1. Advanced Practice Nurse (APN)
    Nurse with a master’s degree in nursing, advanced education in pharmacology and physical assessment, and certification and expertise in a specialized area of practice. An APN usually works in a critical, acute, restorative, or community health care agency.
  2. American Nurses Association (ANA)
  3. American Nurses Association (ANA)
    Organization of professional nurses in the United States that focuses on standards of health care, nurses professional development, and economic and general welfare of nurses. (memory aid: ANA: N= nurse, nursing).
  4. Benner: From Novice to Expert (Box 1-4 pg. 9)
  5. Benner: From Novice to Expert (Box 1-4 pg. 9)
    • • Novice: Beginning nursing student
    • • Advanced Beginner: A nurse who has had some level of experience with the situation
    • • Competent: A nurse who has been in the same clinical position for 2 to 3 years.
    • • Proficient: A nurse with greater then 2 to 3 years of experience in the same clinical profession.
    • • Expert: A nurse with diverse experience who has an intuitive grasp of an existing or potential clinical problem.
  6. Certified Nurse-Midwife (CNM)
  7. Certified Nurse-Midwife (CNM)
    a nurse who is educated in midwifery and possesses certification in accordance with the criteria of the American College of Midwifes.
  8. Certified Registered Nurse Anesthetist (CRNA)
  9. Certified Registered Nurse Anesthetist (CRNA)
    an RN who has received advanced training in accredited program in anesthesiology.
  10. Clinical Nurse Specialist (CNS)
    nurse with a master’s degree in nursing and expertise in a specific area of practice.
  11. Code of Ethics
    code that defines the ethical principles by which nurse’s function.
  12. Client Advocate
    role in which the nurse protects the client’s human and legal rights and provides assistance in asserting those rights if the need arises.
  13. Continuing Education
    formal educational programs designed to further the knowledge, skills and professional attitudes of practicing nurses.
  14. In-Service Education
    instruction or training provided by an agency or institution to nurses practicing within that agency or institution
  15. International Council of Nurses (ICN)
    international organization for professional nurses; the ANA are members
  16. National League for Nursing (NLN)
    organization of nurses and laypeople concerned with improving nursing education, nursing service, and the delivery of health care in the United States. The NLN is the official accrediting agency for nursing schools. (memory aid: NLN: L= learning, education).
  17. Nurse Practitioner (NP)
    nurse with advanced training or education who provides primary care for non-emergency clients, usually in an outpatient or community setting
  18. Nursing
    diagnosis and treatment of human responses to actual or potential health problems
  19. Registered Nurse (RN)
    health care professional who has completed a course of study at an accredited school of professional nursing and has passed an examination administered by a State Board of Nursing Testing Service
  20. Health Promotion
    the concept of motivating people to seek ways of decreasing the incidence and minimizing the results of illness or disability
  21. NCLEX-RN
    Graduates are eligible to take the National Council Licensure Examination for Registered Nurses to become registered nurses in the state in which they will practice
  22. Nurse Practice Act
    statutes enacted by the legislature of any state that delineate the legal scope of practice of nursing within the geographical boundaries of the jurisdiction
  23. ANA Standards of Nursing Practice (text and module):
    Text (pg. 7 box. 1-2) and Module (Section C) are the same, except Italic is only in module
    • 1. Assessment- The RN collects comprehensive data pertinent to the patient’s health or situation.
    • 2. Diagnosis- The RN analyzes the assessment data to determine the diagnoses of issue.
    • 3. Outcomes Identification- The RN identifies expected outcomes for a plan individualized to the patient or situation.
    • 4. Planning- The RN develops a plan that prescribes strategies and alternatives to attain expected outcomes.
    • 5. Implementation- The RN implements the identified plan. A. The RN coordinates care delivery.
    • A. The RN coordinates care delivery.
    • B. The RN employs strategies to promote health and a safe environment
    • 6. Evaluation- The RN evaluates progress toward attainment of outcomes.
  24. ANA Standards of Professional Performance (text and module):
    Text (pg. 7 box. 1-3) and Module (Section C) are the same
    • 7. Quality of Practice- The RN systematically enhances the quality and effectiveness of nursing practice.
    • 8. Education- The RN attains knowledge and competency that reflects current nursing practice.
    • 9. Professional Practice Evaluation- The RN evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations.
    • 10. Collegiality- The RN interacts with and contributes to the professional development of peers and colleagues.
    • 11. Collaboration- The RN collaborates with patient, family, and others in the conduct of nursing practice.
    • 12. Ethics- The RN integrates ethical provisions in all areas of practice.
    • 13. Research- The RN integrates research findings into practice.
    • 14. Resource Utilization- The RN considers factors related to safety, effectiveness, cost, and impact on practice in the planning and delivery of nursing services.
    • 15. Leadership- The RN provides leadership in the professional practice setting and the profession.
  25. ANA and NLN Joint Statement (module)
    • • ANA- nurses work for the continuing improvement of professional practice, the economic and general welfare of nurses, and the health needs of the American public.
    • • NLN- nurses and friends of nursing of all races, creeds and national origins act together to provide people of their communities with the best possible nursing services and to assure good nursing education.
  26. Licensure
    In the U.S. RN candidates must pass the NCLEX-RN the individual State Board of Nursing administer. Regardless of educational preparation, the examination for RN licensure is exactly the same in every state in the U.S. This provides a standardized minimum base for nurses.
  27. Certification
    Beyond the NCLEX-RN, the nurse may choose to work toward certification in a specific area of nursing practice. Minimum practice requirements are set, based on the certification the nurse is seeking. National nursing organizations, such as the ANA, have many types of certification for you to work toward, such as a certification in medical surgical nursing or geriatric nursing. After passing the initial examination, you maintain your certification by ongoing continuing education and clinical or administrative practice.
  28. The Joint Commission
    an independent, not-for-profit organization, established more than 50 years ago. JCAHO is governed by a board that includes physicians, nurses, and consumers. The Joint Commission sets the standards by which health care quality is measured in America and around the world. The Joint Commission requires accredited healthcare providers to collect and submit performance data on a full set of core quality of care standards. It surveys hospitals regularly to evaluate their performance against these standards and publishes the information to the public.
  29. National Patient Safety Goals (NPSG)
    is to improve patient safety. The goals focus on problems in health care safety and how to solve them. (examples: (long term care) identifying residents correctly, use medications safely, prevent infection, check resident medicines, prevent residents from falling, prevent bed sores, etc.).
  30. 2. Discuss the historical development of professional nursing, with emphasis on Florence Nightingale.
    • She developed the first organized program for training nurses. She also brought major reforms in hygiene, sanitation, and nursing practice. She wrote the first nursing text: Notes on Nursing, and wrote the first nursing theory: facilitate “the body’s reparative process” by manipulating client’s environment.
  31. 3. Explain educational requirements for nurses.
    a RN needs to have an associates degree or bachelors degree in nursing, and needs to pass the NCLEX-RN in the state they wish to practice.
  32. Describe roles and career opportunities for nurses.
    • a RN is also known as a caregiver, advocate, educator, communicator, and manager. RN’s can get further education to become an Advanced Practice Nurse (master degree) and can work as a Clinical Nurse Specialist, Nurse Practitioner, Certified Nurse-Midwife, or Certified Registered Nurse Anesthetist. A RN can also work as a Nurse Educator, Nurse Administer, or Nurse Researcher.
  33. 5. Discuss the influence of social and economic changes of nursing.
    • • Rising Health Care Costs, Evidence-Based Practice, Nursing and Biomedical Research, and Nursing Shortage.
    • • societal → aging population → large numbers on uninsured/underinsured → medically underserved areas → politicious society (quick to sue) → higher incidence in chronic/long term illness → diverse society
    • • needs of consumer- consumers are more informed and are more active.
    • • changes in health care system, rising costs, shorter hospital stays, increased acuity in hospitalized patients (ex. acquiring infections/nosocomial infections), phenomenal growth.
Card Set
The client and health care environment