Nursing Challenges and Self-Care (NUR 104)
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What are four major components or beliefs of the American Nurses Association for the future of nursing's agenda?

The four major components or beliefs of the American Nurses Association for the future of nursing's agenda are: healthcare is a basic human right; the development and implementation of health policies should be safe, effective, and patient-centered; the healthcare system should transition from expensive, technology-driven hospital-based services to a more balanced approach with an emphasis on community-based services; and a single-payer system is the most desirable option for financing a reformed healthcare system.

What are challenges faced by nurses in providing quality and safe care? (Select all that apply)

  • Professional Challenges
  • Educational Challenges (correct)
  • Personal Challenges (correct)
  • Practical Challenges (correct)

    • What are some of the consequences of poor self-care for nurses?

    Poor self-care can lead to mental health issues such as frustration, irritability, anxiety, fear, confusion, poor concentration, hopelessness, depression, low morale, fatigue, and guilt. It can also cause physical health problems such as stress-related illnesses, hypertension, ulcers, acid reflux, heartburn, skin rash, and other issues. Additionally, poor self-care can strain personal and professional relationships, leading to conflict, tension, misunderstanding, anger, and even emotional or physical abuse. It can also contribute to increased absenteeism, diminished productivity, team conflict, and turnover.

    Aging is a disease that can be prevented with proper care.

    <p>False</p> Signup and view all the answers

    The majority of accidents experienced by older people occur outside their homes.

    <p>False</p> Signup and view all the answers

    What are some of the challenges faced by working poor families?

    <p>Working poor families struggle to meet their basic needs, such as food, housing, and healthcare, due to low income and limited resources.</p> Signup and view all the answers

    Medically indigent individuals are eligible for Medicaid.

    <p>False</p> Signup and view all the answers

    What is the meaning of the term "disenfranchised" in the context of healthcare?

    <p>Disenfranchised people in healthcare often lack access to quality healthcare due to factors such as social marginalization, poverty, lack of health insurance, and limited power within the political system.</p> Signup and view all the answers

    What are some of the social problems that arise from decaying inner cities with large populations of poor people?

    <p>Decaying inner cities with large populations facing poverty often experience issues such as homelessness, drug use, gang activity, single-parent households, mental illness, violence, and crime.</p> Signup and view all the answers

    The term "homogeneous" refers to a cultural mix, while the term "heterogeneous" refers to similar cultural beliefs and practices.

    <p>True</p> Signup and view all the answers

    Nurses need to be culturally competent in their nursing practice, meaning they must always adhere to the same approach regardless of a patient's cultural beliefs and practices.

    <p>False</p> Signup and view all the answers

    The environmental decline does not have a significant impact on public health.

    <p>False</p> Signup and view all the answers

    What is bioterrorism?

    <p>Bioterrorism refers to the use of biological or chemical agents as weapons to cause harm or death.</p> Signup and view all the answers

    What are some examples of unhealthy lifestyles? (Select all that apply)

    <p>Obesity</p> Signup and view all the answers

    How is nursing expected to benefit from healthcare reform?

    <p>Nursing is expected to play expanded roles in prevention, healthcare community-based nursing, and advanced practice as a result of healthcare reform.</p> Signup and view all the answers

    School nurses provide basic health care to children, but it is not a cost-effective method of doing so.

    <p>False</p> Signup and view all the answers

    As more nursing care is provided in community settings, autonomy and accountability for nurses will become less important.

    <p>False</p> Signup and view all the answers

    What are the differentiated practice levels in nursing?

    <p>Associate Degree in Nursing (ADN)</p> Signup and view all the answers

    What are the main changes expected in nursing credentialing and educational standards?

    <p>Credentialing for entry into the nursing profession and educational standards are rising, meaning nurses need to have higher levels of education and training to become licensed.</p> Signup and view all the answers

    Future cost-containment measures are likely to require nurses to demonstrate the cost-effectiveness of their care.

    <p>True</p> Signup and view all the answers

    Nurses will increasingly work with assistive personnel in the future, such as patient care technicians.

    <p>True</p> Signup and view all the answers

    What are some examples of community settings where nurses might work?

    <p>Nurse-managed clinics in inner city or rural areas, school nurses in large numbers, hospice nurses, nurses specializing in gerontology, and nurses working in chronic illness care.</p> Signup and view all the answers

    Community-based primary care is expected to decline in the future due to cost-effectiveness concerns.

    <p>False</p> Signup and view all the answers

    Nurses who work in nontraditional settings often face limited opportunities and scheduling flexibility.

    <p>False</p> Signup and view all the answers

    What are the two main areas of technology expected to impact the nursing profession in the future?

    <p>Nursing informatics</p> Signup and view all the answers

    Nursing informatics refers to the use of technology to improve patient care, such as using electronic health records.

    <p>True</p> Signup and view all the answers

    Telecommunication technology allows nurses to treat patients remotely using two-way video systems or telephones.

    <p>True</p> Signup and view all the answers

    Advances in genetic engineering only affect patient care, not nursing education or practice.

    <p>False</p> Signup and view all the answers

    Cultural sensitivity in nursing starts with one's fellow healthcare providers, meaning nurses should avoid prejudice and strive to create a harmonious team environment.

    <p>True</p> Signup and view all the answers

    Complementary therapies are used in place of standard medical care, and patients are expected to take full responsibility for their own healthcare.

    <p>False</p> Signup and view all the answers

    Describe the importance of maintaining a healthy work environment in nursing?

    <p>Maintaining a healthy work environment for nurses is crucial to ensure their safety, dignity, and well-being, protecting them from risks such as needle sticks, latex allergies, shift work, violence, blood-borne diseases, and back injuries.</p> Signup and view all the answers

    Outcome-based education in nursing focuses on measuring student learning and knowledge, not patient outcomes.

    <p>False</p> Signup and view all the answers

    Nursing education will need to adapt to the changing demographics by incorporating cultural competence training and promoting access to education for diverse student populations.

    <p>True</p> Signup and view all the answers

    Distance learning is not a viable option for increasing access to nursing education.

    <p>False</p> Signup and view all the answers

    Foreign language skills are not considered essential for nurses in the future.

    <p>False</p> Signup and view all the answers

    The nursing profession is not impacted by technological advancements in healthcare.

    <p>False</p> Signup and view all the answers

    Nursing faculty, nurse managers, and practicing nurses working together will not be valuable in shaping future nursing education and practice.

    <p>False</p> Signup and view all the answers

    Graduate education is not playing a role in producing practitioners to meet consumer demands.

    <p>False</p> Signup and view all the answers

    Standardized curricula are not helpful in reducing costs and confusion in nursing education.

    <p>False</p> Signup and view all the answers

    Nurses in the future will not need to have knowledge of costs, budgeting, and finance in healthcare.

    <p>False</p> Signup and view all the answers

    Which category of healthcare service primarily involves addressing common health problems and preventive measures?

    <p>Primary care</p> Signup and view all the answers

    What is an example of health promotion?

    <p>Nutrition education</p> Signup and view all the answers

    Illness prevention programs focus on which of the following?

    <p>Identifying risk factors</p> Signup and view all the answers

    Which of the following healthcare services includes managing rare disorders like congenital malformations?

    <p>Tertiary care</p> Signup and view all the answers

    What modern technology has improved the diagnosis of illnesses?

    <p>3-D ultrasonography</p> Signup and view all the answers

    Which sector includes non-profit agencies that provide healthcare services?

    <p>Public sector</p> Signup and view all the answers

    What are the three classifications of healthcare services?

    <p>Primary, secondary, and tertiary</p> Signup and view all the answers

    Which factor does NOT typically affect healthcare delivery?

    <p>Patient age</p> Signup and view all the answers

    What is a significant factor contributing to rising healthcare costs?

    <p>Increase in elderly population</p> Signup and view all the answers

    Which group is most likely to have inadequate access to healthcare services?

    <p>The homeless and poor</p> Signup and view all the answers

    Which of the following best describes a characteristic of a responsive healthcare system?

    <p>Treating people with dignity and respect</p> Signup and view all the answers

    What major service category focuses on recovery and regaining health?

    <p>Rehabilitation and health restoration</p> Signup and view all the answers

    What is a common issue faced by individuals lacking health insurance?

    <p>Increased prevalence of chronic diseases</p> Signup and view all the answers

    How do voluntary and nonprofit agencies primarily support healthcare education?

    <p>Through public education initiatives</p> Signup and view all the answers

    Which organization is responsible for coordinating local health units?

    <p>State department of health</p> Signup and view all the answers

    What is a characteristic of rehabilitation in healthcare?

    <p>Providing a holistic approach to recovery</p> Signup and view all the answers

    Study Notes

    Concept of Nursing (NUR 104) - Lecture 13

    • Objectives:
      • Review personal/societal challenges in nursing anticipated during the next decade.
      • Describe major challenges for the nursing profession.
      • Explain trends in nursing education needed to meet society's future nursing needs.
      • Describe four major components/beliefs of the American Nurses Association for the future of nursing's agenda.

    Personal Challenges (Caring for Yourself)

    • Self-care: The ability to engage in healthy relationships, listen to one's body, and recognize signs of exhaustion.
    • Challenges for Nurses engaging in Self-care:
      • Poor organization support
      • Lack of time
      • Poor work-life balance
      • Difficult workload
      • Limited access to stress reduction activities
      • Numerous daily scheduled meetings
      • Frequent emergencies needing immediate attention
      • Feelings of guilt due to understaffing

    Consequences of Poor Self-Care

    • Mental Health: Frustration, irritability, anxiety, confusion, poor concentration, helplessness, hopelessness, depression, low morale, fatigue, guilt.
    • Physical Health: Stress-related illnesses (hypertension, ulcers, acid reflux, heartburn, skin rash).
    • Relationships: Conflict, tension, misunderstandings, anger, emotional/physical abuse.
    • Work/Practice Impacts: Increased absenteeism, diminished productivity, team conflict, turnover.

    Social Challenges (Caring for your Community)

    • A - Demographics: The science of studying vital statistics and social trends examining birth rates, morbidity and mortality rates (illness).
      • Four important demographic trends for nursing: Aging population, Poverty, Cultural diversity, Urbanization

    1. Aging Population

    • This is a growing issue. The number of people over 60 is increasing significantly.
    • Aging is a natural process (not a disease), but some problems and accidents can be avoided with care and attention.
    • Two-thirds of accidents suffered by older people occur in their own homes, such as falling. Accidents are a key cause of disability.
    • Some types of disabilities could be treated in a way that limits dangerous accidents.

    2. Poverty

    • Working poor cannot meet basic needs.
    • Medically indigent people who do not qualify for Medicaid.
    • Disenfranchised people with limited healthcare access due to political factors.
    • Governments need strategies for healthcare of vulnerable populations.

    3. Cultural Diversity

    • People from various backgrounds (racial, ethnic, religious, social, geographic).
    • Nurses need to consider cultural beliefs, values, and practices
    • Important to have similar and diverse beliefs among the team to achieve culturally sensitive care.

    4. Urbanization

    • Increased movement from rural to urban areas;
    • Decaying inner cities with large populations of poor people.
    • Social problems like homelessness, drug use, gangs, single-parent households, mental illness, violence, and crime.

    B - Environment

    • Gradual deterioration of the world's air, water, and plant/animal life.
    • Acute and chronic respiratory diseases, allergic reactions, and cancers are increasing.
    • Epidemiologists link environmental decline with increased disease incidence.

    C - Disasters and Bioterrorism

    • Disaster is greater than an emergency, can be natural or man-made.
    • Bioterrorism is the use of biological or chemical agents as weapons.
    • Unhealthy lifestyles, stress, HIV/AIDS, and drug use also significantly impact communities.

    D - Unhealthy lifestyles

    • Includes obesity, tobacco use, lack of exercise, eating disorders, stress, HIV/AIDS and drug use.

    E - Healthcare reform

    • Nursing roles will need to expand in prevention, community-based care, and advanced practice and costs.
    • School nurses are one approach to cost effective health care for children.

    Challenges in Nursing Practice (Caring for your Profession)

    • A. Autonomy and accountability: As community settings increase, autonomy and accountability will be essential.
    • B. Differentiated practice levels: Nurses with different degrees should have different roles, potentially different licensure levels, with competency standards at each level.
    • C. Health care reform: Cost containment requires demonstrating care effectiveness. Nurses work with assistive personnel and delegate tasks.
    • D. Practice in community settings: Clinics, school and hospice nurses, nurses specializing in conditions like gerontology, and chronic illnesses are needed. Community-based primary care is expanding due to cost-effectiveness. Flexible scheduling benefits nurses working outside traditional settings.
    • E. Technology and Nursing Informatics:
      • Computerized health info networks provide immediate access to patient data to improve care plans.
      • Two-way TV systems/telephones allow remote patient care and treatment.
      • Genetic engineering/genomic revolution enables tailored treatments for genetically predisposed patients.
      • Genomic nursing programs prepare nurses for family history assessment, screening, and case coordination.

    F. Cultural competence

    • Cultural sensitivity starts with healthcare providers.

    G. Maintaining a Healthy Work Environment

    • Nurses need to take positive action to ensure dignity and safety in the workplace. This includes addressing issues like needle sticks, latex allergies, shift work, violence risks, bloodborne diseases, and back injuries.

    Challenges in Nursing Education (Caring for Your Education)

    • A. Outcome-based Education: Measuring patient outcomes and adopting evidence-based practice is essential for accreditation. Modifying old teaching strategies to new methods like critical thinking, problem-solving, and simulations are needed for education.
    • B. Diversity: Nursing education should reflect the diversity of the population served, including foreign language requirements for courses like a BSN. Culturally competent care should be a criterion for graduation.
    • C. Technology and Nursing Informatics: Computer skills and internet use are needed. Lifelong learning is also needed to keep up with changes in technology.
    • D. Collaboration: Joining of nursing faculties, managers, and practitioners is essential to strengthen the educational experience for students and improve the work experience for nurses.
    • E. Reforms in Health Care & Higher Education: Graduate education is needed to meet the increased needs of consumers. Curricula needing to be standardized and improved for student mobility is also important. Nurses need to understand the costs, budgeting, and finance of healthcare.

    Challenges to the Entire Nursing Profession

    • Essential healthcare is a basic human right.
    • Health policies should aim for safe, effective, patient-centered healthcare.
    • Healthcare systems need to transition away from expensive and technology-driven acute and hospital-based care to more balanced models with greater community-based and preventive services.
    • A single-payer system is a desirable option as it can address the affordability and effectiveness of the system for all.

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    Related Documents

    Lecture 13 Trends and Issues Affecting Nursing Practice PDF
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    Description

    This quiz focuses on Lecture 13 of the Nursing Concept course (NUR 104). It reviews personal and societal challenges anticipated in nursing, outlines major challenges in the profession, and discusses essential trends in nursing education. Participants will also explore the importance of self-care for nurses amidst these challenges.

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