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exam 1 Fundamentals

chapter 1-4 and chapter 27-29

TermDefinition
Nursing as a science is based on a body of knowledge that is continually changing with new discoveries and innovations.
Florence Nightingale studied and implemented methods to improve battlefield sanitation which reduced illness, infection and mortality
Clara Barton founder of ARC
Mary Mahoney first professionaly trained African American nurse She was concerned with relationships between cultures and races
Isabel Hampton Robb helped found the ANA and American Journal of Nursing
Lillian Wald and Mary Brewster Henry Street Settlement - health needs of poor people who lived in tenements. First nurses to demonstrate autonomy Occupational Health
Mary Adelaide Nutting affiliation of nursing education with universities. first porfessor of nursing at Columbia University Teachers College. Goldmark Report go financial support for schools of nursing
changing needs of society bio terrorism, emerging infections and disaster management
Health care reform affects how health care is paid and how it is delivered
Demographic Changes population is shifting from rural to urban, more people living with chronic and long term illness
medically under served unemployment, underemployment and low paying jobs, mental illness, homelessness and rising health care costs
bioterrorism nuclear, chemical or biological attack. Nurses are active in disaster preparedness, nurses would be essential in evaluating the strenghts and weaknesses of any distaster plan
characteristics of a profession 1. liberal foundation and extended education 2. theoretical body of knowledge to define skills, abilities and norms 3. have autonomy in decision making and practice 4. code of ethics for practice
Goal of the Scope of Practice to improve the health and well-being of all individuals, communities and populations through the significant and visible contributions of RN using standard based practice
Standards of Practice describe a competent level of nursing care
Nursing Process critical thinking model, includes assessment, diagnosis, outcomes identification and planning, implementation and evaluation. It is the foundation of clinical decsiion making and includes all significant actions taken by nurses in providing care to pts
Code of Ethics right and wrong
continuing education involves formal, organized educational programs offered by universities, hospitals, state nurses assoc. prof. nursing organizations and educational and health care institutes
In-service education programs are instruction or training provided by health care agency or institution focused on new technologies
Nursing Practice Act State Board oversees NPAs regulates the scope of nursing practice and protects public health, safety and welfare. includes min education reqs, req certifications and practice guidelines for APRNs
Licensure exactly the same in all states, NCLEX
Certification specific areas of nursing
Autonomy initiation of independent nursing interventions without medical orders
Responsibilities and Roles Caregiver, advocate, educator, communicator, manager,career development
purpose of the ANA to improve standards of health and the availability of health care, to foster hight standards for niursing and promote the professional develoment and general and economic welfare of nurses
QSEN responds to reports about safety and quality patient care
KSAs knowledge, skills and attitudes
DRGs diagnosis related groups fixed reimbursement amount
prospective payment system (PPS) eliminated cost based reimbursement
capitation providers receive a fixed amount per patient or enrollee of a health care plan
resource utilization groups ensure that patients are managed effectively and discharged as soon as it is reasonably possible
managed care describes health care system in which the provider or health care systems receives a p\redetermined capitated payment for each pt
Patient Protections and Affordable Care Act focuses on the major goals of increasing access to health care services for all, reducing health care costs and improving health care quality
primary health prenatal and well baby care, nutritional counseling, family planning, exercise classes
preventive care screenings, immunizations, mental health and crisis prevention, community legislation
secondary acute care emergency care, medical-surgical care, radiological procedures for acute problems
tertiary care intensive care, sub-acute care
continuing care assisted living, psych and adult day care
works redesign no need to transport pt across multiple diagnostic and treatment areas
discharge planning begins the moment a pt is admitted to a health care facility
restorative care help pt regain maximal functional status and enhance quality of life through promotion of independence and self care
rehabilitation restores a person to the fulles physical, mental, social, vocational and economic potential possible
nursing center most appropriate term for nursing home
Resident Assessment Instrument (RAI) consists of the Minimum Data Set (MDS) national database
Created by: nursingTSJC2013