Professionalism Flashcards
Florence Nightingale was the first practicing what?
Epidemiologist
Florence Nightingale organized the first what?
Nursing School
What was the name of the Nursing School Florence Nightingale formed?
Nightingale SON in St. Thomas Hospital in London
What did Florence Nightingale implement?
Rounding & Sanitation
What was the earliest type of nursing education?
Hospitals - Diploma programs
Who helps fund diploma programs?
Hospitals. Ex: Covenant
Why are diploma programs fading?
There has been an emergence of academic settings for nursing degrees
RN degree requires…
2 yr associates degree
2 yr diploma
2-3 yrs Bachelor’s degree
& continuing inservice education
An RN Graduate Education: Master’s degree can branch into what 3 branches
Education
Management
& Advanced Practice
An RN Graduate Education: Doctoral degree can branch into what 3 branches
PhD: Doctor of Nursing Philosophy
DNP: Doctor of Nursing Practice
DNS: Doctor of Nursing Science
What are the qualities that nurses need?
Current knowledge of practice standard
Insightful & compassionate approach
Critical thinking
Organizational & speaking skills
Clinical expertise (time & effort)
Patience & competence
Physical stamina
Personal Attributes of The professional nurse: Define Doing
Strong emphasis on external expectations and tasks
- Perform the job
Personal Attributes of the professional nurse: Define Being
Person & psychology of being a nurse
- Kind
- Patient
-Professional
-Compassionate
Personal Attributes of the professional nurse: Acting ethically
Live according to principles
- do the right thing even when no one is watching
Personal Attributes of the professional nurse: Flourishing
Maintain life-long, transformational growth
- forming & fostering professional id
Personal Attributes of the professional nurse: Changing identities
Assimilation of RN role
- identifying as an RN
Professionalism
Responsible and accountable to self, pts, and peers. Quality care
Who is the center of care?
The pt, family, and/or communities
Why Define Nursing?
- Helps the public understand the value of nursing
- Differentiates activities of nursing from those of meds
- Assists students w/ understanding what is expected of them
What is a nurse as an art?
Professional Nurse: An art, learning to deliver care w/ compassion, caring & respect for each patient’s dignity & individuality
What is a nurse as a science?
Professional nursing: as a science, based on a body of knowledge & evidence-based practice
What is a nurse as an art & science?
As art & science, meets the highest standards & benefits pts & families
What is Nursing as a Calling
A strong impulse toward a particular course of action specially when accompanied by conviction or divine influence
Professional Nurse defined by TX Board of Nursing
-The performance of an act requiring substantial specialized judgement & skill
-Performance based on knowledge & application of biological, physical & social sciences
-Knowledge is acquired by completion of edu in an approved school of professional nursing
What are the functions of the BNE?
-Regulate the practice of nursing in TX
-Protects the public from unsafe practice
-Provides approval for nursing edu programs
-Issues licenses to nurses: NCLEX
- New grads
-Renewals
What is RN Criteria?
Complete an edu format: science, arts, humanities, & humanities course (ex. english)
Utilize research from nursing & related fields
What is the Board of Nursing (BNE)?
State agency powered by TX legislature amends the NPA (Nurse Practice act)
What is the NPA?
gives authority to regulate the practice of nursing & the enforcement of law to the BNE
What is the major goal of the Standards of Practice & Professional Performance
Improve the health & well-being of all individuals, communities, & populations. Through significant & visible contributions of RNs while using standard-based practice
What is a Professional Nursing Organization?
Influences affecting professional nursing
What are the goal of a Professional Nursing Org?
Address member concerns
Present educational programs
Publish journals
According to the American Nurses Association what are the standards of Professional Nursing Practice?
Represent the nursing process (critical thinking)
Foundation of clinical decision-making for nurses
What are the Elements of Standards of Practice?
Assessment & Diagnosis
What does an RN do during an assessment?
The RN collects comprehensive data pertinent to the pt’s health &/or situation
What does the RN do for a diagnoses?
The RN analyzes the assessment data to determine the problems
What does the RN do for outcomes identification?
RN identifies expected outcomes for a plan individualized to the pt or situation
What does the RN do for planning?
RN Develops a plan that prescribes strats & alternatives to attain expected outcomes
How does the RN implement things?
RN applies identified plan and coordinates care delivery. Uses strats to promote health & safe environment
How does the RN evaluate?
RN gauges progress toward the attainment of outcomes
What are APRNS?
Advanced Practice Registered Nurses. They are the most independently functioning nurse.
Examples of APRNS?
Clinical Nurse Specialist
Nurse Prac
Certified Nurse-Midwife
Certified Registered Nurse Anesthetist
How do APRNS implement in their practice?
Prescriptive authority & treatment. The APRN uses prescriptive authority, procedure, referrals, treatment, & therapies in accordance w/ state & federal laws & regs
How does the nurse practice according to the American Nurses Association standards?
-Promotes a safe & ethical work environment
-Bolstering the health & wellness of nurses
-Facilitation of healing
-high standards of practice
What is advocacy for nurses?
Speaking up for safety and care for individuals, families, communities, and populations. Advocate for pt’s in all roles & settings
According to the American Nurses Association, what are the Standards of Professional Performance?
Description of appropriate nursing behaviors
What are Ethics according to the ANA?
Principled nursing practice
What is Communication according to the ANA?
Effective w/ pt’s & colleagues about procedures and other items etc
What is Collaboration according to ANA?
Key relationships w/ clients & other team members
What does the RN do for leadership?
Leads w/in the professional practice setting & the profession
How does the RN approach Education?
Maintains an attitude & practice of continued learning
What is Evidence-based practice & research according to the ANA?
Utilization of best practices
What does the RN do when checking quality of practice?
Reviews own practice for meeting quality measures
What composes the Benner’s Stage of Nursing Proficiency?
Novice
Advanced Beginner
Competent
Proficient
Expert
What is the experience of a novice and what are their traits?
Onset of education
-Student
-Nurse in a new field
Characteristics:
-Inexperienced
-Task-oriented
-“Learning the rules”
What is the experience of an advanced beginner and what characteristics are they likely to have?
Experience:
New grad
Characteristics:
Focuses more on situation rather than tasks
Works to acquire in-depth experience
What is the experience of a competent nurse & what are the characteristics?
Experience: 2-3 years’ experience
Characteristics:
Focuses more on situation rather than tasks
Works to acquire in-depth experience
What is the experience of a proficient nurse & what are the characteristics?
Experience: > 2-3 years’ experience
Sees the whole situation as a “whole”
Performs care faster w/ more efficiency
Can assist newer nurses
What is the experience of an expert nurse & what are the characteristics?
Experience: Diverse skills & knowledge + Several years of experience
Characteristics: Recognizes what is needed before conditions worsen
Well-developed nursing institution
Determines relevant problems
What is a Caregiver?
Assists pts to regain regain health
Attain max. level of functioning
Meet needs:
-Physical
-Emotional/Social
-Spiritual
What is an Advocate?
They protect the pt’s legal & human rights & assists pt to assert those rights when necessary
What is an Educator?
Formal or informal edu
Utilizes methods that are the pt’s preferences
Incorporates family
What is a communicator?
Central to nurse-pt relationship as well as advocacy
Allows the nurse to identify need of pts
Utilized with family, colleagues, & community
What is a manager?
Provides collaborative pt-centered care. Coordination of unit or facility, staff, policy, & budgetary responsibilities
Career options as a nurse
Practice: Med-surge
Specialty care:
OB
Peds
Crit care
ER
Peri-op
Psychiatric
What are other nursing roles that use a master’s degree?
Nurse ed
Nurse admin
Nurse research
Nurse informaticist
Nurse entrepreneur
What are Independent Practice Nurses (APRNs) specialties?
Clinical Nurse Specialist (CNS)
NP
CRNA
Certified Nurse Midwife
What contribution do APRNs bring to healthcare?
Better pt outcomes and communication
What do NA’s do?
VS
Feeding
Hygiene
Ambulation
What does a Unit Sec do?
Phones, Call lights, Consults, etc.
What do LVNs do?
VS
Feeding
Hygiene
Ambulations
Sterile Procedures
Meds (dependent on state practice act)
What are RN specific skills?
Assessment
Care plans
Implementation of orders
All IV meds/blood admin
Pt edu
RNs can’t delegate certain functions per state
RNs perform CNA & LVN duties
What is a code of conduct?
Set of guideline’s that influences an employee’s in an org.
Also lays out company standards, principle’s, & moral ethical expectation
What do health care advocacy groups do?
They support prep of a professional workforce in a changing health care system
What do health care advocacy groups provide?
Health promotion
Illness prevention
Care for complex needs
What are examples of health care advocacy groups?
Robert Wood Johnson Foundation (RWJF)
Institute of Medicine (IOM)
What does the RWJF do?
Future of Nursing
Campaign for Action
What does the IOM do?
Publication
The Future of Nursing (2010)
What is the purpose of the National League of Nursing?
Maintain & improve the standards of nursing edu
Foster the development & improvement
What first did the National League of Nursing establish?
Provide accreditation for nursing nursing programs of all levels
What is the purpose of the National Student Nurses Association (NSNA)?
Maintain high standards of edu in schools of nursing to assist w/ career development & prep for practice
Who does the NSNA work closely with and why?
Works closely w/ ANA to represent the needs of nursing students
What are Practice Specialty Nursing Organizations?
Represent special interests from a practice perspective & provide edu opportunities for members
What are examples of Practice Specialty Organizations?
Association of periOpetative RN (AORN)
Emergency Nurse Association (ENA)
Association of Women’s Health, Obstetric, & Neonatal Nurses (AWHONN)
What do Special Interest Nursing Organizations do for nurses?
Address special needs of nurses
What are some examples of Special Interest Nursing Organizations? (group identifiers)
National Association of Hispanic Nurses (NAHN)
National Black Nurses Association (NBNA)
American Assembly for Men in Nursing (AAMN)
What are some examples of Special Interest Nursing Organizations? (similar values)
Nurses Christian Fellowship (NCF)
Nursing Ethics Network (NEN)
What is Magnet Culture?
Empowerment
Shared decision-making
Accountability
What are trends in 2022?
Looming nursing shortage
Telehealth & technology
Self care
Increased Specializations
Increased Education
Assume leadership roles in redesigning care in the US