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Nursing Today
Founders of nursing/education/influences/roles
Question | Answer |
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Discuss the historical evolution of nursing | Hospitals originally were not sanitary; people were typically thrown together in overcrowded wards; nurses did not practice infection control. Due to Nightingale's influence, standards of care have dramatically increased& now maintains high quality care |
Discuss the role of men in nursing | Initially men treated injured soldiers on the front lines in war; the industrial revolution brought change- men left to work in factories for more $; nursing dominated by women; ban on male nurses lifted in 1982; encouragement of male nurses-diversity |
Identify the themes in the definitions of nursing | Advocacy& promotion of health, prevention of illness& injury, alleviation of suffering, care of ill, disabled, and dying |
What are the different roles of a nurse? | autonomy, caregiver, teacher, communicator, advocate, counselor, leader |
What is autonomy? | the independent authority to make decisions within your scope of experience |
Describe how a nurse acts as a caregiver | by providing healing through both physical and interpersonal skills |
Describe how a nurse acts as a teacher | by explaining different concepts & facts of about health, describe the reason for routine care activities, demonstrate procedures such as self care activities,reinforce learning or patient behavior |
Describe how a nurse acts as a communicator | central to the nurse-patient relationship; knowing your patients strengths, weaknesses and needs; routinely communicate with patients, patients families, other nurses and healthcare professionals and the community |
Explain how a nurse acts as a counselor | Reinforces the need to know your patients including their strengths and weaknesses; may counsel patients on medications that they are uninformed about, etc. |
Explain how a nurse acts as a leader | By coordinating self-care activities, organizing care plans essential for patients well being, lead by example through advocating healthy lifestyles |
Explain how a nurse is an advocate | Nurses promote healthy lifestyles; protect patients legal and human rights; provide assistance in asserting these rights when needed; act on patients behalf; stand up for patients |
What are the 4 core roles for the APRN? | 1. Clinical Nurse Specialist (CNS) 2. Certified Nurse Practitioner (CNP) 3. Certified Nurse Midwife (CNM) 4. Certified RN anesthetist (CRNA) |
Define Clinical Nurse Specialist | An APRN who is an expert clinician in a specialized area of practice (i.e. OB/GYN, ER, geriatrics,etc.) |
Define Certified Nurse Practitioner | An APRN who provides care to a group of patients usually in an outpatient, ambulatory care, or community based setting |
Define Certified Nurse Midwife | An APRN who is also educated in midwifery& is certified by the american college of nurse-midwives |
Define Certified Registered Nurse Anesthetist | An APRN with advanced education in a nurse anesthesia accredited program |
Recognize factors influencing contemporary nursing practice | Healthcare reform, technology, demographic changes, population, medically underserved, nursing shortage |
Describe the various education pathways in nursing | LVN:1 year program, ADN:2 yr program, BSN:4 yr program, Masters and PhD |
Discuss licensure of RNs | RNs must pass the NCLEX-RN exam to obtain license to practice; administered by state board of nursing, NCLEX is the same in every state in the US |
Discuss certifications of RNs | Certifications are specialties nurses focus on for their practice Ex: OB/GYN or pediatrics |
Explain how nursing education affects nursing practice | You will use critical thinking skills in your practice; you will implement intellectual and professional standards in the clinical setting |
Describe the socialization process of nursing | Benner's Model: Consists of 5 diff, stages- Stage 1: Novice, Stage 2: Advanced beginner, Stage 3: Competent, Stage 4: Proficient, Stage 5: Expert; subject to change when you move departments or change specialty |
Who was Florence Nightingale? | She is credited with identifying the link between uncleanliness and disease/mortality; improved hospital environments& raised standards of care; sanitation;vestablished the first nursing school (for women) |
Who was Clara Barton? | The founder of the Red Cross during the Civil War; tended soldiers on the battlefield: cleansing wounds, meeting basic needs, and comforting them during death |
Who were Lillian Wald & Mary Brewster | They opened Henry Street Settlement; focused on health needs of poor people who lived in tenements in NYC; nurses in HSS first to demonstrate autonomy |
What did Margaret Sanger contribute to nursing? | She introduced contraceptives |
What was Mary Carson Breckinridge's focus/ contribution to nursing? | Focused on access to health; brought healthcare to those who were isolated; frontier nursing woman |
Who was Mary Adelaide Nutting | She was instrumental int he affiliation of nursing education with universities; first female professor @ university of columbia teachers college in 1906 |