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66 Cards in this Set
- Front
- Back
Unilateral Dependence
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begins to question authority
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Unilateral dependence
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Individual places complete reliance on external controls & searches for right answer
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Negative Independence
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(difficult stage for nurses)
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Negative / Independence
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- Student begins to pull away external controls has cognitive rebellion.
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Dependence / Mutuality
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(moves from opposition to evaluative, applies knowledge)
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Dependence / Mutuality
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Marks beginning of empathy & commitment to others.
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Interdependence
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- Neither mutuality nor autonomy is dominant, learns from others and solves problems.
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Interdependence
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reflection, values independent thinking authenticity autonomy
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Benner's 5 stages of nursing professional development / socialization
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Novice
Advanced beginner Competent Proficient Expert |
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Stage 1 of Benner's 5 stages
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Novice
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Stage 2 of Benner's 5 Stages
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Advanced beginning
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Stage 3 of Benner's 5 Stages
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Competent
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Stage 4 of Benner's 5 Stages
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Proficient
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Stage 5 of Benner's 5 Stages
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Expert
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Novice
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Able to state rules, facts & guidelines/ Lack of knowledge and experience
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Advanced Beginner
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Able to formulate principles into action/ Lacks experience & prioritizing
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Competent
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Analyzes problems and prioritize, solid on rules and principles (”Cohen’s” dependence/mutuality stage)
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Proficient
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Grasps situations contextually, solve probs. with alternative fixes (able to see that “rules” don’t always apply)
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Expert
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Internalized understanding, moves beyond rules, experience and depth of knowledge (not all nurses reach this stage)
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Kelman 's 3 Stages of Role Development
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Compliance
Identification Internalization |
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Compliance
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accepts influence of others in or to gain acceptance and positive response
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Identification
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Adopts attitudes and behaviors of a role model
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Internalization
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professional norms and values are incorporated into the students self concept
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O'Neil and Pew Commission on Nursing Socialization
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Embracing a personal ethic of responsibility and service
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O'Neil and Pew Commission on Nursing Socialization
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- Exhibiting ethical behavior in all professional activities
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O'Neil and Pew Commission on Nursing Socialization
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Contributing to the continuous improvement of the healthcare system
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O'Neil and Pew Commission on Nursing Socialization
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Continuing to learn and help others
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Therapeutic Touch
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Energies therapies
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Meditation
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Mind/Body interventions
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Prayer
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Mind/Body interventions
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Massage
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Manipulative and body-based methods
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Herbal Therapy
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Biologically based therapies
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Magnetic Therapy
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Energies Therapy
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Patient Support Groups
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Mind-body interventions
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Homeopathic Medicine
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Alternative Medical Systems
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Strategies to promote minorities Employment in Nursing
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Raise awareness level of diversity issues through educational offerings in the workplace and through organizational meetings.
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Strategies to promote minorities Employment in Nursing
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Seek experts on cross cultural nursing issues from reputable sources, such as Transcultural Nursing Society
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Strategies to promote minorities Employment in Nursing
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Use mentoring programs where people are matched based on their cultural backgrounds.
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Strategies to promote minorities Employment in Nursing
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Use technology and media to connect with people of different cultures
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Ways to promote a real image of nursing
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• Tell the details
• Avoid using nursing jargon • Prepare ahead of time to tell your story • Do not suppress your enthusiasm • Reflect the nurse’s clinical judgment and competency |
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Ways to promote a real image of nursing
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• Connect work to contemporary issues
• Respect patient’s confidentiality • Educate the public • Describe nurse’s work • Make known the agency of the RN |
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Ways to promote a real image of nursing
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• Deal with the fear of angering the physician
• Accept thanks • Be ready to take advantage of openings to promote nursing • Respond to queries with real stories • Deal with the fear of failure |
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Patient Bill of Rights year mandated
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1973
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The Patient Care Partnership (2003)
What to expect when in a Hospital: |
- High-quality patient care
- Clean and safe environment |
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The Patient Care Partnership (2003)
What to expect when in a Hospital: |
- Involvement in your care
- Protection of your privacy |
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The Patient Care Partnership (2003)
What to expect when in a Hospital: |
- Preparation of you and your family for when you leave the hospital
- Help with your bill and filing insurance claims |
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Societal Trends: Violence, Global Aging and Technological Advances:
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- Violence in the workplace
- Mental health needs - Global aging |
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Societal Trends: Violence, Global Aging and Technological Advances:
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- Nursing supply and demand
- Consumerism - Complementary and Alternative Approaches |
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Societal Trends: Violence, Global Aging and Technological Advances.
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- Technologic changes
- Disaster Preparedness - Research Needs |
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Autonomy
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One’s ability to “self rule” and generate personal decisions independently
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Beneficence
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Deeds of mercy, kindness and charity, taking actions to benefit patients
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Nonmaleficence
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"refraining from actions” to “do no harm”
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Justice
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Fair distribution to burdens and benefits
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Deontology
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Actions based on duties, not on their rewards, happiness, or consequences
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Utilitarianism
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Idea is to promote greater good in situations
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Virtue Ethics
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Pertains to questions “what makes on excellent or right,” intellectual and character traits and habits that are developed throughout ones life.
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Ethic of Care
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Personal relationships and relationship responsibilities are emphasized
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The four Topic Method for Analysis in Clinical Ethics Cases:
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– Medical indications
– Patient preferences – Quality of life – Contextual features |
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Clinical Nurse Leader
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- An advanced generalist role prepared at the master’s level of education.
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Clinical Nurse Leader
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o Oversees the coordination of care for a group of patients, assess cohort risk, provides direct patient care in complex situations, and functions as part of interdisciplinary team
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- CNL approach
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o Being advanced as a partnership with education and practice
o Occurring at a broad national level of activity |
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CNL approach
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o Being structured with milestones for that partnerships to attain
o Being facilitated by nurses and administrators at the highest levels within health care organizations |
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DNP
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- Terminal practice degree, bases upon the series of reports from the IOM that address quality of health care, patient safety and educational reform, as well as following the movement of other healthcare professions
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DNP
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- Encompasses any form of nursing intervention that influences healthcare outcomes for individual patients, managements of care for individuals and populations, administration of nursing and health organization, and the development and implementation of health policy
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A factor or factors currently impacting the changing healthcare environment
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- Nursing shortages
- Increasing cost of care - Decreasing cost of reimbursement to healthcare providers - Increase in the use of technology in practice - Knowledge explosion concerning disease management |
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The practice of nursing and core competencies for all clinicians
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- Reduction of patient care error
- Increase access to and satisfaction with health care - Improve quality and eliminate racial, ethnic, and gender disparities in health care |