education, advancement in practice, war, workforce issues,
licensure/regulation, research
- trends influence each other/intertwined, there are unique
aspects related to each trend
image of nursing (chap 1) Correct Answers - mass
...... ......
communication and entertainment have lead to generalized
impressions related to nurses and the nursing profession (good
or bad?)
- popular public perception of nurses influences:
+ how nurses are treated by patients, other healthcare
professionals, and the public
+ how nurses perceive themselves and the profession
+ how they treat each other in the workplace
education of nurses (chap 1) Correct Answers early nursing
...... ......
education was:
- family members and tradition
- apprenticeship and observation
- educated by physicians and nurse supervisors
formal methods emerged as result of work of nurse leaders in
Europe and the US
+ nursing did not exist in the US till after the civil war
- progression of nursing education resulted in educational
degrees that determined role or function, certification, and
practice
,advances in practice (chap 1) Correct Answers - advances in
...... ......
healthcare technology
- development of new practice approaches/disciplines to
effectively treat healthcare concerns
- technological advancements:
+ influence and improve outcomes
+ fast-paced changes to nursing practice
- sociopolitical and healthcare environments
+ influence practice trends
+ necessity of practice advancement
- new practice approaches/disciplines developed over time to
address specific client concerns
war and its effect on nursing (chap 1) Correct Answers -
...... ......
evolution of professional nursing in US intricately tied to
wartime activities
- each war has posed unique challenges and opportunities for
nursing related to professional roles and responsibilities
+ before WW1 there were more male nurses than female, then it
became all women eventually
- much of technology that nurses routinely use today is direct
result of wartime
issues related to supply and demand of qualified nurses have
consistently emerged
- sometimes related to an overabundance of nurses and often
connected to shortages
- other issues: employment of men, ethnic minorities, and racial
minorities in nursing
,licensure and regulation (chap 1) Correct Answers - all practicing
...... ......
nurses are required to obtain and maintain licenses
+ minimum competency (i.e. NCLEX-RN)
- certifications and specialty endorsements are essential
components of nursing practice
+ ensure competency as they delineate role, responsibility, and
obligation
- nurse practice acts define legal boundaries of nursing practice
based on licensure, regulation, and certification
- licensure/regulation laws:
+ state laws
+ set tone for entry into different levels of nursing practice
+ ensure accountability of all professional nurses
nursing research (chap 1) Correct Answers - early nursing
...... ......
practice was based on tradition rather than systematic study of
efficacy
- movement of nursing education into university setting
stimulated nursing research activities
- evidence based practice has resulted in increasingly dynamic
knowledge development
- continued advancement and refinement of the nursing
knowledge obligation of all nurses
+ BSNs: provide questions/topic for inquiry and implement
research findings at clinical level
+ MSNs: do all that BSNs do, plus assist in creation and
execution of research studies
+ doctorally prepared RNs add to this skill set the creation,
management, and dissemination of all aspects of research
studies to improve practice through evidence
, key people in 1600s to 1700s (chap 4- nursing in the American
colonies) Correct Answers folk culture - living plants can heal,
...... ......
blood letting (four humors imbalanced), leaches, potions
Auenbrugger - percussion
da Vinci - anatomical representations
Harvey - circulation
Jenner - smallpox vaccination (first and only vax rn)
Kircher - microscopy
Sydenham - care based on diagnosis
van Leeuwenhoek - microbiology
sociopolitical climate in 1600s to 1700s (chap 4- nursing in the
American colonies) Correct Answers - colonial America was
...... ......
outpost of Great Britain
- community building activities and governing bodies modeled
after standards and practices in Great Britain
- unrest related to desire for autonomy and unfair taxation leads
by GB
- American Revolutionary War in 1775
the image of nursing in 1600s to 1700s (chap 4- nursing in the
American colonies) Correct Answers - synonymous with
...... ......
perceptions nursing in GB and Europe
+ France and Germany were two leading countries in medical
science
- nursing care provided by monks and nuns in monastery wards
as charity work
- destruction and closures of monastery sick wards during
reformation resulted in creation of public hospitals
- public hospitals filthy, chaotic, poorly appointed, disorganized,
stench-filled buildings
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