Intro to nursing test 1 t’s questions – Flashcards
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Abstract
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this is located on the second page after the title page. For papers requiring abstracts, type the abstract here. There are not any indention's on the left margin of the abstract (i.e., all lines should be flush with the left margin). An abstract is not required for your NSC 252 paper
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page 3
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title of paper in center: The introduction to your paper should be typed here, without the word introduction as a heading. Use references as needed here and throughout your paper. Heading for This Section of Your Paper: The discussion section of your paper should be typed here. Use references and headings (sub-headings, prn), as needed
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page 3 continued
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Summary: The summary of the key points and conclusions from your paper should go here. New information should not be introduced for the first time in the summary. Use references as needed here
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references (last page)
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All should be double-spaced and have hanging indentations. However, other requirements will vary depending on the type of reference being cited. Only references used and cited in your paper should be included here.
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http://libguides.eku.edu/nursing.
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website for the library guide to finding various information for first paper . Karen Gilbert Reference/Instruction Librarian.
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Continuum of Computer Skills- how our computer skills develop
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Data Entry Improve Care New Systems New Knowledge
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cycle
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Person Process Technology
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AACN BSN Essentials IV
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Knowledge and skills in information management and patient care technology are critical in the delivery of quality patient care.
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how informatics works
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Knowledge Information Data Patient
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Using & managing information
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Collecting Store Communicate Retrieve Process
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Quality of information
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accurate objective secure timely relevant reliable complete organized accessibility utility transparency verifiable reproducible
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Knowledge
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Body of information transformed Aggregate Investigate Share Formalize Rational
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Usability
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Human performance during computer interactions Efficiency Effectiveness
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informatics goals
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Develop computing habits that fit the finite requirements of the systems
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Kelly's (1981) Characteristics of a Profession
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1.The services provided are vital to humanity and the welfare of society. 2.There is a special body of knowledge that is continually enlarged through research. 3.The services involve intellectual activities; individual responsibility (accountability) is a strong feature. 4.Practitioners are educated in institutions of higher learning. 5.Practitioners are relatively independent and control their own policies and activities (autonomy).
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Kelly's (1981) Characteristics of a Profession continued
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6. Practitioners are motivated by service (altruism) and consider their work an important component of their lives. 7.There is a code of ethics to guide the decisions and conduct of practitioners. 8.There is an organization (association) that encourages and supports high standards of practice.
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EKU DBGN Definition of Nursing
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Nursing is an autonomous and caring profession. Nursing is an art and science that promotes health through patient-centered care. While respecting patients' rights to self-determination, nursing provides holistic care during health, illness, and death" (EKU BSN Student Handbook).
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Pre - Mid 19th Century
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men & women provided care and healing for the poor, sick, & homeless Influenced by such things as w omen's roles & status, religion, war, societal attitudes... Not a "respectable" occupation at this point in history
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"Nightingale Era" Mid - Late 1800's
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envisioned nurses as "educated", primary focus within hospitals, began to transform nursing into a respectable profession "Training" for nurses began (American Civil War) Primarily "trained" by physicians (medical model) and were in very subservient roles
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Early 1900's
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Diploma/"apprenticeship" nurse training; still primarily trained by physicians (medical model) 1900 - 1st issue of the American Journal of Nursing published 1901 - 1st BSN program established
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1st two university schools of nursing established; curricula based on
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educational needs of nurses, rather than on hospital service needs
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Frontier Nursing Service founded by Mary Breckinridge;
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Frontier Nursing Service founded by ____.1st midwifery education program in the U.S. & 1st based on research (moving from lay midwifery to professional midwifery) lay midwifery is now illegal in KY
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Early 1900's
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BSN, MSN, & PhD's in Nursing established during this period
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LPN/LVN programs created
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need for field nurses who could be trained quickly (World War II)
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1950
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Mandatory, standardized licensure required for registered nurses (RNs) nationwide
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ADN education 1st established
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by Mildred Montag, in response to nursing shortage (post-World
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Late 1900's
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Growth of baccalaureate and graduate nursing education Growth of nursing as a "science" and of nursing research and theory development
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21st Century
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Dynamic period (e.g., demographics/aging of America; increasing diversity; increased valuing of men in nursing; lifestyle changes; health care system/reform; advances in health care information, knowledge, technology...) Increased recognition of nursing as a profession & academic discipline
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21st Century
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On-going development of nursing theory, research, education, & practice Explosion of technology & informatics Focus on health promotion, evidence-based nursing practice, outcomes of nursing practice, economics
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Florence Nightingale
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"Founder of Modern Nursing" - laid foundation for today's nursing education, practice, & research 1st nurse educator, researcher, & theorist
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Clara Barton
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"Angel of the Battlefield" - American Civil War; known for her compassionate care Founder of the American Red Cross
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Linda Richards
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America's 1st trained nurse - 1873 FYI: Initiated nurse's notes, doctor's notes, & nurses wearing uniforms
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Mary Mahoney
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America's 1st African-American professionally educated nurse Worked for acceptance of African Americans in nursing & for promotion of equal opportunities
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Lillian Wald
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Founder of Public Health Nursing Established the Henry Street Settlement, in New York's Lower East Side Still in operation today
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Mary Breckinridge
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Founder of the Frontier Nursing Service, in Hyden, Kentucky 1st midwifery education program in U.S.
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Professionalism
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"...the consistent demonstration of core values evidenced by nurses working with other professionals to achieve optimal health and wellness outcomes in patients, families, and communities..." (Interprofessional Professionalism Measurement Group, as cited in AACN, 2008 , p. 26; EKU BSN Student Handbook).
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Characteristics of Professional Nurses/ Becoming a Professional Nurse
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Altruism Excellence Caring Ethics Respect Communication Accountability Self-Care Competence Leadership Ethical/Legal Practice Collaboration Critical Thinking
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Benner's Stages of Proficiency in the Development as a Professional Nurse
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Novice Advanced Beginner Competent Practitioner Proficient Practitioner Expert Practitioner
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Practical/Vocational Training in Nursing (LPN/LVN)
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Technical licensed vocational nurses Primarily practice at patient bedside (direct, hands on care; technical skills; usually practice under the supervision of an RN or MD, though practice on own license
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Associate Degrees in Nursing (RN Education)
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Technical registered nurses (hands on learning, with selected theoretical basis r/t how's & why's) Primarily practice at patient bedside (direct care; greatly expanded scope of practice from practical nurse; scope of practice almost identical to that of baccalaureate-prepared nurse since both prepared to become RNs
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Baccalaureate Degrees in Nursing (RN Education
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*Professional registered nurses (integration of theory, research, & practice - application of research for evidence-based nursing practice *Practice involves critical thinking, collaboration, & decision-making *Generalist; expanded roles
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Master's Degrees in Nursing
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Prepared for advanced practice roles (e.g., nurse administrator, nurse educator, nurse practitioner, clinical nurse leader or clinical specialist, consultant) *Strong theoretical & research base *Beginning nurse researcher/scholar
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Doctoral Degrees in Nursing - Practice Doctorate (DNP)
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*Developed for nurse leaders in advanced practice roles (e.g., nurse practitioner, nurse administrator, & nurse educator) *Focus of research on research utilization for evidence-based practice
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Doctoral Degrees in Nursing - Research Doctorates (PhD, DSN, DNSc)
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*Prepare nurses to become faculty members in universities, administrators in schools of nursing or large medical centers, researchers, theorists... *Focus of research on conduct of original research; also, focus on development of nursing theories & nursing knowledge
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Roles of the Professional Baccalaureate Nurse identified by AACN (2008) for the Baccalaureate Generalist Nurse
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*Provider of Care* (Caregiver) *Direct & indirect patient/client care; across the specialty areas & in vast settings; for individuals, families, communities, & populations; promoting health & wellness, preventing illness, restoring health, and caring for the dying... *Caregiver role is multifaceted
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Roles of the Professional Baccalaureate Nurse (-cont-) identified by AACN (2008) for the Baccalaureate Generalist Nurse
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Designer/Manager/Coordinator of Care* (e.g., Case Management) *Leadership *Consultant *Consumer of Research *Member of a Profession*
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American Nurses Association (ANA)/State Nurses Associations
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National/state professional organization for nurses...representing the nation's (or state's) entire registered nurse population Key: ANA/KNA represents nurses; contrasted to the National Council of State Board's of Nursing (NCSBN)/Kentucky Board of Nursing (KBN) whose mission is to regulate nursing practice & to protect the public
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Sigma Theta Tau International
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International Honor Society for Nursing *Focuses on nursing research & scholarship *Publishes the Journal of Nursing Scholarship & the Online Journal of Knowledge Synthesis for Nursing *Awards grants for research
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National League for Nursing (NLN)
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*1st nursing organization in the U.S. *Dedicated to promoting excellence in nursing education *Certification of Nurse Educators (CNE) *Provides tests for use in nursing programs
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National league for nursing accrediting commission (NLNAC)
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Independent accrediting body within NLN Provides voluntary accreditation for educational programs in nursing (LPN/LVN - DNP)
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American Association of Colleges of Nursing (AACN)
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National voice for baccalaureate- & higher-degree nursing education programs Establishes quality standards for baccalaureate- & graduate-degree nursing education, assists in implementation of those standards
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Commission on Collegiate Nursing Education (CCNE)
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Autonomous accrediting body, organized by AACN & the accrediting arm of AACN Provides voluntary accreditation for baccalaureate & graduate nursing programs
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Nursing Specialty Organizations
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Focus on advancement of the specialty's area of practice and issues specific to the specialty area of practice
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Pre-Professional Organizations for Nursing Students
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National Student Nurses' Association (NSNA)/Kentucky Association for Nursing Students (KANS)/EKU Nursing Student Network (NSN) Mentors professional development of future registered nurses & facilitates their entrance into the profession
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Leadership
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"...the ability to apply learned skills by which nurses influence the direction of health care, the nursing profession, and the quality of health care for patients" (EKU BSN Student Handbook). Influencing "...others to work together to accomplish a specific goal" (Berman & Snyder, 2012, p. 519).
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Leadership
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"...the foundation blocks for nursing professional practice" (Chitty & Black, 2011, p. 366).
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Leadership Style
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refers to traits, behaviors, motivations, and choices used by individuals to...influence others" (Berman & Snyder, 2012, p. 519).
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Autocratic
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this individual is known as a Authoritarian
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Democratic
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this leadership style focuses on participation and consultation
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Laissez-Faire
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this leadership style is Non-Directive, Permissive
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Characteristics of Effective Nurse Leaders
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Communicator Negotiator/ Collaborator/ Coordinator Critical Thinker Motivator (Empowers) Delegator Advocate Mentor Role Model Conflict Manager Change Agent
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Lewin's 3 Stages of Change
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Unfreezing Moving Refreezing
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Nursing Leadership Roles
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Designer/Manager/Coordinator of Care Executor Educator Consultant Advocate Entrepreneur
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informatics
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taking of data and applying it to the management of information
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knowledge engineer
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designing and implementing and maintaining systems of knowledge
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knowledge generators
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researchers, people who know whats going on, craft theories, leading effort to solve a problem
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knowledge broker
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knows where to find information
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knowledge manager
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good at acquiring and processing disseminating and reusing
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autonomous
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to make choices
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cyclic nature
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nursing is considered this because it goes in a cycle
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Florence Nightingale
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* 1st nursing researcher * 1st nurse educator * 1st nurse Theorist she is the founder of modern medicine . first to in-vision professional nursing
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1st professional nursing journal
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American Journal of Nursing
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1901
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1st BSN program established. At University of Minnesota. it was part of the school of Medicine. Based on a 3 yr program
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State Board organization
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they issue licensure they were initially National League of nursing.
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1st research journal
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Nursing Research
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Mary Mahoney
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attended the school of New England Hospital for Women and Children private duty nursing in Boston Area fought for equal opportunity for African Americans
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State KNA
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this is a professional organization
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Kentucky board of nursing
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this is not a professional nursing organization it is a state organization
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Sigma Theta Tau
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promotes a focus on nursing research and scholarship. this is Theta new at EKU
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Kentucky Nursing As. journal
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this is considered a professional nursing.
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National League for nursing
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build and devise nursing program. Develop certified nurse education exam voluntary (CNE). Accredits EKU associate organization not the BSN
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American Association of Colleges of Nursing (AACN)
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parent organization they are independent and autonomous. Promote public support and support health care
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Commission on Collegiate Nursing Education (CCNE)
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child organization branch they accredit EKU BSN program
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classic leadership styles
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autocratic democratic laissez-faire
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contemporary leadership styles
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transformational shared
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efficiency
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if they accomplish their goal, in a timely and cost efficient way
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Autocratic
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leader believes people are externally motivated and are incapable of decision making. Focus is on I "I do this and u" similar to beurocratic style. Criticism is punitive.
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Democratic
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participative/ concentrative leader serves as a facilitator and actively guides members. Believe in intrinsic reward. "we" criticism is constructive. Can be less efficient than autocratic. Trying to reach agreement.
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Laissez- Faire
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leader recognize group needs for autonomy and self regulation. Do not offer leadership. Leadership arises in the group. Assumes all group members are motivated. Do not criticize.
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transformational
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leaders, creativity risk taking commitment and collaboration. Impowering and motivating members. leader is not highly critical. Want them to transform organization and members. "idealistic" not the best for day to day management. Based on trust of group members allow individual group change is facilitated.
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shared
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regularly made up of many leaders. Flat organization chart. Group members impowered to participate. Give more authority and control to individual. Decision making is shared.
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unfreezing
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the need for change is recognized, come up with alternative solutions. Participants are motivated
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Moving
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participants agree status quot is undesirable and a change is implemented
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Refreezing
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change is integrated and stabilized change so it equals the status quote
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most affective implements change
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shared transformational democratic
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Mission Statement
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The threefold mission of the department is congruent with the mission of the college and university: to serve the community of interest by providing high quality, accessible learning opportunities which encourage students to act independently, to think critically, to communicate effectively, and to practice professional or advanced levels of nursing with integrity, enlightenment and creativity; to participate in service which enhances the educational mission of the college and the university; and to participate in research and other scholarly efforts supporting the educational mission of the college and university.
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ENVIRONMENT
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Environment is the aggregate of all objects, conditions, forces, and ideas that interact with patients. The elements of the environment include the physical, biological, sociocultural, and organizational systems. A health promoting environment facilitates movement toward wellness.
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HEALTH
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Health is a dynamic process between the patient and environment. Optimal health includes biological, environmental, psychological, sociocultural, spiritual, and organizational influences. Health reflects a patient's ability, willingness, and resources to engage the environment in a manner that maximizes wellness.
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NURSING
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Nursing is an autonomous and caring profession. Nursing is an art and science that promotes health through patient-centered care. While respecting patients' rights to self-determination, nursing provides holistic care during health, illness, and death.
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Professionalism
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"Professionalism is defined as the consistent demonstration of core values evidenced by nurses working...to achieve optimal health and wellness outcomes in patients...by wisely applying principles of altruism, excellence, caring, ethics, respect, communication, and accountability (Interprofessional Professionalism Measurement Group, 2008). Professionalism also involves accountability for one's self and nursing practice, including continuous professional engagement and lifelong learning." (AACN Essentials 2009, pg 26)
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Leadership
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Leadership is the ability to apply learned skills by which nurses influence the direction of health care, the nursing profession, and the quality of health care for patients. Effective leaders are innovative, flexible, and foster inter/intradisciplinary collaboration and communication.
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Ethical/Legal Practice
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Ethical practice is the implementation of moral principles and standards governing conduct. Legal practice is the adherence to the laws and regulations governing nursing.
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Evidence-based Nursing Practice
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"Care that integrates the best research with clinical expertise and patient values for optimum care" (IOM, 2003b). Evidence-based nursing practice is the delivery of safe and effective patient-centered care across the lifespan.
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Nursing Process
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Is a problem solving method which includes assessment analysis, planning, implementation, and evaluation. Critical elements of the nursing process include levels of prevention, safety, cultural sensitivity, and quality management in health care.
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Research:
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is a systematic, scientific inquiry into phenomena relevant to evidence-based nursing practice for the purpose of validating and developing knowledge of the profession.
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Informatics & Health Care Technology
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is the use of electronic systems to gather, monitor, and analyze data in the provision and improvement of patient care.
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Communication:
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is a goal directed dynamic, written, verbal, nonverbal, and electronic interactive process. Communication involves contextual transmission, analysis, interpretation and evaluation of messages. Communication skills promote interpersonal, therapeutic, group, and professional relationships
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Collaboration:
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is a process of working toward mutual goals to improve patient outcomes. Collaboration involves collegial relationships with other members of the health care team, including patients.
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Critical Thinking
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is the process of questioning, analysis, synthesis, interpretation, inference, inductive and deductive reasoning, intuition, application, and creativity (AACN, 1998). Critical thinking underlies independent and interdependent decision making. (AACN Essentials pg 37 2009)
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Systems
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The concepts of systems theory are integral to professional nursing practice. Systems function through interdependent, interacting components. All systems are part of a larger system.
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The Essentials of Baccalaureate Education for Professional Nursing Practice
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published by the American Association of Colleges of Nursing in 2008, has been adopted as the professional standard to guide the undergraduate curriculum. The document specifies the essentials which are essential for all baccalaureate nursing programs. These essentials are congruent with the curriculum organizing concepts and are integrated into the baccalaureate curriculum.
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Essential IV:
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Information Management and Application of Patient Care Technology o Knowledge and skills in information management and patient care technology are critical in the delivery of quality patient care.
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BSN degree
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a minimum of 120 credit hours is required
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In general, State Boards have the power to:
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1. Deny admission to take licensure examination 2. Require that the individual be graduated from an approved school 3. Require reporting of misdemeanor of felony convictions 4. Deny licensure to persons who negligently or willfully act in a manner inconsistent with the practice of nursing, or is unfit or incompetent to practice due to other causes, such as abuse of controlled substances, fraud, or deceit.
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Kentucky- mandatory nurse practice act.
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A mandatory act requires that anyone who practices nursing according to the definition of the practice in the state nurse practice act must be licensed. Exemptions to this include the practice by students of nursing in their course of study while under the supervision and direction of a clinical nursing instructor.
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ADMISSION AND PROGRESSION REQUIREMENTS
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All prerequisite courses must be completed with a grade of C"/2.0 GPA of 2.5 on a 4.0 scale In addition to the academic criteria required for admission, the student must meet the standards written into the Commonwealth of Kentucky Nurse Practice Act.Students must meet all clinical agency placement requirements.
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ADMISSION TO THE TRADITIONAL BACCALAUREATE NURSING PROGRAM CLINICAL SEQUENCE
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traditional pre-licensure clinical nursing sequence should submit an Application for Admission to Clinical Nursing Sequence form to Rowlett 223 by March 31 for Fall admission and October 31 for Spring admission. If a student is not admitted and desires to be considered for admission to a subsequent semester, a new application form must be completed and returned.
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REQUIRED DOCUMENTATION FOR CLINICAL/CLINICAL AGENCY PLACEMENT REQUIREMENTS
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RN LICENSURE FOR RN-BSN Students: IMMUNIZATIONS & TUBERCULOSIS SCREENING
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IMMUNIZATIONS & TUBERCULOSIS SCREENING
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Tuberculosis Screening a. An initial Two-Step TB Skin Test is required for all students before beginning the clinical nursing sequence. In a Two-Step procedure, a person is given a baseline PPD test. If the test is negative, a second test is administered one to three weeks later. If the second test is negative, the person is considered uninfected. A positive test indicates the need for further screening. The students must specify they are requesting the Two-Step PPD when they initiate the testing procedure. b. Following the initial Two-Step screening, an annual negative PPD Skin Test is required. c. If the PPD Skin Test is positive, or if a PPD is contraindicated, a chest x-ray and further evaluation is necessary. NOTE: The Tuberculosis screening documentation must remain current for the entire semester and must not expire at any time during the semester. 2. MMR-Measles, Mumps, Rubella and Rubeola Immunity: Seriologic evidence of immunity (titer) or documentation of two doses of vaccine after the first birthday. The two doses of vaccine can be given four weeks apart. 3. Hepatitis B vaccination: documentation of vaccination with three doses of vaccines. 4. Varicella (chicken pox) Immunity: Must have either serologic evidence of immunity (varicella zoster virus titer) or documentation of vaccine, (two doses, four weeks apart). 5. Pertussis booster vaccine (TDaP-Adacil, which has the pertussis component). This vaccine is for adults and is different from the vaccine given to infants and young children.
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INSURANCE:
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Personal Illness: The cost of treating illnesses or injuries incurred in clinical situations is not usually covered by the clinical agency. Students are encouraged to carry personal health insurance to cover such situations.
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Professional Liability Insurance
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purchase this through the University and maintain it while enrolled in all clinical nursing courses. The University has arranged for appropriate ___coverage at a modest cost to the student. Students will not be allowed to attend clinical experiences unless they have obtained this ___ coverage through Eastern Kentucky University. The time period for coverage is August 15-August 14 of a calendar year; no prorating for partial coverage is possible. The ____ covers only clinical experiences which are part of scheduled classes. The ___will no longer be in effect if the student withdraws from school or graduates.
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BACKGROUND CHECK:
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Eastern Kentucky University College of Health Sciences now requires ___ checks for all students entering programs in the Health Sciences. This is to ensure a safe clinical environment for both students and the public and to meet the contractual requirements of clinical facilities.
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CARDIOPULMONARY RESUSCITATION (CPR)
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current satisfactory completion of ___training during ALL clinical rotations. The ___ certification must remain current throughout the entire semester of the clinical course and cannot expire at any time during the semester. Once a person is trained initially, retaining is required yearly.
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Professional Liability Insurance
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All students (both pre-licensure and RN-BSN) participating in clinical learning experiences must purchase ___ insurance through the University and maintain it while enrolled in all clinical nursing courses. cant register until class admission.
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PROFESSIONAL APPEARACE EXPECTATIONS
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1. Hair off the shoulders, out of the face, simple in style, and without ornamentation/decoration. Hair must be pulled back off the face and must not fall in the face when moving or leaning forward. 2. Fingernails must be natural (no artificial nails or "tips"), short, and without polish or other decoration. 3. Cosmetic use must be moderate (light day make-up is acceptable). 4. Clothing and shoes must be clean. Clothing must be wrinkle-free. No clogs. 5. Scents or colognes can cause allergic reactions or nausea in some clients and should not be used during client care experiences. Please note that a strong odor of tobacco is also a scent and can cause the same problems as stated above. 6. Jewelry is limited to one set of small plain post type of earrings (non-dangling) in the earlobes and one ring. One ring is permitted in most clinical sites, and the ring must be free of sharp or protruding settings. No other jewelry is permitted, pierced or otherwise, in or on any visible areas of the body. 7. Name badges indicating the individual is an EKU Baccalaureate Nursing Student , unless another type of student identification is required by the agency. Name badge must be obtained from the EKU Barnes & Noble Bookstore.
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DEPARTMENTAL POLICY ON ATTENDANCE
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Any student with more than 20% absences from class shall be assigned an "F" grade. Over 3 classes
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OBTAINING COURSE GRADES
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Students may obtain mid-term and final ___on-line. Under no circumstance should the student contact the secretarial staff of the department requesting ___ information
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student complaints and appeals
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teacher (Dr short) - chair dean president
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