Professionalism Flashcards
Florence Nightingale was the first
practicing epidemiologist
Florence Nightingale organized the
Nightingale School of Nursing
Florence Nightingale was known as the
lady with the lamp
Florence Nightingale implemented
rounding - checking on patients
sanitation - in battlefield hospitals during the Crimean War
the earliest type of formal education was
diploma programs at hospitals
RN education
2-year associate’s degree
2-year diploma
2-3 years baccalaureate’s degree
RN graduate education master’s degrees
education, management, advanced practice
RN graduate education doctoral degrees
PhD - doctor or nursing philosophy
RN graduate education doctoral degrees
PhD - doctor of nursing philosophy
DNP - doctor of nursing practice
DNS - doctor of nursing science
nurse qualities
current knowledge of practice standards
insightful and compassionate approach
critical thinking
organizational and speaking skills
clinical expertise
patience and competence
physical stamina
nurse attributes
emphasis on external expectations and tasks - perform the job
person and psychology of being a nurse - kind, patient, professional, compassionate
live according to principles - do the right thing
maintain life-long transformational growth - foster professional identity
assimilation of RN role - identifying a RN
nurses are responsible and accountable to
self, patients, and peers
the patient is the ___ of nursing practice
center
the patient includes
individuals, families and/or communities
why define nursing?
helps the public understand the value of nursing
differentiates activities of nursing from those of medicine
assists students with understanding what is expected of them
what is a professional nurse?
an art, learning to deliver care with compassion, caring and respect for each patient’s dignity and individuality
as art and science, meets the highest standards and benefits patients and families
what is professional nursing?
as a science, based on a body of knowledge and evidence-based practice
what is nursing as a calling?
a strong inner impulse toward a particular course of action especially when accompanied by a conviction or divine influence
definition of professional nursing from TBON
the performance of an act requiring substantial specialized judgment and skill
performance is based on knowledge of biological, physical and social sciences
knowledge is acquired by completion of education in an approved school of professional nursing
BNE regulates the ___
practice of nursing in TX
BNE protects the __
public from unsafe practices
BNE provides approval for __
nursing education programs
BNE issues __
licenses to nurses - NCLEX
- new graduates
- renewals for licensed nurses
registered nurses must complete __
an educational format
criteria for verification of nursing as a profession
the knowledge of the group must be based on technical and scientific knowledge
the knowledge and competence of the members of the group must be evaluated by a community of peers
the group must have a service orientation and a code of ethics
each state has a ____ that oversees the ___ and ___ of nurses utilizing the Nurse Practice Act
regulatory body, practice and function
the Board of Nursing is a state agency __
empowered by Texas Legislature – amends the NPA
NPA gives authority to __
regulate the practice of nursing and the enforcement of law to the BNE
nurses are ranked as the most
trusted profession
major goal of standards of practice and professional performance
to improve the health and well-being of all individuals, communities, and populations**
through the significant and visible contributions of registered nurses
using standards-based practice**
goals of professional nursing organizations
address member concerns, present educational programs, publish journals
ANA standards of professional nursing practice
represent the nursing process (critical thinking)
foundation of clinical decision-making for nurses
elements of standards of practice
assessment - RN collects data about patient
diagnosis - RN analyzes assessment data to determine problems
outcomes identification - RN identifies expected outcomes
planning - RN develops plan for strategies and alternatives
advanced practice RNs
clinical nurse specialist
nurse practitioner
certified nurse-midwife
certified registered nurse anesthetist
ANA nursing practice
promotes safe and ethical work environment
bolsters the health and wellness of nurses
facilitates healing
high standards of nursing practice
advocacy in the care of individuals, families, communities and populations**
ANA standards of professional performance: elements
ethics - principled nursing practice
advocacy - advocate for patient
communication - effective with patients and colleagues**
collaboration - key relationships with clients and others
leadership - leads within professional setting and profession
education - maintains an attitude and practice of continued learning**
evidence-based practice and research - utilization of best practices**
quality of practice - reviews own practice for meeting quality measures
communication means
effective with patients and colleagues
education means
maintains an attitude and practice of continued learning
evidence-based practice and research means
utilization of best practices
International Council of Nurses (ICN) advocates for
quality nursing care for all
sound health policies
advancement of nursing knowledge
ICN federation has more than
130 national nurses’ associations
represents 28 million nurses worldwide
operated by nurses
Benner’s stages of nursing proficiency
novice
advanced beginner
competent
proficient
expert
novice
student, nurse in new practice field
inexperienced, task-oriented, learning the rules
advanced beginner
new graduate
focuses more on situation rather than tasks, works to acquire in-depth experience
competent
2-3 years experience
focuses more on situation rather than tasks, works to acquire in-depth experience
proficient
more than 2-3 years experience
sees the situation as a whole, performs care faster and more efficiently, can assist newer nurses
expert
diverse skills and knowledge, several years experience
recognizes what is needed before conditions worsen, well-developed nursing intuition, determines relevant problems
autonomy is the initiation of __
independent nursing interventions without medical orders, essential element
accountability is being professionally and __
legally answerable for the type and quality of nursing care provided
caregiver
assists patients
-regain health through healing process
-attain maximum level of functioning
-meet needs (physical, emotional/social, spiritual)
advocate
protects patient’s human and legal rights
assists the patient to assert those rights when necessary
educator
formal or informal
utilizes methods that are the patient’s preferences
incorporates family
communicator is central to __
nurse-patient relationship as well as advocacy
allows the nurse to identify the needs of their patients
utilized with patients, families, colleagues, and the community
manager provides for
collaborative patient-centered care - safe, quality, positive patient outcomes
coordination of unit or facility staff, policy, and budgetary responsibilities
specialty care types
obstetrics, pediatrics, critical care, emergency care, peri-operative, psychiatric
expanded career roles
nurse educator, nurse administrator, nurse researcher, nurse informaticist, nurse entrepreneur
independent practice nurses - APRNs
clinical nurse specialist (CNS)
certified nurse prac (NP, FNP, PNP, WHNP)
certified registered nurse anesthetist (CRNA)
certified nurse midwife (CNM)
outcomes for APRNs
patients cared for by APRNs show better patient outcomes
increased patient understanding and cooperation with treatments
decreased need for hospitalization
functions of NAP
vital signs, physical care (feeding, hygiene, ambulation), indirect duties (unit secretary duties)
functions of LVN
vital signs, physical care (feeding, hygiene, ambulation), sterile procedures, medications (all oral and non-oral and IV medications)
RN specific skills
assessment, care planning, implementation of provider’s orders, all IV meds/blood administration, patient education
code of conduct
set of guidelines that influences an employee’s actions in an organization
lays out company’s principles, standards and moral and ethical expectation
Robert Wood Johnson Foundation
future of nursing
campaign for action
Robert Wood Johnson Foundation and Institute of Medicine are health care advocacy groups that support
preparation of a professional workforce in a changing health care system
provides health promotion, illness prevention, care for complex needs
National League for Nursing
1st national organization to provide accreditation for nursing programs in all levels
purpose of NLN
maintain and improve the standards of nursing education
foster the development and improvement (hospital, industrial and public health, organized nursing services)
what does NSNA do?
works closely with ANA to represent the needs of nursing students
purpose of NSNA
maintain high standards of education in schools of nursing to assist with career development and preparation for practice
practice specialty nursing organizations
represent special interests from a practice perspective
provide educational opportunities for members
ex: AWHONN
special interest nursing organizations
addresses the special needs of nurses
ex: National Association of Hispanic Nurses
magnet recognition is a
credential award
magnet recognition measures
strength and quality of nursing
magnet culture of excellence
visionary leadership, strong representation, encouraging environment, empowering nurses in patient care, superior patient outcomes
2022 trends in nursing
nursing shortage
telehealth and tech
self care
increased specialization
increased education
