Foundations: Module 1 - Evolution of Nursing

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Questions and Answers

What is the primary purpose of the nursing diagnosis in the nursing process?

  • To create a plan based on subjective data
  • To describe patient need or response to health condition (correct)
  • To evaluate the effectiveness of the intervention
  • To monitor the patient's vital signs

Which of the following is NOT one of the 7 Ethical Principles in Nursing?

  • Discretion (correct)
  • Fidelity
  • Autonomy
  • Accountability

In the nursing process, when should planning occur?

  • After the evaluation step
  • Only after all interventions are completed
  • Before the diagnosis is made
  • Simultaneously with the assessment step (correct)

Which type of nursing diagnosis reflects an actual problem identified in the patient?

<p>Problem-Focused Diagnosis (A)</p> Signup and view all the answers

What is the correct order of the steps in the nursing process?

<p>Assessment, Diagnosis, Planning, Intervention, Evaluation (B)</p> Signup and view all the answers

Which defining characteristic is consistent with a Problem-Focused Diagnosis?

<p>Ineffective breathing pattern as evidenced by shortness of breath (B)</p> Signup and view all the answers

What aspect of the nursing process is primarily concerned with determining the success of the interventions?

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

Which of the following describes a characteristic of risk-focused diagnosis?

<p>Indicates potential problems to be addressed (D)</p> Signup and view all the answers

What was one of the significant contributions of Florence Nightingale in nursing care?

<p>Improved care for soldiers (C)</p> Signup and view all the answers

Which aspect of nursing emphasizes the importance of client-centered care?

<p>Providing goal-directed care (B)</p> Signup and view all the answers

How does the National League for Nursing (NLN) contribute to nursing education?

<p>Maintaining universal standards for education (A)</p> Signup and view all the answers

What role does the state board play in nursing practice?

<p>Enforce nursing practice rules (C)</p> Signup and view all the answers

What competencies do nurses need to ensure safe and effective care?

<p>Critical thinking, communication, organization, leadership, advocacy, and technical skills (A)</p> Signup and view all the answers

What was a major focus of caring within the context of nursing as demonstrated by Clara Barton, Lillian Wald, and Lavinia Dock?

<p>Advocating for community health (A)</p> Signup and view all the answers

How does ‘caring’ contribute to the overall role of a nurse?

<p>It enhances patient outcomes and trust (C)</p> Signup and view all the answers

Which organization is responsible for establishing the scope of professional nursing practice?

<p>American Nurses Association (ANA) (A)</p> Signup and view all the answers

Which of the following best describes a profession?

<p>A recognized body of learning with specific skills (A)</p> Signup and view all the answers

What is the primary focus of nursing practice according to the ANA?

<p>Individualized care and partnership with patients (B)</p> Signup and view all the answers

According to the ANA, nursing involves which of the following actions?

<p>Prevention of illness and facilitation of healing (D)</p> Signup and view all the answers

Why is defining nursing important for students?

<p>It helps them understand their responsibilities (B)</p> Signup and view all the answers

Which influential person is best known for advancing the profession of nursing?

<p>Florence Nightingale (D)</p> Signup and view all the answers

What role does the nursing process play in nursing care?

<p>To facilitate individualized care planning (B)</p> Signup and view all the answers

What does the ANA's definition of nursing emphasize about caring?

<p>Caring is central to the practice of registered nurses (C)</p> Signup and view all the answers

What is a common public misunderstanding regarding nursing?

<p>Nurses only follow doctors' orders (A)</p> Signup and view all the answers

Which communication style is associated with expressing needs directly without aggression?

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

What is ISBAR primarily used for in healthcare?

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

Which of the following professionals is classified as unlicensed assistive personnel?

<p>Home Health Aide (C)</p> Signup and view all the answers

What factor does NOT typically affect communication in healthcare environments?

<p>Surgical procedures (C)</p> Signup and view all the answers

Which of the following best describes a 'never event' in healthcare?

<p>A serious and preventable medical mistake (B)</p> Signup and view all the answers

Which communication method is most important for transferring patient care effectively?

<p>Active Listening (A)</p> Signup and view all the answers

Which of the following is not one of the 2023 Patient Safety Goals?

<p>Enhance patient meals (C)</p> Signup and view all the answers

What is the first physiological need that must be met according to Maslow's hierarchy?

<p>Physiological needs (C)</p> Signup and view all the answers

What is the primary process involved in clinical judgment?

<p>Recognizing and analyzing cues (B)</p> Signup and view all the answers

Which of the following is NOT one of the important qualities for nurses?

<p>Technical expertise in IT (D)</p> Signup and view all the answers

Which degree programs lead to entry into nursing practice?

<p>Diploma and BSN programs (A)</p> Signup and view all the answers

Which stage is NOT part of Patricia Benner's nursing theory model?

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

What is a primary role of nurses within healthcare settings?

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

What ethical principle refers to the duty to do no harm?

<p>No Maleficence (B)</p> Signup and view all the answers

Which organization predominantly focuses on the continuous education of nurses?

<p>The Nursing and Midwifery Council (A)</p> Signup and view all the answers

Which type of healthcare facility is characterized as offering long-term care?

<p>Extended Care Facilities (B)</p> Signup and view all the answers

In nursing, what type of thinking is involved in generating solutions and evaluating outcomes?

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

Which of the following best describes the role of a nurse leader or manager?

<p>Guiding and managing teams in healthcare settings (D)</p> Signup and view all the answers

Flashcards

Caring in Nursing

A core aspect of nursing that focuses on understanding, responding to, and advocating for patients' needs and well-being. It goes beyond technical skills, encompassing compassion, empathy, and respect for the individual.

Florence Nightingale's Contributions

Florence Nightingale's revolutionary approach to nursing during the Crimean War involved focusing on cleanliness, sanitation, and organized care. Her innovations led to significantly improved soldier health outcomes.

National League for Nursing (NLN)

The National League for Nursing (NLN) sets standards and guidelines for nursing education, emphasizing ethical practice and competency.

American Nurses Association (ANA)

The American Nurses Association (ANA) serves as the primary voice and advocate for registered nurses in the United States, upholding professional standards and promoting the well-being of nurses.

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Nurse Practice Act

A legal document that outlines the scope of practice for registered nurses in each state, defining the activities they can legally perform.

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Scope of Practice

The range of actions, treatments, and procedures that a nurse is legally permitted to perform within their profession.

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Contemporary Nursing Skills

Nurses today are expected to be proficient in critical thinking, communication, leadership, and technical skills to provide safe and effective patient-centered care.

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Goal-Directed Client-Centered Care

This competency emphasizes tailoring care plans to each patient's individual needs, goals, and preferences, involving them in decision-making.

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What is a Profession?

A profession is a field of work that has been successfully professionalized. Professions exhibit specific characteristics, including ethical standards, public acceptance, expertise, and a body of knowledge derived from research, education, and training. Professionals are expected to apply their knowledge for the benefit of others.

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ANA definition of Nursing (1980)

The American Nurses Association (ANA) defines nursing as the diagnosis and treatment of human responses to actual and potential health problems. This emphasizes the focus on individual patient needs and responses to their health status.

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ANA definition of Nursing (2010)

The ANA revised its definition in 2010, highlighting the personalized and collaborative nature of nursing practice. It emphasizes the central role of caring, the use of the nursing process to guide care, and the importance of a supportive work environment for quality healthcare.

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ANA definition of Nursing (2015)

The ANA further expanded its definition in 2015, encompassing a broader scope of nursing practice. It emphasizes the promotion and optimization of health, prevention of illness and injury, facilitating healing, alleviating suffering, diagnosing and treating human responses, and advocating for patients.

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Why define nursing?

Defining nursing helps the public recognize and value the profession. It clarifies the unique contributions of nurses and differentiates their work from other healthcare professionals, such as physicians.

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Why define nursing?

Defining nursing helps nursing students understand the expectations and responsibilities of the profession. It sets the foundation for their education and prepares them for their future roles as nurses.

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Influential figures in nursing

Florence Nightingale, Dorothea Dix, Clara Barton, Lillian Wald, Mary Brewster, Edward Lyon, Lavinia Dock, and Mary Mahoney are some of the prominent figures who influenced the evolution of nursing. Their contributions significantly shaped nursing practice, education, and patient care.

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Importance of Influential figures

The contributions of influential individuals have played a vital role in advancing the profession of nursing. Their efforts have led to improvements in nursing practice, patient safety, and the overall quality of healthcare.

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Clinical Judgment

A process involving recognizing cues, analyzing, prioritizing, generating solutions, taking action, and evaluating outcomes.

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Critical thinking

Reflective thinking that involves collecting and analyzing information, carefully considering options for action.

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Problem-solving

The process of attempting to find a satisfactory solution to an issue.

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Compassionate

Ability to understand and respond to the emotional needs of others.

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Listening skills

The ability to listen actively and understand the message of the speaker.

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Emotional stability

The capacity to remain calm and composed in challenging situations.

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Physical stamina

The ability to perform physical tasks and withstand physical demands.

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Benner Model

A model that describes the five stages of nursing expertise: novice, advanced beginner, competent, proficient, and expert.

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RN to BSN program

A registered nurse who holds an associate degree and then earns a bachelor's degree in nursing.

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Advocacy

A nurse's responsibility to act in the best interest of their patients.

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What is the nursing process?

The nursing process is a systematic approach to patient care involving assessment, diagnosis, planning, intervention, and evaluation. It ensures consistent, effective, and safe care.

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What's the difference between subjective and objective data?

Objective data is measurable and observable, like vital signs or wounds. Subjective data is what the patient tells you, like pain levels or feelings.

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What is a nursing diagnosis used for?

A nursing diagnosis describes a patient's health problem or potential problem. It helps focus care based on their individual needs.

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What are the parts of a nursing diagnosis statement?

The nursing diagnosis is a statement that includes "related to" factors contributing to the problem and "as evidenced by" the signs and symptoms.

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What is the purpose of planning in the nursing process?

Planning involves setting realistic goals for the patient and outlining how to achieve them. It's a collaborative process with the patient.

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What is the role of intervention in the nursing process?

Interventions are the actions taken to address the nursing diagnosis and achieve the planned goals. It's where the nursing care is put in place.

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Why is evaluation important in the nursing process?

Evaluation is the final step where you assess whether the interventions were successful in meeting the goals. It involves data collection and analysis.

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What are the 7 ethical principles that guide nursing practice?

Accountability, justice, nonmaleficence, autonomy, beneficence, fidelity, and veracity are seven ethical principles that guide nurses' actions and ensure they provide compassionate, respectful, and safe care.

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Interprofessional Teams

A coordinated approach involving professionals from various disciplines who work together to provide holistic care for patients. This team consists of nurses, physicians, pharmacists, therapists, and other healthcare providers, all of whom contribute their unique expertise to deliver patient-centered care.

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ISBAR

A communication technique used in healthcare to convey information effectively. It consists of a structured approach that includes identifying the situation, background, assessment and recommendation. It is crucial for improving patient safety and ensuring clear communication amongst healthcare professionals.

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Professional Ethics in Healthcare

A system of values and principles that guide the behavior of healthcare professionals. It is based on ethical principles such as beneficence, non-maleficence, autonomy, justice, and fidelity. These principles ensure that patients receive compassionate, respectful, and ethical care.

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Non-verbal Communication

Non-verbal cues, like facial expressions and posture, that can convey information about a person's feelings and emotions. It is important to be mindful of our non-verbal communication, as it can influence how patients perceive us and the care we provide.

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Therapeutic Communication

The spoken exchange of information between healthcare professionals and patients. Therapeutic communication involves active listening and empathetic responses to build trust and rapport. It's a fundamental skill in nursing, promoting effective communication between patients and their care providers.

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Delegation

The process of assigning tasks and responsibilities to other individuals, typically those working under your supervision. In healthcare, nurses often delegate tasks to unlicensed assistive personnel (UAP) as a way to manage workload and effectively provide patient care.

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Patient Safety

A standardized approach to patient safety, focusing on preventing medical errors and improving the quality of healthcare. Some key elements include correctly identifying patients, using medications safely, and preventing infections.

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Holistic Care

A model of care that focuses on the patient's overall well-being, addressing their physical, emotional, social, and spiritual needs. It encompasses a comprehensive approach to care, considering all aspects of the patient's health and well-being.

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Study Notes

Foundations: Module 1 - Evolution of Nursing

  • Nursing is a professional field that has been standardized, with ethical standards, special knowledge, and skills widely recognized.
  • A body of learning stems from research, education, and rigorous training, enabling professionals to apply their skills for the benefit of others.
  • The American Nurses Association (ANA) defines nursing as the diagnosis and treatment of human responses to actual and potential health problems. (1980)
  • Nursing practice is individualized, involving partnerships and caring, as central to the registered nurse (RN) role. (2010)
  • Nursing involves the protection, promotion, and optimization of health, preventing illness and injury, alleviating suffering, and advocating for individuals, families, groups, communities, and populations. (2015)

Why Define Nursing?

  • Defining nursing helps the public understand its value.
  • Defining nursing helps differentiate nursing activities from those of medicine.
  • Defining nursing helps students understand expectations of them.

Influential Persons in the Evolution of Nursing

  • Florence Nightingale
  • Dorothea Dix
  • Clara Barton
  • Lillian Wald
  • Mary Brewster
  • Edward Lyon
  • Lavinia Dock
  • Mary Mahoney

Safe, Effective Nursing Care

  • Many individuals, like Clara Barton, Lillian Wald, and Lavinia Dock, contributed immensely to advancing nursing.
  • "Caring" remains essential to the nurse's role.
  • Importance of understanding how "caring" was demonstrated by influential nurses discussed.
  • Florence Nightingale’s contributions significantly improved patient outcomes through her focus on effective care of soldiers.

Nursing Organizations

  • The American Nurses Association (ANA) is the official US organization for nurses.
  • The National League for Nursing (NLN) establishes universal standards for nursing education.
  • Nurse Practice Acts (state-specific) govern the practice of registered nurses (RNs).

Nursing Today

  • Nurses are both competent and caring professionals.
  • Complex healthcare delivery requires critical thinking, communication, organization, leadership, advocacy, and technical skills to guarantee safe and effective patient care.

Thinking Skills

  • Clinical judgment is a process of recognizing, analyzing cues, prioritizing hypotheses, generating solutions, taking actions, and evaluating outcomes related to patient care.
  • Critical thinking is a reflective process of collecting and analyzing information and considering possible actions.
  • Problem-solving involves finding satisfactory solutions to identified issues.

Important Qualities for Nurses

  • Critical thinking skills
  • Caring and compassionate
  • Listening skills
  • Patience
  • Competence
  • Emotional stability
  • Physical stamina
  • Detail-oriented
  • Organizational skills
  • Speaking skills

Entry Into Practice

  • Entry into nursing practice occurs through various levels of education, including diploma, Associate Degree (AD), Baccalaureate (BSN), RN-to-BSN, Master's, and Doctoral programs.
  • Continuing education is crucial for maintaining professional knowledge.

Nursing Education

  • Many nursing education models exist, such as the 5 stages of the Benner model (Novice, Advanced Beginner, Competence, Proficient, Expert).

Roles of the Nurse

  • Direct care provider and communicator
  • Client/family educator/counselor
  • Client advocate
  • Critical thinking skills
  • Detail-oriented
  • Caring and compassionate/patient
  • Competence
  • Change agent
  • Leader/manager/case manager
  • Research consumer
  • Team player
  • Knowledgeable
  • Listener

Ethical Principles and Responsibilities of a Nurse

  • Advocacy
  • Responsibility
  • Accountability
  • Confidentiality
  • Ethical principles: Autonomy, Beneficence, Fidelity, Justice, Nonmaleficence, Veracity

The 7 Ethical Principles in Nursing

  • Accountability
  • Justice
  • Nonmaleficence
  • Autonomy
  • Beneficence
  • Fidelity
  • Veracity

The 6 Functions of Clinical Judgment

  • Recognize cues
  • Analyze cues
  • Prioritize hypotheses
  • Generate solutions
  • Take action
  • Evaluate outcomes

The Nursing Process: ADPIE

  • Assessment data (subjective vs. objective)
  • Diagnosis (primary problem)
  • Planning (goals/outcomes)
  • Intervention (teaching/plan)
  • Evaluation (accomplishment of plan)

Nursing Process Steps in Order (Example)

  • Assessing patient initially
  • Developing a nursing diagnosis
  • Creating a plan for intervention
  • Implementing intervention immediately
  • Monitoring patient and changing plan (as needed)

Types of Nursing Diagnoses

  • Problem-focused, risk, health promotion, syndrome (e.g., Ineffective Breathing Pattern, Risk for Infection, Readiness for Enhanced Family Coping, Chronic Pain Syndrome)

Nursing Diagnosis

  • Problem-focused: related to, as evidenced by (defining characteristics)
  • Risk focused: Risk for, as evidenced by (risk factors)

Nursing Delegation Notes

  • 5 Rights of Delegation (Task, Circumstance, Person, Direction, Supervision)
  • Unlicensed Assistive Personnel (UAP) basic routine tasks
  • Licensed Practical Nurses (LPNs) scope of practice

Interprofessional Teams

  • Various healthcare professionals work together to meet patient needs.

Therapeutic Communication

  • Verbal communication between nurses and patients, other nurses, and interprofessional teams
  • Importance of non-verbal communication (facial expressions, body language)
  • Factors affecting communication: age, environment, gender, communication style

Communicate (ISBAR)

  • Situation (relevant patient facts)
  • Background (medical history)
  • Assessment (current clinical status)
  • Recommendations (action plan)
  • Read-back (confirming information)

Safety In Healthcare

  • Factors affecting safety in healthcare (e.g., error prevention, infection control, communication)
  • Reportable events (SRE)

Maslow's Hierarchy of Needs

  • Physiological needs (basic needs)
  • Safety needs
  • Belonging/love needs
  • Esteem needs
  • Self-actualization needs

1-minute Paper

  • Reflecting on key takeaways.

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