Lec 1 - Foundations For The Teaching Role Of Nurses

Question 1

Factors which influenced the growth of patient education

from the mid-1800s through the turn of the 20th century

Answer 1

• Emergence of
  nursing and other
  health professions
• Technological
  developments
• Emphasis on
  patient-caregiver
  relationships
• Spread of
  tuberculosis and
  other communicable
  diseases
• Growing of interest
  in the welfare of
  mothers and children

Question 2

Purpose of Patient Education

Answer 2

increase the competence and
confidence of clients for self-
management

Question 3

Primary goal of patient education

Answer 3

increase the responsibility and independence of clients for self-care.

Question 4

Known as the “LADY WITH A LAMP”

Answer 4

Florence Nightingale

Question 5

The founder of —-, was the ultimate educator. Not only did she develop the —- of nursing, but she also devoted a large portion of her career to teaching nurses,
physicians, and health officials about the —- and —- to improve the health of people.
Emphasized the importance of teaching patients the need for —-

Answer 5

• modern nursing
• first school of nursing,
• importance of proper conditions in hospitals and homes to improve the health of people.
• adequate nutrition, fresh air, exercise, and personal hygiene to
  improve their well-being

Question 6

Unique among the health professions in
that patient education has long been considered a major component of standard care given by nurses.

Answer 6

Nursing

Question 7

The focus of nurses’ teaching efforts

Answer 7

Care of the sick and promoting
the health of the well public

Question 8

First acknowledged as a unique discipline

since the mid-1800s

Answer 8

Nursing

Question 9

Important role of nurses as caregivers

since the mid-1800s

Answer 9

The responsibility for teaching

Question 10

Independent nursing function

Answer 10

Patient Teaching

Question 11

nurses have always educated others…

in different circumstances across a variety of practice settings.

Answer 11

• Patients
• Families
• Colleagues
• Nursing students
• Individuals and groups

Question 12

What is a profession

nursing as a profession

Answer 12

• any type of work that needs special training or a particular skill, often one that is respected because it involves a high level of education
• the people who do a particular type of work, considered** as a group**

Question 13

what is a profession

Answer 13

• A Profession is a disciplined group of individuals who adhere to ethical standards and who hold themselves out as, and are accepted by the public as possessing special knowledge and skills in a widely recognised body of learning derived from research, education and training at a high level, and who are prepared to apply this
  knowledge and exercise these skills in the interest of others.
• It is inherent in the definition of a Profession that a code of ethics governs the activities of each Profession. Such codes require behaviour and practice beyond the personal moral obligations of an individual. They define and demand high standards of behaviour in respect to the services provided to the public and in
  dealing with professional colleagues. Often these codes are enforced by the
  Profession and are acknowledged and accepted by the community

Question 14

What is a Professional?

Answer 14

is a member of a Profession. Professionals are governed by
codes of ethics and profess commitment to competence,
integrity and morality, altruism and the promotion of the
public good within their expert domain. Professionals are
accountable to those they serve and to society.

Question 15

What is a health professional?

Answer 15

Health professionals maintain health in humans through the application of
the principles and procedures of evidence-based medicine and caring. Health
professionals study, diagnose, treat and prevent human illness, injury and other
physical and mental impairments in accordance with the needs of the populations
they serve. They advise on or apply preventive and curative measures, and promote
health with the ultimate goal of meeting the health needs and expectations of
individuals and populations, and improving population health outcomes. They also
conduct research and improve or develop concepts, theories and operational
methods to advance evidence-based health care. Their duties may include the
supervision of other health workers.

Question 16

Who created the novice to expert model?

Answer 16

Patricia Benner

(1984)

Question 17

State the 5 concept terms from the model

from patricia benner’s model

Answer 17

• novice
• beginner
• competent
• proficient
• expert

Question 18

No professional experience

Answer 18

novice

Question 19

can note recurrent meaningful situational components, but not, prioritize between them

Answer 19

beginner

Question 20

begins to understand action in terms of long range goals

Answer 20

competent

Question 21

perceives situations as wholes, rather than as aspects

Answer 21

proficient

Question 22

has intuitive grasp of the situation and zeroes in the accurate region of the problem

Answer 22

expert

Question 23

“Tell me what I need to do
and I’ll do it”

Beginners: no experience
of what they are expected
to perform

Answer 23

novice

stage 1

Question 24

1.

“I have done it, so I can
perform it”

◦ Those who can demonstrate
marginally acceptable
performance,

◦ Those who have coped with
enough real situations to note,
or to have pointed out to them
by a mentor

Answer 24

advance beginner

stage 2

Question 25

“I am confident that I can do it”

– Has done the job on the same or
similar unit for two or three years

– Nurse see her actions in terms of
long range plans which she is
consciously aware

– Can plan analytically and
contemplates on problems at hand

Answer 25

competent

stage 3

Question 26

“Given this situation, the best
action is”

◦ Perceives the situation as a
whole rather than in terms of
chunk of task or activities to
be done

◦ Performance is guided by
principles

Answer 26

Proficient

stage 4

Question 27

“This is how this is supposed
to be done because it felt
right; it looked good”

◦ Has enormous background of
experience with an INTUITIVE
grasp of each situation

◦ Focuses on the core of the
problem in the most allowable
time and resources

Answer 27

expert

stage 5

Question 28

Directly render safe and nurturing
interventions and therapeutics to
clients in any setting

roles and repsonsibilities of a professional nurse

Answer 28

health care provider

Question 29

Provide health teaching
in promoting health and
preventing disease

roles and responsibilities of a professional nurse

Answer 29

teacher

Question 30

Give ample time to listen and provide guidance and counseling

Answer 30

counselor

roles and responsibilities of a professional nurse

Question 31

Initiate means to modify
the system both internal
and external to facilitate
healing of clients

Answer 31

change agent

roles and responsibilities of a professional nurse

Question 32

One who acts in behalf
of the client

Answer 32

Patient’s Advocate

roles and responsibilities of a professional nurse

Question 33

Utilizes the functions of
management in caring for
a group of clients

Answer 33

unit manager

roles and responsibilities of a professional nurse

Question 34

Conduct studies in order
to improve knowledge in
the practice of nursing

Answer 34

researcher

expanded role as a nurse

Question 35

Completed a master’s degree program of
specialty and has considerable clinical
expertise in that specialty

Answer 35

Nurse Specialist

expanded role as a nurse

Question 36

• Completed either a certificate program or a master’s degree in a specialty and is also
  certified by the appropriate specialty
  organization
  – Skilled in making nursing process and in
  treating minor self-limiting illness.

Answer 36

Nurse Practitioner

expanded roles of a nurse

Question 37

EXPANDED ROLES OF A NURSE

Answer 37

• Nurse Midwife
• Nurse Anesthetist
• Nurse Educator
• Nurse Entrepreneur
• Nurse Administrator
• Legal Nurse Consultant

Question 38

A person shall be deemed to be practicing nursing
within the meaning of this Act when he/she singly or in
collaboration with another, initiates and performs
nursing services to individuals, families and
communities in any health care setting. It includes, but
not limited to, nursing care during conception, labor,
delivery, infancy, childhood, toddler, pre-school, school
age, adolescence, adulthood and old age. As
independent practitioners, nurses are primarily
responsible for the promotion of health and prevention
of illness. As members of the health team, nurses shall
collaborate with other health care providers for the
curative, preventive, and rehabilitative aspects of care,
restoration of health, alleviation of suffering, and when
recovery is not possible, towards a peaceful death.

Scope of nursing practice
It shall be the duty of the nurse to:
(a) Provide nursing care through the utilization
of the nursing process. Nursing care
includes, but not limited to, traditional and
innovative approaches, therapeutic use of
self, executing health care techniques and
procedures, essential primary health care,
comfort measures, health teachings, and
administration of written prescription for
treatment, therapies, oral, topical and
parenteral medications, internal examination during labor in the absence of antenatal bleeding and delivery. In case of suturing of perineal laceration, special training shall be provided according to protocol established;
b) Establish linkages with community
resources and coordination with the
health team;
(c) Provide health education to individuals,
families and communities;
(d) Teach, guide and supervise students in
nursing education programs including
the administration of nursing services in
varied settings such as hospitals and
clinics; undertake consultation services;
engage in such activities that require the
utilization of knowledge and decision-
making skills of a registered nurse; and
(e) Undertake nursing and health human resource development training and research, which shall include, but not limited to, the development of advance nursing practice; Provided, That this section shall not apply to nursing students who perform nursing functions under the direct supervision of a qualified faculty: Provided, further, That in the practice of nursing in all settings, the nurse is duty-bound to observe the Code of Ethics for nurses and uphold the standards of safe nursing practice. The nurse is required to maintain competence by continual learning through continuing professional education to be provided by the accredited professional organization or any recognized professional nursing organization: Provided, finally, That the program and activity for the continuing professional education shall be submitted to and approved by the Board.

Answer 38

RA 9173