Nursing Historical Perspectives
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Questions and Answers

During which war did Florence Nightingale's contributions contribute to the decline of the mortality rate from 42% to 2% in 6 months?

  • The Crimean War (correct)
  • World War I
  • The Civil War
  • World War II
  • The percentage of male nurses in the workforce has been decreasing in recent decades.

    False

    Which of the following is NOT a barrier that men face in pursuing a nursing career?

  • There are no male role models in the nursing profession.
  • There are not enough opportunities for men to enter nursing programs. (correct)
  • Some believe men who choose nursing are emasculated.
  • Nursing's image is traditionally perceived as feminine.
  • Which of the following nursing roles is NOT considered an advanced practice registered nurse (APRN) role?

    <p>Nurse Educator</p> Signup and view all the answers

    What is the main purpose of the American Assembly for Men in Nursing (AAMN)?

    <p>To provide a framework for nurses, as a group, to meet, discuss, and influence factors which affect men as nurses.</p> Signup and view all the answers

    What is the term given to the four major concepts of nursing theory: person, environment, health, and nursing?

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

    Which of the following is NOT considered a theme common to the definition of nursing?

    <p>Nursing is a technology.</p> Signup and view all the answers

    What is the name of the project funded by the Robert Wood Johnson Foundation that aimed to prepare future nurses with the knowledge, skills, and attitudes (KSAs) needed for quality and safety in healthcare institutions?

    <p>The QSEN Project</p> Signup and view all the answers

    From the content, name three key areas identified by the IOM report, The Future of Nursing: Leading Change, Advancing Health, that would help nursing better care for clients.

    <p>The three key areas are:</p> <ol> <li>Nurses practicing to the full extent of their skills and knowledge.</li> <li>Nurses achieving higher levels of education.</li> <li>Nurses being full partners with physicians and other healthcare professionals.</li> </ol> Signup and view all the answers

    The nursing practice roles of caregiver, communicator, teacher, client advocate, counselor, change agent, and leader are mutually exclusive and rarely overlap in a nurse's job.

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

    Which of the following is NOT considered a major function of a professional nursing organization?

    <p>Developing and implementing regulatory policies for state government agencies.</p> Signup and view all the answers

    What is the name of the professional nursing organization that was established to promote political action and influence healthcare policy?

    <p>Nurses' Coalition for Action in Politics (N-CAP)</p> Signup and view all the answers

    The nursing workforce is expected to experience a significant shortage in the coming years as many nurses are expected to retire.

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

    Which of the following is NOT considered a factor that is influencing contemporary nursing practice?

    <p>The increasing reliance on traditional, hospital-based care models.</p> Signup and view all the answers

    What are the six core competencies that nursing must embrace to improve the quality of healthcare?

    <p>The six core competencies identified by the IOM are:</p> <ol> <li>Patient-centered care</li> <li>Teamwork and collaboration</li> <li>Evidence-based practice</li> <li>Quality improvement</li> <li>Safety</li> <li>Informatics</li> </ol> Signup and view all the answers

    Microhospitals, despite their growing popularity, are not considered effective healthcare facilities for addressing the healthcare needs of communities lacking large community hospitals.

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

    What is the name of the compact agreement aimed at easing the transition of nurse practitioners across state lines by allowing them to hold a multistate license?

    <p>The APRN Compact</p> Signup and view all the answers

    The evolution of nursing has seen a shift from an apprenticeship model of training to a more formalized and standardized approach based on scientific knowledge and evidence-based practice.

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

    What are the two primary doctoral degrees in nursing, and how are their career paths typically differentiated?

    <p>The two primary doctoral degrees are the PhD (Doctor of Philosophy) and the DNP (Doctor of Nursing Practice). Nurses with a PhD in nursing often pursue careers in faculty roles in nursing education or research programs, while nurses with a DNP are more likely to assume practice-focused roles, utilizing their advanced education in areas like evidence-based practice and quality improvement.</p> Signup and view all the answers

    Which of the following is NOT considered an influence on nursing practice that is related to technological innovation?

    <p>The increasing emphasis on the nurse's role as a teacher and educator.</p> Signup and view all the answers

    Nurses, as healthcare professionals, are not significantly impacted by changes in family structures due to their focus on providing individual-centered care.

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

    Identify three major challenges facing the nursing workforce highlighted in the content.

    <p>Three major challenges facing the nursing workforce include:</p> <ol> <li>The anticipated retirement of one million nurses between 2017 and 2030.</li> <li>The aging of the baby boomer population and increased demand for healthcare services due to an expanding Medicare enrollment.</li> <li>Uneven growth in the nursing workforce across different regions, leading to potential shortages in some areas while others experience adequate staffing levels.</li> </ol> Signup and view all the answers

    The ANA opposes the APRN Compact, viewing it as detrimental to the healthcare system.

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

    The term 'professional identity' encompasses the traditional concept of 'professionalism' and refers to the individual's sense of oneself as a nurse, shaped by the values and norms of the nursing profession.

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

    In the nursing profession, practice disciplines, unlike research-oriented disciplines, prioritize the performance of a professional role over theory development.

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

    What are the five levels of nursing expertise outlined by Patricia Benner, and what is their significance?

    <p>Patricia Benner's five stages of nursing expertise are:</p> <ol> <li>Novice</li> <li>Advanced Beginner</li> <li>Competent</li> <li>Proficient</li> <li>Expert These stages highlight the development of professional skill and competency as a nurse gains experience and moves towards greater expertise, emphasizing the importance of learning from practice.</li> </ol> Signup and view all the answers

    The American Academy of Nursing (AAN) only recognizes nurses with a doctorate for its 'Living Legend' award.

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

    The Institute of Medicine (IOM) recommends that 80% of RNs should be baccalaureate prepared by 2020, and this goal has already been achieved.

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

    The term 'continuing education' refers to formal programs that lead to an academic degree, typically those pursued by practicing nurses seeking specialized certification.

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

    The National Council of State Boards of Nursing (NCSBN) endorses a transition to a single-state licensure model for nurses.

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

    Study Notes

    Introduction

    • Nursing today differs significantly from past practices, and change is expected to continue throughout the 21st century
    • Understanding past events and contemporary practice, along with societal influences, is crucial for comprehending present-day nursing and preparing for the future.

    Historical Perspectives

    • Nursing's evolution is shaped by societal needs and influences
    • A history of struggles for autonomy and professionalization is evident
    • Key themes impacting nursing include gender roles, religious values, war, societal perspectives and visionary nursing leadership. These continuing influences remain relevant today.

    Women's Roles

    • Traditional roles of women (wife, mother, daughter, sister) have historically involved caregiving and nurturing of family members
    • Women have always been involved in caregiving, providing comfort, nurturing and support

    Men's Roles

    • Men have engaged in nursing roles since before the Crusades, although historical accounts often focus on female figures
    • Male nursing schools existed in the US from the late 1800s to 1969
    • Despite this, men were frequently barred from admission to military nurse corps during WWII, primarily because of their gender
    • During the 20th century, men were often denied admission to nursing programs.
    • Organizations like the American Assembly for Men in Nursing (AAMN) arose in the late 20th century to combat societal and systemic pressures limiting men's participation.

    Religion

    • Christianity's emphasis on "love thy neighbor" influenced the development of Western nursing
    • Wealthy women in the Roman Empire established institutions (early hospitals) that provided care for the poor, sick, and homeless.
    • The Knights of Saint John of Jerusalem, Teutonic Knights, and Knights of Saint Lazarus played important roles in providing healthcare during the Crusades and the Middle Ages by helping their fellow warriors.
    • The religious orders of men also played a role providing healthcare and support.

    War

    • Wars often highlight the crucial need for nurses
    • Florence Nightingale's work during the Crimean War (1854-1856) drastically improved healthcare in military hospitals
    • The American Civil War (1861-1865) saw the rise of numerous nurses like Harriet Tubman, Sojourner Truth.
    • Nurses' contributions were further highlighted during World War I and World War II, with large numbers of women volunteering for roles in hospitals and military services.

    Societal Attitudes

    • Societal attitudes profoundly impacted professional nursing before the mid-1800s, when nursing was considered a woman's role, typically performed without defined education or structure.
    • The Victorian period viewed a woman’s role as one focused on the home, and professional nursing was not viewed as a proper career choice or a social status
    • Dickens' character Sairey Gamp conveyed negative societal perceptions of nurses in 19th century.
    • Attitudes toward nursing changed significantly, largely due to Florence Nightingale's work and the positive image associated with her compassionate care, often characterized by devotion and self-sacrifice..

    Nursing Leaders

    • Leaders like Florence Nightingale, Clara Barton, Linda Richards, Mary Mahoney, Lillian Wald, Lavinia Dock, and others were key figures in developing and shaping nursing practice, advocacy, and education.
    • Their roles expanded beyond institutional care, into areas of public health and health promotion

    Nursing Education

    • Nursing programs have evolved from apprenticeship models to formal academic programs.
    • Nursing education's evolution is heavily influenced by historical and professional forces, including advances in technology and societal expectations of women's roles.
    • Nursing education has led to the formation of licensed practical nurses (LPN) and registered nurses (RN) and further to more advanced-degree qualifications, such as the master's in science in nursing, and doctorates in nursing.

    Nursing Workforce Issues

    • A significant concern is anticipated workforce shortages as experienced nurses retire.
    • Factors like aging demographics and increasing demand for healthcare services play a role in these shortages.
    • The healthcare system demands for nurses will continue to vary based on demand, which will impact the availability of healthcare services and the overall need for nurses.

    Quality and Safety in Healthcare

    • Quality and safety are crucial aspects of the healthcare system
    • Reports like "To Err Is Human" have brought these issues to light, highlighting the need for quality improvements in nursing practices to ensure patient safety and successful treatments.
    • Consumers also have an increasing role in shaping nursing practices, given their greater knowledge about healthcare services and their increasing expectations.

    Family Structure

    • Family structures significantly influence the needs and use of nursing services.
    • Shifting family structures and dynamics present new challenges and demands for healthcare systems and nurses, who need to address changing family composition and values in providing adequate support and care.

    Science and Technology

    • Technological advancements such as biotechnology and the internet shape nursing theory, practices, and education.
    • Advances in science and technology affect nurse's roles due to increased need to adapt, update, and advance knowledge related to new technologies
    • The use of telehealth and communication technologies has significantly impacted the delivery of care, allowing increased remote access and care as well as expanding geographic accessibility.

    Nursing Practice Acts and Regulations

    • Nurse practice acts vary, but establish standards for nursing practice, define the scope of practice, and help protect the public.
    • They are considered the basic legal framework for governing the provision of nursing care in a specific state.

    Standards of Nursing Practice

    • Nursing organizations develop and enforce standards of practice, emphasizing quality care for patients.

    Nursing Theories

    • Nurses have developed theories that contribute to the understanding of nursing as a unique discipline.
    • These theories are used to inform practice, education, and research, guiding nursing practice and its evolution across societal and technological advancement.

    Legislation

    • Legislation plays an integral role in affecting nursing practice and healthcare systems in general.
    • This is particularly pertinent to recent legislation related to healthcare reform, influencing nursing practice and the scope of practice and roles for advanced practice nurses.

    Collective Bargaining

    • Nurses have the right to collectively bargain on issues impacting their professional welfare, including salary issues and safe work procedures.
    • Nurses have engaged in collective practice related to appropriate salary and/or benefit compensation, safe work settings, and improvements regarding the provision of appropriate and quality care and provision of care for clients.

    Professional Organizations

    • Nursing organizations serve as a crucial part of the profession.
    • They provide a framework of support for professional standards, legislative developments and influence on health policy.

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    Description

    Explore the evolution of nursing from its historical roots to contemporary practices. This quiz highlights the impact of societal influences and gender roles in shaping the nursing profession. Understand how past struggles for autonomy continue to affect nursing today.

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