Nursing as a profession
3 accrediting bodies for schools and colleges of nursing:
AACN (The American Association of Colleges of Nursing's), ACEN (The Accrediting Commission for Education in Nursing), CNEA (Commission for Nursing Education Accreditation)
Which is the best document for the nurse to consult to ensure delivery of quality patient care?
ANA Standards of Nursing Practice
Which statements are true of advanced practice registered nurses (APRNs)?
APRNs provide atleast some level of direct patient care, Collaboration is a core competency for APRNs, APRNs have aquired theoretical research-based and practical knowledge
Who first published specific criteria for a profession?
Abraham Flexner in 1915
What is a benefit for new nurses who join professional organizations as part of the socialization process?
Access to current resources
Main concepts in nursing ethics:
Accountability Advocacy Autonomy Beneficence Confidentiality Fidelity Justice Nonmaleficence Responsibility Veracity
3rd level of Contemporary Model of Management:
Action: focus is on doing, manager directs the work of others and works with other departments to achieve unit's objective
Altruism:
Public service over personal gain
Autonomy:
Professionals have autonomy in their decision making and practice, nurses make independent decisions within their scope of practice and are responsible for the results and consequences of those decisions.
Theoretical Knowledge:
develops, evaluates, and uses theory as a basis for practice. Nursing has a well-defined, specific, and unique body of theoretical knowledge. Theory in nursing leads to defined skills, abilities, and norms that are enlarged by research
Nonmaleficence
doing no harm
Accountability:
essential for developing trusting relationships with patients and coworkers. Involves accepting responsibility for actions and omissions, as well as legal, ethical, and professional implications
Case Manager (leadership role):
ex. discharge and planning on admission
Directing:
function that ensures the work of the organization is done
Integrity:
having clear ethical principles and aligning one's actions with the stated values
Mintzberg's 2nd Model of Management:
Contemporary Model
When a nurse leader proposes multiple solution to a problem, even though some solutions seem unrealistic, which leadership quality is the nurse leader exhibiting?
Creativity
During the role of socialization process, which ability does the student acquire to transform into a nurse?
Prioritize concerns
Controlling:
comparing expected results of planned work with actual results
Define Licensure:
the granting of a license that provides legal permission to practice
Standards of Nursing practice serve as:
the legal criteria for adequate patient care
Criteria that help define nursing as a profession:
Altruism, Body of Knowledge and research, Accountability, Higher Education, Autonomy, Code of Ethics, Professional organization, Cultural diversity, Lincensure
Which term describes nurses who engage in selfless acts?
Altuistic
Which entity publishes and updates the Standards of Nursing Practice?
American Nurses Association
Which option is available to nurses who want to expand their practice, but do not desire to return to formal education?
Become certified in current practice area
Which characteristic exemplifies nursing as a profession?
Autonomy in decision-making
Skills of Effective Managers:
Communication and relationship building, Health care environment knowledge, Leadership, Professionalism, Business skills
Which nurse leader requires certification?
Clinical nurse leader (CNL)
Which is the best document for the nurse to consult when making decisions about nursing practice or conduct?
Code of ethics
Which activity is within the LPNs/LVNs scope of practice?
Collect patient data, Administer intramuscular medications
Which management skill is the foundation for nursing practice?
Communication
When the nurse collaborates with the dietary department to provide a kosher meal for a patient, which professional criterion does this action support?
Diversity
PhD/DNP
Doctor of Philosophy/Nursing Practice
Professional Organization:
Each nursing organization determines responsibilities and standards of conduct and regulates its members' adherence to its own professional standards. ANA is an example of a professional organization that provides standards for nursing practice.
Which doe the X-style manager believe?
Employees are motivated by punishment
Decisional Roles in Management:
Entrepreneur, Disturbance handler, Resource allocator, Negotiator
Which values does the Nursing Code of Ethics address?
Equal treatment, Patient advocacy, commitment to others
Interpersonal Roles in Management:
Figurehead, Leader, Liasion
Which nursing action demonstrates altruism?
Focusing on service to others
Magnanimity:
Giving credit where credit is due, accept personal responsibility for failure to accomplish objective
What is the purpose of the Nursing Code of Ethics?
Guiding nurse practices and conduct
Which level of managerial work does Mintzberg's Contemporary Model describe?
Information, Action and people
1st level of Contemporary Model of Management:
Information: manager brings to the role a collection of experiences, knowledge, values, and competencies, then develops a framework for the job
6 qualities of effective leaders:
Integrity, Dedication, Magnanimity, Humility, openness, creativity
Effective nurse leaders possess which qualities?
Integrity, Humility, Openness, Dedication, Magnanimity, Creativity
Registered nurses can delegate to which other level of health care provider?
LPN/LVN
Who can update a patient's plan of care, but cannot initiate that plan of care?
LPN/LVN
Which process is involved in the nurse's socialization into the profession of nursing?
Learning the theory necessary for the nursing role
A nurse taking continuing education classes is an example of which professional nursing criteria?
Licensure
When a nurse gives credits to those who achieve their goals which leadership quality does the nurse possess?
Magnanimity
MSN
Master of Science in Nursing
A nurse must obtain which educational degree prior to obtaining licensure as an advanced practice nurse?
Master of science in nursing
Licensure:
Members of a profession have legally recognized licenses that demonstrate basic competency to practice. Nurses are committed to professional development and are required by most states to take CE courses to keep their licenses current and demonstrate competency.
Informational Roles in Management:
Monitor, Disseminator, Spokesperson
Which exam must a student pass for licensure?
NCLEX
Part 2 ANA standards:
Professional performance: -Ethics -Education -Evidence-based practice and research -Quality of practice -Communication -Leadership -Collaboration
Which is the most important group a nurse can join to gain support and foster growth within the profession?
Professional organization
Higher Education:
Nurses must have a diploma, associate's degree, or a bachelor's degree in nursing to be eligible to take the NCLEX-RN exam, higher education offers nurses greater professional opportunities and training necessary to extend nursing science through advanced practice and research.
Diversity:
Nurses provide care to patients with many different cultures and backgrounds. According to ICN, nursing care is respectful of and unrestricted by age, color, creed, culture, disability or illness, gender, sexual orientation, nationality, politics, race or social status. To respect diversity nurses practice culturally competent care.
Primary nursing role:
Patient care provider (plan, organize, deliver, and evaluate nursing care for patients)
2nd level of Contemporary Model of Management:
People: involves people, manager focuses on leading and linking people
Which function of a manager is similar to the nursing process?
Planning
Fayol's functions of Management:
Planning, Organizing, Directing, Controlling
RN
Registered Nurse
A nurse who holds a PhD can engage in which role?
Researcher, educator, Scholar
The new graduate nurse attending the hospital's orientation session is an example of which process?
Role socialization
What do state nurse practice acts define for nurses residing or working in that state?
Scope of practice, Legal practice limits
Qualities of effective Managers:
Self-belief, self-awareness, self-management, personal integrity, and motivation for improvement
A patient is considering a new health care provider. What is the difference between a FNP and a CNS?
Serve a primary care providers
4 stages of planning:
Setting goals, Assessing the current situation and future trends, Setting the plan, Converting the plan into an action statement
Part 1 ANA standards:
Six responsibilities: Assessment Diagnosis Outcomes- Planning Implementation Evaluation
The ANA publishes what?
Standards of Nursing practice to ensure quality care
Which requirement is mandatory to obtain the RN credential in the United States?
State licensure
Which statement differentiates APRNs from RNs?
They are approved to practice in expanded roles
Profession:
a vocation that requires specialized education related to a specific body of knowledge
Humility:
ability to recognize that no one is superior to another
Dedication:
ability to spend the time necessary to accomplish a task
Creativity:
ability to think differently, allows leader to inspire followers to consider broader visions and goals
Accountability
accepting responsibility
Beneficence
acting in the best interest of the patient
Organizing:
after plan is developed, manager coordinates the work to be done while avoiding duplication of effort
Nurse Practice Acts (NPAs)
are laws that set the legal limits of nursing practice and define the scope of practice within each state or jurisdiction
CCNE accredits:
baccalaureate and graduate nursing programs
Responsibility
being answerable
Autonomy
being independent and self-motivated
Veracity
being truthful
Theory Y managers think:
if employees are satisfied in their work, they will view it as being as acceptable as play, that satisfied workers are capable of self-direction, self-control, and initiative, given proper condition, employees will accept and seek out responsibility on the job
Fidelity
keeping promises
Openness:
leader's ability to listen to other points of view without prejudging or discouraging them
LPN/LVN
licensed practical/Vocational Nurse
Theory X management style:
manager believes: average person dislikes work and will avoid it if given the opportunity, subordinates must be closely supervised, directed, and coerced into doing their work, threatening punishment help motivate, most workers value job security and have little ambition beyond it
Clinical Nurse Leader (CNL):
master's degree and cert. from the American Association of Colleges of Nursing (AACN). Oversees patient care or provides direct patient care using evidence-based practice, evaluates patient outcomes, and updates care plans
Advocacy
offering active support
Confidentiality
protecting disclosure
Justice
relating to others with fairness and equality
Advocate (leadership role):
someone who supports and promotes the interests of others, speaking on the patient's behalf
Ethics Code:
standards of right and wrong behavior. ICN and ANA each developed a code of ethics for nurses. Nursing profession is viewed as the most honest and ethical of all professions
Financial Resource Manager:
uses supplies wisely, prevents wastes, and controls cost to manage charges for the patient
CNEA and ACEN accredits:
variety of different nursing programs
Collaborative Team Member:
work in collaboration with other health care team members for the patient's benefit
