Craven Ch 1 The Profession of Nursing

Nurse who has advanced degrees and certification (e.g., nurse practitioner)

Professional nursing organization concerned with all aspects of professional nursing provides standards and leadership for the profession comprised of individual state nursing associations and also has nursing specialty bodies representing all nursing practice areas

Registered nurse who holds a master’s degree in a nursing specialty and has advanced clinical experience

• According to Lewin
• 1. Recognition of the area where change is needed
• 2. Analysis of a situation to determine what forces exist to maintain the situation and what forces are working to change it
• 3. Identification of methods by which change can occur
• 4. Recognition of the influence of group mores or customs on change
• 5. Identification of the methods that the reference group uses to bring about change
• 6. The actual process of change

• unfreezing, movement, and refreezing
• Unfreezing is the recognition of the need for change and the dissolution of previously held patterns of behavior. Movement is the shift of behavior toward a new and more healthful pattern. Movement marks the initiation of change. Refreezing is the long-term solidification of the new pattern of behavior.

Formal explanation that links concepts and emphasizes relationships among them

Context in which a person lives; includes social and inanimate characteristics

A framework for collecting and organizing nursing assessment data to ascertain the patient’s strengths and any actual or potential dysfunctional patterns

A systems framework that assumes all systems must be goal directed; a system is more than the sum of its parts; a system is ever-changing and any change in one part affects the whole; boundaries are implicit and in human systems are open and dynamic

• (1) State of well-being and optimal functioning;
• (2) Interactive process between the person and the internal and external environment

Any physiologic or psychological factors necessary for a healthy existence

Person licensed by a state after completing a state-approved nursing program to provide technical nursing care under the direct supervision of a registered nurse

Theory that states that all humans are born with instinctive needs, grouped into five categories, and arranged in order of importance from those essential to physical survival to those necessary to develop a person’s fullest potential

Part of Maslow's hierarchy of human needs - bottom of pyramid. Need for air, nutrition, water, elimination, rest, and sleep, and thermoregulation. Sex is unnecessary for individual survival, but it is necessary for the survival of humankind.

Part of Maslow's hierarchy of human needs - second from bottom of pyramid. Need for shelter and freedom from harm and danger.

Part of Maslow's hierarchy of human needs - third from bottom of pyramid. Need for affection, feelings of belongingness, and meaningful relations with others.

Part of Maslow's hierarchy of human needs - fourth from bottom of pyramid (second from top). Need to be well thought of by oneself as well as by others.

Part of Maslow's hierarchy of human needs - top of pyramind (fifth from bottom). Need to be self-fulfilled, learn, create, understand, and experience one's potential.

Nurse who supervises the organization of nursing care to ensure overall safety and quality

Nurse who specializes and is certified in the administration of anesthesia

Nurse responsible for nursing and healthcare education in various settings

Nurse with advanced education and certification in the care of women during pregnancy and childbirth

State guideline that governs the practice of professional nursing

Nurse with advanced education and certification who may practice independently in various settings

Nurse responsible for continued development of nursing knowledge and improvement of practice through research

Profession that involves diagnosis and treatment of human responses to actual or potential health problems

Explanation or description of nursing issues that defines and predicts nursing practice

Human being; recipient of nursing care

Nurse possessing the baccalaureate degree in nursing

Process of developing one’s maximum potential and managing one’s life confidently

Process in which a person is familiarized with the ways of a specific culture or group

A beginning nursing student or any nurse entering a situation in which he or she has had no previous experience. Behavior is governed by established rules and is limited and inflexible. The novice nurse moves from relying on abstract principles to using concrete experiences.

The advanced beginner can demonstrate marginally acceptable performance. He or she has had enough experience in actual situations to identify meaningful aspects or global characteristics that can be identified only through prior experience. Advanced beginner is identified as being the first 5 years after graduation from nursing school and is described as seeing situations in parts to seeing them more conceptually, or as a whole.

Competence is reflected by the nurse who has been on the same job for 2 or 3 years and who consciously and deliberately plans nursing care in terms of long-range goals. Competency occurs 5 to 10 years after graduation, and the nurse is no longer outside the situation observing but is directly involved.

The proficient nurse perceives situations as a whole rather than in terms of aspects and manages nursing care rather than performing tasks.

The expert nurse no longer relies on rules or guidelines to connect understanding of a situation to an appropriate action. The expert nurse, with an enormous background of experience, has an intuitive grasp of the situation and zeroes in on the problem. The expert nurse has an enormous background of experience, intuitive grasp of each situation, and accurately targets the problem without unnecessary consideration of a large range of alternative diagnoses and solutions.

The RN collects comprehensive data pertinent to the patient’s health or situation.

The RN analyzes the assessment data to determine the diagnoses or issues.

The RN identifies expected outcomes for a plan individualized to the patient or the situation.

The RN develops a plan that prescribes strategies and alternatives to attain expected outcomes.

The RN implements the identified plan. This includes coordination of care, health teaching and health promotion, consultation, and prescriptive authority and treatment.

The RN evaluates progress toward attainment of outcomes.

The RN practices using ethical principles.

The RN practices in a manner that is congruent with cultural diversity and inclusion principles.

The RN communicates effectively in all areas of practice.

The RN collaborates with the patient and key stakeholders.

The RN demonstrates leadership in the practice setting and the profession.

The RN attains knowledge and competency that reflects current nursing practice and promotes futuristic thinking.

The RN integrates evidence and research findings into practice.

The RN contributes to quality nursing practice.

The RN evaluates one’s own and others’ nursing practice.

The RN utilizes appropriate resources to plan, provide, and sustain evidence-based nursing services that are safe, effective, and fiscally responsible.

The RN practices in an environmentally safe and health manner.