Podcast
Questions and Answers
Which communication style is characterized by a lack of assertiveness and can lead to misunderstandings?
Which communication style is characterized by a lack of assertiveness and can lead to misunderstandings?
- Aggressive
- Passive-aggressive
- Passive (correct)
- Assertive
What is the primary purpose of the ISBAR communication tool in healthcare?
What is the primary purpose of the ISBAR communication tool in healthcare?
- To document patient health outcomes
- To ensure patients' comfort during procedures
- To improve patient medication adherence
- To facilitate clear and concise communication (correct)
Which of the following roles is primarily responsible for performing assessments and diagnosing patients?
Which of the following roles is primarily responsible for performing assessments and diagnosing patients?
- Licensed Practical Nurse
- Physician Assistant (correct)
- Registered Nurse
- Unlicensed Assistive Personnel
What does a 'never event' refer to within the context of patient safety?
What does a 'never event' refer to within the context of patient safety?
Which factor is NOT typically considered to affect communication in a healthcare setting?
Which factor is NOT typically considered to affect communication in a healthcare setting?
What is a key characteristic that defines a profession?
What is a key characteristic that defines a profession?
According to the American Nurses Association (ANA) 2015 definition, which of the following is NOT a role of nursing?
According to the American Nurses Association (ANA) 2015 definition, which of the following is NOT a role of nursing?
Which aspect is central to the practice of registered nurses (RNs) as defined by ANA?
Which aspect is central to the practice of registered nurses (RNs) as defined by ANA?
Why is defining nursing beneficial to the public?
Why is defining nursing beneficial to the public?
Which individual is NOT traditionally recognized as influential in the evolution of nursing?
Which individual is NOT traditionally recognized as influential in the evolution of nursing?
The nursing process is mainly used for which of the following?
The nursing process is mainly used for which of the following?
What does the statement 'caring is central to the practice of nursing' imply?
What does the statement 'caring is central to the practice of nursing' imply?
Which of the following describes an important outcome of a professional nursing environment?
Which of the following describes an important outcome of a professional nursing environment?
What does the principle of nonmaleficence in nursing advocate for?
What does the principle of nonmaleficence in nursing advocate for?
What is the correct order of the nursing process?
What is the correct order of the nursing process?
Which step in the nursing process involves determining what the patient needs to achieve or avoid?
Which step in the nursing process involves determining what the patient needs to achieve or avoid?
Which example illustrates a problem-focused nursing diagnosis?
Which example illustrates a problem-focused nursing diagnosis?
In the nursing process, which step allows for adjustments based on patient response?
In the nursing process, which step allows for adjustments based on patient response?
Which principle in nursing emphasizes truthfulness?
Which principle in nursing emphasizes truthfulness?
Which of the following is NOT a component of a risk-focused nursing diagnosis?
Which of the following is NOT a component of a risk-focused nursing diagnosis?
When might different steps of the nursing process occur simultaneously?
When might different steps of the nursing process occur simultaneously?
Which principle focuses on fairness within the healthcare system?
Which principle focuses on fairness within the healthcare system?
What is the key purpose of the assessment phase in the nursing process?
What is the key purpose of the assessment phase in the nursing process?
What role did Clara Barton play in the nursing profession?
What role did Clara Barton play in the nursing profession?
How did Florence Nightingale influence nursing practice?
How did Florence Nightingale influence nursing practice?
What does the Nurse Practice Act primarily govern?
What does the Nurse Practice Act primarily govern?
Which of the following exemplifies the nursing competency of 'providing goal-directed client-centered care'?
Which of the following exemplifies the nursing competency of 'providing goal-directed client-centered care'?
In what way does 'caring' manifest in nursing practice according to the historical contributions mentioned?
In what way does 'caring' manifest in nursing practice according to the historical contributions mentioned?
What is a key characteristic of nurses as described in the text?
What is a key characteristic of nurses as described in the text?
What is the function of nursing organizations like the National League for Nursing?
What is the function of nursing organizations like the National League for Nursing?
Which aspect of healthcare does caring and compassion in nursing NOT directly address?
Which aspect of healthcare does caring and compassion in nursing NOT directly address?
Which attribute is NOT typically associated with the nursing profession as mentioned?
Which attribute is NOT typically associated with the nursing profession as mentioned?
What was one significant change Florence Nightingale implemented in nursing?
What was one significant change Florence Nightingale implemented in nursing?
Which process is defined as recognizing and analyzing cues, prioritizing hypotheses, generating solutions, taking actions, and evaluating outcomes?
Which process is defined as recognizing and analyzing cues, prioritizing hypotheses, generating solutions, taking actions, and evaluating outcomes?
Which of the following is NOT considered one of the important qualities for nurses?
Which of the following is NOT considered one of the important qualities for nurses?
What does the RN to BSN program cater to?
What does the RN to BSN program cater to?
According to the Patricia Benner Model, which stage follows 'Competence'?
According to the Patricia Benner Model, which stage follows 'Competence'?
Which ethical principle is associated with ensuring fairness and equal treatment in nursing practice?
Which ethical principle is associated with ensuring fairness and equal treatment in nursing practice?
What is the primary focus of critical thinking in nursing?
What is the primary focus of critical thinking in nursing?
What is one role of a nurse when acting as a client advocate?
What is one role of a nurse when acting as a client advocate?
Which level of education is NOT identified as an entry point into nursing practice?
Which level of education is NOT identified as an entry point into nursing practice?
What is one of the five stages of the Patricia Benner Model?
What is one of the five stages of the Patricia Benner Model?
Which statement about continuing education in nursing is true?
Which statement about continuing education in nursing is true?
How can lifestyle choices impact a person's health?
How can lifestyle choices impact a person's health?
Which of the following best describes acute illness?
Which of the following best describes acute illness?
Which factor does NOT play a role in influencing illness behavior?
Which factor does NOT play a role in influencing illness behavior?
What is the primary objective of health promotion?
What is the primary objective of health promotion?
In the context of traditional Chinese philosophy, what do Yin and Yang represent?
In the context of traditional Chinese philosophy, what do Yin and Yang represent?
Competing demands can disrupt health. Which of the following is NOT an example of such demands?
Competing demands can disrupt health. Which of the following is NOT an example of such demands?
Which cultural aspect can create barriers to healthcare?
Which cultural aspect can create barriers to healthcare?
What is the goal of tertiary prevention?
What is the goal of tertiary prevention?
Which of the following factors contributes to health disruptions?
Which of the following factors contributes to health disruptions?
What level of prevention focuses on reducing risk factors?
What level of prevention focuses on reducing risk factors?
Which of the following elements is NOT part of Jean Watson's definition of health?
Which of the following elements is NOT part of Jean Watson's definition of health?
What is one of the factors that disrupt health according to the content?
What is one of the factors that disrupt health according to the content?
Which statement best describes health based on the provided content?
Which statement best describes health based on the provided content?
Which of the following options represents a stage of illness behavior?
Which of the following options represents a stage of illness behavior?
Which dimension is NOT included in the health and illness continuum?
Which dimension is NOT included in the health and illness continuum?
What aspect is central to the individual experience of illness?
What aspect is central to the individual experience of illness?
Which of the following concepts emphasizes the importance of social and personal resources in health?
Which of the following concepts emphasizes the importance of social and personal resources in health?
Which of the following is a biological factor influencing health?
Which of the following is a biological factor influencing health?
Which of the following best characterizes health in the context provided?
Which of the following best characterizes health in the context provided?
What is the last stage of the illness behavior process?
What is the last stage of the illness behavior process?
What is the primary goal of the NGN project?
What is the primary goal of the NGN project?
Which structure is included in the Test Plan for nursing exams?
Which structure is included in the Test Plan for nursing exams?
How does the NCLEX exam deliver its content?
How does the NCLEX exam deliver its content?
Which aspect is NOT part of the physiological integrity category in the Test Plan?
Which aspect is NOT part of the physiological integrity category in the Test Plan?
According to WHO, how is health defined?
According to WHO, how is health defined?
What does traditional Chinese medicine consider vital for health?
What does traditional Chinese medicine consider vital for health?
What aspect does the NCLEX specifically aim to test?
What aspect does the NCLEX specifically aim to test?
Which intervention is categorized as primary prevention for heart disease?
Which intervention is categorized as primary prevention for heart disease?
Which of the following is a focus area under Safe and Effective Care Environment?
Which of the following is a focus area under Safe and Effective Care Environment?
What was Florence Nightingale's perspective on health?
What was Florence Nightingale's perspective on health?
What is the primary focus of tertiary prevention?
What is the primary focus of tertiary prevention?
Which activity best represents secondary prevention?
Which activity best represents secondary prevention?
Which of the following is NOT included in the categories of the physiological integrity test content?
Which of the following is NOT included in the categories of the physiological integrity test content?
Which type of prevention involves educating about lifestyle changes to prevent disease?
Which type of prevention involves educating about lifestyle changes to prevent disease?
What is a key component of the nursing process during assessment?
What is a key component of the nursing process during assessment?
In which phase of the nursing process is the effectiveness of patient interventions evaluated?
In which phase of the nursing process is the effectiveness of patient interventions evaluated?
What is the primary goal of primary prevention activities?
What is the primary goal of primary prevention activities?
Which intervention would NOT be considered tertiary prevention?
Which intervention would NOT be considered tertiary prevention?
Which is an example of assessment in the nursing process?
Which is an example of assessment in the nursing process?
Which type of prevention encompasses programs like prenatal education?
Which type of prevention encompasses programs like prenatal education?
Flashcards
What is a profession?
What is a profession?
A field of work that has met specific standards, including ethical conduct, recognized expertise, and a commitment to serving others through specialized knowledge and skills obtained from research, education, and training at a high level.
ANA's 1980 definition of nursing
ANA's 1980 definition of nursing
The focus of nursing is to care for people by identifying and addressing their responses to health issues, both actual and potential.
ANA's 2010 definition of nursing
ANA's 2010 definition of nursing
Nurses work individually with patients, but also as part of a team. Caring is essential for the practice of a registered nurse, and nurses use the nursing process to create individualized care plans. A positive work environment is crucial for nurses to provide quality healthcare and achieve good outcomes.
ANA's 2015 definition of nursing
ANA's 2015 definition of nursing
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Why define nursing?
Why define nursing?
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Florence Nightingale, Dorothea Dix, Clara Barton, Lillian Wald, Mary Brewster, Edward Lyon, Lavinia Dock, and Mary Mahoney
Florence Nightingale, Dorothea Dix, Clara Barton, Lillian Wald, Mary Brewster, Edward Lyon, Lavinia Dock, and Mary Mahoney
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The importance of individuals in advancing nursing
The importance of individuals in advancing nursing
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How did these individuals impact nursing?
How did these individuals impact nursing?
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Caring in Nursing
Caring in Nursing
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Florence Nightingale's Impact
Florence Nightingale's Impact
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Provide Goal-directed Client-centered Care
Provide Goal-directed Client-centered Care
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How Florence Nightingale Demonstrated Goal-directed Client-centered Care
How Florence Nightingale Demonstrated Goal-directed Client-centered Care
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National League for Nursing (NLN)
National League for Nursing (NLN)
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American Nurses Association (ANA)
American Nurses Association (ANA)
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State Board of Nursing
State Board of Nursing
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Nurse Practice Act
Nurse Practice Act
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Nursing Today
Nursing Today
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Nurses as Competent and Caring Professionals
Nurses as Competent and Caring Professionals
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What is clinical judgment?
What is clinical judgment?
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What is critical thinking?
What is critical thinking?
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What is problem-solving?
What is problem-solving?
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What is continuing education in nursing?
What is continuing education in nursing?
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What is a diploma program in nursing?
What is a diploma program in nursing?
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What is an Associate Degree in Nursing (ADN)?
What is an Associate Degree in Nursing (ADN)?
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What is a Bachelor of Science in Nursing (BSN)?
What is a Bachelor of Science in Nursing (BSN)?
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What is an RN to BSN program?
What is an RN to BSN program?
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Describe the role of a nurse as a direct care provider and communicator.
Describe the role of a nurse as a direct care provider and communicator.
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Describe the role of a nurse as a critical thinker.
Describe the role of a nurse as a critical thinker.
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ISBAR
ISBAR
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Interprofessional Teams
Interprofessional Teams
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Therapeutic Communication
Therapeutic Communication
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Maslow's Hierarchy of Needs
Maslow's Hierarchy of Needs
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Joint Commission Patient Safety Goals
Joint Commission Patient Safety Goals
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Accountability: What does it mean for a nurse?
Accountability: What does it mean for a nurse?
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Justice: What does it mean for a nurse?
Justice: What does it mean for a nurse?
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Nonmaleficence: What does it mean for a nurse?
Nonmaleficence: What does it mean for a nurse?
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Autonomy: What does it mean for a nurse?
Autonomy: What does it mean for a nurse?
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Beneficence: What does it mean for a nurse?
Beneficence: What does it mean for a nurse?
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Fidelity: What does it mean for a nurse?
Fidelity: What does it mean for a nurse?
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Veracity: What does it mean for a nurse?
Veracity: What does it mean for a nurse?
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Assessment: What is it and what does it involve?
Assessment: What is it and what does it involve?
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Nursing Diagnosis: What is it and when do you create it?
Nursing Diagnosis: What is it and when do you create it?
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Planning: What is it and what does it involve?
Planning: What is it and what does it involve?
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What is the NCSBN?
What is the NCSBN?
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How does the NCLEX exam use technology?
How does the NCLEX exam use technology?
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What is the NGN Project?
What is the NGN Project?
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What is the Test Plan?
What is the Test Plan?
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What are the categories covered by the NCLEX exam?
What are the categories covered by the NCLEX exam?
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How does the WHO define health?
How does the WHO define health?
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What was Florence Nightingale's view on health?
What was Florence Nightingale's view on health?
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How does Traditional Chinese Medicine view health?
How does Traditional Chinese Medicine view health?
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What is clinical judgment in nursing?
What is clinical judgment in nursing?
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What does it mean to provide safe and effective care?
What does it mean to provide safe and effective care?
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What is Health?
What is Health?
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What is Illness Behavior?
What is Illness Behavior?
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What is Biological Dimension of Health?
What is Biological Dimension of Health?
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What is Lifestyle Dimension of Health?
What is Lifestyle Dimension of Health?
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What is Social Dimension of Health?
What is Social Dimension of Health?
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What Disrupts Health?
What Disrupts Health?
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How do Nurses Perceive Illness?
How do Nurses Perceive Illness?
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What is Watson's Theory of Human Caring?
What is Watson's Theory of Human Caring?
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What is the focus of Nursing?
What is the focus of Nursing?
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How does a Nurse Practice?
How does a Nurse Practice?
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Illness
Illness
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Hardiness
Hardiness
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Factors Influencing Illness Behavior
Factors Influencing Illness Behavior
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Acute Illness
Acute Illness
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Chronic Illness
Chronic Illness
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Remission
Remission
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Exacerbation
Exacerbation
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Yin and Yang
Yin and Yang
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Hot and Cold Illness
Hot and Cold Illness
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Cultural Beliefs Impacting Healthcare
Cultural Beliefs Impacting Healthcare
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Primary Prevention
Primary Prevention
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Secondary Prevention
Secondary Prevention
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Tertiary Prevention
Tertiary Prevention
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Nursing Process
Nursing Process
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Objective Data
Objective Data
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Subjective Data
Subjective Data
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Supportive Family
Supportive Family
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Health Promotion
Health Promotion
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Health
Health
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Clinical Judgement
Clinical Judgement
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Study Notes
Foundations: Module 1 - Evolution of Nursing
- Nursing is a field of work that has been successfully professionalized, meeting ethical standards, and accepted by the public as possessing special knowledge and skills, widely recognized as a body of learning derived from research, education, and training at a high level. Professionals are prepared to apply this knowledge and exercise these skills in the interest of others.
- The American Nurses Association (ANA) defines nursing (1980) as "the diagnosis and treatment of human responses to actual and potential health problems."
- Nursing practice is individualized (ANA, 2010). Nurses establish partnerships with clients, and caring is central to the practice of registered nurses (RNs).
- RNs use the nursing process to provide individualized care to clients (ANA, 2010).
- A strong link exists between the professional work environment and the RN's ability to provide quality healthcare and achieve optimal outcomes.
- Nursing (2015, ANA): is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations.
- Defining nursing helps the public understand its value, differentiates nursing activities from those of medicine, and helps students understand what is expected 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 were instrumental in advancing the profession of nursing. In looking at the contributions of Clara Barton, Lillian Wald, and Lavinia Dock, how does "caring" remain an essential aspect of the nurse's role and how was it demonstrated?
- Florence Nightingale made a tremendous difference in the care the soldiers received, which resulted in significantly improved outcomes.
- Relate each competency of "provide goal-directed client-centered care" to the actions of Florence Nightingale and her nurses.
Nursing Organizations
- The American Nurses Association (ANA) is the official organization for US nurses
- The National League for Nursing (NLN) maintains universal standards/practice for education
- Each state has a Nurse Practice Act (e.g., Texas Board of Nursing)
- State boards are responsible for: defining the practice of professional nursing, scope of practice, activities nurses are expected to perform, and approving nursing education programs.
- Develop rules and regulations for guidance to nurses
- Enforce the rules governing nursing practice
Nursing Today
- Nurses are competent and caring professionals.
- The complexity of healthcare delivery requires nurses to use critical thinking, communication, organization, leadership, advocacy, and technical skills to ensure clients receive safe and effective care.
Thinking Skills
- Clinical judgment: A process of recognizing and analyzing cues, prioritizing hypotheses, generating solutions, taking actions, and evaluating outcomes.
- Critical thinking: Involves collecting and analyzing information and carefully considering options for action.
- Problem-solving: Considers an issue and attempts to find a satisfactory solution.
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
- Five levels of education for entry into practice: Diploma, Associate Degree, Baccalaureate Degree, RN to BSN, Master's, and Doctorate.
- Continuing education is a professional strategy to maintain knowledge.
Nursing Education
- Patricia Benner's stages of nursing proficiency: Novice, Advance Beginner, Competence, Proficient, and Expert.
Roles of the Nurse
- Direct care provider and communicator
- Client/family educator or counselor
- Client advocate
- Critical-thinking skills
- Detail-oriented
- Caring and compassionate, patience
- Competence
- Change agent (community, hospital)
- Leader or manager, case manager
- Research consumer
- Team player
- Knowledgeable
- Listener
Ethical Principles and Responsibilities of a Nurse
- Basic principles: Advocacy, responsibility, accountability, confidentiality
- Ethical principles: Autonomy, beneficence, fidelity, justice, no maleficence, veracity.
- Ethical dilemmas are the confluence of morality and science. When is right and when is wrong right? Can wrong ever be right?
The 7 Ethical Principles in Nursing
- Accountability
- Justice
- Nonmaleficence
- Autonomy
- Beneficence
- Fidelity
- Veracity
The 6 Functions of Clinical Judgment
- Recognize cues; What matters most?
- Analyze cues; What do they mean?
- Prioritize hypotheses; Where do I start?
- Generate solutions; What can I do?
- Take action; What will I do?
- Evaluate outcomes; Did it help?
The Nursing Process (ADPIE)
- Assessment (data: subjective vs. objective)
- Diagnosis (primary problem for the patient)
- Planning (what do we want them to achieve/avoid)
- Intervention (do teaching/goals for plan)
- Evaluation (did we accomplish goal for plan? Why or why not?)
Nursing Process Steps in Order: Example
- Nurses gather data, create a nursing diagnosis, develop a plan, perform interventions, and evaluate outcomes
- Some parts of the nursing process can occur simultaneously
- Nursing care plans can be written/created in the EMR (electronic medical records)
- Care plans serve as internal frameworks for nurses.
Types of Nursing Diagnoses
- Problem-focused (e.g., ineffective breathing pattern)
- Risk (e.g., risk for infection)
- Health promotion (e.g., readiness for enhanced family coping)
- Syndrome (e.g., chronic pain syndrome)
Nursing Diagnosis
- Problem-focused Diagnosis (Problem-focused Diagnosis) related to (Related Factors) 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) and Licensed Practical Nurses (LPN)
- The RN is always responsible for the patient.
Interprofessional Teams
- The patient is at the center of interprofessional care
- Includes physician, nurse practitioners, physician assistants, registered nurses, licensed practical nurses, unlicensed assistive personnel, pharmacists, therapists, technologists, dieticians, social workers, spiritual care providers, alternative care providers, physical and occupational therapy, dieticians and nutritionists, biomedical sciences, and pharmacy
Therapeutic Communication
- Verbal communication (nurses and nurses, nurses and patients, nurses and interprofessional teams)
- Nonverbal communication (facial, body language/posture)
- Factors affecting communication (age, environment, gender, communication style)
Communicate
- Situation, Background, Assessment, Recommendations
ISBAR
- Introduce and identify
- Situation
- Background
- Assessment and Actions
- Recommendations and Readback
Safety in Healthcare
- Identifying patient correctly
- Using medications safely
- Preventing infection (e.g., identifying patient risks, preventing mistakes in surgery)
Maslow's Hierarchy of Needs
- Physiological needs
- Safety needs
- Love and belonging needs
- Esteem needs
- Self-actualization needs
1-minute paper
- Collect feedback on learning in a short time.
- Provides a space to collect thoughts and make connections.
- An opportunity to reflect on current learning and relate it to new learning.
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