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Florence Nightingale and Nursing History

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20 Questions

Who was involved in the Underground Railroad Movement and played a significant role in nursing?

Harriet Tubman

What was the significant development in nursing education in the early 20th century?

Movement of nursing education into universities

What was established by the ANA in 1990?

Center for Ethics and Human Rights

When did nursing specialization begin?

1920s

What is one of the contemporary challenges in nursing?

Aging population

What is one of the key competencies in Quality and Safety Education for Nurses (QSEN)?

Patient-centered care

What is a key characteristic of an expert nurse according to Benner's model?

Having an intuitive grasp of an existing or potential clinical problem

What is the primary focus of the American Nurses Association's (ANA) Standards of Practice?

Providing a framework for clinical decision making

What is a critical component of professional nursing practice, according to the ANA?

All of the above

What is the ultimate goal of critical thinking skills in nursing practice?

To administer quality patient-centered care

What is a characteristic of a proficient nurse, according to Benner's model?

Having more than 2-3 years of experience in a clinical position

What is the primary purpose of the ANA's Code of Ethics?

To guide nursing practice and decision making in complex situations

What is a key component of nursing practice, according to the ANA?

All of the above

What is the ultimate goal of understanding the scope of professional nursing practice?

To influence the lives of patients, their families, and their communities

Which of the following is NOT a standard of professional performance according to the ANA?

Resource Management

What is the primary role of a nurse educator?

To educate and train future nurses

According to the ANA, what is an essential aspect of respectful and equitable practice?

Respecting patients' autonomy

What is the primary difference between a clinical nurse specialist and a nurse practitioner?

Clinical nurse specialists focus on a specific population, while nurse practitioners focus on a specific disease

What is the significance of understanding the history of the nursing profession?

It helps nurses understand the social and intellectual origins of the discipline

Which of the following is a professional responsibility and role of a nurse?

Manager

Study Notes

Nursing History

  • Florence Nightingale established the first nursing philosophy (Nursing Theory), known as Nightingale's Environmental Theory, focusing on health maintenance and restoration by improving a patient's environment (ventilation, light, reduced noise, hygiene, and nutrition).
  • She organized the first program for training nurses and was the first practicing epidemiologist, improving sanitation in battlefield hospitals.

American Nursing History

  • Clara Barton founded the American Red Cross.
  • Dorothea Lynde Dix organized hospitals during the Civil War.
  • Mary Ann Ball (Mother Bickerdyke) helped Dix in her efforts.
  • Harriet Tubman was part of the Underground Railroad Movement.
  • Mary Mahoney was the first educated African American nurse.
  • Isabel Hampton Robb contributed to the ANA and American Journal of Nursing.
  • Lillian Wald and Mary Brewster opened the Henry Street Settlement.

Twentieth Century Nursing

  • There was a movement toward scientific, research-based practice and defined body of knowledge.
  • Nurses assumed expanded roles, such as:
    • Mary Adelaide Nutting, who moved nursing education into universities in 1906.
    • Specialization began in the 1920s.
    • ANA established the Center for Ethics and Human Rights in 1990.
    • University of Washington Medical Center became the first Magnet-designated organization in 1994.

Twenty-First Century Nursing

  • Nurses are revising nursing practice and school curricula to meet the ever-changing needs of society, including:
    • Aging population
    • Cultural diversity
    • Bioterrorism
    • Emerging infections
    • Disaster management

Contemporary Influences

  • Importance of nurses' self-care
  • Health care reform and costs
  • Demographic changes
  • Medically underserved populations
  • Evidence-based practice
  • Quality and Safety Education for Nurses (QSEN)
  • Impact of emerging technologies
  • Genomics
  • Public perception of nursing
  • Impact of nursing on politics and health policy

Quality and Safety Education for Nurses (QSEN)

  • Patient-centered care: recognizing the patient as the source of control and full partner in providing compassionate and coordinated care.
  • Teamwork and collaboration: functioning effectively within nursing and interprofessional teams.

ANA Standards of Professional Performance

  • Ethics
  • Advocacy
  • Respectful and equitable practice
  • Communication
  • Collaboration
  • Leadership
  • Education
  • Scholarly Inquiry
  • Quality of practice
  • Professional practice evaluation
  • Resource Stewardship
  • Environmental Evaluation

Professional Responsibilities and Roles

  • Autonomy and accountability
  • Caregiver
  • Advocate
  • Educator
  • Communicator
  • Manager

Career Development

  • Clinician
  • Advanced Practice Registered Nurses:
    • Clinical nurse specialist
    • Nurse practitioner
    • Certified nurse-midwife
    • Certified registered nurse anesthetist
  • Nurse Educator
  • Nurse Administrator
  • Nurse Researcher

Explore the contributions of Florence Nightingale, the founder of modern nursing. Learn about her nursing philosophy, environmental theory, and pioneering work in epidemiology and sanitation.

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