what is florence nightingale responsible for and remembered for
#NAME?
ANA definition for nursing
Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations
what did harriet tubman and sojourner truth do
provided care and safety to slaves fleeing to the north
what did clara barton do
she was a school teacher who volunteered as a nurse during the civil war and organized the american red cross
what did linda richards do
she was the first trained nurse
introduced nurses' notes and doctors orders
practice of uniforms
what did mary mahoney do
first african american professional nurse and promoted equal opportunity in nursing
what did lillian wald do
considered the founder of public health nursing
first visiting nurses association
offered services to the poor in NYC
how did WW1 contribute to nursing
harsh conditions and new injuries to treat
monuments
how did WW2 contribute to nursing
cadet nurse corps and auxillary health workers
what is the science of nursing
based on a body of knowledge/evidence and is continuously changing
what is the art of nursing
deliver care artfully with compassion, care, and respect
what are the roles of nursing
#NAME?
what is key to all roles of nursing
leadership
tenant of ANA scope: respect diversity
individualize care to meet unique needs
tenant of ANA scope: establish partnership
and shared goals
tenant of ANA scope: caring
...
tenant of ANA scope: nursing process
#NAME?
tenant of ANA scope: link between healthy work environment and achievement of outcomes
skilled communication, collaboration, and effective decision making
HIPPA
protects individuals from losing health insurance when changing jobs and establishes standards for privacy and confidentiality
americans with disabilities act
prohibits on basis of disability for employment, public accommodations, and public services
patient self determination act
advance directives allow individuals to legally specify the care they wish to receive should they become unable to communicate their preferences
advantages of BSN over associates degree in nursing
#NAME?
role and importance of professional organizations in nursing
#NAME?
what is the ANA
#NAME?
4 concepts: person
the recipient of care
4 concepts: health
relative and constantly changing, exists across a continuum and affects a whole person
4 concepts: environment
everything around the person that affects their health, well-being, illness, and recovery
4 concepts: nursing
refers to nursing characteristics, attributes, knowledge, skills, and actions and attitudes brought to the therapeutic relationship and healthcare environment
the importance of nursing theory
#NAME?
nightingale theory
enviromental theory: everything around the person that affects their health, well being, illness and recovery
orem theory
self care deficit theory: All patients want to care for themselves and they are able to recover more quickly and holistically by performing their own self-care as much as they're able
watson theory
philosophy and science of caring: the practice of caring is essential to nursing
leininger theory
transcultural nursing theory: Nurses have a responsibility to understand the role of culture in the health of the patient
maslow theory
hierarchy of needs
what is the role/function of the state board of nursing
#NAME?
make up of the board (members) of the state board of nursing
- 8 RN
- 4 LPN
- 1 consumer member
- all are appointed by the governor, serve a 4 year term, may be re-appointed 1 time, and meet 6 times per year publicly
ORC (ohio revised code)
- statuses created by ohio legislature and signed by the governor into law; is a public process
- nurse practice act
OAC (ohio administrative code)
#NAME?
legal responsibilities of a student nurse
Pretty much don't do anything bad and you do not work under someone's license
evidence based practice
A paradigm and lifelong problem-solving approach to clinical decision making that involves the conscientious use of the best available evidence with one's own clinical expertise and patient values and preferences to improve outcomes for individuals, groups, communities and systems
things we do today in practice that are NOT evidence based
Conduct practice based in tradition and anecdotal info that we know is not the best practice
- daily changing of IV dressings
- perineal shaves before child birth
- strict NPO after MN for surgical patients
- waking stable patients for routine vital signs at night
- albuterol delivery with nebulizers
Deliver provider-centric care that is not the best or patients and families
- physicians rounding late at night
- infants returned to a central nursery
- testing bundled based on provider schedules
- restricted visiting hours
- nurses working 3 days per week
tolerate the gap between research and practice
conduct inquiry without considering the "so what"
allow barriers to EBP to persist
step 0 of EBP
cultivate a spirit of inquiry and EBP culture
step 1 of EBP
ask the PICO(T) question
AACN's 5 essential nursing values
human dignity, integrity, autonomy, altruism, and social justice
altruism
doing good, concern for others
autonomy
right to self determination
human dignity
respect for uniqueness of individuals in populations
integrity
honesty; acting in accordance with the code of ethics and standards of practice
social justice
working to ensure equal treatment under the law and equal access to quality of healthcare
ethics definitions
- Autonomy- agreement to respect another's right to self-determine a course of action; support of independent decision making
- Beneficence- compassion; taking positive action to help others; desire to do good; core principle of our patient advocacy
- Nonmaleficence- avoidance of harm or hurt; core of medical oath and nursing ethics
- Justice- equal and fair distribution of resources based on analysis of benefits and burdens of decision
1st ethical provision
The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.
2nd ethical provision
The nurse's primary commitment is to the patient, whether an individual, family, group, or community.
3rd ethical provision
The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient.
4th ethical provision
The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care.
5th ethical provision
The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth.
6th ethical provision
The nurse participates in establishing, maintaining, and improving health care environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action.
7th ethical provision
The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development.
8th ethical provision
The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs.
9th ethical provision
The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy.