Why have the use of
integrative health
practices increased
dissatisfaction with conventional health care, desire for
greater control of health, desire
... [Show More] for cultural and
philosophical congruence with personal beliefs, belief
in the effectiveness of alternative therapies, individual
health status, rising cost of conventional health care
Evidence-Based
Practice (EBP)
Using research findings to guide nursing practice. It
uses statistical data to estimate the risk-benefit ratio.
The Cap A symbol of service to others. The first one was in 1874,
primary used to keep long hair out of the way. Each
school designed their own. Separate ceremonies for
pinning and capping. Capping was after 6 months of
classroom education. Signs of rank were first year,
white cap, 2nd year, vertical black band on the edge,
and 3rd year, graduation, vertical band removed and a
black band across the front.
The Nursing Pin During the crusades, Knight's hospitallers wore a white
Maltese cross around their neck, showing they were
skilled in treating injured soldiers.
The first modern nursing pin attributed to Nightingale,
which was the blue cross with her head in the middle.
Each program designed a unique pin to represent
values, philosophies, beliefs, and goals.
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The Lamp Flame of Life, extinguished by death. The burning of
the lamp symbolized enlightenment that accompanies
knowledge. Florence used the lamps during her
rounds at night.
Hippocrates "Father of Medicine"
Isabel Adams
Hampton-Robb
Focused on the academics rather than clinically raised
standards of education in the U.S. She was an
advocate for reducing long hours. She was the first
president of the ANA, and helped develop American
Journal of Nursing.
Lillian Ward Opened the Henry Street Settlement (a storefront
health clinic in a poorer part of NYC. The nurses made
home visits and focused on sanitary conditions and
children's health). She was an advocate for wellness
education, Founded the National Organization for
Public health nursing, in 1912.
Lavinia Lloyd Dock Write the medical textbook for nurses. She addressed
problems of poverty and squalor. She was dedicated
to the pursuit of equal rights. She spent of 20 years
fighting for women's rights to vote.
Annie W. Goodrich She ran multiple nursing schools throughout New York.
In 1910, she was appointed State Inspector of Nursing
Schools (a position on physicians held), and was the
Dean of Nursing in the Army Nursing School, and Yale
School of Nursing. She established a nursing training
program at Vassar College.
Loretta C. Ford Founded Nurse Practitioner (NP) Practice.
Quality and Safety
Education for Nurses
(QSEN)
Using the model contributed to the adoption of quality
and safety competencies as core practice values. Built
on 5 competencies developed initially by the Institute
of Medicine.
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What are the 5
Competencies?
(QSEN)
-Client centered care.
-Teamwork & collaboration.
-Evidence-based practice.
-Quality improvement.
-Safety.
-Informatics.
Identify the
importance of
interpersonal
education for nurses
Local health needs
Fragmented health-care practices
Present and future health-care needs
Shortages in the health workforce
Collaborative practice
Improved health-care system
Identify the purpose
and needs for nursing
licensure
All nurses now accept licensure and certification
examinations as a given in today's health-care system.
Rules and regulations written by the state boards of
nursing become statutory laws under the powers
delegated by the state legislature, and define powers
regarding the practice of nursing within the state.
Review examples of
ways a nursing license
may be revoked
• Conviction for a serious crime
• Demonstration of gross negligence or unethical
conduct in the practice of nursing
• Failure to renew a nursing license while still
continuing to practice nursing
• Use of illegal drugs or alcohol during the provision of
care for clients or use that carries over and affects
clients' care
• Willful violation of the state's nurse practice act
Identify why it is
important for nurses
to join professional
organizations
Organizational certification is referred to as
accreditation and indicates that the institution has met
standards established either by the government or by
a nongovernmental agency.
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Main method in which
nurses can gain
power in nursing
Nurses are demonstrating their power to achieve a
goal when they band together and exert power as a
group
Civility Civility is based on recognizing that all human beings
are important. A simple definition of civility is for
people to treat others as they would wish to be
treated (the Golden Rule).
Healthcare delivery the action or activities of supplying or providing
services to maintain health, detect illness, and cure
those who are ill or injured
How does healthcare
delivery affect nursing
care
Nursing practice is influenced by political, societal,
and cultural realities and needs to adapt to the
changing world that affects everyday practice. Today's
health-care institutions are heavily affected by the
costs of delivery, access to services, and health-care
professionals.
What demographic
trends are affecting
healthcare delivery?
Between now and the year 2050, the number of
persons 65 years or older is expected to double. By
2050, one in five people living in Canada or the United
States will be elderly, and their numbers will reach an
estimated 80 million.
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What are the 4
systems types in
Western Medicine
and what are the
goals of each
system?
Type 1 Health-Care System goals are preserving
autonomy and acceptance of social differences
Type 2 Health-Care System Egalitarian values are
given high priority, but so are practitioner and client
autonomy.
Type 3 Health-Care System the state-operated and
state-funded health services were based on an
egalitarian value and public management.
Type 4 Health-Care System focuses on keeping the
general public healthy so that they can continue to
contribute to society and the economy.
Prospective Payment
Systems required
required facilities providing services to Medicare
clients to be reimbursed using a fixed-rate system and
included monetary incentives to reduce the length of
hospital stays.
Capitated Payment
Systems
participants pay a flat rate, usually through their
employer, to belong to a managed care organization
(MCO) for a specified period of time.
What are the 3 levels
of service in health
care?
Primary care refers to health promotion and
preventive care, including programs such as
immunization campaigns.
Secondary care is frequently provided in hospitals and
other acute care settings, with an emphasis on
diagnosis and the treatment of complex disorders.
Tertiary care emphasizes rehabilitative services, longterm care, and care of the dying.
Telehealth services are generally available 24 hours a day, 7 days
a week. Nurses answer the phones, supply answers to
health-related questions, and advise callers on how to
handle nonurgent health situations.
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Hospice emphasizes physiological and psychological support
for clients who have terminal diseases. With the recent
development of the Gold Standards Framework,
nurses working with hospice have a defined process to
improve the quality of life through communication,
collaboration, support, and coordination of care.
Rural Care often have fewer family practice physicians and often
no specialists at all.
Day-Care provide services for elderly adults who cannot be left
at home alone but do not require institutionalization.
Nurses who are employed in adult day-care centers
may administer medications, give treatments, provide
counseling and teaching, and coordinate services
between day care and home care.
Assisted Living consist of separate apartments or condominiums for
the residents and provide amenities such as meal
preparation and laundry services.
Rehabilitation include geriatric, chemical dependency, stroke, and
spinal cord injury units. Nurses who work on these
units have the responsibility of coordinating healthcare services, providing skilled care when required,
supervising less qualified personnel, and ensuring
client compliance with treatment regimens.
Long-term care to provide care in a homelike atmosphere and base
programs on the needs and abilities of the clients, or
residents as they are commonly called, of the facility.
Many of these residents require personal services such
as bathing and assistance with activities of daily living.
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Hospital the traditional provider of health-care services, are still
an essential part of the health-care system and still
provide the majority of nurses with employment.
Hospitals range in size from small, rural facilities with
as few as 15 to 20 beds to large urban centers that may
exceed a bed capacity of several thousand.
Occupational Health to increase productivity has long been recognized as
an important role for nurses. In response to rising
health insurance costs, today's employers are
increasingly supportive of workplace health
promotion, illness prevention, and safety programs.
Nurses who are certified in occupational health
nursing must meet eligibility requirements, pass a
written examination, and be recognized as having
achieved a level of competency in occupational health
Clinics obtaining personal health information and histories of
current illness and preparing the client for
examination. Nurses also assist with procedures and
obtain specimens for laboratory analysis
Community Health have diagnostic and treatment facilities that provide
medical, nursing, laboratory, and radiological services,
and use a team approach involving physicians, nurse
practitioners, and community nurses working together
to provide health services.
School Nurses provide a variety of services within local school
systems, services include screenings, health promotion
and illness prevention programs, and treatment of
minor health problems within local school systems.
Home Health is the care of the ill and injured in the home
Public health departments are government agencies that are
established at the local, provincial or state, and federal
levels to provide health services [Show Less]