25 Questions
What is the primary goal of the Quality and Safety Education for Nurses (QSEN) initiative?
To reduce medical errors and improve patient safety
Which of the following is a current trend in nursing that is influenced by technological advancements?
Genomics
Which of the following is NOT a demographic change that is influencing nursing practice in the 21st century?
Increased male nurses in the workforce
What is a key aspect of healthcare policy that is influenced by nursing?
Healthcare reform legislation
Which of the following is a benefit of nurse self-care?
Reduced burnout and compassion fatigue
What is a key component of quality improvement in nursing?
Continuous quality improvement initiatives
What is the primary focus of nurses in responding to the needs of patients?
Actively participating in determining best practices
Which of the following is an essential component of quality improvement in healthcare?
Resource Stewardship
What is the primary role of an Advanced Practice Registered Nurse (APRN)?
Clinical Nurse Specialist
Which of the following is a key responsibility of a nurse in terms of advocacy?
Promoting patients' rights and interests
What is the main purpose of understanding the history of the nursing profession?
To understand the social and intellectual origins of the discipline
Which of the following is a critical component of the nursing process?
Outcomes Identification
What is the primary goal of evidence-based practice in healthcare?
To integrate best current evidence with clinical expertise and patient preferences
Which of the following is a key component of quality improvement in healthcare?
Using data to monitor care process outcomes and design improvements
What is the primary purpose of informatics in healthcare?
To use information and technology to communicate, manage knowledge, and support decision making
What is the primary role of Nurse Practice Acts (NPAs) in nursing regulation?
To regulate scope of nursing practice and protect public health, safety, and welfare
What is the primary difference between licensure and certification for nurses?
Licensure is required for entry-level nursing practice, while certification is optional
What is the primary focus of graduate education for nurses?
Advanced practice RN roles and doctoral preparation
What is a crucial aspect of nursing practice that requires a combination of current knowledge and practice standards, as well as an insightful and compassionate approach?
Critical thinking and clinical judgment
What is the primary focus of the Standards of Professional Nursing Practice as outlined by the American Nurses Association (ANA)?
Patient-centered care and safety
Which level of nursing expertise, as described by Benner, is characterized by an intuitive grasp of clinical problems and a high level of experience?
Expert
What is a key component of quality improvement in nursing, as outlined by the American Nurses Association (ANA)?
Patient-centered care and safety
What is a fundamental aspect of professional nursing practice, as outlined by the American Nurses Association (ANA)?
Professional autonomy and accountability
What is a key aspect of healthcare policy that influences nursing practice, according to the American Nurses Association (ANA)?
Healthcare financing and reimbursement
What is a critical component of nursing practice that requires a combination of knowledge from social and behavioral sciences, biological and physiological sciences, and nursing theories?
Clinical decision making and judgment
Study Notes
Florence Nightingale
- Established first nursing philosophy (Nursing Theory) based on health maintenance and restoration
- Organized first program for training nurses
- First practicing epidemiologist
- Improved sanitation in battlefield hospitals
- Practices remain a basic part of nursing today
Civil War to the Beginning of the Twentieth Century
- Clara Barton – Founder of American Red Cross
- Dorthea Lynde Dix – Organized Hospitals during the Civil War
- Mary Ann Ball (Mother Bickerdyke) – Helped Dix
- Harriet Tubman – Underground Railroad Movement
- Mary Mahoney – First Educated African American Nurse
- Isabel Hampton Robb – ANA, American Journal of Nursing
- Lillian Wald – Opened the Henry Street Settlement
- Mary Brewster – Opened the Henry Street Settlement
Twentieth Century
- Movement toward 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
- Revising nursing practice and school curricula to meet the ever-changing needs of society
- 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
Trends in Nursing
- 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
- Assessment
- Diagnosis
- Outcomes Identification
- Planning
- Implementation
- Evaluation
(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
Historical Influences
- Nurses respond to needs of patients
- Actively participate in determining best practices
- Knowledge of the history of the nursing profession increases understanding of the social and intellectual origins of the discipline
QSEN
- Quality improvement
- Safety
- Informatics
Professional Registered Nurse Education
- Prelicensure
- 2-year associate’s degree
- 4-year bachelor’s degree
- Graduate education
- Master’s degree, advanced practice RN
- Doctoral preparation
- Continuing and in-service education
Nursing Practice
- Nurse Practice Acts (NPAs)
- Overseen by State Boards of Nursing
- Regulate scope of nursing practice
- Protect public health, safety, and welfare
- Licensure and certification
- Licensure: NCLEX-RN examination
- Certification: requirements vary
Explore the life and achievements of Florence Nightingale, the founder of modern nursing. Learn about her nursing philosophy, contributions to epidemiology, and innovations in hospital sanitation.
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