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Trans Test 4

Transition test #4

3 Roles of ADN Provider of care, Manager of care, Member of the Discipline of Nursing
Modeling and valuing nursing Student learning outcomes, setting professional examples, high quality, individualized care
Making a commitment to ongoing professional growth coming back to the classroom, CE in future, current knowledge, technology(nursing informatics), EBP, societal changes
Ensuring that high standards of nursing care are practiced classroom, weekly CET, nursing/healthcare focus, accountability, peer review, self-regulation(professional organizations)
Contributing to and using nursing research in practice standards of practice, EBP(generate questions for research, participate in research studies, apply research findings)
Practicing professional stewardship to support the advancement of nursing demonstrating HGTC and EBP principles in clinical as a student and later as a RN, SNA, professional org, no bulling, recruiting, mentoring, nurse retention, culture, subculture, minorities
Serving as a Client Advocate cultural diversity, concept of caring, transcultural nursing
Practicing w/in the legal boundaries and ethical framework of nursing legal and ethical(patient advocacy) topics, HIPAA
Founder of Transcultural Nursing Madeleine Leininger
Leininger says Culture involves learned and transmitted knowledge about values, beliefs, rules of behavior, and lifestyle practices that guide designated groups in their thinking and actions in patterned ways
Transcultural nursing refers to a research-focused practice field that focuses on pt-centered, culturally competent nursing
Transcultural nursing incorporates the care(caring) values, beliefs, and practice of people and groups from a particular culture w/o imposing the nurse’s cultural perspective on the pt
Institutional Policies Promoting TCN flexible regulations pertaining to visitors, providing translation services, training staff to provide care for patients w/ diff cultural values
Culturally Mediated Characteristics space and distance, eye contact, time, touch, observance of holidays/days of worship, diet, biologic variations, complementary and alternative therapies
Acculturation the process by which members of a cultural group adapt to or take on the behaviors of another group
Cultural blindness/Ethnocentric the tendency to view one’s own culture a superior to others
Cultural imposition the tendency to impose one’s cultural beliefs, values, and patterns of behavior on a person or ppl from a diff culture
Cultural taboos activities or behaviors that are avoided, forbidden, or prohibited by a particular cultural group
Cultural competence effective, individualized care that demonstrates respect for the dignity, personal rights, preferences, beliefs, and practices of the person receiving care, while acknowledging the biases of caregiver & preventing biases’ from interfering w/ care provided
The RN’s best source of information about the particulars of social, cultural, sexual, and spiritual uniqueness is the patient
6 Cultural phenomena of each cultural group communication, space, social organization, time, environmental control, biological variations
Communication words, body language and other cues, such as voice, tone, and loudness. During illness all ages tend to regress, and the regression often involves language skills
Space ppl tend to regard the immediate vicinity as an extension of themselves
Social organization socialization, enculturation
Time views about punctuality and the use of time are culturally determined, as is the concept of waiting
Environmental control health may be viewed as a balance btw the individual and the environment
Biologic variations a direct relation exists btw race & body structure, skin color, other visible phys characteristics, enzymatic & genetic variations, electrocardiographic patterns, susceptibility to disease, nutritional pref & deficiencies, & psychological characteristics
Mucha’s theory on caring Caring is to nursing as nursing is to caring
Theory of Cultural Care Madeleine Leininger
Theory of Human Caring Jean Watson
Jean Watson-Science of Caring Model caring effctvly dmnstrtd & pract only intrprsnly-caring consists carative fctrs-effective caring prmotes hlth & grwth-caring rspnses accept person-caring environ offers dvlpmnt potent-caring is more healthogenic than curing-pract of caring is ctral to nur
Mucha’s Theory of Nursing the promotion of health through the five dimensions of life-mental, spiritual, physical, emotional and social for the prevention of illness
Top 10 Caring Behaviors Attentive listening, Comforting, Honesty, Patience, Responsibility, Providing Information, Touch, Sensitivity, Respect, Calling pt by name
Patient Advocacy pleading on one’s behalf or acting in support of another, speaking for the pt or representing the pt’s point of view or not speaking about the pt
Protection of Rights Pt is viewed as a member of a cultural group, a social being, a sexual being, and a spiritual being
Hospice Care Dame Cicely Saunders, you matter b/c you are you. you matter to the last moment of your life, and we will do all we can not only to help you die peacefully, but to live until you die
Palliative Care an approach to care for the seriously ill/ chronic illnesses that do not have a predictable “end stage”
Both palliative care and hospice care recognized as impt bridges btw a medical bias in the direction of cure-oriented tx and the needs of terminally ill pt’s and their families at the end of life
Palliative Care is all about providing good sx management, being able to have difficult conversations, being present, championing quality of life
Never Events Serious Events-28 occurrences on US list of inexcusable outcomes in a healthcare setting
Teaching interactive process wherein one individual shares information w/ another to facilitate learning and thereby promote behavioral changes-White
Learning process by which a person aquires or increases knowledge or changes behavior in a measurable way as a result of an experience-Taylor
Teaching-Learning process planned interaction that promotes behavioral change that is not a result of maturation or coincidence-White
Why we are teaching to increase quality of life
Learning Styles kinesthetic, auditory, visual, combo
Andragogy adult learning-Malcolm Knowles
Pedagogy science of teaching children and adolescents
Teaching-Learning Sequence plan for a series of instructions that builds on previous knowledge and lays groundwork for future learning-from easy to difficult, known to unknown, etc
Cognitive Knowledge
Psychomotor Skill
Affective Values
Documentation must be Clear, Concise, Accurate, Complete
Documentation of learning needs, teaching interventions implemented, pt outcomes achieved or not achieved, revisions or changes in teaching required
Health Promotion those activities that assist ppl in developing resources that maintain or enhance well-being and improve quality of life, it’s up to each person to decide whether to make changes to promote a higher level of wellness
Health Promotion Models Achieving health for all, Health belief model, Health promotion model, Transtheoretical model of change
Statutory Law Mosby-statute enacted by the legislature of any of the states or by the appropriate officers of the districts or possessions-delineates the legal scope of the practice of nursing
3 Major Components of Nursing Practice Act outlines eligibility and requirements for licensure w/in that state, delineates the nursing edu prog content and clinical experience needed for the program to be accredited, designates specific roles for LPN/LVNs and RNs r/t certain nursing tasks
Laws rules for conduct and actions w/in a society
Ethics area of philosophical study that examines values, actions, and choices to determine right and wrong
Statutory Law ex Nurse Practice Act
Civil Law ex a violation of is a tort, malpractice/negligence
Assault any act designed to make a person fearful and produce a reasonable apprehension of harm-doesn’t require touching
Battery any intentional and wrongful physical contact w/ a person that entails injury or offensive touching
Negligence/Malpractice a nurse could be liable for malpractice if the nurse injured a client while performing a procedure differently from the way other nurses would have done it
Purpose for Code of Ethics reflect the values and priorities of nursing profession, provide direction for professional nursing practice, provide framework for eval of nursing practice, define profession’s accountability to public and client outcomes for which nurses are responsible
Beneficence actively do good
Nonmaleficence do no harm
Autonomy the right to make decisions
Justice fairness to all people
Fidelity faithful to commitments
Veracity truth telling
Created by: neffielewis