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Florence Nightingale Introduced infection prevention, ventilation, and
sunlight for healing.
Clara Barton Founded the American Red Cross.
Mary Mahoney First African American professional nurse.
Lillian Wald Founded public health nursing.
Margaret Sanger Founded Planned Parenthood.
Nursing Evolved from informal caregiving into a regulated,
evidence-based profession influenced by science,
technology, consumer demands, demographics, and
global health challenges.
Functions of the Nurse Perform assessments, promote health, administer
medications, coordinate care, and provide patient
education.
Scope of Practice (ANA) Who: RN/APRN
What: protection, promotion, optimization of health,
prevention of illness, alleviation of suffering,
advocacy
Where: wherever care is needed
Why: to achieve positive patient outcomes
, Benner's Stages of Nursing 1. Novice: No professional experience. 2. Advanced
Development Beginner: Limited experience, difficulty prioritizing. 3.
Competent: 2-3 years experience, able to coordinate
multiple demands. 4. Proficient: Sees situations as
wholes, guided by experience. 5. Expert: Intuitive
grasp, quickly identifies problems.
State Boards of Nursing Regulate nursing practice, issue licenses, enforce
Nurse Practice Acts.
Accrediting Bodies ACEN, CCNE, NLN.
The Joint Commission Accredits health organizations, monitors patient
safety goals.
ANA Sets standards, advocates for healthcare policy.
Five Phases of the Nursing Process Assessment: Collect subjective (symptoms) and
(ADPIE) objective (signs, vitals, labs) data.
Diagnosis: Clinical judgment about human responses;
focus on patient's needs, not medical disease.
Planning: Set SMART goals (Specific, Measurable,
Attainable, Realistic, Time-framed).
Implementation: Perform nursing interventions
(independent, dependent, collaborative).
Evaluation: Determine if outcomes/goals were met;
revise plan if needed.
Example of Nursing Diagnosis Client with CHF, SOB, edema → Nursing Diagnoses:
Excess Fluid Volume, Impaired Gas Exchange.
Interventions for CHF Monitor O₂, administer diuretics (dependent), elevate
HOB, educate on fluid restriction.
Outcomes for CHF Improved breathing, reduced edema.
Delegation RN may delegate tasks, not the nursing process itself
(cannot delegate ADPIE or nursing judgment).