Foundations of Nursing Practice

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Foundations of Nursing Practice
2013-09-10 22:35:45
First lecture

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  1. Florence Nightingale Contributions to Nursing
    - Identify personal need of pt- role of nurse

    - Esta. standards for hospital management

    - Esta. nurse education and respected occupation for women

    - Recognize to components- Health and Illness
  2. Florence Nightingale
    - nurse is separate and distinct from medicine

    - Nutrition important to health

    - Instituted occupational n recreational therapy for sick people

    - continuing education for nurses

    - maintain accurate records/ beginning of nursing research
  3. Holistic Care
    Patient is Central focus

    Total person- physical, emotional, social, spiritual, financial, poverty
  4. Medical vs. Nursing focus
    • Medical Focus
    • - diagnose & treat disease
    • - cure disease
    • - focus on disease
    • - teach pt about treatment

    • Nursing focus
    • - Diagnose, treatment, human response
    • - Care for the pt
    • -holistic approach
    • - teach self care to create independence
    • - promote wellness activites
  5. Health Promotion: healthy people 2020
    - Eliminate preventable disease, injury, and premature death

    - Achieve health equity and eliminate health disparities

    - creates social and physical enviroments that promote good health for all

    - promote healthy developments at every stage.
  6. Professional organizations ANA
    American Nurses Asso (ANA)- RN in US, esta. standards of practice, Encourages research to advance nurse practice.Reps nurses for legislative action
  7. Professional organization NLN
    National League Nursing- research data about nursing education, Conduct annual surveys about schools, Fosters the development and improvements for nurse practice. 

    Nurse educators
  8. Professional organization AACN
    American Association of College for Nursing (AACN)- BSN or higher- 

    accredditation for collegiate nursing programs
  9. Professional organization NSNA
    National Student Nurse Association
  10. Nursing includes:
    - apply theoretical & clinical knowledge to deliver pt care

    - focus on human responses to actual & potential health problems- focus on wellness and caring for pt

    - goal- maximize human potential in all human dimensions
  11. Aims of Nursing
    - To promote (encourage) health

    - To prevent (keep from occurring) illness

    - To restore health

    - To facilitate coping with disability of death
  12. Facilitating Coping with Disability and Death
    - help with coping with altering function, life crisis and death

    • - help with showing them how to function to their fullest potential- using their strengths
    •       referral to community resources

    • - Nurses provide care to the pt & families
    •        active in hospice care
    •        help with coping with end of life thru teaching referrals, direct care
  13. Meeting the Aims Nursing
    Nurses use: knowledge, Skills, critical thinking

    Nurses use:

    • - cognitive (intellectual) skills decision making
    • - Psychomotor (hands on) & technical
    • - Interpersonal (communication)
    • - Ethical/legal
  14. To prevent illness
    Health promotion. reduce risk, educational programs, health screenings
  15. Cognitive skills
    involves thinking about the nature of things sufficiently to make decisions regarding care.
  16. Technical skills
    enable nurses to manipulate equipment to produce a desired outcome
  17. Ethical/legal skills
    enable nurses to conduct themselves morally and professionally
  18. Nursing roles in all settings
    • - caregiver- primary role
    • - communicatory, teacher/educator
    • -couselor (facilitate problem solving- refer_
    • - leader (effect change)
    • -researcher (increase knowledge base)
    • - advocate (protector human & legal rights)
  19. Nurse Practice Acts
    • - defines legal scope of nursing practice 
    • - excludes untrained or unlicensed people from practicing nursing
    • - Create a state board of nursing
    • - Make and enforce rules and regulations
    • - License is mandatory legal document
  20. Culture: Patient in Pain
    • - each person holds various beliefs about pain
    • - respect pt right to respond to pain in own fashion
    • - DO NOT stereotype pt pain based on culute
    • - Nursing care for the patient in always individuals
  21. Socioeconomic factors-culture of poverty
    • - feelings of despair
    • - day to dat attitude towards life
    • - unemployment and need for financial aid and govt assistance
    • - unstable family structure
    • - declines in self-respect and retreat fro community involvement
  22. Culturally Competent Nursing Care
    • - Care sensitive to needs of individuals, fams from diverse cultures
    • - culture factors are significant in health and illness
    • - work within client cultural belief
    • - cultural competence is an interpersonal skill (knowledge and attitudes)