Excelsior Nursing- Transitions – Flashcards
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The scope of nursing practice includes:
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Promoting wellness, preventing illness, restoring heath, and care of the dying
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Standards of clinical nursing practice provide:
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Criteria against which the effectiveness of nursing care and professional performance behaviors can be evaluated
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Socialization
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A lifelong process by which people become functioning participants of a society or a group. Also involves interactions with others and establishing boundaries of behavior.
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Socialization of nursing practice
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The process whereby the values and norms of the nursing profession are internalized into the nurse's own behavior and self concept.
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What are Benner's five stages of socialization?
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Novice, advanced beginner, competent, proficient, and expert
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View of nurses during The Reformation
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Hospital care relegated to uncommon women like prisoners, prostitutes, or drunks. Nurse regarded as the most menial of servants.
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Order of the Deaconesses
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Earliest counterparts to community health nurses. Carried a basket into homes to give food and medicine.
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Sisters of Mercy formed by:
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Catherine McAuley in Dublin. A Roman Catholic society.
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Sister of Mercy formed to:
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Treat cholera epidemic in 1832.
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Sisters of Charity
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Founded in 1633 with help of St. Vincent de Paul as visiting nurses to the sick in hospitals, asylums, and poorhouses. Developed an educational program for nurses.
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Parabolani brotherhood
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One of the first organizations for men in nursing. Established to respond to the needs created by the Black Plague. Organized a hospital and traveled throughout Rome to care for sick.
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Order of St. Benedict
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Workers sent throughout Europe, raising standards of education and culture, and providing care for sick and poor.
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Monasteries and nursing
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Care of sick placed above other duties of Monks. Emphasized bathing as treatment for sick, and established infirmaries within monastaries.
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Casualty rate in hospital during Crimean War
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60%
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What war was Florence Nightingale involved with helping in?
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Crimean War
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Nursing care during the American Revolution
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Often laywomen following their husbands to battle, and hospitals were homes and barns.
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The Philadelphia Dispensary- date established and importance
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Established in 1789. Volunteer doctors treated patients at no charge. Led to sites to control disease and smallpox vaccination
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Public recognized a need for trained nurses to treat wounded soldiers during what war?
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American civil war
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World War I influence on nursing standards:
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- Increased demand for trained nurses - Army School of Nursing established in 1918 - Nurses required to be qualified, unmarried, and of good moral character
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Function of National Nursing Council for War Services
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1940. Encouraged women to enter nursing programs
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The Bolton Act
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Created the U.S. Cadet Nurse Corps in 1943. Required nurses to be between ages of 17-35, in good health, with good academic status. Married and part time workers became acceptable.
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Hill Burton Act
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Supported hospital construction after World War II, and led to emergence of "professional nursing." Decrease in students led to position of orderlies and aides. Nurses became more superior/administrative and less patient care.
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Utilization of M.A.S.H. started during what war?
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Korean and Viet Nam wars
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Function of M.A.S.H.
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Mobile Army Surgical Hospitals. To treat and stabilize wounded before returning to the field or being transferred to a hospital for formal treatment. Triage care evolved.
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Gulf, Afghanistan, and Iraq war led to challenges in dealing with what factor?
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Environment. Extreme dust, heat, and sand. Caused gas mask to become standard PPE.
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New factors in treatment during Gulf, Afghan, Iraq wars:
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- Victims include innocent women and children - Recognition of treatment of medical personal not directly in combat for PTSD - Increased use of physicians and nurses in combat area
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Immigration rates have caused a great need for what kind of nurses?
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Bilingual
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New immigrants coming primarily from? And speaking what language?
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From Asia and Latin America, speaking Spanish
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Raising elderly population rates due to Baby Boomers
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14% of population in 2015 20% of population by 2030
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Effect of internet and media on health care
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- Patients becoming more knowledgeable and demanding - Searching for cheaper alternatives, and disease prevention measures.
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Average age of RN's in the workforce in 2002 and 2010
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42 in 2002, and increase to 45 in 2010
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Bureau of Labor predicts an increase of how much in women ages 55+ in the workforce from 2008-2018? What will the percent of women that age in the workforce increase to?
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49%. Percent in the workforce will increase from 18% in 2008 to 25% in 2018.
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Why are such a high percentage of students being turned away from nursing programs?
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Faculty shortages, lack of classroom space and clinical sites
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Influence of Florence Nightingale during Crimean war
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Focused on hygiene, sanitation, and education. Brought mortality rate from 42.7% to 2.2% in 6 months. Established Nightingale training school in 1860
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Role of Clara Barton in civil war
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School teacher who volunteered as a nurse. Operated/directed large scale relief operations during the Civil War.
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Organizer of American Red Cross and year?
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Clara Barton, 1882
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Dorothea Dix concentrated efforts on what group of people?
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The mentally ill
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Accomplishments of Dorothea Dix
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-Construction of State psychiatric institutions -Superintendent of Women Nurses for All Military Hospitals during the Civil War -Famous memorandum on jail visit led to founding of state hospitals for insane
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Influence of Harriet Tubman
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-Abolitionist. "Conductor of the Underground Railroad" -Worked with Clara Barton tending wounded soldiers during Civil War regardless of color
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Influence of Sojourner Truth
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-Nursed Union soldiers. -Worked for improvement in sanitary facilities. -Nurse for Freedmen's Relief Assn.
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Influence of Isabel Hampton Robb
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Made changes to nursing education. Cut down students' workday to 10 hours, and eliminated free private duty services
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Influence of Mary Breckinridge
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After WWI established the Frontier Nursing Service (FNS). Established first Midwifery training school in US
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Influence of Mildred Montag
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Wrote "Community College Education for Nursing," leading to establishment of associate degree-nursing education
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Influence of Lavinia Dock
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-Activist in getting amendment for women to vote -Community Health Nurse -Established Henry Street Settlement -Introduced nursing into schools
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Influence of Virginia Henderson
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Taught that the patient is a person who requires help toward independence
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Influence of Mary Mahoney
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America's first African American nurse in 1879
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Influence of Hildegard Peplau
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A psychiatric nurse instructor, who described the nurse-client relationship
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Influence of Melinda Ann Richards
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America's first trained nurse. Key figure in development of nursing education.
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Influence of Margaret Sanger
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Opened first birth control clinic in Brooklyn
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Influence of Lillian Ward
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Established a neighborhood nursing service for the sick poor in NYC. Founder of public health nursing
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"Nursing and nursing education in the US"
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1923. Pointed out flaws in hospital training. Resulted in educational prep of students, and establishment of Yale University School of Nursing
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"Nursing for the future"
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1948. Done to determine society's need for nursing. Resulted in nursing education in universities and colleges, and encouraged recruitment of men and minorities
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"A program for the nursing profession"
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1948. Addressed problems with nursing shortages. Recommended nursing teams consisting of variously educated nurses be developed
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"Community college education for nursing"
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1959. Reported findings of a 5 year study of 8, 2 year nursing programs. Led to more associate degree programs
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"Position paper on educational preparation for nurse practitioners and assistants to nurses"
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1965. Resulted in "entry into practice" controversy, which said 4 major things.
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4 major positions in the "Position paper on edu. prep..."
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1. Education for those licensed should be from higher education institution 2. Minimum prep for professional nurses should be a bachelors degree 3. Minimum prep for LPN should be associates degree 4. Education for assistants should be short, intensive pre-service program at vocational school
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"An abstract for action- A report of the NCNNE"
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1970. Suggested joint practice committee, master planning for nurse education, funding for education and research
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"National commission on nursing implementation project"
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1985. Study to provide leadership about education, credentialing, and testing of nurses.
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"Health profession education for the future: Schools in service to the nation"
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1995. Made recommendation to develop programs to incorporate interacting in a range of disciplines during nursing school.
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"Reforming health care workforce regulation"
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1995. Helps schools prep for understanding needs for the future. Wanted to reform licensing process
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"Health people 2020: the cornerstone of prevention"
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1990. Provides 10-year national objectives for promoting health and preventing disease. Looking to increase quality and years of healthy life and eliminate health disparities.
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"The future of nursing 2010"
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2010. Recognize work of APRNs, and work needed to use them to meet needs of the public
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International Council of Nurses (ICN) function
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Addresses social and economic welfare of nurses, role of nurse in health care, and roles of national nursing organizations throughout the world and their relationships to their governing bodies.
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Location of ICN headquarters
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Geneva, Switzerland
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Membership to American Nurses Association
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RNs only from 50 states and 3 territorial constituents. They belong to ANA through being a member of State nurses' association.
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Services/functions of ANA (7)
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-Work on policies such as Code of Ethics -Research topics related to nursing -Get certified for expertise in a specific area of care -Involved in legislation activity, "Capitol Whiz" -Collective bargaining -Access to group and liability insurances -Biennial report
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Membership to The American Association of Colleges of Nursing
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Must be a dean or director of bachelor degree programs in nursing at an accredited college
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Function of American Association of College of Nursing
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Assists collegiate schools of nursing in working cooperatively to improve higher education for professional nursing
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Function of Commission on Collegiate Nursing Education
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Formed to provide accreditation to nursing programs
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Function of National Council of State Boards of Nursing
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It's membership represents the legal authority for the control of nursing education and nursing practice.
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National League for Nursing- 5 areas of focus
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1893. 1. Nursing education development and improvement 2. Faculty Developments 3. Nursing education research 4. Data collection 5. Assessment and evaluation
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First nursing organization in the U.S.
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National League for Nursing
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Membership to Sigma Theta Tau
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Students who are enrolled in bachelors programs and demonstrate scholarship and personality characteristics in line with the organization's professional goals
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Function of Sigma Theta Tau
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Recognize students with leadership potential and superior ability. Also has first online nursing journal that can be accessed by computer.
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Alpha Tau Delta
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Fraternity version of Sigma Theta Tau
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American Academy of Nursing purpose
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1973. Recognize nurses who have made significant contributions to the profession of nursing. An honorary association in the ANA
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Purpose of National Student Nurse's Association
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1952. For students in schools of nursing. Fully independent organization run and financed by nursing students. Developed a student Bill of Rights
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National Organization for Associate Degree Nursing- 4 purposes
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1.Speak for assoc. degree nursing education and practice 2.Reinforce the value of assoc education and practice 3.Maintain endorsement of RN licensure from state to state 4.Retain the RN licensure exam for graduates
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Membership to NOADN
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Open to individuals, states, agencies, and organizations
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Purpose of American Organization of Nurse Executives
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National professional organization for nurses who design, facilitate, and manage care.
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National Association of Hispanic Nurses founded in:
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1975
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National Black Nurses Association Inc founded in:
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1971
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American Assembly for men in Nursing founded in:
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1971
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Focus of clinically related organizations
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Continuing education related to a particular nursing specialty
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Earliest specialty organization formed in 1941
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American Association of Nurse Anesthetists
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Names of other 3 main specialty organization
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American Association of critical care nurses, Association of perioperative registered nurses, American Association of occupational health nurses
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First hospital with a 1 year nursing program
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The New England Hospital for Women and Children
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First school to train male nurses
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The Mills School of nursing at Bellview Hospital
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Nightingale school purpose
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Purpose is to teach theoretical and practical knowledge underlying physicians orders.
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Bolton act of 1943 was first to do what?
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Be a federal program to subsidize education for nursing study
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Requirements for cadet nurse corps
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Commit to military or civilian service for duration of war. Given payment of tuition or stipend
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Purpose of Nurse Training Education Act of 1964
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Assure more and better schools of nursing with high standard of teaching and better health care for consumers
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Masters programs
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Prepare for leadership positions. Needed for advanced practice
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Staying current in practice is critical to:
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Safe client care
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"Healthy America: practitioners for 2005"
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Described competencies for health professionals. Put into action in "Nursings Agenda For Health Care Reform"
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Practical and vocational nurses
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1 year programs. Stresses clinical experiences i multiple environments
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First hospital with a nurse training program:
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New England Hospital for Women. 1872
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Diploma programs
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RN programs through a hospital. Usually 27-36 months long.
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Most popular RN program
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Associates degree program
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First 4 year program
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University of Minnesota in 1909. Students traded work in hospital for education
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Accreditation of programs
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A voluntary process where educational institutions or programs have been found to meet offer exceed standards and criteria for educational quality
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Accreditation Commission for Education in Nursing (ACEN)
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Responsible for accreditation of nursing education schools and programs
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Commission on Collegiate Nursing Education
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Ensures quality and integrity off bachelor's and graduate education programs by verifying they meet accreditation standards
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Credentials
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Written proof of qualification and may include diplomas conferred by educational programs, certification, out registration by professional groups, and legal licenses conferred by government agencies
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Permissive licensure
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Allows forget those meeting certain standards to voluntarily be licensed to practice as RNs. Most states now require legal licensure
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Nursing Practice Act
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Contains a definition of nursing and qualifications for applicants, renewal requirements, violations, etc.
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Board of Nursing
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Administrative agency with authority to carry out provisions of the Nurse Practice Act
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Certification
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Provides evidence of specialized clinical knowledge and ability to work beyond the basic level