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Exam 1 Transition to Professional Nursing
What are internal causes of nursing shortages?
salary issues
long hours
increased responsibility for unlicensed workers
significant responsibility with little authority
What are external causes of nursing shortages?
changes in demand for nursing services
the increasing age of the American populations
greater acuity (degree of illness) of hospitalized individuals
public perceptions of nursing as a profession
ever-widening career options for women
Characteristics of a Profession Nursing
autonomy
accountability
altruism
association
The Process of Professionalism
-Practitioners performed full-time work in the discipline.
-They determined work standards, identified a body of knowledge, and established educational
programs in institutions of higher learning.
-They promoted organization into effective occupational associations, and then worked to
,establish legal protection that limited practice of their unique skills by outsiders.
-Finally, they established codes of ethics.
Kelly's Criteria
the services provided are vital to humanity and the welfare of society
body of knowledge
accountability
educated in higher institutions
autonomy
altruism (ideal of service to others)
code of ethics
association
Nursing's Social Policy Statement: The Essence of the Profession
nursing professions social contract with society
- includes nursing definition, regulation, ideals
- framework to understand nursing relationships with society and obligations for those in care
Nursing Scope and Standards of Practice
who, what, when, where, how
outlines expectations of professional role, standard of care, associated competencies
- to improve health/well being of nursing pts and establishes accountability
What statement best supports nursing as a profession?
The Code of Ethics for Nurses
-common indicator of all professions is ethics
Consider the importance of collegiality in professional nursing
promote supportive/healthy work environment, cooperation, and recognize interdependence in
nursing
s
, Understand Barriers to Professionalism, including historical factors, external conflicts, internal
conflicts
historical factors: submissive to physicians
external conflicts: tension between nursing and medicine; lobbying for nursing practice
protection; don't compete, collaborate
internal conflicts: diploma vs ADN vs BSN; lack of strength because spread out among many
organizations
Know the details of the 2009 Benner study and what it recommended in nursing education.
get rid of ADN
All RNs required to get MSN within 10 years of licensure
BSN as entry level nursing
Know the details of the 2010 IOM report, The Future of Nursing: Leading Change, Advancing
Health
improved data collection
should attain higher education
Be able to describe what Linda Aiken and her colleagues advocated.
federal support for nurse prep at BSN or higher level
policy changes addressing growing need for nursing faculty and prep for APRN serving primary
care
Describe the 2010 Tri-Council policy statement.
evidence-based clinical knowledge
Who does the Tri Council include?
ANA
AACN