Fundamentals of Nursing: foundations study guide 1, chapter 1 Flashcards

Review

Florence Nightingale

Clara Barton

Harriet Tubman, Civil War

Mary Mahoney, cultural

Henry Street, 1893, autonomy, critical thinking

Goldmark Report, Yale School, Nursing, 1923

2, University, Community college

basic sciences, theoretical and clinical courses

4, college, university

basic, theoretical, clinical, social,art, humanities

Beginning nursing student or any nurse entering a situation in which there is no previous level of experience (e.g. experienced operating room nurse chooses to practice in home health). The learner learns with specific set of rules or procedures that are usually in steps

a nurse who has had some level of experience with the situation. This experience may only be observational in nature, but the nurse is able to identify meaningful aspects or principles of nursing care.

Nurse who has been in the same clinical position for 2-3 yrs. Understands the organization & specific care required by the type of patients (e.g. surgical,oncology, or orthopedic).

Is competent practitioner who is able to anticipate nursing care and est long-range goals. usually exp in all psychomotor skills for this group of patients.

a nurse with more than 2-3 years of experience in same clinical position. This nurse perceives a patient's clinical situation as a whole, is able to assess an entire situation, and can readily transfer knowledge gained from multiple previous experiences to a situation. nurse focuses on managing and performing skills.

nurse with diverse experience who has an intuitive grasp of an existing or potential clinical problems. This nurse is able to zero in on the problem and focus on multiple dimensions of the situation. He or she is skilled at identifying both patient-centered problems and problems related to the healthcare system or needs of the novice nurse.

essential element of professional nursing that involves the initiation of independent nursing interventions without medical orders. (e.g. you independently implement coughing and deep-breathing exercises for a patient who recently had surgery. or collaborate w/ other hc professions to make tx. plan for patient.

you are responsible, professionally and legally, for the type and quality of nursing care provided. (keep current and competent in nursing and scientific knowledge/technical skills. also accountable through nursing audits and standards of practice.

help patients maintain and regain health, manage disease and symptoms, and attain a maximal level function and independence through the healing process. Provide healing through physical and interpersonal skills. meet all hc needs restore emotional, spiritual, and social well-being. help set goals w/ pt and family.

protect your patient's human and legal rights and provide assistance in asserting these rights if the need arises. provide additional information to help patient decide whether or not to accept treatment, or find an interpreter to help family members with concerns. sometimes have to speak out against policies that endanger patients or conflict rights

explains concepts and facts about health, reason for routine care activities, demonstrate procedures such as self-care activities, reinforce learning or patient behavior and evaluate progress in learning. planned or unplanned. some are general, some are formal like insulin injections.

Have to be effective. Allows you to know your patients, strengths and weaknesses and their needs. communicate with patients, families, other nurses, healthcare professions, resources persons, and the community. assists with rehabilitation or providing patient education.

need to establish an environment for collaborative patient-centered care to provide safe, quality care with positive patient outcomes. coordinates activities of members of the nursing staff for nursing care and has personnel, policy and budgetary responsibility for specific nurse units. Creates environment that reflects mission and values of the healthcare organization.

Clinical Nurse Specialist, Nurse Practitioner, Certified Nurse-Midwife, Certified Registered Nurse Anesthetist, Nurse Educator, Nurse Administrator, Nurse Researcher

CNS, NP, CNM, CRNA

expert clinician in a specialized area of practice. specialty may be identified by a population (e.g. geriatrics), a setting (critical care), a disease specialty (diabetes), a type of care (rehabilitation), or a type of problem (pain). CNS practices in all health care settings.

provides health care to a group of patients, usually in an outpatient, ambulatory care, or community-based setting. provides patient, ambulatory care, or community-based setting. Provides care for complex problems and a more holistic approach than physicians. Provides comprehensive care, manages those with chronic issues. All ages. Acute care, adult, family, pediatric, women's psychiatric, mental health, and geriatric. detects self-limiting acute and chronic like asthma, diabetes mellitus, & hypertension.

Educated in midwifery, is certified by the American College of Nurse-Midwives. Involves providing independent care for women during normal pregnancy, labor, & delivery and care for newborn. Includes some gynecological services routine Papanicolaou smears, family planning, and treatment for minor vaginal infections. practices with a health care agency that provides medical consuls, collaborative management, and referral.

Advanced education in a nurse anesthesia program. provides surgical anesthesia under the guidance and supervision of an anesthesiologist, who is a physician with advanced knowledge of surgical anesthesia.

practice- focused doctorate

research and theory oriented

Advanced Practice Registered Nurse

Patient-Centered Care, Teamwork & Collaboration, Evidence-Based Practice, Quality Improvement, Safety, Informatics

Recognize the patient or designee as the source of control and partner in providing compassionate and coordinated care based on respect for patient's preferences, values, and needs. EX Involve family and friends in care. Elicit patient values and preferences. Provide care with respect for diversity of the human experience.

formal, organized educational programs offered by universities, hospitals, state nurses associations, professional nursing organizations, and educational & health care institutions. Ex program caring for adults with dementia. Helps to specialize in a particular area of practice, and teaches you new skills and techniques.

knowledge based career field that needs to stay up on nursing skills, gain new knowledge and theory, and obtain new skills, reflecting the changes in the health care delivery system.

instruction or training provided by a health care agency or institution and is designed to increase the knowledge, skills, and competencies of nurses and other health care professional employeed by the institution.

often focuses on new technologies such as how to correctly use the newest safety syringes. many designed to fulfil required competencies of an organization, eg training on administering chemotherapy safely, or cultural sensitivity.

NCLEX - National Council Licensure Examination. It is exactly the same in every state.

Demographics, human rights, the threat of bioterrorism, rising healthcare costs, health care costs, health care reform, nursing shortage, and the medically underserved.

the characteristics of a human population or part of it, especially its size, growth, density, distribution, and statistics regarding birth, marriage, disease, and death. EG community of elderly different treatments then young adults

Basic rights that everyone no matter of sex, race, religion, material status, deserve to have when being treat by a nurse. EG Nurses have to be more sensitive in cases where patient comes from the backwoods of Kentucky.

Terroristic acts, nuclear, chemical, or biological attacks. Nurses are active in disaster preparedness. ICN works alongside national nursing associates for best training. EG public health emergency simulation exercises allow nurses to work with community for natural disasters. ranges from vaccine research, decontamination, triage for mass casualty.

skyrocketing cost, some patients skimp on taking meds due to the inability to afford them. Nurses are responsible for providing best-quality of care in an efficient and economical manner. to use health care and patient resources wisely.

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affects patient care, administration, and nursing education, represents challenges and opportunities in the profession. health care dollars are invested in recruiting well-educated, critically thinking, motivated and dedicated nurses. need to learn to use our patient contact time more efficiently. better time mgmt, therapeutic communication, patient education and compassionate psychomotor skills help patient feeling positive about their quality of care.

Unemployed, underemployed, low paying jobs, mental illness, and homeless. Global issue, social, political, and economic factors affects access to care and resources to pay for that care. Poor and on Medicaid. Others are part of the working poor, can't afford own insurance. some need home based needs. nurses and schools of nursing are partnering to work in community settings to prevent illnesses.

individuals, communities, and populations

The registered nurse collects comprehensive data pertinent to the patient's health and/or the situation.

RN collects comprehensive data pertinent to the patient's health and/or the situation

RN analyzes the assessment data to determine the diagnoses or issues.

RN identifies expected outcomes for a plan individualized to the patient or the situation.

The registered nurse develops a plan that prescribes strategies and alternatives to attain expected outcomes.

The registered nurse implements the identified plan.

The RN coordinates care delivery.

The RN uses strategies to promote health and a safe environment.

The graduate level-prepared specialty nurse or advanced practice registered nurse provides consultation to influence the identified plan, enhance the abilities of others, and effect change.

The advanced practice RN uses prescriptive authority, procedures, referrals, treatment, and therapies in accordance with state and federal laws and regulations.

The RN evaluates progress toward attainment of outcome.

The RN practices ethically.

The RN attains knowledge and competency that reflects current nursing practices.

The RN integrates evidence and research findings into practice.

The RN contributes to quality nursing practice.

The RN communicates effectively in all areas of practice.

The RN demonstrates leadership in the professional practice setting and the profession.

The RN collaborates with health care consumer, family, and others in the conduct of nursing practice.

The RN evaluates her or his own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations.

The RN uses appropriate resources to plan and provide nursing services that are safe, effective, and financially responsible.

The RN practices in an environmentally safe and healthy manner.

Is the philosophical ideals of right and wrong that define the principles you will use to provide care to your patients. You also need to incorporate your own values and ethics. Ask how do your ethics, values, and practice compare to the established standards.

carrying out nursing responsibilities that provide quality nursing care; it outlines the ethical obligations of the profession.

Quality and Safety Education for Nurses (QSEN)

patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics

recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient's preferences, values, and needs. EG involve family and friends in care. care with respect for diversity of the human experience.

function effectively within nursing and interprofessional teams, fostering open communication, mutual respect, and shared decision making. EG recognize the contributions of other health team members and patients family members, communicate and resolves conflict. methods to support effective teamwork.

Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care. EG demonstrate knowledge of basic scientific methods. appreciate strength and weaknesses of science based and reading relevant journals.

Use data to monitor the out comes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems. eg use tools, flow charts, and diagrams to make process of care explicit. appreciate how unwanted variation in outcomes affects care. identify gaps between local and best practices.

minimize risk of harm to patients and providers through both system effectiveness and individual performance. eg examine human factors and basic safety design principles and commonly used unsafe practices. value own role in preventing errors.

use info and technology to communicate, manage knowledge, mitigate error, and support decision-making. eg navigate an electronic health record. protect confidentiality of protected health information in electronic health records.

prelicensure