Fundamentals of Nursing Unit 1 and 2

Research Consumer

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Steps for changing practice as a result of evidence

1. assess the need for a change in practice 2. locate the best evidence 3. critically analyze the evidence 4 Design practice change 5. Implement and evaluate the change 6. Integrate and maintain change in practice

Nursing Organizations

ANA - American Nurses Association NLN - National League for Nursing ICN - International Council of Nurses NSNA - National Student Nurses Association International Honor Society: Sigma Theta Tau

Factors Influencing Contemporary Nursing Practice

Economics Consumer demands Family Structure Science and Technology Information, Telecommunications, and Telenursing Legislation Demography Current Nursing Shortage Collective bargaining Nursing Associations

Scope of Nursing

Promoting Health and Wellness Preventing Illness Restoring Health Caring for the Dying

Benner's Stages of Nursing Expertise

Stage I Novice - no experience (student nursing) Stage II Advance Beginner Stage III Competent - 2 or 3 years of experience Stage IV Proficient - 3 to 5 years of experience Stage V Expert

Professionalism

a set of attributes, a way of life that implies responsibility and commitment

Autonomy

as a profession, nurses have been granted the legal authority to self regulate practice via the nurse practice acts

Roles and functions of the nurse

caregiver, communicator, teacher, client advocate, counselor, change agent, leader, manager, case manager, research consumer, expanded career roles

Nursing is

caring, an art, a science, client centered, holistic, adaptive, concerned with health promotion, health maintenance, and health restoration, a helping profession

Evidence-based practice (EBP)

evidence-based nursing, is clinical decision making based on the simulation use of the best evidence, clinical expertise, and clients' values

Florence Nightingale (1860-1969)

first nurse theorist who considered a clean, well-ventilated, and quiet enviroment essential for recovery

Leader

influences others to work together to accomplish a specific goal. It can be employed at different levels: individual client, family, groups of clients, colleagues, or the community.

Nursing is a profession of...

lifelong learning

Manager

nurse manages the nursing care of individuals, families, and communities; nurse manager also delegates nursing activities to ancillary worker and other nurses, and supervises and evaluates their performance.

Communicator

nurses identify client problems and then communicate these verbally or in writing to other members of the health team.

Socialization

process by which people learn to become members of groups and society and learn the social rules defining relationships into which they will enter.

Caregiver

role has traditionally included those activities that assist the client physically and psychologically while preserving the client's dignity; encompasses the physical, psycho-social, developmental, cultural, and spiritual levels

What makes a profession?

specialized education body of knowledge service orientation ongoing research code of ethics autonomy professional organization

Teacher

the nurse helps clients learn about their health and the health care procedures hey need to perform to restore or maintain their health

Professionalization

the process of becoming professional; acquiring characteristics considered to be professional

Virginia Henderson

unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will, or knowledge, and to do this in a such a way as to help gain independence as rapidly as possible.

Client advocate

when assisting clients to make modifications in their behaviors. Nurses often act to make changes in a system, such as clinical care, if it is not to helping a client return to health.

Case Manager

work with the multidisciplinary health care team to measure the effectiveness of he case management plan and to monitor outcomes; help ensure that care is oriented to the client, while controlling costs.