Florence Nightingale: Nursing Pioneer

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Questions and Answers

What is the primary goal of the Quality and Safety Education for Nurses (QSEN) initiative?

  • To increase nurse staffing ratios and reduce burnout
  • To foster open communication and mutual respect among healthcare teams
  • To improve patient satisfaction scores
  • To reduce medical errors and improve patient safety (correct)

Which of the following is a current trend in nursing that is influenced by technological advancements?

  • Evidence-based practice
  • Primary care
  • Healthcare reform
  • Genomics (correct)

Which of the following is NOT a demographic change that is influencing nursing practice in the 21st century?

  • Cultural diversity
  • Bioterrorism
  • Aging population
  • Increased male nurses in the workforce (correct)

What is a key aspect of healthcare policy that is influenced by nursing?

<p>Healthcare reform legislation (A)</p> Signup and view all the answers

Which of the following is a benefit of nurse self-care?

<p>Reduced burnout and compassion fatigue (B)</p> Signup and view all the answers

What is a key component of quality improvement in nursing?

<p>Continuous quality improvement initiatives (A)</p> Signup and view all the answers

What is the primary focus of nurses in responding to the needs of patients?

<p>Actively participating in determining best practices (A)</p> Signup and view all the answers

Which of the following is an essential component of quality improvement in healthcare?

<p>Resource Stewardship (D)</p> Signup and view all the answers

What is the primary role of an Advanced Practice Registered Nurse (APRN)?

<p>Clinical Nurse Specialist (C)</p> Signup and view all the answers

Which of the following is a key responsibility of a nurse in terms of advocacy?

<p>Promoting patients' rights and interests (B)</p> Signup and view all the answers

What is the main purpose of understanding the history of the nursing profession?

<p>To understand the social and intellectual origins of the discipline (C)</p> Signup and view all the answers

Which of the following is a critical component of the nursing process?

<p>Outcomes Identification (C)</p> Signup and view all the answers

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

<p>To integrate best current evidence with clinical expertise and patient preferences (C)</p> Signup and view all the answers

Which of the following is a key component of quality improvement in healthcare?

<p>Using data to monitor care process outcomes and design improvements (C)</p> Signup and view all the answers

What is the primary purpose of informatics in healthcare?

<p>To use information and technology to communicate, manage knowledge, and support decision making (D)</p> Signup and view all the answers

What is the primary role of Nurse Practice Acts (NPAs) in nursing regulation?

<p>To regulate scope of nursing practice and protect public health, safety, and welfare (B)</p> Signup and view all the answers

What is the primary difference between licensure and certification for nurses?

<p>Licensure is required for entry-level nursing practice, while certification is optional (C)</p> Signup and view all the answers

What is the primary focus of graduate education for nurses?

<p>Advanced practice RN roles and doctoral preparation (A)</p> Signup and view all the answers

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?

<p>Critical thinking and clinical judgment (B)</p> Signup and view all the answers

What is the primary focus of the Standards of Professional Nursing Practice as outlined by the American Nurses Association (ANA)?

<p>Patient-centered care and safety (B)</p> Signup and view all the answers

Which level of nursing expertise, as described by Benner, is characterized by an intuitive grasp of clinical problems and a high level of experience?

<p>Expert (B)</p> Signup and view all the answers

What is a key component of quality improvement in nursing, as outlined by the American Nurses Association (ANA)?

<p>Patient-centered care and safety (C)</p> Signup and view all the answers

What is a fundamental aspect of professional nursing practice, as outlined by the American Nurses Association (ANA)?

<p>Professional autonomy and accountability (A)</p> Signup and view all the answers

What is a key aspect of healthcare policy that influences nursing practice, according to the American Nurses Association (ANA)?

<p>Healthcare financing and reimbursement (D)</p> Signup and view all the answers

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?

<p>Clinical decision making and judgment (A)</p> Signup and view all the answers

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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
  • 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

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