Health Care Advocacy Groups - ANSRobert Wood Johnson Foundation (RWJF) Future of
Nursing: Campaign for Action
Institute of Medicine (IOM) publication on The Future of Nursing
OSHA
Who created the Stages of Nursing Proficiency? - ANSPatricia Benner
Novice Nurse - ANSfollows rules, has no flexibility, no life experience, needs a lot of guidance
Advanced Beginner - ANSmarginally acceptable performance, can recognize meaningful
situation components
Competent - ANS(takes 2-3 years)
can see actions as part of a long-term goal, organized and
efficient
Proficient - ANScan see the entire picture when assessing a patient, has life experience, can
recognize when the expected normal picture doesn't materialize, easier time making
decisions. uses maxims as guides.
Expert - ANSintuitive grasp of each situation as it unfolds. does not need to rely on rules or
maxims. large amount of life experience guides decisions. fluid, flexible, analytic.
ANA - ANSdefined the scope of nursing and developed the Standards of Practice and
Standards of Professional Performance in the 1960s.
Who is the current ANA president? - ANSErnest Grant (first male president)
Scope & Standards of Practice - ANSguides nurses to make significant & visible contributions
that improve the health andwell-being of all individuals, communities, and populations
Six Standards of Practice - ANSaka ADPIE aka critical thinking. foundation for clinical
judgement
Six Standards of Practice - ANS1. Assessment
2. Diagnosis
3. Outcomes Identification
4. Planning
5. Implementation
6. Evaluation
, Autonomy - ANSinitiation of independent nursing interventions without medical orders
Accountability - ANSyou are responsible professionally and legally for the type/quality of nursing
care provided
Advocate - ANSprotect patient's human and legal rights
Code of Ethics - ANSphilosophical ideals of right/wrong that define principles used to provide
care
Communicator - ANShave to know your patients fully, including strengths, weaknesses, needs.
Have to be able to talk to family and other health care professionals
Educator - ANSalways teaching patients
Manager - ANSestablish an environment for collaborative patient-centered care to provide safe
and high-quality care that leads to positive patient outcomes
Historical Influences - ANSFlorence Nightingale
Clara Barton
Mother Bickerdyke
Harriet Tubman
Mary Mahoney
Lillian Wald & Mary Brewster
Florence Nightingale - ANSfirst practicing epidemiologist
Florence Nightingale - ANScreated the Nightingale Training School for Nurses in 1860 London
Florence Nightingale - ANS"Lady with the Lamp" in Crimean War
Clara Barton - ANSfounded American Red Cross
Mother Bickerdyke - ANScreated ambulance services & walked the battlefields
Mary Mahoney - ANSfirst professionally trained AA nurse. Worked to bring awareness of
cultural diversity & respect for the individual
Lillian Wald & Mary Brewster - ANSopened henry street settlement ➢ 20th Century
Mary Adelaide Nutting - ANSIn 1906, is the first nursing professor at Columbia Teacher's
College. Marked a move for nursing education into universities