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1

Nightingales definition of nursing:

"To put the patient in the best condition for nature to act upon him"

2

Holistic definition

Treating the patients physical, mental, emotional, spiritual, and social self

3

Profession definition

An occupation that requires at a minimum specialized training and a specialized body of knowledge

4

What are the primary roles and functions of a nurse? (9)

Care provider
Advocate
Change agent
Researcher
Educator
Leader
Manager
Collaborator
Delegator

5

Health literacy definition

The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions

6

What is low health literacy associated with?

Increased hospitalization, greater emergency care use, lower use if mammography and lower receipt of influenza vaccine

7

What is evidence based practice? (EBP)

And integration of the best available research evidence with clinical judgement about a specific patient situation

8

EBP components (8)

Assessing the need for change
Linking problem with interventions
ID resources that answer the question
Critically appraise the evidence
Synthesize the best evidence
Design a change for practice
Implement and evaluate
Integrate and maintain change while monitoring

9

What are the characteristics of collaboration? (6)

Clinical competence and accountability
Common purpose
Interpersonal competence and effective communication
Trust and mutual respect
Recognition and valuation of diverse complementary knowledge and skills
Humor

10

Roles of the nurse (9)

Leader
Manager
Researcher
Collaborator
Delegator
Change agent
Care provider
Educator
Advocate

11

Florence Nightingale

1860, founder of modern nursing
Known for care of sick in Crimean War
Influenced epidemiology
Establish nursing as a respected profession
Founded a nursing school
Stressed university based and continuing education

12

Discipline definition

A specific field of study or branch of instruction or learning

13

Metaparadigm definition

A global set of concepts that identify and describe the central phenomena of the discipline

14

Philosophy definition

A statement about the beliefs and values of nursing

15

Conceptual framework or model definition

A collection of interrelated concepts that provides direction for nursing practice, research and education

16

Nursing theory definition

Represents a group of concepts that can be tested in practice and can be derived from a conceptual model

17

Grand theory definition

A global conceptual framework that defines broad perspectives for nursing practice and provides ways of looking at nursing phenomena from a distinct nursing perspective

18

Middle range theory definition

Moderately abstract theory with a limited number of variables

19

Florence nightingale

Concept of balance between environment and patient: emphasized prevention; clean air, water and housing

20

Hildegard Peplau

Interpersonal process between nurse and patient:
1. Orientation
2. Working
3 resolution

21

Virginia Henderson

14 components based on Maslow's hierarchy of needs
Defined nursing

22

Virginia hendersons definition of nursing

Assisting individuals to gain independence in relation to the performance of activities

23

Martha rogers

Science of unitary human beings; four dimension are used in developing principles of resonancy

24

Sister Callista Roy

Adaptation model: humans and adaptive open system

25

Dorothea Orem

self care deficit theory of nursing: self-care deficit, nursing systems

26

Imogene King

Three level systems:
individual/personal,
group/interpersonal,
society/social

27

Betty Neuman

Systems model: holistic concept with open-system approach

28

Rosemarie Rizzo Parse

Human becoming school of thought= rogers science of unitary human beings + existential phenomenologic thought

29

Jean Watson

Based on caring, with nurses dedicated to health and healing

30

Maslows hierarchy of needs (top to bottom)

1. Self actualization- creativity, problem solving, acceptance
2. Esteem- confidence, achievement, respect
3. Love/belonging- friendship, family
4. Safety- security of body, employment, resources, property
5. Physiological- breathing, food, water, sex, sleep

The lowest block (5) is where we want to live as a nurse

31

Erikson's Psychosocial Theory

Based on individuals interacting and learning about their world

32

Lewin's Change Theory

A three step process: unfreezing, moving or change; refreezing

33

Paul's Critical Thinking Theory

Nurses analyze data; develop, implement and evaluate a care plan

34

Rosenstock's Health Belief Model

Study diagram

35

Criteria for a profession

Altruism (looking at big picture)
Body of knowledge and research
Accountability
Higher education
Autonomy
Code of ethics
Professional organization
Licensure
Diversity

36

Diversity considerations

Cultural and linguistic competence
Culture
Competence
Cultural competence

37

Cultural and linguistic competence definition

A set of behaviors, attitudes, and policies that allow for effective work in cross-cultural situations

38

Cultural competence definiton

Method of bringing health care providers together to discuss health concerns where cultural differences enhance conversation

39

Standards of Nursing practice published by ANA
FIRST PART

Assessment
Diagnosis
Outcomes identification
Planning
Implementation
Evaluation

40

Standards of Nursing Practice based on professional performance; SECOND PART

Ethics
Education
EBP and research
Quality of practice
Communication
Leadership
Collaboration
Professional practice evaluation
Resource Utilization
Environmental health

41

A scope of practice does what?

It defines boundaries and clarifies how it may intersect with other professions

42

What is ethics? What concepts does it include?

The standards of right and wrong behavior. Concepts are accountability, advocacy, autonomy, confidentiality, justice, nonmaleficence, responsibility

43

What is socialization to professional nursing?

A process that involves learning the theory and skills necessary for the role of nurse

44

Benner's Novice to Expert Model:

Novice- has no professional experience
Advanced beginner- can note recurrent meaningful situational components but not prioritize them
Competent- begins to understand actions in terms of long term goals
Proficient- perceives situations as wholes, rather than in terms of aspects
Expert- has intuitive grasp of situation

45

What is the essentials of Baccalaureate education for professional nursing practice updated by?

American associated of colleges of nursing (AACN)

46

National League for Nursing (NLN) competencies

Human flourishing
Nursing judgement
Professional identity
Spirit of inquiry

47

Registered nurse needs

Attend a 2 or 4 year degree program or 3 year diploma program
Associate degree in nursing
Diploma programs
Bachelor of science in nursing

48

Master of science in nursing needs

Advanced practice nurses
Other advanced roles

49

Two types of licensed nurses

LVN/LPN and RN
Both must obtain a license by passing an exam
Different scopes of practice

50

LPN/LVN

12-18 months of training
NCLEX-PN

51

RN credential

Graduate from approved nursing school
Pass a state licensing exam called National Council Licensure Exam for Registered Nurses (NCLEX-RN)

52

Advanced degrees

Master of Science in Nursing (MSN)
Advanced practice nurse (APRN)
Doctor of Philosophy (PhD)
Doctor of Nursing Practice (DNP)

53

Certifications

May become certified in a specialty
Certification has minimum work experience and education requirements
After meeting criteria, nurses must pass an exam before continuing education and work

54

Professional Nursing Organizations

Sigma Theta Tau International Honor Society of Nursing
National Student Nurses Association (NSNA)

55

Nursing shortage

70% of countries that participated in the survey were experiencing a nursing/midwife shortage
Predicted that US will reach a shortage of 500,000 by 2025

56

Quality and safety education for nurses

5 core areas of proficiency

delivering patient-centered care
Working as part of a team
Practicing EBM
Quality improvement
Using info as technology

57

Institute of medicine report

Practice to full extent
Achieve higher levels of education and training
Full partners with physicians and other health care professionals in redesigning in health care
Workforce planning, better data collection and improved information infrastructure

58

National patient safety goals

Identify patients correctly
Improve staff communication
Use medicines safely
Use alarms safely
Prevent infection
Identify patient safety risks
Prevent mistakes in surgery

59

Independent nursing practice

Obtained a certain degree of autonomy
Code of ethics
Nurses don't always have full freedom
NP's are increasing independence in their practice

60

Nurse practice acts...

Provide the scope of practice defined by each state or jurisdiction and set legal limits of nursing practice