Who is Florence Nightingale
monitored and reported outcomes of care
promoted total patient care
observed that there are factors that affect pt care
Who were the nursing leaders at start of 1900’s
Lilian Wald
Mary breckenridge
What helped the development of nursing and nursing education?
War
created a important role in caring for wounded and dying
creation of new nursing techniques
when were nursing schools developed?
shortly after civil war
based off of Nightingale Schools in England
mainly apprenticeships
what are some aims and competencies that nurses strive for?
promote health
prevent illness
restore health
facilitate coping with disability or death
what are nursing spheres of care
wellness and disease prevention
chronic disease management
regenerative and restorative care
hospice and palliative care
what are the educational levels of a RN and whats the difference?
ADN: offered by community/ JC college (typically 2 years)
BSN: need more knowledge of theory, 4 year degree
MSN: graduate level, advanced practice, educational roles, managerial roles, clinical specialists
DnP: graduate level, terminal defree in nrusing practice, offers alternative to research focused doctoral programs
What are the different routes to RN
Diploma: 24-30 months
-little or no transfer of courses
Associate: 2 years
-many opportunities to bridge to BSN
BSN: 4 years
-higher positions, masters ready
Masters prep
leadership positions
clinical specialization
entry level degree for nursing faculty
advanced practice nursing
Doctoral studies
academic advancement
research for advancement of profession
proposed entry level degree for NPs
What is the required educational level for NP
MSN
What types of specialties are NPs certified in?
can specialize in almost any field
Ex: Family NP, nurse midwives
Whats educational prep for a Nursing assistant
Certification
75 hours minimum of theory and practice
Educational prep for LVN
school is 1 year to 18 months
clinical experience
completion of NCLEX-PN
Who approves nursing programs through legal requirement for accredidation?
Board of registered nursing
Who accredits through voluntary accreditation
Through accreditation commission for education in nursing (ACEN)
what is Government owned/ public agency hospitals
operated by federal, state, or local government
ex: VA hospital, health department, county facilities
Give me info on hospitals that are voluntary (non-profit) agencies
operated by private, non governmental agencies expempt from federal income tax
ex: St. Jude
Give me info on proprietary (for profit) agencies
operated by private, for profit company
employees are shareholders, can be sold to proprietor
ex: placentia linda, los alamitos
what is the primary level of care
offices and clinics
usually self directed
ex: primary care physicians
What is a secondary level of care
A specialist referral
through a general or community hospital typically
ex: surgeons, oncologist, typically through a “gatekeeper”
What is a tertiary level of care
Acute care hospital/ teaching facility
transport center
(trauma, burns, w helipad)
high level of care
(specialists on site, 24Hr availability)
What do physicians do in hospitals?
diagnose and treat illness
admin privileges
prescribe med
interpret results
preform prcedures/ surgery
What does a PT do
doctoral prepared, helps restore function or prevent further injury