Professional Nursing McIndoe
ANA Definition of Nursing
"The protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations".
Hill-Burton Act
Established federal funds to build more hospitals
Who were the first nursing historians?
Nurses
What does NOC stand for?
Nursing Outcomes Classification
IOM core competencies
Provide patient-centered care Work with interdisciplinary/interprofessional teams Employ evidence-based practice Apply quality improvement Utilize informatics
What are two very important tools for success in nursing education are
Time management organization
knowledge management
a method for gathering information and making it available to others
apprenticeship
a nursing program developed in England that provided on-the-job training and a formal education component
During industrial revolution epidemics were erupting everywhere why?
because cities were very crowded and very dirty
Why were crowded factories hazardous during the industrial revolution?
breeding grounds for disease and risk of accidents
Nurses who use reflective thinking implement care based on the: A) illness-oriented needs of the patient .B) advocatory needs of patients and families C) individualized care needs of the patient .D) promotion of health and abilities of the patient.
c) individualized care needs of patient
reflective thinking
creativity and conscious self-evaluation over a period of time
Who put an emphasis on both body and mind?
florence nightingale
How was the working atmosphere during industrial revolution?
long hours under harsh conditions
the primary purpose of the state board of nursing is to?
protect the health and safety of the patient
professionalism
the conduct, aims, or qualities that characterize or mark a profession or a professional person
Autonomy
the quality of or state of being self-governing; the freedom to act on what you know
during industrial revolution were there any public health laws?
very few public health laws and services to alleviate causes
What is ANAs goal?
- Elevate the profession of nursing - Engage all nurses to ensure professional success - Evolve the practice of nursing to transform health and health care - Enable transformational capabilities through operational excellence.
What is AONE / AONL purpose and goals?
- Optimizing leadership effectiveness - Achieving equity in health care - Improving the health care experiences
What are the QSEN competencies?
1. Patient-centered care 2. Teamwork and collaboration 3. Evidence-based practice 4. Quality improvement 5. Safety 6. Informatics
What is policy?
A course of action that affects what we are trying to implement. Nurses assume law making roles at the local state level
counselor
A person who gives guidance in a specific area of expertise or knowledge
Advanced practice registered nurse
A registered nurse with advanced education in adult health, pediatrics, family health, women's health, neonatal health, community health, or other specialties.
Scope of Practice
A statement that describes the who, what, where, when, why, and how of nursing practice.
Which of the following is used by nurses to explore, understand, and develop new knowledge and to apply knowledge? A) Critical thinking B) Motivation C) Persuasion D) Confidence
A) critical thinking
The ultimate goal of nursing competence is to: A) improve patient safety and quality of care B) improve the standards in nursing. C) improve the clinical skills of nurses. D) improve expectations for nursing practice
A) improve patient safety and quality of care
Which organization advocates for associates degree nursing education and practice? A. OADN B. ANCC C. NLN D. AACN
A. OADN-Organization for Associate Degree Nursing
Simulation is an effective method used to develop clinical competency for nursing students because A. clinical experiences are offered in a safe environment without any patient harm. B. simulation improves critical thinking skills. C. only advanced competencies can be learned at the simulation lab. D. lab equipment provides the exact same experience as working directly on a patient.
A. clinical experiences are offered in a safe environment without any patient harm.
Which of the following is a core competency recognized by the Institute of medicine for healthcare professions? A. effective decision making B. employing evidence-based practice C. effective utilization of interpersonal skills D. solid judgement
A. effective decision making
The two critical problems faced by nursing education programs are: A. faculty shortage and the need to find clinical experiences. B. lack of student scholarships and guidance from schools. C. lack of funding for schools and difficulty placing faculty. D. lack of distance education programs and services to support them.
A. faculty shortage and the need to find clinical experiences.
What activity is described as the first step in the nursing process according to the standards of practice for the American Nurses Association (ANA)?
ADPIE
Ms. Tina, a psychiatric RN, is planning to get a psychiatric nursing certification. Which agency offers this certification?
ANCC- American Nurses Credentialing Center
AACN
American Association of Colleges of Nursing - promotes excellence in nursing education to build a strong diverse nursing workforce to advance healthcare of our nation and the global community.
ANA
American Nurses Association - deals with the standards of practice
What does ANF stand for?
American Nurses Foundation
What does AONE stand for?
American Organization of Nurse Executives
What does the CCNE do?
An autonomous accrediting agency, contributing to the improvement of the public's health.
The attitudes of occupation and career are compared on the basis of which of the following?A) personality B) level of commitment C) background D) accreditation
B) level of commitment
Some schools of nursing, in collaboration with hospitals, offer internship/externship and residency programs for new graduates in order to minimize: A. medication errors B. reality shock C. transition time to practice D. lack of self-confidence
B) reality shock
Why does the nurse plan to emphasize the standards of professional performance in the presentation being prepared? Select all that apply. a) Media portrayal of nurses has resulted in a loss of trust in the profession. b) Losing self-esteem leads to abdication of responsibility. c) Hospital policies and hierarchies can silence the voice of nursing. d) Nurses must be aware of dress code requirement to limit role confusion among e) "Virtue scripting" augments nurse recruitment and should be
B, C Correct - a) Incorrect. The portrayal of nurses in the media affects nurses, policy, and funding more than consumers whose view of the profession is shaped more by personal healthcare experiences. b) Correct. A loss of professionalism and self-esteem leads to a victimization persona, which ultimately weakens the profession and professional engagement. c) Correct. Hospital politics, in general, can often lead to demoralization, which may cause nurses to become silent rather than advocating for the needs of the nursing profession. d) Incorrect. Uniforms are of limited effectiveness in helping patients distinguish nurses from other healthcare professionals. e) Incorrect. "Virtue script" leads to victimization, which weakens professional engagement, lowers nursing recruitment and retention. and increases the nursina shortaae. Submit
A nurse with 5 years of experience decided to leave the job and move to a different hospital because the work environment had changed drastically, with a nurse-to-nurse ratio changing from 1:5 to 1:8. This is an example of: A. physical fatigue B. burnout C. compassion fatigue D. reality shock
B. burnout
The two recognition systems that evaluate whether a nurse is in compliance with certain requirements and standards are: A. CE and CEU B. course credits and accreditation C. credentialing and certification D. licensure and syllabus
C. credentialing and certification
A new nurse working in the ICU who checks with an experienced acute care nurse practitioner for his or her career planning is looking for a: A. preceptor B. counselor C. mentor D. motivator
C. mentor
The primary purpose of the state board of nursing is to: A. implement the Nurse Practice Act .B protect licensed nurses. C. protect the health and safety of the public. D. review problems with licensure.
C. protect the health and safety of the public.
The main function of a nursing preceptor is: A. grade the students clinical papers B. set the clinical objectives for the student C. serve as a role model and guide learning D. be ultimately responsible for student evaluation
C. serve as a role model and guide learning
Whose work eventually led to the creation of the Red Cross?
Clara Barton
Kyra, the nurse manager, conducts evidence based research on an identified problem, which she subsequently studied, evaluated, and proposed a solution. The solution is supported with empirical evidence and is approved. Kyra assumes the role of a change agent to implement the solution in the hospital. However, as implementation begins, Kyra is met with hesitation and resistance by the staff. In her role as a change agent, what roles is Kyra performing?
Collaborator, counselor, intrapreneur.
What does CCNE stand for?
Commission on Collegiate Nursing Education
CEU
Continuing education unit credits required for many certified professionals
What war changed nursing?
Crimean War
Which of the following strategies is not applicable to improving time management in nursing education? A. timely course scheduling B. succession planning C. Decreasing socializing at certain times to improve production D. Getting started without preparation
D. Getting started without preparation
The master's degree program that terminates in the ability to sit for a certification exam and receive limited ability to prescribe medication per state requirements is: A. clinical nurse specialist B. clinical nurse leader C. clinical manager D. advanced practice registered nurse
D. advanced practice registered nurse
A Med-surgical nurse is assigned to take care of a patient for chemotherapy. The nurse observes that there is an order in the patient's record to avoid foods that harbor bacteria. Having no experience in oncology, the nurse decides to consult the charge nurse as to where they can find this list of foods before assuming the care of the patient. The nurse's behavior is an example of: A intellectual empathy B. intellectual courage C. intellectual thinking D. intellectual humility (willingness to admit what one does not know)
D. intellectual humility (willingness to admit what one does not know
After clearing the licensure exam, which program helps a new RN to have a structured transition to professional nursing practice? A. the nursing internship program B. nursing externship program C. cooperative experience D. the nurse residency program
D. the nurse residency program
What are the benefits of being part of a nursing association?
Developing leadership skills, improve networking, finding mentors, and having a voice in policy and professional issues
What are the OADN's main goals?
Education Advocacy Leadership Inclusivity Collaboration
The professional role of nursing is multifaceted. Which statements accurately describe the role of the professional nurse?
Every nurse is a collaborator, all nursing roles require leadership, nurses in any job position may serve many roles, such as educator and manager.
What discourages people from going into nursing?
Faculty Shortage
Employers are responsible for maintaining the CE activity records of their nurses. True or false?
False
Nursing does not meet the critical requirements of a profession. True or false?
False
T or F: Did Florence Nightingale view the body and mind as one?
False! Florence Nightingale emphasized the mind and body as two important yet separate entities. and basis of the holistic view of health
Mother of modern nursing
Florence Nightingale
Who Established sanitary nursing care units?
Florence Nightingale
Did Florence Nightingale view the body and mind as one?
Florence Nightingale emphasized the mind and body as two important yet separate entities.
What are the NLN's 4 main goals?
Goal I-Leader in Nursing Education Goal II-Commitment to Members Goal III-Champion for Nurse Educators Goal IV-Advancement of the Science of NursingEducation
What is NLN's purposes and goals?
Goals: - Leader in Nursing Education - Commitment to Members - Champion for Nurse Educators - Advancement of the Science of Nursing Education. * Making sure nursing schools are following EBP to achieve outcomes.
What is AACN's purpose and goal?
Goals: - innovation and excellence - advocate for diversity and inclusivity - advance academic nursing - advancing improvements in health, health care, & higher education.
What is intuition?
Having that "gut feeling" & relying in instinct
What are some examples of critical healthcare policy issues?
Healthcare quality & safety (QSEN) Disparities in healthcare
In the 1970s, this publication established the connection between social issues and the role of the nurse
Hospitals, Paternalism, and the Role of the Nurse
NLN
National League of Nursing- One of the first ones that came out
OADN
National Organization of Associate Degree Nursing - they advocate for associate degree nursing education and practice
What does NANDA stand for?
North American Nursing Diagnosis Association
What are some ways critical thinking is developed in health care?
Nurses should generate and examine questions and problems, use intuition, examine feelings, and clarify and evaluate evidence.
IOM Report
Nurses should practice to the full extent of their education and training Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression Nurses should be full partners with physicians and other health professionals in redesigning health care in the U.S.
What did the American Nurses Association (ANA) do for nursing?
Organized nursing on a national level
What is the ANF?
Philanthropic initiative supporting the professions efforts as a leader in healthcare delivery. Goal is to provide funding through grants for nursing research
Watsons theory
Philosophy of transpersonal caring
What is QSEN
Quality and Safety Education for Nurses
Who launched the American journal of Nursing to shape nursing practice and events?
Sophia Palmer
What is knowledge?
Specific information about something. Also, the science of nursing (Critical Thinking) used in collaboration with patients to assess, plan, implement, and evaluate care
What are some criticisms of Florence Nightingale?
That she delayed the professional development of nursing by supporting nurses' position of subordination to doctors, failed to encourage university-level nursing education, and delayed licensure practices.
NSNA
The National Student Nurse Association is a national organization within schools of nursing that provides opportunities to learn about graduate education, specialty groups, and nursing careers.
Nurse Practice Act
The act (law) that governs nursing practice in the state in which the nurse practices
What is caring responsible for?
The behavior that demonstrates compassion and respect for another. Also, the art of nursing
What is the nursing process?
The standard of care (scope of practice) for competent level of nursing care as demonstrated bterm-20y the critical thinking model ADPIE or ADOPIE
Nurses are viewed as knowledge workers. What do knowledge workers do?
They recognize that change is inevitable and that the best approach is to be ready for it and view it as an opportunity for learning and improvement.
What is creative reflective thinking?
Thinking that requires logical and rational steps based on the scientific method of defining, analyzing, and solving a problem.
What is groupthink?
This type of thinking occurs when all group or team members think alike.
What is the purpose of nursing research?
To expand nursing knowledge to improve patient care and outcomes
What were the negative consequences of the Hill-Burton Act?
Too many hospitals were built and not enough beds were filled. Many nurses lost their jobs because operating expenses became too high.
What is the difference between training and education in nursing?
Training - focuses on fixed habits and skills Education - focuses on self-discipline, responsibility, accountability and self-mastery.
professional socialization
Transition into professional practice is characterized by the acquisition of the skills, knowledge, and behaviors needed to successfully function as a professional nurse. This process involves new nurses internalization of the values, attitudes and goals that comprise his or her occupational identity
Attending a nursing program that is not accredited by the NLN or ANCC can lead to complications in licensure, employment, and opportunities to continue on to higher degree programs. True or false?
True
Plagiarism and submitting one assignment for more than one course is considered a violation of the school's honor code. True of false?
True
T/F The definition of nursing per the ANA is nursing is the protection, and he option of health and abilities, prevention of illness and injurt, alleviation of suffering through the diagnoses and treatment of the human response, and the advocacy in the care of individuals, families, communities, and populations
True
T/F The primary purpose of the State Board of Nursing is to protect the health and safety of the patient
True
The DNP is a practice-focused doctoral program. True or false
True
The evolution of the nursing discipline has a connection with feminism, humanitarian aims, religious ideals, theories and research, as well as the influence of medicine, technology and war. True or false?
True
The goal of credentialing is to ensure the practitioners are qualified to perform as demonstrated by having licensure. True or false?
True
True or False: The primary purpose of the state board of nursing is to protect the health and safety of the patient
True
Accreditation is a voluntary process (true or false?)
True It is a process by which an institution or program voluntarily seeks evaluation of its compliance with standards set by an external body. In the context of nursing, this could be a nursing school seeking accreditation to demonstrate that it meets the standards of a quality nursing education.
Nursing education standards are developed by major nursing professional organizations such as the NLN, AACN, and OADN, as well as the state boards of nursing. True or false?
True-NLN (National League for NursingAACN (American Association of Colleges of Nursing)OADN (Organization for Associate Degree Nursing)
The nursing profession maintains control of its practices responsibility through:
Using standards and a code of ethics.
How are nursing schools overcoming the barrier to decreased clinical settings?
Utilizing simulation experiences
Finley, a student nurse, completes a learning style assessment. Finley's results point to an observer learning type. The results also indicate that Finley can be prone to procrastination. Finley seeks assistance from the learning center to improve various skills. They suggest Finley first complete a time analysis. Which question should Finley consider as part of time analysis?
Which tasks didn't you complete and why
Nursing theories
a conceptualization of some aspect of nursing communicated for the purpose of describing, explaining, predicting, or prescribing nursing care
Articulation Agreement
a formal agreement between two or more institutions that allows specific programs at one institution to be credited toward direct entry or advanced standing at another
knowledge workers
a person who is effective in acquiring, analyzing, synthesizing, and applying evidence to guide practice decisions
Differentiated practice
a philosophy that focuses on the structuring of roles and functions of nurses according to education, experience, and competence
Purpose of the NOC
a systematic organization of nurse sensitive outcomes into groups or categories based upon similarities, dissimilarities, and relationships among the outcomes
A nurse checks a patients blood pressure and finds that it is 90/55 mmHg. The nurse decides to look further by checking the patient's heart rate, followed by checking the intake and output ratio to determine hydration status, and, finally, looking at the MAR to see if this may be a response to the patient's antihypertensive medication. Following this process and documenting at each step is an example of: A. critical thinking B. intellectual thinking C. clinical judgement D. clinical prediction
a) critical thinking
Which of the following is the critical dyad in any description or definition of nursing? A) Knowledge and caring B) Nursing interventions and practiceC) Nursing theory and researchD) Prevention of illness and injury
a) knowledge and caring
Goal of the NLN
aims to advance excellence in nursing education to prepare a diverse nursing workforce. It focuses on promoting the integrity and competence of nursing education.
knowledge
an awareness and understanding of facts it is a science
Preceptor
an experienced and competent staff member (an RN or, for nurse practitioner students, possibly a nurse practitioner or physician) who has received formal training to function as a preceptor and who serves as a role model to guide student learning, serving as a resource for the nursing student
Nurse Licensure Compact
an interstate licensure partnership that allows nurses to practice in adjacent states when licensed in one state. Clear requirements must be met by the individual nurses and the state boards of nursing in the compact
What are the characteristics of a profession?
autonomy, responsibility, accountability
How do nurses use critical thinking?
by making decisions based on research and evidence based practice.
The content typically included in a clinical experience in a RN-BSN program focuses on which of the following? A. mental health nursing B. child health nursing C. community health nursing D. Acute care nursing
c) community health nursing
The nurse is preparing a presentation meant to engage practicing nurses in professional organizational commitment and service. The presentation includes sections regarding the characteristics of professions, expectations of the nurse as set forth by nursing organizations, and opportunities for professional growth and service. Which should the nurse use to represent standards of practice when differentiating these standards from the standards of professional performance? • A) Guide to Nursing's Code of Ethics for Nurses b) Notes on Nursing c) Nursing: Scope and Standards of Practice d) Nursing's Social Policy Statement
c) nursing: scope and standards of practice Correct - a) Incorrect. The Guide to Nursings Code of Ethics for Nurses would be more representative of the standards of professional performance (i.e., expected behaviors) or a categorical example of how nursing meets the classification of a profession. b) Incorrect. Notes on Nursing, written by Florence Nightingale, was not written for nurses or healthcare providers, but rather for family members caring for ill relatives. Although representative of nursing competence, it is not the best choice due to the intended audience and the time written. c) Correct. Nursing: Scope and Standards of Practice represents knowledge, skills, and abilities required to be considered competent in the nursing profession. d) Incorrect. The Nursing's Social Policy Statement exemplifies the nurse's behavioral expectations in the professional role consistent with the standards of professional performance, as it describes the nursing profession and ways nurses help others to those outside of the nursing profession.
What does belonging to a professional nursing association provide for a nurse?
continual education opportunities voice and representation decision making, credibility scope of practice networking mentors membership
How did the industrial revolution affect health care?
created crowded workplaces that were breeding grounds for disease
What does the NLN focus on?
excellence in nursing education. holds a number of educational meetings annually and provides continuing education and certification for nurse educators.
Caring and critical thinking are not connected. True or false?
false
Caring
feeling and exhibiting concern and empathy for others
Nursing interventions classification (NIC)
first comprehensive, validated list of nursing interventions applicable to all settings that can be used by nurses in multiple specialties and facilitates the work of identifying appropriate interventions
during industrial revolution No standards of child labor laws therefore.....
great exploitation of children particularly of lower classes, forced to work at very young ages
What is involved in creative reflective thinking?
he ability to monitor, analyze, predict, and evaluate, and to take risks
What has florence nightingale done for nursing?
improved nursing education nursing practice in hospitals implemented training in education put focus on moral values emphasized focusing on both body and mind
What can hospital politics lead to? Which in turn leads the nurse to become what?
in general leads to demoralization which may cause the nurse to become silent rather than advocating for the needs of the profession
Goal of the OADN
is dedicated to promoting and supporting associate degree nursing education. Its focus is on providing accessible and quality education to prepare entry-level nurses.
What does a professional nursing association do for nurses?
it allows nurses to be nationally active and it allows them to improve leadership skills
Florence Nightingale recognized that the health of patients depends on which environmental factors?
light, noise, odors and heat
What factors have affected nursing and its development
major historical events different cultures and languages religions varying views on what constitutes disease and illness changing roles of women political issues location environment
groupthink
occurs when all group or team members think alike. although all of the team members might be working together smoothly, limits choices, discourages open discussion of possibilities and diminishes the ability to consider alternatives
What is the goal of the ANF
provide funding through grants for nursing research
What did florence nightingale feel the health of the patients depended on?
pure air, pure water, efficient drainage, cleanliness and light.
critical thinking
purposeful, informed, outcome-focused (results-oriented) thinking that requires careful identification of key problems, issues and risks
Goal of the CCNE
responsible for accrediting nursing programs at the baccalaureate and graduate levels. Its goal is to ensure that nursing education programs meet specific quality standards to prepare competent and effective nursing professionals.
dichotomous thinking
seeing situations as either good or bad, or black or white
Change Agent
someone who engages deliberately in, or whose behavior results in, social, cultural, or behavioral change
Goal of the ANA
strives to promote the health and wellness of individuals and communities and to advance the nursing profession. It advocates for the rights and interests of nurses, aiming to ensure high standards of nursing practice.
What is AAN considered?
the "think tank" for nursing
Nurse migration
the movement of nurses from one place to another, particularly globally; may affect number of nurses available in a country if too many move to another country, typically for better pay and working conditions
What is nursing?
the protection, promotion, and optimization of health and abilities, prevention if illness and injury, facilitation of healing, alleviation of suffering through diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations (ANA, 2015).
reality shock
the reaction of students when they discover that the clinical experience does not always match the values and ideals that they had anticipated
What does groupthink limit?
this type of thinking limits choices, discourages open discussion of possibilities, & diminishes the ability to consider alternatives and innovation.
Purpose of an amendment
to lobby and assemble with the government for change.
Content in journals is more current than in textbooks and focuses on very specific topics in less depth than a textbook. True or false?
true
The concepts of major nursing theories connect the responses of the person, the environment, health and nursing. True or false?
true
True or False: the primary purpose of the State Board of nursing is to protect the health and safety of the patient
true
What does a loss of professionalism and self esteem lead to?
victimization persona, which ultimately weakens the profession and professional engagement
colleagueship
workplace relationships with common interests
Goal of the AACN
works to advance baccalaureate and graduate nursing education in the United States. It advocates for quality nursing education, research, and practice to meet the evolving healthcare needs
How can nurses get into the political system and make it work for them?
• Lobbying • Committees • Political Action Committee (PAC) • Working to get the message across: grassroots advocacy • Nurses in government
What does the nurse practice act do?
• Regulates nursing law in each state • Defines the scope of practice for nurses • Protection of public safety *The nurse must know the nurse's practice act within his or her state of practice.
