Profession of Nursing
professional Dress
No excessive jewelry, fake nails, chewing gum, strong odors or perfume, hair secured back, personal cleanliness
Specialized education
Obtaining degree needed for profession.
( Bachelors, masters, doctorate)
Dorothea Orem
Self Care Theory
Need to work together to make self care happen.
If patient can't self care, nurses stop and help.
What does ADPIE stand for?
Assessment
Diagnosing
Planning
Implementing
Evaluating
Types of assessments
Initial (baseline)
Focused (system specific)
Emergency
Ongoing (timelapsed)
Teaching and Learning
Actively engage with both on the job learning opportunities and formal education programs.
Who determines the nursing standard of care?
Organizations
Virginia Henderson
Nursing Need/Human Need
Nurses care for patients until they can care for themselves.
Implementing
Carrying out or delegating, then documenting the planned nursing interventions
Initial (baseline)
Emergency
Establish baseline for problem, identification, reference, and future comparisons.
Identify life threatening, new, or overlooked critical problems.
Ethics
Adhering to accepted nursing standards and considerations of the ethical implications of their actions, nurses protect patients, and their healthcare teams demonstrate integrity.
Code Of Ethics
Do what is considered right, Must strive to maintain dignity.
Madeline Leininger
"Sunrise" theory
model of cultural care, Universal/diverse
care centered, team effort, generic & professional knowledge.
Beneficial meaning and health outcomes.
Evaluating
Measuring the degree to which goals have been achieved and identifying factors that + or - influence goal of achievement.
Constant
Variable
Birth date, Blood type
Blood pressure readings, pain levels
4 main aims of Nursing Profession
1. Promote health
2. Prevent Illness
3. Restore Health
4. Facilitate coping with death or disability
Autonomy
(independence of freedom)
Professional responsibility, accountability for their actions, freedom to do their job as necessary while at work.
Florence Nightingale
1850's
patient care theory
founder of modern nursing
reduced mortality rate in battlefield hospitals
Nursing is achieved through environmental alteration.
3 characteristics of the nursing process
Dynamic
Patient-Centered
Collaborative
Subjective
Objective
(symptoms/patient experiences but cannot be objectively measured) itching, cold, pain, depression
(signs/ can be identified by observation or a physical examination using the 5 senses) temperature, respirations,pulse
Skills Needed by Nurses to Fulfill aims
Cognitive, technical, interpersonal, legal/ethical
Nurses are accountable for:
Professional, ethical, components and outcomes of an assignment
Bonus
What is Professor Sells favorite quote from Florence Nightingale?
"I attribute my success to this: I never gave or took an excuse."
Nursing process is holistic, what data relates to what aspects of patient?
Biological
Psychological
Social Economic
Spiritual
Psycho-Social
Principle Method of collecting data
Observation (uses 4 senses)
interview (verbal communication, get info or give education, provide support)
examination (uses sight, hear, touch to detect health cues through percussion, auscultation, palpation)