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NUR 1290 Test 1 Latest Update
Graded A+
the ability to work without stress causing personal harm
emotional stability
The sum total of all internal and external dimensions that influence human beings.
Environment
A dynamic state of bio-psycho-socio-cultural well being.
Health
A science and an art which focuses on the diagnosis and treatment of human responses
Nursing
molloy catholic college for women was established in
1955
Major in nursing at molloy was introduced in
1955
In _______ when were permitted into the nursing program at molloy
1972
Molloys nursing program is a total of _______ credits
128
Nursing began as a desire to
keep people healthy and comfort the sick
Egyptian physicians are believed to have specialized in certain diseases (such as internal diseases, fractured bones, and wounds). They also hired women, later known as midwives, to assist with childbirth. These women were
the first recorded nurses
identifying disease scientifically
diagnosis
predicting possible outcome
prognosis
restoration of health
cure
the romans are best known for the advances in
public health
nursing began to have a formal and clearly defined role in the beginning of
Christianity
More hospitals were built. Nurses delivered custodial care and depended on physicians for direction.
personal matters committed to my keeping and family affairs coming to my knowledge in the practice of my calling.With loyalty will I endeavor to aid the physician in his work,and devote myself to the welfare of those committed to my care."
Nightingale Pledge
•Bought his freedom from slavery by working as a nurse.
First male nurse in north america
James Derham
civil war shaped nursing by
dramatizing need for nursing care
Appointed to organize military hospitals, provide trained nurses, and disperse supplies; she received no official status and no salary for this position. Fought for the rights of the mentally ill. 6 million people hospitalized during the war—one-half million surgical cases; 2000 nurses served in the war
Dorthea Dix
•Was concerned about the condition of wounded soldiers on battlefield. •Brought supplies and nursed the wounded on the front. •Inspired by International Red Cross to form American Red Cross in 1881
Clara Barton
•One of the most controversial nurses of modern times •Dedicated to provide legal birth control •Founded Planned Parenthood
Margaret Sanger
•Frontier Nursing Service ›Established 19 25 ›Healthcare to women and their families in rural Kentucky ›Educated as Nurse Midwife in England ›Started First School of Midwifery in the US 1939 ›Between 1925-1975- 17,053 births and 11 maternal deaths = well below national average
Mary Breckinridge
Champion of the urban poor ›Established Henry Street Settlement in 1893 which became New York Visiting Nursing Services ›Pioneer in Public Health Nursing
Lilian Ward
›First President of ANA ›Organized Nursing School superintendents which became the National League of Nurses ›Member of committee to form the AJN
Isabel Adams Hampton Robb
Symbolic of servant and sign of respectability
Uniforms
•symbolism was fashioned after that of the coat of arms worn by noblemen to reflect whom and where they served. The first in the United States were awarded in 1880. •The purpose is that it is to be worn by those who have graduated from nursing school programs. Help to identify nurses according to their level in nursing school or according to the school from which they graduated.
Pins
•On the job training •Length varies •Largely manual work •Guided decision making •Values, beliefs & ethics not part of preparation •Commitment may vary •Supervised •Often change jobs •Motivated by $ reward •Employer is primarily accountable
occupation
•an occupation that requires extensive education or specialized training •A self-selected, self-disciplined group of individuals who hold themselves out to the public as
possessing a special skill derived from education and training and who are prepared to exercise that skill primarily in the interests of others.
Profession
•Legal authority to practice a profession in the U.S. comes from each state or territorial government. •the most restrictive form of professional regulation where regulated activities are complex, requiring specialized knowledge and independent decision-making.
Licensure
Licensure and the state-based regulatory system in the U.S. are founded in the
10th amendment
usually a voluntary professional credential that recognizes a professional has passed a certification exam given by a private agency.
Certification
•Establishes minimal criteria for safe practice. •Protects the public from those who are incompetent or unfit to practice.
Nursing Regulation
The first nursing board was established in _____
1903
The first nursing board included
•Codes of ethical behavior •Barring of incompetent nurses
Advantages of regulation in nursing
•Set licensure requirements for the nursing profession •Define the scope of practice •Authorize the boards to enforce laws.
Nurse practice acts
Statements that refer to protecting the health and safety of the citizens in the jurisdiction. Qualifications and responsibilities of those individuals covered by the regulations. Delineates those excluded from the practice of nursing Protects the title of RN.
Purpose of nursing practice acts
•Details the extent of nursing practice within the state. •Individualized for each state. •Avoids details of procedures to allow for growth.
- Advanced practice act may be separate from registered nurses.
Nursing scope of practice
A NYS nurse may diagnose and treat
a patients unique responses to diagnosed health problems
A NYS nurse may preform
health assessments to identify new symptoms of possibly undiagnosed conditions
A NYS nurse may teach and counsel patients about
maintenance of health and prevention of illness or complications
A NYS nurse may execute
prescribed medical regimens
The relationship between the nurse and patient occurs within the
values and beliefs of the patient and the nurse
Public policy and the healthcare delivery system influence the
health and well being of society and professional 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.
Nursing is
Human responses theory application nursing actions outcomes
Defining characteristics of nursing practice
•Science •Philosophy
Thomas Hobbes
there is morality even in the state of nature people should have the right to overthrow government
John Locke
humankind evolving into bigger groups personal needs are met with relational ties
Rousseau
rational beings able to reason from a universal point of view veil of ignorance can reason what is just and fair difference principle
Rawl
examines society at the intersections of race law culture and power
critical race theory
Carole Pateman Eva Kittay Annette Baier Jean Hampton Jean Elshtain Virginia Held
Joan Tronto Susan Okin
feminist theorists who have critiqued social contract theory
Carole Pateman
sexual contract
women in the 18th century sought new public roles that "had to be contained and were contained by arguing that women naturally belonged within the household.
Tronto observed
racial contract
Charles Mills
enforces state laws
attorney general letitia james
oversees financial operations
comptroller thomas dinapoli
Appointed by the Governor, Confirmed by the Senate
Chief judge of nys Janet difiore
Bill is introduced in either house; sent to committee to be approved, rewritten, or killed; sent to the floor for debate and vote; sent to the other chamber for the same process; both houses pass
Hill burton act
1950
Medicare program
1965
Renal disease program
1972
life expectancy of someone with renal disease on dialysis
5-10 years
Diagnosis-related groups (DRGs)
1983
refers to the written set of rules issued by the government agency that has responsibility for administering the new law
regulation
A6571/S3691-A
established minimum nurse to patient ratios
A3103-S passed in June 2014
required RNs to get their bachelors within 10 years of original licensure
S
passed in April 2014
requires all facilities to have safe patient handling policy to reduce lifting and injury
H.R 1821 Empowers RNs to drive staffing decisions in hospitals. •Will increase protections for patients and ensure fair working conditions for nurses. •Require hospitals that participate in Medicare to publicly report nurse staffing plans for each unit .•Limits "floating" nurses.
RN safe staffing act
Expands funding for advanced education nursing grants, diversity grants and a Nurse Education Loan Repayment Program
Patient Protection and Affordable Care Act
Community Workplace Organizations Government
4 spheres of political action in nursing
Registering to vote and voting in all elections•Joining a professional nursing organization•Working in candidates' campaigns•Attending a "meet the candidates" town hall
the nurse has already licensed in another state and pays a fee to license in another state
Licensure by endorsement
OSHA mandates a
hazard free work enviornment
the code of ethics was developed by the
ANA
