The protection, promotion, and optimization of health and abilities, prevention of
illness and injury, alleviation of suffering through the diagnosis and treatment of
Nursing - definition human response, and advocacy in the care of individuals, families, communities,
and populations (2004
1. Nursing practice is individualized
2. Coordinate care by establishing partnerships (w/ persons, families, support
systems, etc.)
3. Caring is central to the practice of the RN
4. Use the nursing process to plan and provide individualized care to their
5 Characteristics of a Registered Nurse healthcare consumers
(according to the ANA) 5. A strong link exists between the professional work environment and the RN's
ability to provide quality healthcare and achieve optimal outcomes
Veracity truthfullness
- Nursing as a respectable occupation
- Standards for hospital management
- Nursing education
Florence Nightingale - Introduced standards of infection control
established/introduced...? - 1st School of Nursing in London
- Believed nursing is separate and distinct from medicine
- Recognized 2 components of nursing: Health and Illness
- Stressed need for confidential care
- Maintained accurate records recognized as the beginning of nursing research
Florence Nightingale also... - Instituted occupational and recreational therapy for sick people
- Crimean War
- America's first trained nurse (1873)
- Created 1st charting system & individual patient record
Linda Richards - Established a nurse training school at Boston College Hospital
Nurse during the Civil War ;
Clara Barton - Founder of the American Red Cross
Frontier Nursing Program
Mary Breckinridge Established rural healthcare for children
1st mental health system
Dorthea Dix Superintendent of Army Nurses
Mary Elizabeth Mahoney America's first African-American nurse
- Advocated for nursing in public schools
- Opened Henry Street Settlement
Lillian Wald - Helped poor get medical attention
National Council State Board of Nursing
- Non-profit organization through which boards of nursing interact and council on
common issues
- Develops NCLEX exam
NCSBN - Promotes uniformity in the regulation of nursing practice
- Nurse Licensure Compact
License is good in 25 states
Compact State - Still a fee, but no test
Legal authority to shut nursing schools down
- Make/enforce "Nurse Practice Acts"
- Define the practice of nursing
- Establish criteria that allow one to be considered an RN or LPN
- Determine scope of practice for nurses
State Board of Nursing - Have legal authority to allow graduates of approved schools of nursing to take
NCLEX
, Nursing - Block 1 - Exam 1 ANSWER KEY
made by the State Board of Nursing
- Laws that regulate nursing practices
Nurse Practice Acts - Define minimum education, required certification, and practice guidelines
- Issue/renew nursing licenses/CNA certificates
- Investigate complaints
- Certify NPs, CNSs, and school nurses
- Survey RN/LPN/CNA programs
AZ State Board of Nursing Functions - Monitor nurses with board stipulations
- Conduct CANDO program
every 4 years
How often do you need to renew your
license in Arizona?
What a reasonable and prudent nurse would do in a similar situation
- Standards of care, standards of professional performance, & clinical guidelines
- Derived from:
Nurse Practice Acts (mandatory standards)
Standard of Practice - define Professional organizations (voluntary standards)
- Each nurse is accountable and responsible for the use of these standards
INA code (Int'l Center of Nursing: supports human rights)
Nursing codes of ethics ANA code
Patient Care Partnership Patient can leave whenever
Emergency Medical Treatment and Active Labor Act
- Every person has right to emergency care regardless of their ability to pay
EMTALA - Federal Law
Must give patients written info of their rights
Patient Self-Determination Act - Advanced directives; must ask about wishes
"Every competent patient has the right to refuse care/treatment"
- Competence: what a prudent reasonable person would want treatment/care
Informed Consent - Must be complete, clear, and voluntary
Make sure the patient understands and paperwork gets signed
What is the nurses role with Informed
Consent?
All routine and experimental treatments or surgery
When is "Informed Consent" required? - before treatment except in life threatening emergencies
1. Existence of a duty
2. Breach of the duty
What are the 4 elements necessary to 3. Causation
collect damages for malpractice? 4. Damages
Define Assault Threat or attempt to make bodily contact with someone without consent
Define Battery An assault that is carried out
Regarding specific health care issues
Define bioethics i.e. organ transplant
agreement that the care given is in the best interest of the client;
Beneficence - Taking positive actions to help others
Autonomy Independence; self-determination
Secondary Care focus Diagnosis and treatment of illness & Health restoration
Primary goal: Restore independence
Acute Care - nurses role Role: Teaching & Care coordination