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N110 History/Research

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Person/Group
Importance
Clara Barton   school teacher, volunteered during civil war; organized the American Red Cross  
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Fabiola   wealthy Roman matron--saint of early nursing who used her position and wealth to eastablish hospitals for the sick  
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Florence Nightingale   "Lady with the Lamp"; founder of modern nusring; influential in developing nurising education, practice, and adminstration  
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Harriet Tubman   "The Moses of Her People"; nursed the sick/suffering in the Underground Railroad "project"  
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Knights of Saint Lazarus   Men in nursing; knights that dedicated themselves to care for people with leprosy, syphillis, and chronic skin condition  
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Lavina L. Dock   nursing leader and suffragist who was active in the protest movement for women's rights; result 19th Amendment--women vote  
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Lillian Wald   founder of public health nursing  
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Margaret Sanger   founder of Plan Parenthood; imprisoned for 1st birth controlled info clinic (1916)  
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Mary Breckinridge   practiced midwivery in England; founded Frontier Nursing Service (1925)--familty centered primary health care to rural populations  
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Sojourner Truth   abolitionist, Underground Railroad agent, a nurse during Civil War; nurse/counselor for the Freemans' Relief Association  
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1900 BC Babylonians   earliest law regarding medicine (nonspecific to nursing)  
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1550 BC Egyptian   1st recorded nurse; hired women to attend births; wet nurses  
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1200-600 BC Hebrews   Mosaic Health Code; preventative medicine (plate for meat and a plate for milk)  
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500 BC Hippocrates   1st to separate science from religion  
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300 BC Romans   Roman noblewoman cared for the sick; "respectability" to nursing  
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0-500 AD Christianity   "Love thy neighbor as thyself"; nurse=dedication, service, help others; also hygiene and comfort measures  
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roles of nurse   caregiver, communicator, teacher, client advocate, counselor, change agent, leader, manager, case manager, research consumer, expanded career roles  
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caregiver   assist client physically/psychologically while preserving client's dignity  
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caregiver   encompasses physical, psychosocial, developmental, cultural, spiritual level  
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communicator   rn identify with client problems and then communicate these verbally or in writing to other members of health team  
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teacher   nurse helps cliens learn about their health and the health care procedures they need to perform to restore or maintain their health [assess learning needs/readiness/learning goals]  
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client advocate   acts to protect the client; represent client's needs/wishes to other health professionals [assist clients to excercise rights and help them speak up for themselves]  
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counselor   process of helping a client to reognize and cope with stressful psychologic/social problems  
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change agent   assisting others to make modifications in own behavior  
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leader   influences others to work togehter to accomplish a specific goal  
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criteria of profession   specialized education; body of knowledge; service orientation; ongoing research; code of ethics; autonomy; professional organization  
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ANA   american nurses association  
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NLN   national league for nursing  
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NSNA   national student nurses' association  
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protecting rights of human subjects   not to be harmed, full disclosure, self-determination/not coerced; privacy/confidentiality  
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quatitative research   systematic, logical steps according to a specific plan to collect numerical info that is anaylzed using statistical procedures  
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quatitative research   hard science; deductive reasoning; measurable attributes of human experience  
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qualitative research   associated with naturalistic inquiry; explores the subjective an complex experiences of human beings  
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qualitative research   "the human experience as it is lived through careful collectionn/analysis of narrative, subjective materials [inductive reasoning: id themes/patterns to develop a theory  
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quantitative research   state problem, define study's purpose, review related litature, formulate hypothese/define variables; select a research design testing hypothesis, select population/sample/setting; conduct pilot study; collect data; analyze data; communicate conclusions  
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research problem has this:   significance, researchability, feasibility, interest in researcher  
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significance   has potential to contribute to nursing science by enhanceing client care, testing or generating a theory, or resolving a day-to-day clinical problem  
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researchability   prblem can be subjected to scientific investigation  
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feasibility   availiability of time as well as material/human resources needed to investigate a research problem or question  
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validity   degree to which instrument measures what it is supposed to measure  
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reliability   degree of consistency with which an instrument measures a concept or variable  
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measures of central tendency   mean/median/mode  
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measures of variablity   range, variance, standard deviation  
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Nurse   Latin word nutrix - to nourish  
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Nursing is both   Art and Science*“The oldest of the arts and the youngest of the professions”  
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Aims of nursing   Promote health & wellness*Preventing illness*Restoring health*Care of the dying  
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1900 B.C. Babylonians   Regulated sanitation, practice of surgery, nonspecific for nursing  
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1550 B.C. Egyptians   Hired women to attend births – wet nurses - first recorded nurses  
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1200-600 B.C. Hebrews   Mosaic Health Code - preventive medicine*Care of sick and aged  
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400 B.C. Greeks - Hippocrates   first to separate medicine from religion  
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300 B.C. Romans   Roman noblewoman, including wives of emperors, cared for the sick  
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0-500AD Dawn of Christianity   “Love thy neighbor as thyself”*Hygiene and comfort measures  
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500-1500 A.D. Middles Ages   Dark Ages - Church in conflict with science*Women in subordinate position but could achieve dignity as a nun.*Hotel Dieu (542 A.D.)*14th Century - Bubonic Plague killed 25% of world population  
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1000-1500 Late Middle Ages   Military male nursing*Knights of Hospitalers of St. John of Jerusalem*Augustinian Sisters (Hotel Dieu) thought to be the first purely nursing order of Sisters  
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1400-1600 Renaissance and Reformation   Catholic and Protestant hospitals*Women were sent to work as nurses in lieu of serving jail sentences*Sisters of Charity*Lying-in hospitals, hand washing  
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Birth of Modern Nursing Florence Nightingale (1820-1919)   “Lady with the lamp” *Crimean War - organized military hospital *Decreased infection rate ~ decreased death rate*1860 - wrote book and opened Training School for Nurses*Statistician  
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Influence on Nursing   Nutrition*Personal needs of patient*Standards of hospital management*Respectable occupation for women*Nursing Education & continuing education*Occupational & Recreational therapy*Roles for nursing in health and illness  
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Influence on Nursing   Separate from medicine  
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Civil War 1861-1865   Dorothea Dix *Harriet Tubman & Sorjourner Truth*After Civil War, schools of nursing were hospital based*19th amendment in 1920 (women vote)  
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Dorothea Dix   Support of female nurses in the Army (1861) - After war, reforming treatment of mentally ill  
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WWII   women worked outside the home*More nurses needed*Medical and technological explosion  
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After WWII schools of nursing moved   to college/university settings  
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Contemporary Nursing   Nurse Practice Act*Licensure (first law requiring licensure  
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Nursing - Roles & Functions   Caregiver*Communicator*Teacher*Client Advocate*Counselor*Change Agent*Leader*Manager*Case Manager  
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Nursing is a profession   specialized education, body of knowledge acquired through research, ethics, & autonomy  
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Socialization   process to become a member of the nursing profession  
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Benner: From Novice to Expert   1.novice 2. advanced beginner 3. competent 4. proficient 5. expert  
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Factors influencing current nursing practice   Economics, Family structure, Science & Technology, Legislation, Demographics, Collective Bargaining, Nursing Associations  
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Consumer   an individual, a group of people, or a community that uses a service or commodity  
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Patient   a person who is waiting for or undergoing medical treatment and care  
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Client   a person who engages the advice or services of another person who is qualified to provide this service  
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novice   no experience (students); limit performance, inflexible, goverernd by context-free rules/regulations rather than by experience  
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advanced beginner   marginally acceptable performance, recognizes aspects of real situation; experienced enough real situs to make Judgements about them  
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competent   2-3years experience; orgainzation/planning abilities; differentiates important factors from less; coordinates multiple complex care demands  
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proficient   3-5yrs experience; perceives situs as WHOLE rather than parts; uses maxims as guides; holistic understanding; focuses on long term goal  
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expert   perfomance is fluid, flexible, highly proficient, requires no rules, guidelines, or maxims to connect understanding of situ to action; highly skilled, INTUITIVE/analytical; Becasue "it FELT RIGHT"  
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