Académique Documents
Professionnel Documents
Culture Documents
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Post-hospitalization
Home healthcare
Physical fitness programs
Community health education programs
-The practice of nursing is controlled from within the profession through state
boards of nursing and professional nursing organizations. These groups also
determine the content and type of education that is required for different levels or
scopes of nursing practice.
LPN/LVN
o Last 9-12 months and include both classroom and clinical experience.
At the end of the program graduates Take the NCLEX-PNn to obtain
licensure.
o Practical nurses work under the supervision of a RN in numerous
settings (hospitals, nursing homes, rehab centers, and home health
agencies)
Diploma Degree
o In early years nursing education took form in apprenticeship programs
o 3-year diploma programs were the dominant nursing programs and the
major source of nursing graduates from the late 1800s to mid 1960s
o Has declined since a resolution by the ANA in 1965 recommended that
education for those who work in nursing should be placed in
institutions of learning within the general system of education.
Associates Degree
o Arose in the early 1950s, were the first and only educational programs
fornursing that were systematically developed from planned research
and controlled experimentation. Most take place in community
colleges.
o In the US, ASNs were started after Mildred Montag published her
doctoral dissertion, The Education of Nursing Technicians, in 1951.
Proposed a 2-year program in community colleges as a solution to
nursing shortages due to WWII.
o Currently 44% of all new RNs each year have a ASN
Bachelors Degree
o The firast school of nursing in a university was established at the
University of Minnesota in 1909
o Most were 5-years in length
o More than 800 BSN programs are now available in the US and 34% of
RNs are educated in these programs
o Located in senior colleges and universities and are 4-years in length
Masters Degree
o The first clinically focused masters degree program was established at
Rutgers University in New Jersey in 1954.
o Generally take 2-years to complete
o Provide specialized knowledge and skills that enable nurses to assume
advanced roles in practice, education, and administration.
Doctoral Programs
o Began in the 1960s in the US
o Currently offer either a doctor of philosophy (PhD) or a doctor of
nursing practice (DNP)
o In 2004, the AACN voted to establish the DNP as the level of education
required to assume advanced practice roles such as nurse practitioner,
3. Efficient drainage
4. Cleanliness/effluvia
5. Light(direct sunlight)/light
-Deficiency in these 5 factors produce lack of health or illness.
-Nightingale also stressed the importance of keeping the client warm, maintaining a
noise free environment, and attending the clients diet in in terms of assessing
intake, timeliness of the food, and its effect on the person.
INTERACTIVE THEORY:
Peplaus Interpersonal Relations Model
(INTRAPERSONAL O.I.E.R-ORIENTATION, IDENTIFICATION, EXPLOITATION,
RESOLUTION)
-central to Peplaus theory is the existence of a therapeutic relationship between the
nurse and the client.
-4 Phases:
1. Orientation: nurse assists the client to understand the problem and the
extent of the need for help
2. Identification: assure the person that the nurse understands the clients
situation
3. Exploitation: power shift from nurse to client.
4. Resolution: once older needs are met, new and more mature ones emerge
-Peplaus model continues to be used by clinicians when working with individuals
who have psychological problems.
Hendersons Definition of Nursing
-Henderson sees the nurse as concerned with both healthy and ill individuals,
acknowledges tha nurse interact with clients even when recovery may not feasible,
and mentions the teaching and advocacy roles of the nurse.
-14 essential functions that help client toward independence
SYSTEMS THEORY:
Neumans Systems Model (NEUMAN STRESSES ME OUT!)
-reconstitution is the state of adaptation to stressors.
-3 stressors
Intrapersonal-within the individual(infection)
Interpersonal-between individuals(unrealistic role expectations)
Extra personal-outside the person(financial concerns)
-3 preventative levels
Primary-protecting and strengthening
Secondary-reaction
Tertiary-recovery
DEVELOPMENTAL THEORY:
Rogers Science of Unitary Human Beings (MR.ROGERS NEIGHBORHOODHUMAN, ENVIRONMENT)
-the whole being greater than the sum of its parts
-two energy fields, human and environment
Leiningers Cultural Care Diversity and Universality Theory
(UNIVERSAL CARE THAT VARIES BY CULTURES)
-Madeline Leininger, a nurse anthropologist, put her views on transcultural nursing
in print in the 1970s, established the Journal of Transcultural Nursing in 1986, and
then in 1991 published her book Culture Care Diversity and Universality: A Theory
in Nursing.
- States that care is the essence of nursing and the dominant, distinctive, and
unifying feature of nursing. -She emphasizes that human caring, although a
universal phenomenon, varies among cultures in its expressions, processes, and
pattersn; it is largely culturally derived.
-Sunrise Model-Emphasizes that health and care are influenced by elements of the
social structure, such as technology, religious and philosophical factors, kinship and
social systems, cultural values, political and legal factors, economic factors, and
educational factors.
-In order for nurses to assist people of diverse cultures, Leininger present 3
intervention modes:
Culture care preservation and maintenance
Culture care accommodation, negotiation, or both
Culture care restructuring and repattering
-Leininger states her theory is the only one unequivocally focused on culture care.
Watsons Human Caring Theory
-Jean Watson believes the practice of caring is central to nursing; it is the unifying
focus for practice.
-all about caring
- Carative factors translated into clinical caritas process:
1. Formation for a humanistic-altruistic system of values, practice of lovingkindness and equainimity withing context of carinf consciousness.
-This process describes the nature of and standard for nurse-client interactions that
lead to goal attainment- that nurses purposefully interact and mutually set, explore
and agree to achieve goals. Goal attainment represent outcome.
-Kings theory highlights the importance of a clients participation in decisions that
influence care and focuses on both the process of nurse-client interaction and the
outcomes of care.
Faye Abedellah
-Identified 21 nursing problems that became foundation of nursing diagnoses.
Gordon
-Influenced by Maslows Hierarchy of Basic Human Needs and Von Bartlaffnys
general systems theory.
-Offer a holistic approach to the development of nursing diagnoses and client care.
-Provides an appropriate method for organization of textbook topics.
REFFER TO QUESTION 19
24. Metaparadigm pg. 41 (application, management of care)
REFFER TO QUESTION 18
25. Nursing Theorists pg. 42-48 ()
REFFER TO QUESTION 19
26. Nursing Theorists pg. 42-48 ()
REFFER TO QUESTION 19
27. Systems Theory pg. 437 & PowerPoint (application, health and promotion)
-Nurses are increasingly using systems theory to understand not only biological
systems but also systems in families, communities, and nursing and health care.
Using systems theory for health promotion of the family, the nurse considers how
each element of the system affects the others.
PowerPoint
-Input
Raw Material
-Output
Result of process
-Through put
Work of the system
-Feedback Loop
Message that becomes part of the input
Nurse
Person
Health
environment
-Interactive Theory
Henderson
Peplau
-Systems Theory
Neuman
Roy
-Developmental Theory
Rogers
Leninger
Watson
38. Vietnam War Memorial pg. 4-5 (comprehension)
-11,000 American military women stationed in Vietnam were nurses
-most were volunteers fresh out of school, youngest medical personnel ever to
enlist
-sits near the Vietnam Veteran Memorial
-4 figures- one tending to the chest wound of a soldier, another looking for a
helicopter for assistance, and the third kneeling while staring at an empty helmet.
39. Public Health Nursing?
40. Nursing Roles pg. 16-17 (comprehension)
REFFER TO QUESTION 5