Lecture 1 Flashcards

1
Q

Define Nursing.

A

caregiver, advocate, educator, communicator, manager, professional, critical thinker. Optimizing health, preventing illness, facilitating healing, alleviate suffering, advocate.

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2
Q

What are the 4 aims of nursing?

A

Promote health: high quality health and long life free of: preventable disease, disability, injury, and premature death. Health equality, improve health of all groups. Create social/ physical environments that promote good health for all. Promote healthy behaviors, quality of life across all stages. Website (healthypeople.gov)
Prevent Illness: educational programs like: prenatal care, smoking cessation, stress seminars. Community programs like: healthy lifestyle resources. Literature like: TV, radio, healthy diet, exercise, good habits. Provide health assessments: institutions, clinics, community settings (identify strength and risk of illness)
Restore Health: assess to detect illness, refer to other providers as appropriate, provide direct care for the ill, collaboration with other providers, planning/teaching/rehab for illnesses (stroke, heart attack, stroke), work with mental health/ chemical dependency.
Facilitate Coping with Death or Disability: maximize patients strength/potentials, patient teaching, refer for support, end-of-life care (hospice, palliative care)

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3
Q

Identify the role of QSEN competencies in

current nursing practice.

A
  • QSEN: quality and safety education for nurses.

- Competency: patient-centered care, teamwork and collaboration, EVP, quality improvement, safety, informatics

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4
Q
  1. Discuss the historical background of
    nursing and the status of nursing as a
    profession and discipline.
    -How did nursing begin?
A

-Nursing began with theory of animism (Early Civilization): good vs evil spirits. Physician was medicine man and nurse caring mother.

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5
Q
  1. Discuss the historical background of
    nursing and the status of nursing as a
    profession and discipline.
    -What happened in ancient greek civilization?
A

-Ancient Greek Civilization: temples were center for medical care. Nurses Cared for sick in home and community, practiced as nurse midwives.

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6
Q
  1. Discuss the historical background of
    nursing and the status of nursing as a
    profession and discipline.
    -Early christian period?
A

-Early Christian Period: Nursing gets a formal and clearly defined role. “Deaconesses” made visits to the sick. When did nursing develop purpose, direction, and leadership? Early Christian period

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7
Q
  1. Discuss the historical background of
    nursing and the status of nursing as a
    profession and discipline.
    -16th Century?
A

-16th Century: When was there a shift from religious orientationto an emphasis on warfare, exploration, and expansion of knowledge? 16th century During the 16th century what was the nursing reputation? Poor; low pay, worked long hours in unfavorable conditions.

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8
Q
  1. Discuss the historical background of
    nursing and the status of nursing as a
    profession and discipline.
    -19th to 20th century?
A

-19th to 20th Century: When did social reforms change the roles of nursing and women in general? 19th to 20th century When did nursing as we know it begin? 19th to 20the century. Who changed nursing in the 19th to 20th century? Florence Nightingale

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9
Q
  1. Discuss the historical background of
    nursing and the status of nursing as a
    profession and discipline.
    -What contributions by Nightingale remain in nursing today?
A

Promoting nutrition, fresh air/sunshine, clean water/bedding, patient education, wound care, handwashing, research/quality and safety control.

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10
Q
  1. Discuss the historical background of
    nursing and the status of nursing as a
    profession and discipline.
    Name some other nurse leaders from history?
A
  • Clara Barton: Founder of American Red Cross
  • Lillian Wald and Mary Brewster started public health nursing in 1893
  • Mary Mahoney: first african american nurse
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11
Q
  1. Discuss the historical background of
    nursing and the status of nursing as a
    profession and discipline.
    What are hospital schools?
A

-Hospital Schools: provide easily controlled and less expensive staff for hospital.

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12
Q

When did nursing grow as a profession?

A

-WWII: nursing as a profession grew, technology advances, women became more assertive. 1950’s

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13
Q

Why is nursing a profession?

A

Extended education, body of knowledge, specific service, autonomy, code of ethics.

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14
Q
  1. Discuss the effects on nursing practice of
    nursing organizations, standards of nursing
    practice, nurse practice acts, and the
    nursing process.
A
  • The nursing process: assessment, diagnosis, planning, implementation (coordination of care, health teaching and promotion), evaluation
  • The ANA standards of practice and professional performance: helps nurse: implement roles, integrate art and science of nursing, use critical thinking and clinical reasoning, defines areas of care that are within the domain of nursing.
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15
Q
  1. Identify current trends in nursing and

health care delivery.

A

-Nursing trends offer unique opportunities like: jobs outside hospital, roles in technology, more collaboration with health care members.

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16
Q
  1. Discuss the importance of self-care in
    relation to the demands of the nursing
    Profession.
A
  • compassion fatigue, burnout, secondary traumatic stress, moral distress.
  • Use “VS Selfie” BP: be present and aware of how you are doing, T: track your own health, P: practice health and wellness behaviors, R: find what keeps you refueled.
17
Q
  1. Identify concepts related to the delegation

of nursing care.

A

-depends on the states nurse practice act and hospital policies

18
Q
  1. Identify elements of a well-functioning

health system.

A

-safe, effective, efficient, patient-centered, timely, equitable

19
Q
  1. Describe strategies to increase accessibility
    and improve quality, safety, and
    affordability and the role of the nurse in
    these endeavors.
A

-advocacy at government and local levels for patients who can’t afford healthcare. Programs for people who dont have transportation or caregivers.

20
Q
  1. Compare United States health care systems

with International health care systems.

A

-Ranked number 11 out of 11

21
Q
  1. Discuss the various methods of paying for

health care.

A

-Out of pocket, individual private insurance, employer-based private insurance, government based

22
Q
  1. Compare and contrast settings and
    facilities where professional nurses provide
    various levels of health care.
A

-Acute care (hospitals), home care, extended care (long term, assisted living, residential treatment), ambulatory clinics

23
Q
  1. Describe the role of nursing in meeting the

challenges of health care reform.

A

-Advocacy: address the needs of the uninsured and the underserved