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| 3106066772 | "eras" | Look in book, edit later | 0 | |
| 3106072418 | "Sairy Gamp" | highly unfavorable image of nursing; would steal from patients. from Charles Dickens' novel Martin Chuzzlewit (1844) Predates nurses trained by Nightingale system | 1 | |
| 3106082858 | Linda Hughes (1980) myths and stereotypes of nurses in print | The myth of the "Born Nurse" - X chromosomes included ability to be nurse Emphasis on "Personality" Nursing as "the Road to Marriage" - trying to marry a doctor | 2 | |
| 3106109633 | Cherry Ames/Sue Barker novels for young girls Common themes | Cheery Ames (solving mysteries) Nursing is always glamorous Nursing is simplistic Nurses jump from job to job Nurses are subservient and deferential; idolize and run errands for physicians | 3 | |
| 3106140054 | War and image of nursing | Nurses were seen in a better light during war. Until Viet Nam (MASH was on TV; sexist) | 4 | |
| 3106149674 | Two things stand out; starting in the 60s | Nurse as -sadistic -evil modern-day "Sairy Gamp" Nurse Ratched (One Flew Over the Cuckoo's Nest") - psychiatric nurse; a cold and evil person Nurse Diesel (High Anxiety) | 5 | |
| 3106165905 | Film and Television popular view of sexy nurse | "Hot Lips" Houlihan (M*A*S*H) The Nightingales Nicole Miller ad (Golf Magazine) | 6 | |
| 3106172247 | General view of nurses on television | Some excellent portrayals of nursing in film On television, nurses usually had minor background roles. When an episode did focus on the nurse, it usually concerned her "personal problems" rather than on her practice | 7 | |
| 3106224298 | Positive view | The English Patient Love in War | 8 | |
| 3106360434 | 1990 Pew Trust Survey | Nurses "respected", "trusted", and "underutilized" | 9 | |
| 3106361581 | Gallup Poll 1993 | 86% would use a Nurse Practitioner as a primary care provider | 10 | |
| 3106366468 | Gallup Poll since 2000; 2002-present | Nurses most trusted of all professions | 11 | |
| 3106375654 | A poll by Vanderbilt University's Medical Center's School of Nursing and Center for Health Services Research in Nashville, Tenn., showed that | 95 percent of Americans overwhelmingly trust, respect and admire nurses 83 percent would encourage a loved one to enter the nursing profession | 12 | |
| 3106387930 | Public view of nursing - ______________vs_______________ | Kindness and Caring vs. Knowledge and Influence | 13 | |
| 3106389748 | Gaps in nursing ability | There is a gap in the awareness that people-especially young people-have of what nurses do. | 14 | |
| 3106403318 | Nurses Image of Self | Appears to be poorer than that of the public Disgruntled nurses won't encourage the profession | 15 | |
| 3106407025 | "One Word Description" study of nursing (Porter et al., 1989): | Nurses 72% positive; Public 84% positive, Physicians 100% positive | 16 | |
| 3106423820 | Low membership in professional organizations percentage | ANA 5-7% | 17 | |
| 3199295650 | Men in nursing stereotypes | If not gay, at least "unmanly" Employers want them for psych ("brute strength") or critical care ("male cool-headedness" and technical prowess Less altruistically dedicated and more blatantly career-focused than women Only want to work where they can wear scrubs or street clothes Interested in administration and management; not patient care | 18 | |
| 3199311070 | Are men relatively new to the nursing field? | No. Men provided one-half of the nursing care in the 11th, 12th, and 13th centuries | 19 | |
| 3199316213 | Men in the military | • Decision by Army (1901) and Navy (1908) to not allow men into newly-established military nurse corps' was single largest factor in the gender specificity of the 20th century (percentage of male nurses dropped from 7.6% to 3.8% from 1910-1920). Men finally commissioned in 1965 Viet Nam war years) | 20 | |
| 3199324070 | Woodhull Report (1997) | Study of prominence of nurses in media • Nurses rarely consulted when health issues arise in the media and a spokesperson needs to be interviewed - America Nurses Association has responded with "RN=Real News" initiative | 21 | |
| 3199244033 | Most expensive | ER | 22 | |
| 3199250498 | No money to pay for Healthcare created what act? Many Americans with no health insurance large gaps in access to care | Emergency Medical Treatment and Active Labor Act (EMTALA) | 23 | |
| 3199258212 | What is the EMTALA a part of? | part of 1986 COBRA legislation | 24 | |
| 3199322727 | 1965 | 25 | ||
| 3199349330 | Cost of Healthcare in U.S | In 1965, 5.7% of Gross National Product (GNP). In 2009, 17.5% Effect on competitiveness of American industry | 26 | |
| 3199355576 | Function Types and explain them | Dependent - listen to physician Independent - autonomous Interdependent - collaboration | 27 | |
| 3199365425 | Functional Role of nurse | caregiver, comforter, clinical decision-maker, patient advocate, rehabilitator, teacher, communicator, case manager | 28 | |
| 3199369318 | Career Role of nurse | clinician, administrator, educator, researcher, APN (practitioner, midwife, anesthetist) | 29 | |
| 3199377963 | Biomedical Model | most people viewed good health or wellness as the absence of disease | 30 | |
| 3199382872 | Definition of Health | "a state of complete physical, mental, and emotional well being, and not merely the absence of disease or infirmity." (World Health Organization) | 31 | |
| 3199387777 | Health as a Continuum | Not "either/or", but many possible states | 32 | |
| 3199394360 | Health promotion and Illness Prevention Primary | measures taken to keep healthy persons well and reduce the risk of illness (e.g. immunization) Risk factors | 33 | |
| 3199397313 | Health promotion and Illness Prevention Secondary | activities directed at early detection of illness and its complications, to improve the likelihood of cure or easy management (e.g. self-breast exam) | 34 | |
| 3199426583 | Health promotion and Illness Prevention Tertiary | activities directed at maintaining the best possible state of health once a disease or illness has already developed in order to prevent worsening (e.g. exercise program for patient with heart disease) | 35 | |
| 3362144786 | Diagnosis and Treatment | hospitals and subacute care | 36 | |
| 3362147209 | extended care | supportive care. Intermediate (skilled nursing assistance required) and long term (custodial) care; often in Nursing Homes | 37 | |
| 3362151965 | Residential Care | supportive care. assisted living | 38 | |
| 3362155290 | community based living | supportive care. | 39 | |
| 3362159002 | therapists/technologists-professionals with advanced degrees | Physical Therapists, Occupational Therapists,, Pharmacists, Social Workers, Spiritual Professionals, Dieticians, Audiologists, Speech Therapists | 40 | |
| 3362161989 | technicians-usually 2 years or less of tech school or community college training | Respiratory Therapists, Orthotists, X-ray technicians | 41 | |
| 3362167280 | Paraprofessionals | on-the-job training Certified Nursing Assistants, PT Aides; Recreation Aides, Diet technicians, etc. (although some are now being more formally trained in vocational schools) | 42 | |
| 3362170474 | Alternative Practitioners | training varies homeopathy, herbal medicine, chiropractic, massage therapy, aromatherapy, acupuncture, biofeedback, therapeutic touch (this one has great interest from some nurses), etc. | 43 | |
| 3362173450 | Functional Roles | caregiver, comforter, clinical decision-maker, patient advocate, rehabilitator, teacher, communicator, case manager | 44 | |
| 3362175907 | Career Roles | clinician, administrator, educator, researcher, APN (practitioner, midwife, anesthetist) | 45 | |
| 3362182227 | types of functions | dependent, independent, interdependent | 46 | |
| 3199521929 | Indemnity insurance | retroactive, fee-for-service payment (people would not have to pay - sent to insurance companies) | 47 | |
| 3199547117 | defensive medicine | protect against malpractice. easy to have a law suite | 48 | |
| 3199582580 | Challenges with costs | -expensive technology (everyone wants the best and if not, sued) -prescription meds (over commercialized) -consumer insulation (hospital pays for insurance and insurance pays for care - patients don't give a shit about the cost) | 49 | |
| 3199655540 | Medicare | Kennedy after death. The great society - Lyndon Johnson. Must be covered by Social Security. It is an entitlement program In stage Renal care means automatic medicare (before dialysis) | 50 | |
| 3199686776 | Medicaid | Make no more than 33% than the average. State determines where the medicare funds go. Most nursing homes are paid by hat too Welfare program for the indigenous. | 51 | |
| 3329455482 | Missed two classes of notes | add later | 52 | |
| 3362050088 | ethics | values/ morals; what a person's conduct ought to be. "should", "may". can be legal but not ethical and vice versa | 53 | |
| 3362052205 | Law | Right vs wrong. concentrates on rules that are enforced by society. "must", "shall". can be legal but not ethical and vice versa | 54 | |
| 3362065646 | Sources of law: US constitution | where most health issues are derived from (14th Amendment) | 55 | |
| 3362069764 | Sources of Law: Statutory Law | Rules passed by legislation (ex. Nurse Practice Act) | 56 | |
| 3362076900 | Sources of Law: Administrative Law | special case of statutory law, agency of the executive branch (ex. State Board of Nursing) is acting within the limits of the legislative authority that created it, it can issue rules/regulations that have the force of law | 57 | |
| 3362087721 | Sources of Law: Common Law | derived. traditional usage or custom (ex. nursing standard of practice) Previous court decision (precedent) Stare decisis ("let the decision stand") | 58 | |
| 3329488864 | civil law | individual disputes ex) don't pay debts, check bounces, unintentional property damage | 59 | |
| 3329514931 | tort | civil wrong by one individual against another. | 60 | |
| 3329523364 | negligence | fail to act in reasonable/prudent manner. ex) start bbq grill with gasoline and setting house on fire | 61 | |
| 3329533456 | Malpractice | negligence within scope of profession. | 62 | |
| 3329578328 | 4 elements to prove negligence/malpractice | 1. duty to patient 2. Mistake/breach requires witness to explain standard of care 3. Patient harm 4. causation. relationship between the breach and the injury. Must be my breaach | 63 | |
| 3329745635 | Res Ipsa Loquitur | when harm is evident and no way it could have occurred without. burden of proof to defendant. witness not require for standard of care jurisdiction. | 64 | |
| 3329788457 | gross negligence | conscious disregard for patient. Shifts burden of proof the defendant. Expert witness no required. punitive damages | 65 | |
| 3329793609 | intentional torts | not necessarily purposefully hurt someone. | 66 | |
| 3329804032 | assault | intentional tort attempt to touch/harm ex) if you don't hush I will medicate you | 67 | |
| 3329805988 | battery | intentional tort actually touch/harm ex) actually follow through with threat to medicate | 68 | |
| 3329725949 | Res Ipsa Loquitur | ("the thing speaks for itself")--applies when harm is evident and there is no way it could have occurred without. An example is leaving a surgical instrument inside a patient after surgery In most jurisdiction, this shifts burden of proof to defendant | 69 | |
| 3329898966 | gross negligence | Conduct so reckless or careless that even a lay person would know better In some jurisdiction, this shifts burden of proof to the defendant Expert witness not required Punitive damages may be awarded in addition to actual damages | 70 | |
| 3329913437 | assault | Tort Threaten to touch/harm (I will medicate you if you do not shut up) | 71 | |
| 3329916995 | Battery | Tort Actually touching/harming (Medicating them, following through on threat) | 72 | |
| 3329868056 | Slander | Tort Word of mouth that harms reputation (My patient is such a drug seeker) | 73 | |
| 3339750044 | Libel | Tort written word | 74 | |
| 3339755323 | false imprisonment | restraint of a competent person or refusing to let a patient leave the hospital could constitute false imprisonment. (hiding their clothes) | 75 | |
| 3339760623 | breach of confidentiality | private affairs public. HIPAA Health Insurance Portability and Accountability Act of 1996 | 76 | |
| 3339807485 | HIPAA musts - | -patient will have a full explanation of how info will be used -every patient has a right to see their information - electronic record of who accesses their information | 77 | |
| 3339885871 | What is considered okay currently under HIPAA | dry erase boards are okay for only necessary info leaving voicemail is okay - "you should call us back" | 78 | |
| 3339947813 | privileged communication | (limited to nurses- can be compelled by court) Things that patients say is not truly in confidence not at the same level as attorneys, clergy, physicians. | 79 | |
| 3339993928 | vicarious liability | Employer responsible for employees actions | 80 | |
| 3340000590 | Respondent Superior | "let the master speak" | 81 | |
| 3340009756 | borrowed servant and captain of ship | not on test | 82 | |
| 3340013089 | Statute of Limitations | Something happens to you, you have a certain amount of time to sue. When patient discovers the injury and not when they suffer. Limitation of time because people forget. Murder is an exception. 2 years from the time you should have known (I didn't know until the x-ray) | 83 | |
| 3340044231 | Statute of Repose | 4 years | 84 | |
| 3340059224 | tolling | passage of time. "the statute begins tolling when you should have known that problem" | 85 | |
| 3340153610 | implied consent | "May I see your arm?" - client rolls up sleeve | 86 | |
| 3340158254 | informed consent | Tell patient about the risks, benefits, alternative treatment --Can lead to battery if you do not explain all 3 physician responsible but paper you are signing is just showing that you witnessed/notarize the signature minors need consent | 87 | |
| 3340233915 | emancipated minor exceptions | married, in military, females for bc pregnancy or STD treatment, court directed | 88 | |
| 3340350778 | incident reports | filled out when unusual occurrence happen. just the facts, not med records, don't make photocopies, not "discoverable" by plaintiffs. fishing expedition is when lawyers ask for any incident reports. risk managers make nurses write one when necessary. | 89 | |
| 3340389663 | good Samaritan law | Protect professionals from liability when acting in good faith to assist at scenes of emergency outside the work setting Designed to encourage such assistance In most states, no legal duty to assist, but if you start, you can't stop until relieved by competent authority gross negligence if Samaritan leaves before proper relief comes. | 90 | |
| 3340415724 | States where nurses are required to help | Vermont, Minnesota, Wisconsin | 91 | |
| 3410577679 | advanced directives | End of life situations: Wills, power of attorney, organ donor | 92 | |
| 3410581477 | living will | "surrogate" can be appointed to make decisions. | 93 | |
| 3410589122 | Durable power of attorney | requires assistance of attorney to execute- always involving appointing a surrogate | 94 | |
| 3410596798 | organ donor | evolution-kin can appeal | 95 | |
| 3410638467 | professional liability insurance for nurses | recommended by authorities. not too expensive. | 96 | |
| 3410715032 | deep pocket theory | if you don't have money you won't get sued (NOT TRUE) | 97 | |
| 3410717829 | Will invite lawsuit fallacy | having insurance might invite more lawsuits (NOT TRUE, they are not to know that you have it.) | 98 | |
| 3410726181 | Hospital coverage | hospital will defend you but hospital will just pay for malpractice issue and that will stay on your record. If you demand autonomy because you want to fight the lawsuit, hospital will no longer help you. hospital must be named malpractice must be in hospital nurse cannot choose attorney | 99 | |
| 3410729431 | nursing documentation | DO NOT STUDY | 100 | |
| 3410757075 | Nursing Theories | 101 | ||
| 3410763744 | concept | abstract idea of something. may be abstract (cannot pull faithfulness out of a backpack) or concrete (inflammation- red, painful....fever cannot be visualized as easy-inferred concept) | 102 | |
| 3410808644 | metaparadigm | conceptual framework of nursing concepts are: person (entity that receives care) environment health nursing | 103 | |
| 3410850809 | conceptual framework | concepts are the building blocks. include propositions. (relationships between concepts.) | 104 | |
| 3410876315 | models | a schematic rep of reality. | 105 | |
| 3410878577 | empirical models | replica of observable reality. toy model plane. medical dummy to practice medicine. all theories are models but not all models are theories | 106 | |
| 3410896741 | theoretical models | words, picture, diagrams | 107 | |
| 3410910739 | philosophy | statement of belief reflecting values, goals, and opinions. not testable. no research support. | 108 | |
| 3410954645 | theory | if, then statements. more fully developed, detailed, and specific than conceptual frameworks or models. Many levels of theory. | 109 | |
| 3410965002 | Grand theory | large general descriptions. most nursing theories | 110 | |
| 3410970268 | midrange theory | bonding, cultural brokering, chronic sorrow, acute pain management, peaceful end of life, unpleasant symptoms are theories that are both micro and mid. midrange if broadly in between grand and microtheory. | 111 | |
| 3410984059 | microtheory (practice theory) | observable and more concrete. theory of unpleasant symptoms- is there a common experience at the base of all unpleasant symptoms. | 112 | |
| 3411070389 | GAS | general adaptation theory (homeostasis). -Seyle "I'm stressed out!" stage of alarm - fight or flight stage of resistance - restore equilibrium | 113 | |
| 3411175594 | nursing reseachers | DO NO STUDY | 114 |
