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A comprehensive review of key concepts in introduction to professional nursing, including the history of nursing, the roles and responsibilities of nurses, and the challenges facing the profession today. It includes questions and answers that can be used for self-assessment or exam preparation. Topics such as the evolution of nursing education, the impact of wars on nursing, the development of nursing theories, and the importance of ethics in nursing practice. It also addresses current challenges such as the aging population, bioterrorism, and emerging infections. This review is designed to help nursing students develop a strong foundation in the principles of professional nursing.
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use of methodological research skill context for evaluating information
faithfully following orders
advance and standardize training of nurses
Nursing Educators
of nursing students (no pay & long hours) listening to physicians didnt help learning created superintendent of training schools
superintendent
requires 2-3 years of intense hospital work employed as graduate private duty nurses trained nurses social status increased
philosophy based on health maintenance and restoration provide physicians and hospitals with inexpensive and skilled workforce w/ pupil nurses training under superintendent provide working class females opportunity for work (no pay while training)
school @ St thomas
for soldiers w/yellow fever, nurses become permanent in services
government to recruit and mobilize to remedy nursing shortage American Red Cross & Jane Delano campaigned for more women in war (nursing aides & women w/ higher status) (1941) leaders debated education qualifications which is how Vassar college and Army School of Nursing started
1950's hospitals become major employed
home not a hospital nurses took it upon themselves to increase knowledge and skills
scholarships, loans, recruitment, school construction, maintenance and educational projects helped with nursing shortage 1950 - 1967
Mildred Montag: envisioned a shorter program for education = AA graduate nursing: teaching and direct nursing
w/ Mary Brewster created Henry Street Settlement House & Henry Street Visiting Nurse Services
expanded nursing to schools, industrial, Tb and infant welfare worked with metropolitan life insurance to organize home visits to company workers that were ill FOUNDED NATIONAL ORGANIZATION OF PUBLIC HEALTH 1912 (better screen patients)
recognition of trained nurses to protect the public from those who were not trained RN must attend acceptable nursing program and pass board evaluation 1903: NC, NY, NJ and VA have nursing legislation 1923: all states enact nurse registration laws
notes boards were weak and ineffcient for every state
Nurses Association: 1912 purpose: achieve legal recognition for trained nurses to counter belief that ignorant women who is not fit for anything else is fit to be a nurse
acute illness, psychosocial dimensions and public health principles
disbanded now helped establish nursing programs
reliance on technology, cost effective strategies and standardizes work process undermines caring
patients lives
needs of changing society advances in technology and information increased acuity level of care
nursing care
concepts, explin relationships among concepts and predict outcomes provides framework for nursing
disease is a reparative process, the best way to help a patient recover is through their environment
Nurse promotes synchronicity between human beings and their universe/environment nursing is an art and science
assisting individuals with self care self care requisites: universal--> common for all humans. developmental--> promote known developmental process, health deviation: genetics or defects that affect self care
how someone copes and adapts with change
how a person functions in social roles
how to care for other cultures be aware that not everyone will have the same values
to every patient 2: primary commitment is to the patient 3: promote, advocate and protect rights, health & safety of patient 4: authority, accountability and responsibility for nursing practice 5: nurse owes same duty to self 6: establishes, maintains and improves ethical environemtn 7: nurse advances through research and school 8: protect human rights, health diplomacy & reduce health disparities 9: articulate nursing values, maintain integrity of profession and social justice into nursing
Academy of Nursing central center for certification for nurses
established in 1952
w/assistance of ANA and NLN, it is national organization for students enrolled in nursing education programs through voluntary participation, students practice self-governance, advocate for student and patient rights, and take collective, responsible action on social and political issues
innovation in nursing education
Leadership is important in the environment
works to help create an idea of nursing across the globe
profession, highly valued for its knowledge, skill and caring in improving the health status of the public" gives a framework for all RN social concerns must be addressed as part of moral and ethical obligations to nursing profession
relationship that facilitates health and healing attention to full range of human experiences and responses to health and illness w/ physical and social environments integration of objective data w/ knowledge gained from an appreciation of the patients or groups subjective experience
Diagnosis Outcomes identification Planning Implementation Evaluation
provide care education: continue to learn evidence-based practice and research: integrates into care & does own research quality of practice: contributes to practice communication Leadership collaboration professional practice evaluation resources environmental health
learns specific rules and task Advanced Beginner: some experience (observation), task oriented, identify some aspects or principals of nursing care
Competent: same clinical position 2-3 years, understands specific care for patients, establish goals, task oriented, begins to think critically Proficient: more than 2-3 years experience, patient clinical situation as a whole, more holistic, focuses on managing care not performing skills (enhanced critical thinkers) Expert: diverse experience, can zero in on problems and focus multidimensional, performance is fluid flexible, anticipate patient and novice nurse needs
2010: IOM made a statement that nurses need to be shown as transformational, recognize their real role obstacles: limited media preparation& training, gender specific to women (male stereotypes)
herself and for this purpose i venture to give her some hints
various settings and roles
nurses are defined by this, nursing roles derived from identity and sense of self gathered
status
caregiver
current evidence grounded in curiosity and desire to discover to lessen human suffering
advocate for health for all
systems of health care delivery availability of health care tehcnology
generalist clinical nurse leader: advanced generalist advanced practice nurse: advanced specialist
slow increase in diversity advanced nurse specialist diverse work settings clinical lader: roles and expectations for promotion
causes:
strategies:
meet role expectations strategies:
policy makers, and educational institutions respond to the changing health care system.
outcomes are related to educational level of staff
and doubling doctoral degrees
Massachussets (lasted 4 months)
by 1 963
1993: 126 diploma programs in 26 states (more than half in Ohio, NJ, PA) 2013: 47 diploma programs in 16 states (19 in PA, 8 in NJ)
no college degree, non graduates eligible to take licensure exam designed to meet staffing needs apprenticeship model closure of these programs
minnesota slow growth occured until ww
2 years of gen, 3 years of academics and clinical practice
Hasten graduation of non nurses recruited men & minority: men 40% in accelerated versus 10% in regular new careers in nursing scholarship: under represented male and minority groups
2014: 821 programs
roles