Foundations Exam 1

Diagnosis/Analysis Standard

"The nurse analyzes the assessment data in determining diagnosis-The nurse analyzes data to clearly identify actual and/or potential health problems, risk factors, and strengths."

Assessment Standard

"The nurse collects patient health data-The nurse continuously collects data about health status to monitor for evidence of health problems and risk factors that may contribute to health problems"

Planning Standard

"The nurse develops a plan of care that prescribes interventions to attain expected outcomes"

Evaluation Standard

"The nurse evaluates the patient's progress toward attainment of outcomes-The nurse determines how well the outcomes have been met and decides whether changes need to be made." *reassessment may be involved*

Outcome Identification Standard

"The nurse identifies expected outcomes individualized to the patient-These include patient goals and identifying interventions to achieve the outcomes"

Implementation Standard

"The nurse implements the interventions identified in the plan of care"

Maslow's Hierarchy of Needs

(from top to bottom of pyramid) *Self Actualization* ^ *Esteem Needs* ^ *Love & Belongingness Needs* ^ *Safety Needs* ^ *Physiologic Needs*

Baylor University motto

*Pro Ecclesia, Pro Texana* For church, for state

Concept: System

- A general science of 'wholeness' - Set of interrelated parts that come together to form a whole. Each part is necessary or integral to make a meaningful whole. - Consists of *input, output, evaluation, and feedback* - The goal of the systems theory is HOMEOSTASIS

Concept: Health

- Addresses the state of well-being - Dependent on the patient's perceptions - On a continuum

Concept: Person

- All human beings - Sometimes referred to as client or patient - Recipients of nursing care - Individuals - Families - Communities - Groups

BULHSON Definition of Nursing

Professional nursing is the caring for individuals, families, groups and communities through the diagnosis and treatment of responses to actual or potential threats to health and through facilitating human need fulfillment.

Baylor's Nursing Philosophy

The faculty of Baylor University School of Nursing believes in the philosophy, the Christian mission, and the goals of Baylor University and, in harmony with these, provides an environment in which the nursing student may grow in professional competence and Christian spirit. The faculty believes nursing is a service to humanity and is motivated by love for God and society. A commitment to this belief provides a foundation for teaching and learning in the School of Nursing.

Mission of Baylor University

The mission of Baylor University is to educate men and women for worldwide leadership and service by integrating academic excellence and Christian commitment within a caring community.

Human Needs: Physiological

- Fluid & Electrolytes - Oxygen & Circulation - Regulation, Sensation, & Perception - Safety and Comfort - Cellular Adaptation - Reproduction

About Baylor University

- Founded in 1845 by Republic of Texas - Affiliated with Baptist General Convention of Texas - Oldest higher learning institution in the state - Largest Baptist university in the world

Concept: Environment

- Includes factors that affect the person both externally and internally - Can mean everyday surroundings or where nursing care is provided - A stimulus is any factor that encourages man to seek fulfillment of human needs

Roy Adaptation Model

- Interrelates the 4 adaptive modes 1) Physiologic 2) Self Concept 3) Role Function 4) Interdependence

Human Needs: Social

- Love, Belonging, and Approval

Robert K. Greenleaf

- Management research, development and education at AT&T-40yrs - Consultant to many corporations-25yrs - 1964 started Center for Applies Ethics-Now Greenleaf Center

Human Needs: Spiritual

- Relatedness - Values - Meaning - Hope - Forgiveness

Human Needs: Psychological

- Understanding, Order, and Predictability - Adequacy, Competency, and Security - Self-esteem, Worth, and Identity

*Nursing Process*

1) Assessment 2) Diagnosis/Analysis 3) Planning/Outcome Identifiation 4) Implementation 5) Evaluation

PRO FUTURIS: 5 Aspirational Statements

1) Baylor will be a community recognized for *Transformational Education* 2) Baylor will be a community recognized for *Compelling Scholarship* 3) Baylor will be a community recognized for *Informed Engagement* 4) Baylor will be a community recognized for *Committed Constituents* 5) Baylor will be a community recognized for *Judicious Stewardship*

Lewin's Theory of Change

1) Recognition of where change is needed 2) Analysis of a situation to determine what forces exist to maintain the situation and what forces are working to change it 3) Identify what methods by which change can occur 4) Recognition of the influence of group mores or customs upon the change 5) Identification of the methods that the reference group uses to bring about change 6) The actual process of change

*4 Major Concepts of the Nursing Theory*

1) System 2) Person 3) Environment 4) Health

Lewin's 3 States of Change

1) Unfreezing 2) Movement 3) Refreezing

BULHSON Definition of Health

Health is a dynamic state of human functioning wherein the patient exists with varying degrees of wellness and illness according to the status of need fulfillment.