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Florence Nightingale: Nursing Philosophy and Contributions

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40 Questions

Who was the founder of the American Red Cross?

Clara Barton

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

Moving nursing education into universities

What is the primary focus of the QSEN initiative?

Patient-centered care

Which of the following is a contemporary challenge in nursing?

All of the above

Who is considered the first practicing epidemiologist?

Florence Nightingale

What was Florence Nightingale's contribution to nursing?

Developing the first nursing philosophy

What was the significance of the Henry Street Settlement?

It was a settlement house established by Lillian Wald and Mary Brewster

Who was the first educated African American nurse?

Mary Mahoney

What was the significant event that occurred in 1994 in the nursing profession?

The University of Washington Medical Center became the first Magnet-designated organization

What is a significant trend in nursing in the 21st century?

Evidence-based practice

What is a key characteristic of a nurse at the competent level according to Benner's model?

Has been in the same clinical position for 2-3 years

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

Describing the nursing process as a model for clinical decision making

What is a critical thinking skill required to act professionally as a nurse?

Using current knowledge and practice standards

What is the primary goal of professional nursing practice?

To administer quality patient-centered care

What is the role of the Advanced Beginner nurse in Benner's model?

To observe and assist experienced nurses

What is a key component of professional nursing practice according to the American Nurses Association (ANA)?

Ethical and social values

What is the role of the Expert nurse in Benner's model?

To have an intuitive grasp of an existing or potential clinical problem

What is a key requirement for professional nursing practice?

Being responsible and accountable

What is the scope of professional nursing practice?

Incorporates knowledge from social and behavioral sciences, biological and physiological sciences, and nursing theories

What is the role of the Novice nurse in Benner's model?

To have no nursing experience

What is the primary goal of evidence-based practice in healthcare?

To integrate best current evidence with clinical expertise and patient/family preferences and values

What is the main purpose of Quality Improvement in healthcare?

To monitor the outcomes of care processes and use improvement methods to design and test changes

What is the primary focus of Safety in healthcare?

To minimize risk of harm to patients and providers through system effectiveness and individual performance

What is the role of Informatics in healthcare?

To use information and technology to communicate, manage knowledge, mitigate error, and support decision making

What is the typical duration of a prelicensure associate's degree in nursing?

2-year

What is the primary role of State Boards of Nursing in regards to Nurse Practice Acts (NPAs)?

To oversee the NPAs and regulate the scope of nursing practice

What is the purpose of licensure in nursing?

To ensure nurses pass the NCLEX-RN examination

What is the role of certification in nursing?

To demonstrate expertise in a specific specialty or area of practice

What is the purpose of continuing and in-service education in nursing?

To ensure nurses stay current with best practices and advances in healthcare

What is the primary focus of graduate education in nursing?

To prepare advanced practice registered nurses (APRNs) and doctoral preparation

Which of the following is a standard of professional performance in nursing?

Scholarly Inquiry

Which role is a professional responsibility in nursing?

Manager

Which advanced practice registered nurse role is involved in anesthesia care?

Certified registered nurse anesthetist

What is a benefit of understanding the history of the nursing profession?

It increases the ability to understand the social and intellectual origins of the discipline

Which of the following is a stage of the nursing process?

Assessment

What is a professional responsibility in nursing?

Advocate

Which of the following is an example of a nurse's role in determining best practices?

Actively participating in determining best practices

What is a standard of professional performance in nursing related to the environment?

Environmental Evaluation

Which of the following is a category of nursing roles?

Clinician

What is a benefit of professional development in nursing?

Improved patient outcomes

Study Notes

Florence Nightingale

  • Established the first nursing philosophy (Nursing Theory) based on health maintenance and restoration
  • Developed Nightingale's Environmental Theory to improve a patient's environment (ventilation, light, reduced noise, hygiene, and nutrition)
  • Organized the first program for training nurses
  • Was the first practicing epidemiologist
  • Improved sanitation in battlefield hospitals
  • Practices remain a basic part of nursing today

Nursing History

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

Twentieth Century

  • Movement towards scientific, research-based practice and defined body of knowledge
  • Nurses assumed expanded roles
  • 1906: Mary Adelaide Nutting was instrumental in moving nursing education into universities
  • 1920s: Nursing specialization began
  • 1990: ANA established Center for Ethics and Human Rights
  • 1994: University of Washington Medical Center became the first Magnet-designated organization

Twenty-First Century

  • Nurses are revising nursing practice and school curricula to meet the ever-changing needs of society
  • Factors influencing nursing practice include:
    • 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
  • 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
  • Teamwork and collaboration
  • Includes the six stages of the nursing process:
    • Assessment
    • Diagnosis
    • Outcomes Identification
    • Planning
    • Implementation
    • Evaluation

American Nurses Association (ANA) Standards

  • 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

Historical Influences

  • Nurses respond to the needs of patients
  • Nurses participate in determining best practices
  • Knowledge of nursing history increases understanding of the social and intellectual origins of the discipline

Learn about Florence Nightingale's pioneering work in nursing, including her environmental theory, nurse training, and epidemiology contributions that remain influential today.

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