the knowledge of “how to put the body in such a state to be free of disease or to recover from disease”
What is the purpose of the nursing practice act?
regulates the scope of nursing practice for the state and protects public health, safety and welfare
