Unit I-A Introduction to Nursing

health care reform will bring changes to emphasis of care. Which of these models is expected from health care reform?

which nursing value means to have the same standards of care for everyone?

5th: registered nurse implements identified plan with coordination of care and health teaching & health promotion

an example of this: recognize contributions of others when helping patient/family achieve health goals

APRN who has graduate preparation (masters or doctorate) in nursing & is an expert clinician in a special area ex. pain

most provide direct (hands on) care in acute settings & learn a variety of technical procedures with rationale & safety

1-1.5 years of schooling; practice under supervision of an RN

works primarily in schools of nursing, staff development departments of health agencies, & patient education departments

completed after licensure & additional experience/education in specialty

an example of this: involve family and friends in care

which nursing value means to have a devotion to your patients, yourself, & health care facility?

an example of this: teaching a patient about the reason for an intravenous infusion

use information & technology to communicate, manage knowledge, mitigate error, & support decision making

Contemporary nursing requires knowledge and skills for a variety of professional roles and responsibilities, examples?

Involves initiation of independent nursing interventions without medical orders & being responsible for care actions

more than 2-3 years of experience in same position, can perceive & assess entire situation, readily transfers knowledge

study of all genes in a person & interactions of these genes with another & person's environment (family risk factors)

an example of this: caring for older adults with dementia offered by university or a program on safe medication

recognize patient or designee as control source to provide care with respect for patient's values, preferences, & needs

law established by states, regulate licensure & practice in each state (overseen by BRN)

an example of this: examine commonly used unsafe practices

quick health care access to urban & rural populations, all-age groups, patients w/ illness, & those on hospice

nurse is responsible to providing patients with best quality care in efficient & economically sound manner

provides independent care, including pregnancy and gynecological services

efficient method for documenting & managing patient health care information

ability to teach effectively improves patient knowledge, skills, self care, & ability to make informed decisions

responsible for management of nursing staff in a health care agency

same in all states; standardized minimum knowledge base for nurses; renew every 2 years, 30 hrs of continued education

patient care is based upon a body of knowledge research (ex. anatomy and physiology)

Examination for RN licensure is the same in every state in the US. This examination:

help patients maintain & regain health, disease, symptoms, max level of function, & independence while healing

Nurse uses procedure to assess pressure injury risk and uses new assessment instrument to identify at-risk patients

evidence-based practice, performance improvement, research to improve care, & further define nursing scope

allows health care providers to directly enter medical orders; safety for medication orders & administration

Internet allows consumers to have more health care & treatment information (ex. comparing hospital performance rates)

an example of this: appreciate importance of regularly reading relevant journals

"nurses are in charge of somebody's health based upon knowledge of how to put body in disease free state or recover"

an example of this is focused on new technologies like how to correctly use new syringes

Beginning nursing student or any nurse entering a new situation with no experience

statement of philosophical ideals of right & wrong (written by ANA)

makes sure we are following the law & they are our regulator agency (determine if we can have a license)

Patient wants to be home for end of life care; family wants new surgical procedure. You discuss risks & patients wishes:

APRN with advanced education from an accredited nurse anesthesia program; must have at least 1 year of critical care/ER

Hospitals collect information on patient satisfaction, which allows others to see patient's perspective on health care

rare, mostly clinical based

nursing encompasses autonomous & collaborative care of individuals of all ages, families, groups, & communities

provides comprehensive care, usually in primary care setting, directly managing healthy or chronically ill patients

described competent level of nursing care through critical thinking model (The Nursing Process) written by ANA

integrate best current evidence with clinical expertise & patient/family preferences & values for optimal health

has been in the same clinical position for 2-3 years, & understands specific care that needs to be given

involves educational programs offered by universities, hospitals, associations, organizations & institutions

APRN who has graduate preparation (masters or doctorate) in nursing; provide care to all ages & all types of settings

example: implementing deep breathing exercises to clear lungs of secretions & promote oxygen for a patient

3rd: registered nurse identifies expected outcomes for a plan individualized to the health care consumer or situation

4th: registered nurse develops a plan encompassing strategies to achieve expected outcomes

plans & delivers anesthesia & plan management to patients across life span

population is expected to grow at a slower pace, age considerably, & become more racially & ethnically diverse

most independently functioning nurse, has a master's or Docotor of Nursing Practice in nursing

6th: registered nurse evaluates progress toward attainmnet of goals and outcomes

protects public from unqualified and unsafe nurses (what they can and cant do)

direct groups of nurses by establishing an environment for collaborative patient care & safe, evidence-based quality

an example of this: use tools such as flow charts and diagrams

coordinates activities of nursing staff members in delivering care; has personnel, policy, & budget responsibility

an example of this: navigate an electronic health record

has diverse experience & an intuitive grasp of the big picture; able to zero in on problem & focus multidimensionally

Preparing nurses to have knowledge, skills, attitudes, necessary to continuously, improve quality and safety

ANA provide lobbyists to urge state legislators & US congress to pass legislation to improve the quality of health care

Incorporates art and science of caring & focuses on protection, promotion, optimization, facilitation, alleviation, etc.

high urinary catheter infections rate: staff reviews literature, identifies at-risk patients, & establish new practices

patient care is given with compassion, respect, dignity, creativity

include those unemployed, underemployment, with low-paying jobs, mental illnesses, homelessness

function effectively within nursing & interprofessional teams; open communication, respect, shared decision making

your instructor asks the class: why Nursing Code of Ethics is important?

2nd: registered nurse analyzes the assessment data to determine actual or potential diagnoses, problems, and issues

expert clinician in a specialized area of practice such as adult diabetic care

after bachelors; important in roles of nurse educator, nurse administrator, & nurse researcher; min requirement for APRN

an example of this: find interpreter to communicate family concerns

2 year program offered at universities or community colleges, focuses on basic sciences, theory, and clinical

1st: registered nurse collects pertinent data and info relative to healthcare consumer's health or situation

central to nurse-patient relationship; allows you to know patient & their preferences, strengths, weakness, & needs

which nursing value means to be honest, which in turn builds trust with patient?

Nurse using new research-based interventions to position clients on ventilators to reduce pneumonia caused by secretions

use data to monitor the outcomes of care processes & use improvements to design & test changes to improve quality

programs are instruction or training programs provided by a health care agency or institution; increases competency

which nursing value means to give yourself without expecting anything in return (self-less)?

minimize risk of harm to patients & providers through both system effectiveness & individual performance

You spend time teaching patient and family the dressing procedure for patient's wound:

prepares graduates to apply research findings to clinical nursing; terminal degree, provides advanced prep for APRN

protect patients human & legal rights and provide assistance in asserting those rights if the need arises

develops, revises, and maintains the scope of practice statement & standards that apply to the practice of all nurses

APRN who has graduate preparation (masters or doctorate) in nursing also educated in midwifery & certified by ACNM

Small amount of experience & can identify meaningful aspects or principles of care

includes 4 years of study in a college or university; focuses on basic sciences, theory, and clinical