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Why do we use concept-based approach to learning?
- Concepts are considered building
- blocks, or foundations for theory. By gaining a deeper understanding of a core
- set of concepts, a student can recognize and understand similarities and
- recurring characteristics which can be applied more effectively than memorized
What is professionalism?
- Professionalism is the assimilation
- of nursing skills and knowledge integrated with dignity and respect for all
- human beings. It incorporates the assumptions and values of the profession while
- maintaining accountability and self-awareness. Refers to the attributes and
- behaviors of a nurse. Professionalism is linked to leadership, communication,
- ethics, and clinical judgment.
Who is florence Nightingale?
Florence Nightingale “The Mother of Modern Nursing”, reduced wartime mortality during the Crimean war
Who is Clara barton?
Clara Barton- American Red Cross; Knights Hospitallers and Nuns
Who is Mother Bickerdyke?
Mother Bickerdyke- organized hospitals, appointed nurses to war stations and regulated supplies for troops
Who is Walt Whitman and Harriett Tubman?
Walt Whitman and Harriett Tubman served as nurses during the Civil War
Who is Mary Breckenridge?
Mary Breckenridge- frontier nursing, associated with American Association of Nurse-Midwives
What are attributes of professionalism in nursing?
Education, Clinical judgment, Ethics, Comportment, Therapeutic Communication
What are ways professionalism effects health care?
Specific knowledge, accountability, communication, clinical judgment, leadership competence, high ethical standards
What is the development of professional nursing roles?
Autonomy, Knowledge, Competence, Profession hood, Accountability, Advocacy, Collaborative Practice, Commitment
What is a CNA?
Certified Nursing Assistant (CNA), Patient Care Assistants, etc…: Very limited role, Perform the most basic tasks of care: bathing, feeding, assisting with ADL’s
What is a LVN?
Licensed Vocational Nurse, or Licensed Practical Nurse (LVN): Technical role (Always supervised by Registered Nurses), Task oriented (limited compared to RN)
What can you do with a masters or doctorate degree?
- Getting a Master’s or Doctorate Degree,
- you could become a clinical nurse specialist, nurse practitioner, nurse midwife, nurse anesthetist
What is the influence of social, political, and economic changes on nursing practices?
Today the profession faces multiple challenges. Nurses and nurse educators are revising nursing practice and school curricula to meet the ever-changing needs of society, including bioterrorism, emerging infections, and disaster management. Advances in technology and informatics the high acuity level of care of hospitalized patients, and early discharge from health care institutions require nurses in all settings to have a strong and current knowledge base from which to practice. In addition, nursing and the Robert Wood Johnson Foundation are taking a leadership role in developing standards and policies for end-of-life care through the Last Acts Campaign.
What is primary prevention to promote optimal health?
- is true prevention; it precedes disease or dysfunction and is applied to patients considered physically and emotionally healthy. Primary prevention aimed at health promotion includes health education programs, immunizations, and physical and nutritional fitness activities. Primary prevention includes
- all health promotion efforts and wellness education activities that focus on maintaining or improving the general health of individuals, families, and communities
What is secondary prevention to promote optimal health?
focuses on individuals who are experiencing health problems or illnesses and are at risk for developing complications or worsening conditions. Activities are directed at diagnosis and prompt intervention, thereby reducing severity and enabling the patient to return to a normal level of health as early as possible. Level of preventive medicine that focuses on early diagnosis, use of referral services, and rapid initiation of treatment to stop the progress of disease processes.
What is a tertiary prevention to promote optimal health?
occurs when a defect or disability is permanent and irreversible. It involves minimizing the effects of long-term disease or disability by interventions directed at preventing complications and deterioration. Activities directed toward rehabilitation rather than diagnosis and treatment.
What are the 2 primary objectives of Healthy People 2020
To increase life expectancy and quality of life and eliminate health disparities through an improved delivery of health care services. Emphasized the link between individual health and community health. Healthy People 2020 promotes a society in which all people live long, healthy lives.
Discuss the qualities and attitudes necessary for critical thinking?
It is a process acquired only through experience, commitment, and an active curiosity toward learning. Critical thinking requires cognitive skills and the habit of asking questions, remaining well informed, being honest in facing personal biases, and always being willing to reconsider and think clearly about issues. The nursing process provides a clinical decision-making approach for you to develop and implement an individualized plan of care.
Identify the steps of the nursing process?
Assess, diagnose, plan, implement, then evaluate.
Discuss the significance of the nursing process to patient care.
The nursing process is a critical thinking process that professional nurses use to apply the best available evidence to caregiving and promoting human functions and responses to health and illness
What is a nursing assessment?
Assessment is the deliberate and systematic collection of information about a patient to determine his or her current and past health and functional status and his or her present and past coping patterns. Nursing assessment includes two steps
What is the first step of a nursing assessment?
Collection of information from a primary source (the patient) and secondary sources (e.g., family members, health professionals, and medical record
What is the second step of a nursing assessment?
The interpretation and validation of data to ensure a complete database. Your Assessment class teaches you skills and techniques for assessment. In different situations and different areas of nursing you will apply those skills differently
What is a nursing diagnosis?
A diagnosis is a clinical judgment based on information. Together nursing diagnoses and collaborative problems represent the range of patient conditions that require nursing care. Nursing diagnosis, the second step of the nursing process, classifies health problems within the domain of nursing. A nursing diagnosis such as acute pain or nausea is a clinical judgment about individual, family, or community responses to actual and potential health problems or life processes that the nurse is licensed and competent to treat. What makes the nursing diagnostic process unique is having patients involved, when possible, in the process.
What are the components of a correctly designed nursing diagnosis?
To individualize a nursing diagnosis further, you identify the associated related factor. A related factor is a condition, historical factor, or etiology that gives a context for the defining characteristics and shows a type of relationship with the nursing diagnosis. A related factor allows you to individualize a nursing diagnosis for a specific patient. Nursing diagnoses provide the basis for selection of nursing interventions to achieve outcomes for which you, as a nurse, are accountable
What does planning mean?
A plan of care is dynamic and changes as the patient's needs change. During planning you select goals and outcomes for each nursing diagnosis to provide a clear focus for the type of interventions needed to care for your patient and to then evaluate the effectiveness of these interventions. A goal is a broad statement that describes a desired change in a patient's condition or behavior.
What is stage 1 in the process of planning?
- Setting Outcomes- what do I hope to achieve?
- -Patient Oriented
- -Should be observable/ measurable (SMART!)
- -May be long term or short term
What is stage 2 in the process of planning?
- Choosing Interventions- how will I achieve my objectives?
- -Always individualized
- -May need to be creative
What is a SMART nursing goal?
- Time frame included
What is implementation?
the fourth step of the nursing process, formally begins after the nurse develops a plan of care. With a care plan based on clear and relevant nursing diagnoses, the nurse initiates interventions that are designed to achieve the goals and expected outcomes needed to support or improve the patient's health status
What is a nursing intervention?
A nursing intervention is any treatment based on clinical judgment and knowledge that a nurse performs to enhance patient outcomes. Ideally the interventions a nurse uses are evidenced based, providing the most current, up-to-date, and effective approaches for managing patient problems. Interventions include direct and indirect care measures aimed at individuals, families, and/or the community.
What is the criteria by which a nurse evaluated the effectiveness of an intervention?
Determines whether, after application of the nursing process, the patient’s condition or well being improves. Were the patient’s outcomes achieved? Examination of effectiveness of interventions. Care plan may be modified: problems deleted or revised
What is the definition of safety?
Definition: The prevention of health care errors and the elimination or mitigation of patient injury caused by health care errors.
what is the significance of safety in nursing practice?
Nurses need skills to utilize tools that contribute to safer systems. For example, nurses must develop skills in the effective use of technology and standardized practices that support safety and quality, as well as effectively use strategies to reduce risk of hard to self or others.
What is QSEN?
Quality and Safety Education for Nurses: 2005 Robert Wood Johnson foundation study recommended a national safety initiative. Addresses knowledge, skills and attitudes among nurses and how they contribute to patient safety. QSEN promotes patient centered care, interdisciplinary team work and collaboration, evidence based practice, quality improvement, safety, and informatics. QSEN definition of safety: minimizes risk of harm to patients and providers through both system effectiveness and individual performance. The levels of error are adverse event, near miss, and sentinel event.