Concepts 1 chapter 1.docx

Section 1 In the beginning the physician was the medicine man and the nurse was the mother. The central focus is always the patient QSEN (Quality and safety education for nurses) Patient-centered care Teamwork and collaboration Quality improvement Safety Evidence-based practice Informatics 4 blended...

Section 1 In the beginning the physician was the medicine man and the nurse was the mother. The central focus is always the patient QSEN (Quality and safety education for nurses) Patient-centered care Teamwork and collaboration Quality improvement Safety Evidence-based practice Informatics 4 blended competencies Cognitive Technical Interpersonal Ethical/legal 4 aims of nursing Promote health Prevent illness Restore health Facilitate coping with disability or death National Nursing Organisations American Nurses Association National League for Nurses American Association of College of Nursing American Academy of Nursing National Student Nurses Association Nurse Practice Acts Define Legal scope of nursing practice Create a state board of nursing to make and enforce rules and regulations Define important terms and activities in nursing, including legal requirements and title for RNs and LPNs Establish criteria for the education and licensure of nurses NLN Ten trends to watch for Changing demographics and increasing diversity The technologic explosion Globalization of the world’s economy and society The era of the educated consumer, alternative therapies, and genomic and palliative care The shift to population-based care and the increasing complexity of patient care The cost of health care and the challenge of managed care The impact of health policy and regulation The growing need for interdisciplinary education and collaborative practice The current nursing shortage/opportunities for lifelong learning and workforce development Significant advancements in nursing science and research Wellness, Disease Prevention- Promotion of physical and mental health in all patients as well as management of minor-acute and intermittent care needs of a generally healthy patient Chronic disease management- Management of chronic diseases and prevention of sequelae Regenerative/Restorative care- Critical/trauma care, complex acute care exacerbations of chronic conditions, and treatment of physiologically unstable patients that generally require care in a mega-acute institution Hospice/Palliative Care- Includes end-of-life care as well as palliative and supportive care for individuals requiring extended care, those with complex, chronic disease states, or those requiring rehabilitative care Caregiver- the provision of care to patients that combines both the art and the science of nursing in meeting physical, emotional, intellectual, sociocultural, and spiritual needs. The nurse integrates the roles of communicator, teacher, consular, leader, researcher, advocate, and collaborator to promote wellness through activities to prevent illness, restore health, and facilitate coping with disability or death. Communicator- the use of effective interpersonal and therapeutic communication skills to establish and maintain helping relationships with patients of all ages in a wide variety of healthcare settings. Teacher/educator- the use of communication skills to assess, implement and evaluate individualized teaching plans to meet learning needs of patients and their families. Counsellor- the use of therapeutic interpersonal communication skills to provide information, make appropriate referrals, and facilitate the patient's problem solving and decision making skills. Leader- the assertive, self-confident practice of nursing when provind care, effecting change, and functioning with groups. Researcher- the participation in or conduct of research to increase knowledge in nursing and improve patient care. Advocate- the protection of human or legal rights and the securing of care for all patients based on the belief that patients have the right to make informed decisions about their own health and lives. Collaborator- the effective use of skills in organization, communication, and advocacy to facilitate the functions of all member of the healthcare team as they provide patient care. Compassion fatigue- loss of satisfaction from providing good patient care Burnout- cumulative state of frustration with the work environment that develops over a long time Secondary traumatic stress- A feeling of despair caused by the transfer of emotion distress from a victim to a caregiver, which often develops suddenly. QSEN- Quality and Safety Education for Nurses