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35 Cards in this Set

  • Front
  • Back

What is nursing?

An art and a science


Deliver care artfully with compassion, caring, and respect for each persons dignity


&


Science based on knowledge that is constantly being changed w discoveries & innovations

Nursing as a profession

According to the ANA the professional practice of a nurse includes knowledge of social & behavioral sciences, biological & physiological sciences & nursing theories

Benners stages of nursing proficiency

Novice: nursing student or anyone switching to new nursing role w no previous experience in it


Advanced beginner: some level of experience


Competent: same position 2-3 years


Proficient: more than 2-3 years


Expert: diverse experience

Healthcare advocacy groups

Robert wood Johnson foundation (RWJF) future of nursing: campaign for action


Institute of medicine (IOM) publication on the future of nursing


Speak on behalf of nurses & help us as a profession

ANA

Defined the scope of nursing and developed standards of practice and standards of professional performance

ANA standards of nursing practice

Assessment


Diagnosis


Outcome identify


Planning


Implementation (coordination of care & health teaching & health promotion)


Evaluation

ANA standards of professional performance

Ethics


Culturally congruent care


Communication


Collaboration


Leadership


Education


Evidence based practice & research


Quality of practice


Professional practice evaluation


Resources utilization


Environmental health

Code of ethics

A statement of philosophical ideals of right and wrong that define the principles you will use to provide care to your patients.


Incorporate your own ethics too

Professional roles

Autonomy & accountability


Caregiver


Advocate


Educator


Communicator


Manager

Autonomy & accountability

The initiation of independent nursing interventions w/o medical orders


With increased autonomy comes increased responsibility & accountability

Caregiver

Help patients maintain and regain health, manage disease and symptoms and attain a maximal level of function and independence through the healing process

Advocate

Promote patients human and legal rights and provide assistance in asserting them

Educator

Explain concepts and facts about health and describe reason behind routine care activities

Communicator

Center of the nurse-patient relationship

Manager

Nurse managers provide a collaborative patient centered environment to provide safe, quality care and positive outcomes

Clinical nurse specialist

APRN with a specialized practice by a type of problem (pain), a population (peds), a setting (critical care), a disease (diabetes), or a type of care (rehab)

Nurse practitioner

Provides healthcare to a group of patients usually in outpatient

Certified nurse midwife (CNM)

APRN who is also educated in midwifery

CRNA

APRN who has advanced education from an acre duties anesthetist program. Must have one year ER or critical care

Florence nightingale

First practicing epidemiologist


Organized first school of nursing


Improved sanitation in battlefield hospitals


Practices remain a basic part of nursing today

Civil war 20th century

Stimulated a growth of nurses in the US

Clara Barton

Founder of Red Cross


Provided wound care to soldiers on battlefields, comforted them during death

Mother bickerdyke

Organized ambulance services, searched empty battlefields for wounded soldiers

Harriet Tubman

Lead Underground Railroad, provided badly needed nursing care for black wounded soldiers and freed slaves

Mary Mahoney

First professionally trained black nurse, brought awareness to cultural diversity and respect to individuals regardless of background, race, or religion

Lillian Wald and Mary Brewster

Provided healthcare to poor people who lived in tenements in the streets of NY

20th century

Movement towards scientific research based practice


1906 Mary Adelaide first nursing professor at Columbia Teachers College & an advocate to more nursing into universities


1920 midwifery began and army navy nurse corps


End of the 20th century other nursing specialties came about

Compassion fatigue

Consistent exposure to grief and loss


S/S hopelessness, anxiety, loss of interest

Lateral violence

Nurse to nurse interactions (withholding info, snide remarks, aggressive facial expressions) can be from compassion fatigue


More likely to happen to a new nurse

Secondary traumatic stress

Trauma a nurse experiences from giving care to someone experiencing trauma

Disengaging

When a nurse is frequently exposed to stressful nurse-patient relationships

Demographic changes in nursing

A rise in population


Unemployment/ underemployment


Homelessness


Mental illness


Low paying jobs & increasing healthcare costs

Nurse practice acts

Overseen by state board of nursing


Regulate scope of nursing practice


Protect public health, safety, and welfare


Make sure nurses are qualified and protect public from unsafe nurses

NSNA

Consider issues relevant to nursing students such as career development and licensure preparation

QSEN

Patient centered care


Teamwork


Collaboration


Evidence based practice


Quality improvement


Safety


Informatics