History of Nursing Profession Overview

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Questions and Answers

What defines nursing as a healthcare profession?

  • Focusing solely on patient medical records
  • Leading research in medical technologies
  • Employing advanced surgical techniques
  • Caring for individuals, families, and communities (correct)

Which statement about nursing careers is accurate?

  • Nursing careers include clinical practice and education. (correct)
  • Nursing is exclusively a technical field with no managerial roles.
  • All nurses are required to have a master's degree.
  • Nurses only work in hospitals.

What role did women play in nursing during the early civilizations?

  • They led hospital administration.
  • They were the primary medical doctors.
  • They conducted medical research.
  • They were often wet nurses caring for infants. (correct)

How was nursing perceived in the Byzantine Empire during the Middle Ages?

<p>The dominant caregivers were primarily male assistants. (B)</p> Signup and view all the answers

What development in nursing occurred during the Renaissance?

<p>Increased recognition of nursing as a profession. (D)</p> Signup and view all the answers

What was a characteristic of nursing care in Ancient Greece?

<p>Most nursing care occurred in the home. (D)</p> Signup and view all the answers

What distinguishes nursing from other healthcare professions?

<p>Nursing focuses on care management and holistic wellness. (B)</p> Signup and view all the answers

In which historical period were hospitals first established in the Eastern Roman Empire?

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

What significant impact did Florence Nightingale have on nursing during the Crimean War?

<p>She reduced the mortality rate significantly through sanitation improvements. (D)</p> Signup and view all the answers

Which of the following statements is true regarding nursing in the early 1800s?

<p>Nursing largely consisted of care provided by female family members at home. (C)</p> Signup and view all the answers

What did Florence Nightingale establish to improve nursing education?

<p>The Nightingale Training School of Nurses. (B)</p> Signup and view all the answers

What character did Florence Nightingale earn based on her work during the Crimean War?

<p>The lady with the lamp. (C)</p> Signup and view all the answers

What was one of Nightingale's contributions to the field of epidemiology?

<p>Her statistical analyses linked sanitation issues to diseases. (C)</p> Signup and view all the answers

How did the enlightenment and industrial revolution influence nursing?

<p>They saw the establishment of formal medical schools. (B)</p> Signup and view all the answers

What was the mortality rate at the Barracks Hospital in Scutari, Turkey, before Nightingale's reforms?

<p>42.7% (D)</p> Signup and view all the answers

Which advancement in healthcare began in the early 20th century?

<p>Development of third-party payments and prepaid health insurance. (A)</p> Signup and view all the answers

What was the first formal nursing education program in Turkey established by Besim Ömer Akalın Pasha?

<p>Six-month program (B)</p> Signup and view all the answers

Which institution opened the first master-degree program in nursing in Turkey?

<p>Hacettepe University School of Nursing (D)</p> Signup and view all the answers

What year did the Turkish Nurses Association become an active member of the International Council of Nurses?

<p>1949 (B)</p> Signup and view all the answers

In what year was the first bachelor-degree nursing program opened in Turkey?

<p>1955 (C)</p> Signup and view all the answers

What is Esma Deniz recognized for in the field of nursing in Turkey?

<p>First university graduate in nursing (A)</p> Signup and view all the answers

Which of the following innovations is Perihan VelioÄŸlu known for bringing to Turkey?

<p>Innovations in surgical nursing (A)</p> Signup and view all the answers

When was the Turkish Nurses Association established to enhance the professionalization of nursing?

<p>1933 (A)</p> Signup and view all the answers

What was the role of nursing schools established in the 1940s and 1950s in Turkey?

<p>They did not offer baccalaureate or post-baccalaureate programs. (A)</p> Signup and view all the answers

What is one of the defining criteria of nursing as a professional discipline?

<p>Well-defined body of specific and unique knowledge (C)</p> Signup and view all the answers

What was Leman Birol known for in her nursing career?

<p>Founding the Oncology Nursing Association (D)</p> Signup and view all the answers

Which standard involves the analysis of assessment data for diagnosis?

<p>Standard 2: Diagnosis (B)</p> Signup and view all the answers

What aspect of nursing emphasizes a commitment to patient-centered care?

<p>Quality patient-centered care (A)</p> Signup and view all the answers

What is the final step in the nursing standards of professional performance?

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

Which principle is emphasized in Standard 8 for registered nurses?

<p>Culturally congruent practice (D)</p> Signup and view all the answers

What role did Leman Birol play in nursing education?

<p>She was a nurse educator and author (B)</p> Signup and view all the answers

What is NOT one of the responsibilities of registered nurses outlined in the standards of professional performance?

<p>Administering medication without evaluation (D)</p> Signup and view all the answers

What is the primary focus of the baccalaureate degree program in nursing?

<p>Basic sciences and nursing theory (A)</p> Signup and view all the answers

What degree can a nurse pursue after obtaining a baccalaureate degree in nursing?

<p>Master’s degree in nursing (A)</p> Signup and view all the answers

Which of the following roles requires a master's degree in nursing?

<p>Advanced practice registered nurse (A)</p> Signup and view all the answers

What is a key reason for the increasing demand for nurses with doctoral degrees?

<p>Expanding clinical roles and specialties in nursing (C)</p> Signup and view all the answers

What does the concept of accountability in nursing refer to?

<p>The responsibility for the competence of care provided (D)</p> Signup and view all the answers

Which of the following is NOT a primary responsibility of nurses?

<p>Financial management in hospitals (A)</p> Signup and view all the answers

What is one of the essential elements of professional nursing?

<p>Autonomy in nursing interventions (A)</p> Signup and view all the answers

What type of training duration is required in Turkey for nursing graduates?

<p>Four years and 4600 hours of training (C)</p> Signup and view all the answers

What is the primary role of a caregiver in a nursing context?

<p>To manage disease and symptoms effectively (C)</p> Signup and view all the answers

Which of the following best describes the responsibilities of a patient advocate?

<p>Defending patient's rights and securing healthcare access (D)</p> Signup and view all the answers

In the context of nursing, why is communication deemed essential?

<p>It ensures the needs of patients and families are met (C)</p> Signup and view all the answers

What role do nurse managers play in patient-centered care?

<p>They create an environment for collaborative patient care (C)</p> Signup and view all the answers

What is emphasized as a part of the nursing profession's career development?

<p>Committing to lifelong learning (D)</p> Signup and view all the answers

Which role involves explaining health concepts and evaluating patient learning?

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

What is a key aspect of the standards of practice in nursing?

<p>They define a competent level of nursing care (C)</p> Signup and view all the answers

Which of the following best represents the growth potential in the nursing profession?

<p>There are numerous educational opportunities and expanded roles (C)</p> Signup and view all the answers

Flashcards

What is nursing?

Nursing is a healthcare profession focused on the care of individuals, families, and communities to help them achieve, maintain, or recover optimal health and quality of life.

What's the role of a nurse?

Nurses play a critical role in patient care, working closely with other healthcare professionals, such as doctors, pharmacists, and therapists.

Is nursing an art or a science?

Nursing involves both practical skills and a deep understanding of human health and well-being.

Do nurses only work in hospitals?

Nursing careers are diverse. From bedside care in hospitals to education, research, and even innovation.

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When did nursing begin?

The origins of nursing can be traced back to ancient civilizations, where women often played the role of caregivers.

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What was nursing like in ancient Greece?

In ancient Greece, women provided care within the home, while temples housed those requiring assistance, cared for by priestesses.

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How did nursing evolve in the Roman Empire?

The Roman Empire saw the emergence of hospitals, but caregivers lacked formal training and volunteered their time.

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What was the role of nursing in the Middle Ages?

During the Middle Ages, hospitals in Byzantine cities were staffed mainly by male assistants and nurses, while women continued to care for the sick in rural communities.

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Nursing as a Profession

A profession that requires a unique body of knowledge, a strong service orientation, recognized authority, a code of ethics, ongoing research, and autonomy.

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Standards of Professional Performance and Practice

A collection of standards that guide the practice of nursing.

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Assessment (Nursing Standard)

Involves gathering information about a patient's health status.

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Diagnosis (Nursing Standard)

Analyzing assessment data to identify actual or potential health problems.

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Outcome Identification (Nursing Standard)

Setting specific and measurable goals for the patient.

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Planning (Nursing Standard)

Developing a plan of care to achieve the desired outcomes.

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Implementation (Nursing Standard)

Putting the plan into action and providing care to the patient.

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Evaluation (Nursing Standard)

Evaluating the effectiveness of care and making adjustments as needed.

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Enlightenment and Industrial Revolution

A period where healthcare practices began to evolve significantly. The establishment of medical schools like the Royal College of Surgeons in London marks a key development during this era.

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Florence Nightingale

A British nurse who revolutionized nursing during the mid-1800s. She emphasized health maintenance, restoration, and the importance of a clean environment for patient care.

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Nightingale's Nursing Philosophy

A set of principles and practices for nursing based on health maintenance, restoration, and a focus on environmental factors. This was pioneered by Florence Nightingale and heavily influenced modern nursing practice.

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Reduced Morbidity and Mortality Rates

A term used to describe Florence Nightingale's impact on improving sanitation and reducing death rates in hospitals. Her dedication to hygiene and clean environments drastically improved patient outcomes.

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First Nursing School

The Nightingale Training School, established in London, was one of the first nursing schools to combine classroom instruction with hands-on clinical practice, setting a new standard for nursing education.

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First Practicing Nurse Epidemiologist

Florence Nightingale's analysis of disease patterns, particularly her link between poor sanitation and cholera/dysentery outbreaks. This emphasized the importance of a clean environment and influenced public health practices.

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Third Party Payment

A term that refers to the payment for healthcare services by a third party (like an insurance company), rather than the patient directly. It's a key development in the 20th century that shaped how healthcare was financed.

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Prepaid health insurance

A type of health insurance that covers healthcare costs through a fixed monthly payment, regardless of actual use. It's a significant change in the 20th century that provided greater access to healthcare.

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Baccalaureate Degree Program in Nursing

A nursing program that usually takes four years to complete, offering courses in basic sciences, theoretical and clinical nursing, social sciences, arts, and humanities.

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Master's Degree in Nursing

A master's degree focused on nursing that is earned after a baccalaureate degree. It prepares nurses for roles like educators, administrators, and advanced practice.

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Doctor of Philosophy (PhD) in Nursing

A doctoral degree in nursing that equips graduates to conduct research and apply findings to clinical practice, teaching, and leadership.

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Autonomy in Nursing

The nurse's independent ability to make decisions and act without needing direct orders from a physician. An example is initiating coughing and deep breathing exercises for a post-operative patient.

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Accountability in Nursing

The professional and legal responsibility of nurses to answer for the quality and type of care they provide.

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Nurse's Role in Patient Care

Providing care and support to patients in all health settings, focusing on promoting health, preventing illness, managing illness and symptoms, supporting families, and providing end-of-life care.

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Nursing Education Transition in the 20th Century

The shift of nursing education from hospitals to universities, leading to more specialized and autonomous nursing practices.

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First Nursing Education Program in Turkey

The first formal nursing education program in Turkey, established in 1911. It was a six-month program aimed at providing basic nursing training.

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Bristol Health School and Nursing Education

A turning point in Turkish nursing education, marked by the start of a two-and-a-half-year program at the Bristol Health School in 1920, training nurses for the American Hospital.

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Society of Red Crescent (Kızılay) Nursing School

Established in 1925, it offered a two-year program, and its foundation was directly influenced by the efforts of Mustafa Kemal Ataturk.

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Bachelor's Degree in Nursing (Turkey)

The introduction of Bachelor's degree programs in nursing, with Ege University setting the precedent in 1955.

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Florence Nightingale School of Nursing

The establishment of Florence Nightingale School of Nursing in 1961, contributing to the advancement and diversification of nursing education.

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Turkish Nurses Association (TNA)

The Turkish Nurses Association, founded in 1933, played a key role in advocating for the profession and promoting nursing standards.

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Esma Deniz - Pioneer Nurse

The first nurse in Turkey with a university degree and postgraduate qualifications. She was a leading figure in establishing nursing schools and the Turkish Nurses Association.

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What does a caregiver do?

A nurse who helps patients regain health, manage disease, and achieve maximum independence in their recovery process. This includes helping them with activities they may have trouble with, such as eating, bathing, or moving around.

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What does a patient advocate do?

A nurse who acts as a protector for a patient's rights and helps them understand and navigate healthcare processes. This might involve advocating for their treatment preferences, ensuring they receive appropriate care, and supporting them in making informed decisions.

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What does a nurse educator do?

A nurse who teaches patients and their family about their health conditions, medications, and how to manage their care. This may involve explaining procedures, demonstrating techniques, and ensuring the patient understands their illness and treatment.

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What does a nurse manager do?

A nurse who manages a team to provide safe, collaborative, and patient-centered care. This involves organizing care plans, ensuring proper staffing, and working with other healthcare professionals to meet the needs of the patients.

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How does a nurse develop their career?

A nurse who actively seeks out new knowledge and skills to improve their practice and deliver the best possible care for patients. This can include continuing education, pursuing advanced degrees, and staying updated on new medical discoveries.

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Study Notes

Introduction to Nursing

  • Nursing is an art and a science
  • It is a healthcare profession focused on the needs of individuals, families, and communities to achieve, maintain, or recover optimal health and quality of life
  • Nurses work closely with other healthcare professionals, like doctors, pharmacists, and therapists
  • Nursing opportunities are diverse, including clinical practice, education, research, management, administration, and innovation

Historical Highlights

  • Primitive societies (4000 BC): Nursing origins are traced to early human societies where mother-nurses worked with priests.
  • Babylonia and Assyria (2000 BC): The use of wet nurses was recorded
  • Health religions of India (800-600 BC): Ancient Indian cultures involved medicinal practices and care
  • Greece: source of modern medical science (700 BC): Greece is a significant source of medical and scientific knowledge
  • Hippocrates (460 BC): A pivotal figure in the development of modern medical science
  • Ireland (3 BC): Early forms of pre-Christian nursing existed
  • Fabiola (AD 390): Founded the first hospitals
  • Early Christianity (390-407): Deaconesses played a role
  • Field hospitals with nursing, Spain (711): Hospitals integrated nursing services
  • Ambulatory clinics, Spain (Moslems) (1100): Early outpatient care centers
  • First Chairs of Medicine Oxford and Cambridge (1440): Formal training in medicine was established
  • Military nursing orders (1522): Nurses served within military contexts
  • Deterioration of hospitals and nursing (1600-1752): Periods of decline and improvement in hospital care
  • Founded: Daughters of Charity (1633): A significant religious order dedicated to healthcare
  • Florence Nightingale born (1820): A pivotal figure in the development of modern nursing
  • Kaiserwerth deaconesses reestablished (1826): A group of nurses focused on care
  • First American college for women (1837): Importance of women in education
  • Founded: Nursing Sisters of the Holy Cross (1841): An organization focused on care of the sick
  • Women's Rights Convention (1848): Event signifying the emergence of women's rights
  • Crimean War (1854-1856): Florence Nightingale's work during the Crimean War was crucial
  • Nightingale's Notes on Nursing published in England (1859): Landmark publication
  • First Nightingale School of Nursing (1860): Establishment of a formal training school
  • Civil War (1861-1865): Significant role of nurses during the American Civil War

Evolution of Nursing

  • Early Civilizations (4000-2000 BC): Nursing in ancient societies, with mother nurses, wet nurses
  • Ancient Greece (800-600 BC): Specific roles for women in temple care, with priestesses present
  • Roman Empire (Byzantine Empire): Hospitals were established in the Eastern Roman Empire by caregivers, but without formal training

Florence Nightingale

  • Founder of modern nursing
  • Reforming hospitals, focused on sanitation and hygiene
  • Mortality rates reduced
  • Created a school of nurses
  • Known as "the lady with the lamp"
  • First practicing nurse epidemiologist

Twentieth Century

  • Concept of third-party payments and prepaid health insurance began
  • Public Health Nursing became prominent
  • Specialization and autonomy in nursing
  • Reports on nursing education and practice
  • Nursing education moved from hospitals to universities

History of Nursing in Turkey

  • Besim Ömer Akalın Pasha emphasized the need for formal nursing education
  • The first 6-month nursing training program started in 1911
  • American Bristol Health School started a 2.5 year nursing program in 1920
  • In 1925 Kızılay Nursing School introduced as a 2 year programme
  • Post-1940s: Further nursing school development, though not necessarily baccalaureate/post-baccalaureate degrees
  • Bachelor degree programmes start in 1955
  • Florence Nightingale School of Nursing opened (1961)
  • Master degree courses start in 1968
  • The first nursing doctorate programme began in 1972
  • Turkish Nurses Association (1933) was established
  • TNB became active member of ICN (1949)

Leading Nurses in Turkey

  • Multiple leading nurses are highlighted
  • Contributions highlighted in law development and educational initiatives and nursing school establishment
  • Many of these nurses founded schools and associations

Nursing Education

  • Educational preparation for nursing involves various types of programs
  • Licensed practice or vocational programs
  • Registered nurse programs
  • Associate degree and Bachelor degree programs

Nursing as a Professional Discipline

  • Nursing is not just task-based; it is a profession
  • It is an essential part of healthcare delivery systems, improving outcomes
  • Nurses provide person-centred care in a skilled and responsible way
  • Defines key criteria for nursing work
  • Emphasizes the importance of knowledge, experience and ethical conduct

Defining Nursing

  • Defines nursing from various perspectives, encompassing systematic, health-oriented, individual-centred, problem-solving, interpersonal, and humanistic elements and practice-oriented and science-oriented elements

Standards of Professional Performance and Practice

  • Outlines key standards for nursing practice
  • Assessment, diagnosis, outcome identification, planning, implementation and evaluation are highlighted

• Nursing Roles - Autonomy, accountability, caregiver, advocate, educator, and manager • Emphasizes these responsibilities as critical components of nursing practice • Describes the roles and duties undertaken by nurses

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