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IM1 Exam 1 > Professionalism > Flashcards

Professionalism Flashcards

1
Q

florence nightingale was the first practicing _____ who organized

A

epidemiologist, organized school of nursing - Nightingale School of Nursing, St. Thomas Hospital, opened July 9, 1860

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2
Q

florence nightingale implemented what

A

-rounding: made rounds checking on soldiers during the night
-sanitation: most significant immediate improvement - instituted sanitation in the battlefield hospitals during Crimean War

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3
Q

earliest type of formal education

A

hospitals with diploma programs

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4
Q

academic settings for nursing degrees emerged meaning that nursing programs shifted

A

away from hospitals

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5
Q

registered nurse (RN) education

A
  • 2-year associate’s degree
  • 2-year diploma
  • 2-3 years baccalaureate’s degree
    have to do continuing and inservice education
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6
Q

master’s degrees in

A
  • education
  • management
  • advanced practice
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7
Q

doctoral degrees

A

PhD - doctor of nursing philosophy
DNP - doctor of nursing practice
DNS - doctor of nursing science

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8
Q

qualities

A

current knowledge of practice standards
insightful and compassionate approach
critical thinking
organizational and speaking skills
clinical expertise - time and effort
patience and competence
physical stamina

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9
Q

doing

A

strong emphasis on external expectations and tasks
- perform the job

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10
Q

being

A

person and psychology of being a nurse
- kind
- patient
- professional
- compassionate

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11
Q

acting ethically

A

live according to principles
- do the right thing even when no one is looking

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12
Q

flourishing

A

maintain life-long, transformational growth
- component that assists with forming and fostering professional identity

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13
Q

changing identities

A

assimilation of RN role
- identifying as a registered nurse

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14
Q

nursing practice is a science and an art meaning that it is not just ____ ______ __ ______ _____, but _____ _____

A

the performance of specific skills, but administering care

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15
Q

nurses are responsible and accountable to ____

A

self, patients, and peers

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16
Q

the _____ is the center of nursing practice, _____ includes ________

A

patient, which includes individuals, families, and/or communities

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17
Q

why define nursing

A
  • 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
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18
Q

professional nurse definition

A
  • an art, learning to deliver care with compassion, caring and respect for each patient’s dignity and individuality
  • as a science, based on a body of knowledge and evidence-based practice
  • as art and science, meets the highest standards and benefits patients and families
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19
Q

nursing as a calling

A

a strong inner impulse toward a particular course of action specially when accompanied by conviction or divine influence

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20
Q

What is the Texas Board of Nursing’s definition of professional nursing?

A
  • the performance of an act requiring substantial specialized judgment and skill
  • performance is based on knowledge and application of biological, physical and social sciences
  • knowledge is acquired by completion of education in an approved school of professional nursing
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21
Q

functions of Board of Nursing

A
  • regulates the practice of nursing in Texas
  • protects the public from unsafe practices
  • provides approval for nursing education programs
  • issues licenses to nurses - NCLEX, new graduates and license renewals
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22
Q

the knowledge of the group (nurses) must be based on ____ and ____ knowledge. Nurses must complete an ______ format and utilize _____ from nursing and related fields.

A

technical and scientific, educational format, utilize research

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23
Q

what oversees the practice and function of nurses?

A

each state has a regulatory body that uses the Nurse Practice Act (NPA) to oversee it

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24
Q

what is Texas’s regulatory body over nurses?

A

the Board of Nursing (BNE) is a state agency empowered by the Texas Legislature that can amend the NPA

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25
the Nurse Practice Act (NPA) gives _____ __ ______ ____ ______ __ _______ and the enforcement of law to the BNE
gives authority to regulate the practice of nursing to the BNE
26
what are nurses service orientation
nurses serve the illness and healthcare needs of clients/patients
27
nurses were ranked the ____ _____ profession
most trusted, most honest and ethical
28
what is the major goal of nurses
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
29
professional nursing orgs 3 overall goals
- address member concerns - present educational programs - publish journals
30
the ANA's standards for pro nursing practice are which 2 things
- represent the nursing process (critical thinking) - foundation of clinical decision-making for nurses
31
assessment
collects comprehensive data pertinent to the patient's health and/or situation
32
diagnosis
analyzes the assessment data to determine the problem
33
outcomes identification
identifies expected outcomes for a plan individualized to the patient or situation
34
plannning
develops a plan that prescribes strategies and alternatives to attain expected outcomes
35
implementation
applies the identified plan - coordinates care delivery - uses strategies to promote health and a safe environment
36
evaluation
gauges progress toward the attainment of outcomes
37
jobs for the advanced practice registered nurse (APRN)
most independently functioning nurse - clinical nurse specialist - nurse practitioner - certified nurse-midwife - certified registered nurse anesthetist
38
advanced practice registered nurses uses _____ ______ ____ _______
prescriptive authority and treatment
39
the ANA says nursing practice is these 5 things
- promoting safe and ethical work environment - bolstering the health and wellness of nurses - facilitation of healing - high standards of nursing practice - advocacy in the care of individuals, families, communities and populations
40
the ANA says nursing practice is _____ in the care of individuals, families, communities and populations **
advocacy
41
ANA's standards of pro performance - 8 aspects
ethics advocacy communication collaboration leadership education evidence-based practice and research quality of practice
42
International Council of Nurses (ICN) says nursing = advocate meaning they support
- quality nursing care for all - sound health politics - advancement of nursing knowledge
43
International Council of Nurses (ICN) is a federation meaning they have
- more than 130 national nurses' associations - represents 28 million nurses worldwide - operated by nurses
44
novice
student or nurse in a new practice field - inexperienced - task-oriented - "learning the rules"
45
advanced beginner
new graduate - focuses more on situation rather than tasks - works to acquire in-depth experiences
46
competent
2-3 years experience - focuses more on situations rather than tasks - works to acquire in-depth experience
47
proficient
more than 2-3 years experience - sees the situation as a whole - performs care faster and more efficiently - can assist newer nurses
48
expert
diverse skills and knowledge, several years experience - recognizes what is needed before conditions worsen - well-developed nursing intuition - determines relevant problems
49
autonomy
essential element initiation of independent** nursing interventions without medical orders
50
accountability
professionally and legally answerable** for the type and quality of nursing care provided
51
caregiver
assists** patients - regain health through healing process - attain max level of functioning - meet needs (physical, emotional/social, spiritual)
52
advocate
protects** the patient's human and legal rights - assists the patient to assert those rights when necessary
53
educator
- formal or informal - utilizes methods that are the patient's preferences** - incorporates family
54
communicator
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
55
manager
provides for collaborative patient-centered care** - safe, quality, positive patient outcomes - coordination of unit of facility staff, policy, and budgetary responsibilities
56
expanded career roles
nurse educator nurse administrator nurse researcher nurse informaticist nurse entrepreneur
57
independent practice nurses - advanced practice RNs jobs
- clinical nurse specialist (CNS) - certified nurse practitioner (NP, FNP, PNP, WHNP) - certified registered nurse anesthetist (CRNA) - certified nurse midwife (CNM)
58
APRNs contribution to healthcare - they have better ___
patients care for by APRNs show better patient outcomes - increased patient understanding and cooperation with treatments - decreased need for hospitalization
59
nursing assistive personnel (NAP, UAP, CNA) can do
vital signs physical care - feeding, hygiene, ambulation indirect duties - unit secretary duties
60
licensed vocational nurses (LVN) can do
vital signs physical care - feeding, hygiene, ambulation sterile procedures medications - dependent on NPA
61
RN specific skills
assessment care planning implementation of provider's order all IV medications / blood administration patient education
62
RNs _____ delegate certain functions like patient education and other RN specific skills
cannot
63
RNs ____ be prepared to perform CNA and LVN skills at any time
must
64
code of conduct defintion
set of guidelines that influences an employee's actions in an organization - policy lays out company's principles, standards and moral and ethical expectation
65
health care advocacy groups
support preparation of a professional workforce in a changing health care system provides: health promotion, illness prevention, care for complex needs ex: Institute of Medicine (IOM), Robert Wood Johnson Foundation (RWJF)
66
National League for Nursing (NLN) is the 1st organization to _____ ______ for nursing programs on all levels
provide accreditation for nursing programs of all levels - maintain and improve the standards of nursing education - foster the development and improvement of hospital, industrial and public health as well as organized nursing services
67
National Student Nurses Association (NSNA) works closely with ANA to ____
represent the needs of nursing students - maintain high standards of education in schools of nursing to assist with career development and preparation for practice
68
what do practice* specialty nursing organizations do + examples
represent special interests from a practice* perspective - provide educational opportunities for members ex: Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), Association of PeriOperative RNs (AORN), Emergency Nurses Association (ENA),
69
what do special interest nursing organizations do + examples
addresses the special needs of nurses - group identification - Nat'l Association of Hispanic Nurses (NAHN), Black Nurses, Men in Nursing - similar values - Nurses Christian Fellowship (NCF), Nursing Ethics Network (NEN)
70
Magnet recognized
- credential award by American Nurses Credentialing Center (ANCC) - measures the strength and quality of nursing - magnet culture: empowerment, shared decision-making, accountability
71
magnet culture of excellence - 5 functions
- visionary nursing leadership - strong nursing representation at top levels of management - building an environment that encourages participation - empowering nurses in patient care - showing superior patient outcomes
72
2022 trends in nursing
- looming nursing shortage - telehealth and technology - self care - increased specialization - increased education - assume leadership roles in redesigning care in the US

IM1 Exam 1 (6 decks)

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