history of nursing & nursing roles
1363548213 | 1896 | the American Nurses Association founded | 0 | |
1363548214 | 1900 | American Journal of Nursing first published | 1 | |
1363548215 | 1903 | the first RN license, State Practice Act | 2 | |
1363548216 | 1912 | Nation League of Nursing; The US Public Health Service | 3 | |
1363548217 | 1955 | 1st male commissioned a military RN | 4 | |
1363548218 | 1974 | American Assembly for Men in Nursing (AAMN) was founded | 5 | |
1363548219 | 1977 | ANA declares "Year of the Nurse"; using the theory to practice | 6 | |
1363548220 | 1994 | 135 million American enrolled in managed care insurnce plans | 7 | |
1363548221 | 1996 | Pew Report & Institute of Medicine report an impending nursing shortage | 8 | |
1363548222 | 2001 | nursing practice mirror society changes; bioterroism, emerging infections, disaster management | 9 | |
1363548223 | 2001 Nursing Code of Ethics revised | reflects current issues affecting the health care delivery system | 10 | |
1363548224 | Nation League of Nursing (NLN) | governs nursing education | 11 | |
1363548225 | American Nursing Association (ANA) | political body for nurses; political & practice arm | 12 | |
1363548226 | Specialty Organizations | develops policy & standards | 13 | |
1363548227 | Professional Characteristics | basically intellectual w/ high responsibility, body of knowledge that is learned, applied, taught by professinal education, strong internal organization, & motivated by altruism | 14 | |
1363548228 | Nursing defined by ANA (2003) | is the protection, promotion, & optimization of health & abilities, prevention of illness & injury, alleviation of suffering through the diagnosis & treatment of human response, & adovcacy in the care of individuals,families communities, & populations | 15 | |
1363548229 | Nursing is an Art | compassionate, caring delivery | 16 | |
1363548230 | compassionate | guides the actions of assessment, planning, interventon, & evaluation | 17 | |
1363548231 | caring deliverly | facilitate health healing; a commitment to common good & health | 18 | |
1363548232 | Nursing is a Science | evidenced based practice-research based info in nursing decision making, scientific body of knowledge-used to transform inputs & outputs | 19 | |
1363548234 | Nursing | caring profession, provides for the needs of others- Maslow=needs, displays empathy-feel another's pain, & actively involved in curative processes | 20 | |
1363548235 | Nursing Education | Hosptial Diploma Program 4 mth- less & less of them, Associate degree (ADN)- 2 or 3 years, Baccalaureate Degree (BSN)- 4 years, Advanced Degree (APN)- provides speical care to selected population i.e. certified nurse midwife, RN anesthetist, nurse practitioner, & clincial nurse specialist | 21 | |
1363548236 | Nursing Education-Certifications | attesting or endorsing the demonstrated knowledge base & clinical practice behaviors associated w/ high quality performance in an area of speicalization | 22 | |
1363548237 | Countinuing Education (CEU's) | required for a licensed profession in order for the professional to maintain the license. | 23 | |
1363548238 | Life-long learning | to get journals to keep a nurse healthy in nursing | 24 | |
1363548239 | Nursing Autonomy | willingness to take risks & be accountable for actions | 25 | |
1363548240 | Nurse Practice Act | *to protect the public*; Regulates licenseure of RN's, LPN's, & certification of UAP; unique to each state | 26 | |
1363548241 | Licensure: NCLEX-RN | a minimum standard of knowledge for nursing practice | 27 | |
1363548242 | Why study nursing history? | It repeats itself | 28 | |
1363548243 | Recurrent Issues in Nursing | nursing shortages- utilization of nurses, public's image of nurses, low economic reward- pay rate, conflict btw service towards others & economic remuneration(pay), education requirements for entry level RN since 1975, & specialty certifications | 29 | |
1363548244 | Recurrent Issues in Nursing Workplace | license requirements- Education, nursing roles/responsibilties use of UAP's adaptation to societal needs diversity in the pateints & workplace, & access to care | 30 | |
1363548245 | Florence Nightingale | nurse during the Crimean War(1853-1856); looking at infection control | 31 | |
1363548246 | Critical Thinking | essential to nursing practice, interpretation of clinical situations, complex decision making, clinical judgement based on fact, experience, & standard of care | 32 | |
1363548247 | Nursing Process | AD PIE Assessement-gathering & validating client health data, strengths, risks, & concerns Digagnosis/analysis- processing client data & indentifying appropriate nursing diagnoses Planning- designing strageties to solve indentified problems & build on client strengths Implementation- delivering & documenting the planned care Evaluaton- determining the effectiveness of care delivered | 33 | |
1363548248 | Nursing Team | RN, LPN, & UAP (tech & CNA) | 34 | |
1363548249 | RN | in depth knowledge & skills in teaching, communication & management provides care based on theory, w/ knowledge of expected growth/development principles, prevention & early detection of health problems | 35 | |
1363548250 | RN roles | accountable for comprehensive care of the patients on a team (supervises RN, LPN, UAP), autonomous-full command of expert knowledge & allowing for accountability & authority in decision making, utilizes the nursing process & critical thinking | 36 | |
1363548251 | LPN | under the supervision, provides competent care for clients w/ commonly occuring health probelms w/ predictable outcomes assess clients; collect/ organize relevant data; assists in identification of health needs & problems thoughout the life span | 37 | |
1363548252 | LPN roles | understands the disease process, knows when to notify the RN for clinical changes in the patient, follows the nursing care plan to provide the care as outlined, & supervises other LPN's & UAP's | 38 | |
1363548253 | UAP or CNA | performs duties under the supervision of an RN or LPN, supervises other UAP's performs activities of daliy living, comfort measures, some speicalized duties based on local policy & training | 39 | |
1363548254 | Health Insurance Portability & Accountablity Act (HIPAA) | privacy component of transmitting health care info. to EHR (Electic Health Record); if breached can have a negative impact on an indicidual's health & wellbeing | 40 | |
1363548255 | Documentation | legal reason for documentation; if it isn't writtten, it did not happen | 41 | |
1363548256 | Societal Challenges Health Care | technology, health care system- managed care & care expectations, family health, chronic illness- unhealthy lifestyles | 42 | |
1363548257 | Social Issues | Aging, poverty, cultural diversity- the better U understand other ppl culture the better the care & workplace; ASKED Awareness-Skill-Knowedge-Encounters-Desire, violence, environmental | 43 | |
1363548258 | Societal Challenges for Nurses | nurse faculty shortage, H1N1 outbreak, shortage of school nurse, retention, civility in the workplace, cutural competence | 44 | |
1363548259 | Technology in Healthcare | point of care computing- health care practitioner process pt care data @ where service is being provided, Electronic heath record- pt health info. generated by care delivery settings & telehealth- videoconferencing and/or telecommunication telechnologies to enable communication btw pt & health care providers | 45 | |
1363548260 | Knowledge Technology | biomedical technology, complex machinery, implantable devices, safe more effective care for pt, | 46 | |
1363548261 | Info. Technology | computer based programs, storage of pt info.- electronic health record (EHR), research data, standardized practice guidelines | 47 | |
1363548262 | Nursing Informatics | methodology & technology used to support health related fields, elcetronic health record, internet- info. sharing | 48 | |
1363548263 | easier care for nurses | effective pt monitoring & accessibilty of data | 49 | |
1363548264 | Knowledge Technology | "Technology of the mind," "Expert system"- Smart carts(Med cart & AED's), simulation systems, pt safety, clinical decision making, pt mgmt problems | 50 | |
1363548265 | Man vs. Machine | inaccurate internet sites, "nursing" the equipment not the pt, dual documentation systems create more work for nurses | 51 | |
1363548266 | Man vs. Machine 2 | training, maintenance costs, efficiency of equipment, technology failure & inadequate backups, Electronic Medical Record (E-MR) & pt confidentially | 52 | |
1363548267 | Healthcare Delivery Systems | healthcare system, very complex- difficult to access | 53 | |
1363548268 | Large Health care systems | due to mergers ( profit/nonprofit) | 54 | |
1363548269 | Managed Care | who delivers care, the cost & how is care provided, control healthcare cost- decrease fraud | 55 | |
1363548270 | Purpose of Managed Care | Control of primary health care services, standardized & improved quality of healthcare, increased access- especially for poor/uninsured/underinsured | 56 | |
1363548271 | Medicaid | health insurance,income below state poverty level, Federally & State funded | 57 | |
1363548272 | Administered by State Gov't | Children's Health Insurance Program(S-CHIP), federally funded, perminums determined by States, for person not eligible for Medicaid ( birth- 21) or Medicare, some states provide prenatal care | 58 | |
1363548273 | Medicare | Federally funded & adminsitered, eligible age 65 & some disabilities, they must had paid into social security | 59 |