Excelsior College Transition Course
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| show | Florence Nightingale
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| Who organized the American Red cross and was responsible for relief operations during the Civil War? | show 🗑
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| show | Dorothea Dix
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| Conductor of undergrown railraod who assisted Clara Barton to tend to wounded soldiers during the Civil War. | show 🗑
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| show | Sojourner Truth
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| Radical changes in nursing education, reduced student work day from 10 to 8 and eliminated FREE private duty services | show 🗑
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| Created FNS Frontier Nursing Service- 1st midwifery training school | show 🗑
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| did a study which resulted in establishment of associate degree nursing education | show 🗑
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| Nursing leader and women's right activist giving women the right to vote- also a key figure in community nursing and introduced nuring in schools | show 🗑
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| show | Virginia Henderson
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| show | Mary Mahoney
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| a psychiatric nurse- described Nurse- Client relationships | show 🗑
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| show | Melinda Ann (Linda) Richards
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| show | Margaret Sanger
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| show | Lillian Wald
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| Religion- *R* Protestant Churches- women subordinate to men- nurse most menial of servants | show 🗑
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| show | Order of the Deaconesses
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| show | Sisters of Mercy
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| sisters that visited pt's in homes, hosp, and poorhouses and asylums. Deveoped educational programs for Nurses | show 🗑
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| show | Monastic Orders
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| Founded during Crusades- staffed 2 hospitals in Jerusalem | show 🗑
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| show | Crimean War
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| Phiadelphia Dispensary was fomed for free pt care, homes and barns were makeshift hosp, women left during war were there to care for sick and injured Controlled disease and smallpox vaccination was given | show 🗑
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| Public saw the need for trained nurses, Clara Barton, Harriet Tubman, Sojourner Truth tended to the soldiers | show 🗑
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| Nursing schools were already established and Isabel Robb developed a plan for managing nurses | show 🗑
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| show | World War 1
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| Bolton Act created the US Caet Nurse Corps. Nurses got full military commission, post war- Hill Burton Act | show 🗑
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| show | Korean War and Vietnam conflicts
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| show | Gulf War- Afganistan- Iraq
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| show | ICN- International Council of Nurses
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| For RN'S- Is involved in all issues that nursing has confronted with Legislation, Collective bargaining, advancement of profession | show 🗑
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| Was formed to assist collegiate schoold of nursing to improve higher education for nursing. | show 🗑
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| show | CCNE- Commission on Collegiate Nursing Education
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| Provides a legal regulatory bodies of all states to act together re: boards, exams, licensing | show 🗑
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| show | NLN- National League for Nursing
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| Baccalaureate program honorary organization for exceptional standards | show 🗑
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| show | AAN- American Academy of Nursing
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| Student nursing organization | show 🗑
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| 4 Purposes to 1. speak for associate degree nursing education and practice 2. Reinforce the value of that degree 3. maintain endorsement for grads with associte degree, 4. retain the RN exam for assocaite degree grads | show 🗑
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| Organization for nurses who design, facilitate, and manage care | show 🗑
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| show | NANDA- North American Nursing Diagnosis Association
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| Misc Others- | show 🗑
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| Free or low cost screens & health info | show 🗑
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| Different financial situations change ins. coverage, ability to get care and what type of care | show 🗑
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| show | HMO- Health Maintenance Organizations
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| Healthcare provided in defined demo area. Is centered to individuals and family | show 🗑
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| show | Managed Care
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| used by HMO's & PPO's to keep costs low - usually seen as a way to deny tx | show 🗑
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| wearable/ implantable monitors for medical conditions | show 🗑
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| IVD computer analysis speeds diagnosis ( blood, urine, body tissue samples) | show 🗑
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| show | Drug Admin
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| 3 types of health organizations | show 🗑
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| contact with pt. is minutes to hours | show 🗑
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| Provides care to pts where stay is less than 24 hours | show 🗑
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| care is more than 24 hours but less than 30 days | show 🗑
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| longer than 30 days for chronic illness may be for a lifetime or recovery period | show 🗑
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| show | Government Owned facilities (ex-VA)
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| investor owned and operated by corp or stockholders | show 🗑
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| Operated by universities, religious organizations, fraternal groups. All profit above that needed for maint. and operations must go to improvement and growth | show 🗑
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| show | Acuity
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| type of service that is often a special unit in a hospital usually less than 30 days | show 🗑
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| service that does observation, assessment, teaching and training, direct skilled nursing such as tube feedings, vents, RN must be in charge of care | show 🗑
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| refers to care focused on meeting deficits of ADL's | show 🗑
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| show | Hospice Care
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| designed to restore health and function | show 🗑
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| Care is provided and then the patient is discharged soon after | show 🗑
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| care that is provided outside of a health care clinic, hosp. usually provided in the home | show 🗑
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| show | General or Community Hospital
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| Level 1 Trauma Center, Burn Center, Oncology, and other levels of care | show 🗑
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| show | Specialty Hosp
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| Places offering healthcare must ne approved by the gov't agency, usually the Dept of Health they need this cert | show 🗑
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| show | Medicare/ Medicaid Certification
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| show | JCAHO- Joint Commission on Accreditation of Healthcare ORganizations
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| show | CHAP- Community Health Accreditation Program
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| show | National Committee for Quality Assurance (NCQA)
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| She used her contacts with powerful men in govt to obtain supplies and personnel needed to care for the wounded during Crimean War | show 🗑
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| show | Hannah Ropes
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| show | Isabel Hampton
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| show | Nurse Practice Act
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| "The act of utilizing the environment of the patient to assist him in his recovery" | show 🗑
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| show | Virginia Henderson
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| show | Nursing Theory
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| A theory is a set of concepts & propositions that provides an orderly way to view phenomena. | show 🗑
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| show | BLANK
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| Nursing is the synthesis of many theories. | show 🗑
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| show | BLANK
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| Nursing is always in a state of change. | show 🗑
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| Nursing knowledge continues to expand in a multiplicity of ways. | show 🗑
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| show | empirical (scientific), aesthetic (creative) knowledge, personal knowledge and ethical knowledge.
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| a particular viewpoint or perspective "a worldview" | show 🗑
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| show | Meta-paradigm
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| show | THEORIES
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| these are mental images of a phenomenon | show 🗑
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| show | PROPOSITIONS
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| show | Conceptual framwork
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| a symbolic representation of a theory, shown through diagrams, words, or notations, | show 🗑
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| show | Grand theory
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| This is used to address more narrowy defined phenomena and can be used to suggest an intervention | show 🗑
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| A meta-paradigm in nursing has 4 areas | show 🗑
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| show | PERSON
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| The continuum of wellness to terminal illness in the meta-paradigm | show 🗑
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| The place or community where care is provided in a meta-paradigm | show 🗑
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| show | NURSING
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| show | empirical, aesthetic, personal, ethical
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| She is recognized as the first nurse theorist. She describe nursing as both an art and science. She recommeded adjusting the environment to improve a person's health. | show 🗑
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| She described 4 conservatin principles for nursing, specifically the conervation of energy, structural integrity, personal integrity, and social stability. She also stated people need nursing when they are unable to care for themselves. | show 🗑
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| show | Jean Watson
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| She developed the theory of the Science of Unitary Human Beings, in which the person is a unified whole, greater than the sum of parts. | show 🗑
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| show | Rosemary Parse
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| This is an example of middle-range theory and uses 11 functional health patterns to provide a framework for assessment, nursing dx, and a plan of car. | show 🗑
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| Hildegard Peplau- Peplau's interpersonal relations model *environment not defined | show 🗑
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| show | P- complete being who has 14 fundamental needs
E- aggregate the external conditions & influences
H- Requires independence 7 interdependence Must be able to do the 14 basics unaided
N- to assist those who cannot do by themselves
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| 14 funadmental needs | show 🗑
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| show | P- Human beings are caring & capable of feeling concern E- *none* H- a state of well being that is culturally defined, valued & practiced N- uses problem solving approach, 3 models of action- see next card
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| 3 models of action in Leininger's theory | show 🗑
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| show | P- a unity who can be viewed as functioning biologically, symbolically & socially, and who initiates & performs on thier own to maintain health and well being. H- Well being is used in the sense of the person's percieved condition of existance.
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| Orem's theory regarding Nursing | show 🗑
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| Roger's science of unitary human beings- Martha E. Rogers | show 🗑
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| Roger's theory regarding Nursing | show 🗑
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| show | P- a bio-psycho-social being who is constantly intereacting with the environment & who has 4 modes of adaption H- a state & process of being & becoming an integrated & whole oerson. N- care & well being of humans, rooted in beliefs about the human person
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| Roy's 4 modes of adaption based on | show 🗑
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| Watson's human caring theory- Jean Watson | show 🗑
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| show | Nursing combines the research process witht he problem solving approach & is concerned with promoting and restoring health, preventing illness & caring for the sick.
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| show | P- 3 interacting systems, the personal systems is unified complex whole self who percieves, thinks, desires, imagines & decides, identifies goals & selects means to achieve it. E- is constantly changing H- continuous adaption to stress to achieve max pote
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| King's theory re: nursing- | show 🗑
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| King;s 3 interacting systems | show 🗑
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| show | P- the total person is mad eof physiologic, socio-cultural & developmental varibales. E- people maintain varying degrees of harmony & balance H- Illness = lack of harmony among parts & subparts of the system
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| show | unique profession in that it is concerned with all variables affecting an individual's response to stressors, which are intra, inter & extra personal in nature. THe nurse helps the pt through primary, secondary & tertiary prevention to maintain stability
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| Florence Nightingale's Environmental theory | show 🗑
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| Florenece Nighingale's major concepts of health | show 🗑
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| show | Provision of optimal conditions to enhace the person's reparative process from being interupted.
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| show | Standards of nursing practice
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| who sets the standards for nursing practice | show 🗑
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| laws in each state that are instrumental in defining the scope of nursing practice. They protect public health, safety and welfare. State boards of nursing oversee this stautory law | show 🗑
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| show | they outline the nursing care to be provided. It is a set of actions the nurse will implement to resolve nursing problems identified by assessment.
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| show | Intermediate- it guides in th ongoing provision of nursing cre & assists in the evaluation of that care.
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| show | -It focuses on actions which are designed to solve or minimize the existing problem
-it is a product of a delibrate systematic process
-it relates to the future
-it is based upon identifiable health & nursing problems
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| show | NANDA nursing dx with related factors & diagnostic criteria
-nursing outcome classifications with specified outcomes to be achieved including deadlines
-Nursing intervention classifications with specified interventions
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| show | Critical Pathway
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| a plan of care based on standards that reflect optimal timing of sequential steps provided by all members of the team or managing chronic health problems | show 🗑
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| show | -represents a sequential, interdisciplinary, minimal practice standard for specific pt population
-provides flexibility to alter care to meet ind. pt needs
-abbreviated format, broad prospective
-phase or episode driven
-ability to measure cause & eff
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| show | integrating individualclinical expertise with the bst available external clinical evidence from systematic research.
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| these may be established for the careof pts with specific illness, treatments, or surgical procedures. | show 🗑
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| components of these gidelines | show 🗑
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| ASSESS, LINK, SYNTHESIZE, DESIGN, IMPLEMENT AND EVALUATE, INTEGRATE AND MAINTAIN | show 🗑
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| show | Research
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| show | Quanitative research
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| show | basic research
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| also called practical research, it is designed to directly influence or improve clinical practice | show 🗑
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| 4 types of quantitive research | show 🗑
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| show | Descriptive Research
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| show | Correlational Research
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| show | Quasi- Experimental Research
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| examines cause & effect relationships between variables under highly contolld conditions | show 🗑
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| show | Variable
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| show | Dependent variable
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| show | Independent variable
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| statement of relationships between the independent & dependent variables that the researcher expects to find | show 🗑
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| show | Data
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| show | Instruments
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| the systematic collection & analysis of more SUBJECTIVE narrative materials | show 🗑
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| 4 types of Qualiative Research Methods | show 🗑
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| show | -ETHNOGRAPHY- examines issues of a culure that are of interest to nursing
-HISTORICAL- examinesevents of te passt to generate understanding of nursing profession
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| show | QUALITATIVE RESEARCH
-Subjective
-inductive * generates theories
-NOT generalisable
-Words
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| Keys to critiquing research repors | show 🗑
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| show | the pt's right to consent knowledgeably to participate in a study or tx without coercion or to refuse to participate without jeopardizing the care that he/ she will recieve. The right to confidentiality, & to be protected from harm
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| show | Quality Management/ Quality Improvement
1st- actual results are compared with standard results then any deficiencies noted or identified serve to prompt recommendations for improvement
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| a medicare/ medicaid review organization that evals preadmission, pre-procedure, concurrent or retrospective review. | show 🗑
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| Outcome Measures | show 🗑
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| include infection rates & morbidity/mortality rates associated with specific hospitals & procedures. | show 🗑
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| 3 groups under HCUP- Healthcare Cost & Utilzation Project used to determine quality of care & access to care | show 🗑
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| Long term quality indicators | show 🗑
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| Purpose of this was to establish national goals to serve as a focus by individuals, organizaations, & the governmnt. | show 🗑
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| National Health Indicators do this | show 🗑
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| Risk Management | show 🗑
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| In review & appraisal they do this | show 🗑
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| They then- PROCESS EVAL which is the nature & sequence of activities carried out by nures implementing the nursing process. Criteria make explicit acceptable levels of erformance for nursing actions r/t pt assessment, dx, planning, implemntation, & eval | show 🗑
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| LEGAL- addresses tje general welfare of the public. A violation of this law is a called a crime & is prosecuted by the gov't. | show 🗑
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| This law regulated condeuct between private individuals or businesses & is enforced through the courts as damages or monetary compensation. | show 🗑
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| show | Statue
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| show | Statutory Laws
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| is derived from common usage, custom or judical law. it is based on occurances of events, it is less clear & exact that stauutory law | show 🗑
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| these are civil wrongs committed by 1 person against another person or their property. It can include physical harm, pychological harm, harm to livelyhood, or some other less tangible value such as harm to repuation. | show 🗑
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| When the outcome is planned, although the person involved may not have believed the outcome would be harmful | show 🗑
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| show | Unintentional tort. Most common cause of an unintentional tort is negligence.
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| show | Negligence
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| show | 1. harm must have occurred. 2. the negligent person must have been in a situation where they held a duty toward the person harmed. 3. Breach of duty 4. the harm must be shown to have been caused by a breech of duty.
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| Breech of duty | show 🗑
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| used to identify a specific type of negligence of a specifically trained or educated person in the performance of his/her job | show 🗑
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| Therapeutic communication includes; | show 🗑
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| Elements of Malpractice | show 🗑
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| intentional & unlawful offer to touch a person in an offensive, insulting or physically intimidating manner. | show 🗑
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| show | BATTERY
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| invasion of privacy | show 🗑
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| the willful & purposeful misrespresentaion that could cause or has caused loss or harm to a person or property. | show 🗑
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| show | Defamation of character
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| show | libel
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| oral form of defamation | show 🗑
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| making a person stay in a place against their wishes | show 🗑
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| show | - each state has different definitions. Nurses cannot leave their patients when they are needed.
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| an agreement between 2 parties or more, especially one that is written & enforceable by law | show 🗑
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| Elements of a valid contract | show 🗑
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
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