Intro to Professional Nursing-Exam 1 Latest Update Graded A

Intro to Professional Nursing-Exam 1 Latest Update Graded A Florence Nightingale (1820) Treated British soldiers during Crimean War Established first training school for nurses-London Wrote "Notes on Nursing-identified unique body of nursing knowledge" Dorothea Dix Advocate for mentally ill Clara Barton Founded Red Cross Mary Eliza Mahoney 1st African American trained nurse Isabel Hampton Robb Founded NLN & ANA Lillian Wald Founded Henry St. Settlement Margaret Sanger Birth control movement Lavinia Dock Suffrage for women, nursing education reform Jessie Sleet Sales Tuberculosis, African American public health nurse Mary Breckenridge Frontier Nursing service, nurse midwife Wars that impacted the nursing profession Spanish-American War-army nurse corp. WWI-national campaign to recruit nurses, Army school of nursing WWII-cadet nurse corp. Vietnam war-no MD supervision of nurses War on terrorism-need for nursing ID (mental health) Social, political, economic factors Feminism Women's movement (suffrage) Consumer movement (pt bill of rights) Graying of America Cultural Diversity Men in nursing Violence Technology What is a "magnet" hospital? All nurses trained in BSN program Diploma programs 1920/1930 In hospitals, gave students no college credit, graduates not hired by hospital after training, students staffed the hospital How does one become a CNA/LPN? Formal courses, test to complete Where can an LPN work? Long-term care, doctor's offices No acute care Vocational ADN Associates degree (2 yrs comm. college) T/F: ADN & BSN both take NCLEX T What are the basic domains of nursing? 1. Person 2. Health 3. Environment 4. Nursing What is a system? Set of interrelated parts that come together to form a whole Components of a system Input Throughput Output Evaluation Feedback Open v. closed system Open system interacts w/ other systems What is unique about the patient? Free to choose, have values that impact decisions Maslow's human needs theory 1. Basic physiological needs 2. Safety needs 3. Love/belonging 4. Esteem needs 5. Self-actualization What is the term for ability to adjust, grow, change; resiliency? Adaptation Parts of environment nurses should consider: Family-MOST DIRECT Cultural systems Social systems Community systems-impact of illness on the world Definition of health State of complete physical, mental, and social well-being, but NOT absence of disease 2 things to remember when considering health: 1. dynamic & changing-use a HOLISTIC approach 2. health is influenced by attitudes, beliefs, values, person's perception Process of helping people maintain health, avoid disease, & reach maximum ability is __ Nursing When working, nurses __, __, __ __, __ Communicate, collaborate, don't judge, respect Health promotion requires "__ __" Approach behavior Primary prevention Preventing/slowing onset of disease Secondary prevention Screening & early detection Tertiary prevention Stopping disease from progressing-rehab Goals of Healthy People 2020 1. inc. quality of healthy life 2. eliminate health disparities Health belief/promotion model was created to... Determine why people change behavior & why some do not Rosenstock 1. Person's feelings of susceptibility to illness-perception 2. How affective is health change? 3. Triggering event that make people change Pender's health promotion model Individual characteristics Behavior-specific thoughts Behavior outcomes Locus of control Believing you have power to influence an outcome "What I do makes a difference on my health" A whole system is __ from and __ than the sum of its parts Different, greater Change in one part creates change in __ parts All Goal of a system= HOMEOSTASIS Philosophies are based on __ Beliefs Process of valuing Choosing Prizing Acting Nursing care Characteristics of human values 1. values change as we mature 2. all humans have basic/same values 3. values develop in response to culture & experience Allen college core values Compassion, accountability, respect, excellence What is the method that integrates community service w/ academic instruction that focuses on critic reflective thinking & civic responsibility? Service-learning Benefits of service-learning Leadership skills, inc. self-awareness, sensitivity about vulnerable population, empathy, learn social-justice issues Occupation Group of similar jobs Profession Meets certain criteria, inc. level of commitment Professional Person who belongs to/practices a profession Professionalism Inc. level of personal, ethical, skills Power approach Ability to make something happen Determines proffesion Independence & control ($, political influence) Trait approach High intellectual activity, accountability, responsiblity Knowledge gained through research Practice & theoretical skills Education in college/university Well-organized organization that represents Motivated by altruism & service Kelly's Criteria Provides service that is vital to welfare of society Involves special body of knowledge gained thru research Individual responsibility & accountability Educated in institution of higher learning Control own practice-autonomy Motivated by altruism Has code of ethics Has organization that supports high standards Miller's wheel of professionalism Core/base of ALL nursing should be in college/university (4-yr) In what ways does nursing fall short? Not completely autonomous (follow MD orders) Interdependent Controlled by (state) nurse practice acts Education variability (3 different avenues) What is professional socialization? Ability to think/act like a professional nurse Formal socialization Lessons planned for learner-shadowing experience Informal socialization Occur incidentally-very powerful Cohen's model 1. unilateral/dependence 2. negativity/dependence 3. dependence mutuality 4. interdependence Responsibility of a care provider Implements nursing process Responsibility of a educator & counselor Health promotion/maintenance Responsibility of a client advocate Promote what is best for client Responsibility of a change agent Determine alternatives & explore possible outcomes Responsibility of a leader & manager Communicate, inc. effectiveness of ca Responsibility of a researcher Develop new knowledge Health care team includes... Nurse, MD, pharmacist, dietician, physical therapist, speech therapist, occupational therapist Nurse's ultimate role: Involve client in care Teach patients self-care strategies Problem solve Reinforce positive health behaviors Advocate in community __ is the basis of all behavior, healthy or unhealthy Motivation The first BSN program was in __ at the University of MN 1909 Licensure Graduated from accredited program, passed exam, renew license, met req. hours Ability to protect public Can practice as RN Certification Beyond licensure, additional knowledge/expertise Move up pay scale Post-graduate (masters) Certified as nurse practitioner, requires credential exam, can see patients/order tests/make diagnoses APN Advanced Practice Nursing Umbrella term applied to RN who has met advanced educational & clinical practice requirements beyond basic RN education NP Nurse Practitioner Master's or certification-sit for nat. certification exam CNS Clinical Nurse Specialist Master's or doctorate Assess, diagnose, treat CNM Certified Nurse Midwife Childbirth CRNA Certified Registered Nurse Anesthetist