Educational Trends - Answers Shifts in conditions and concerns that emerge from and influence
various aspects of society; broad changes in the US and the world that influence the education and
practice of nurses & providers
knowledge expansion and use of technology and the internet - Answers -A major part in education &
practice
-Information volume growing exponentially
-Ability to create, access, disseminate information rapidly is beneficial
-examples: use of chat rooms, blogs, and online sources
practice-based competency outcomes - Answers specify expected results (measurable); actually learn
to think like a nurse; include actions such as: implement, plan, conduct
sociodemographics, cultural diversity, and economic and political changes - Answers -Aging
population—people living longer
-Diverse population:Use of traditional practitioners and treatments other than traditional Western
medicine& Illegal Immigrants
-Increasing number of people living in poverty, homeless, and/or uninsured
-Disrespect for others
-Domestic abuse of women and children
-Various forms of violence in homes, schools, and public places
-Obesity epidemic
-Nontraditional families
Patient-centered care: engagement, safety, and privacy - Answers -Shift from "giving care" to
"working with" the patient as a member of the health care team
-Increased number of medical errors leading to lawsuits have supported the need to insist on
competency-based performance examinations in schools of nursing and as part of employer
evaluations and accreditation
shortage of nurses and faculty - Answers -Has caused serious issues
-Inadequate clinical staff - use of part-time and agency nurses: Reduces quality of care & Contributes
to stress & burnout
-Fewer preceptors
-Qualified student applicants denied
admission
-Faculty are aging & retiring - limited replacements
LPN/LVN - Answers Licensed Practical Nurse/
Licensed Vocational Nurses (California & Texas)
Shortest programs (9 to 12 months)
Most restricted form of practice
Must work under the supervision of an RN or physician
Cannot perform all skills
Limited work in critical care areas
Practice focuses on technical skills
NCLEX-PN licensing exam [NCLEX=National Council Licensure EXamination
Hospital or Diploma Programs - Answers Oldest, most traditional RN programs
Modeled after Nightingale programs in Europe
Approximately 2-3 years in length
1950-1960 - increase in the number of hospitals led to the increase in the number of diploma
programs. More than 1300 programs operational
By 2012, only 64 diploma programs remained
NCLEX-RN licensing exam
associate degree programs (ADN) - Answers Emerged in 1950s; response to societal changes & RN
shortage
Began as 2-year program in community colleges
A "first" in nursing - now possible for all RNs to be educated in college setting
Intended to be the "technical nurse"
NCLEX-RN licensing exam
, Bachelor's degree (BSN) - Answers Baccalaureate = Bachelor's Degree
4 year degree program
Intended to be the "professional nurse"
Include courses such as research, leadership, management, and statistics
First BSN program at Yale University in 1924
BSN degree usually required for admission to
graduate programs
NCLEX-RN
master of science in nursing (MSN) - Answers Different areas of specialty
Nursing Education
Health Care Administration
Advanced Nurse Practioner's
Clinical Nurse Leader (CNL)
advanced practice nurse (APRN) - Answers LACE Report—Model of Regulation
Licensure, Accreditation of programs,
Certification, and Education programs
4 APRN roles:
Nurse Anesthetist
Nurse-Midwife
Clinical Nurse Specialist
Nurse Practitioner
Clinical Nurse leader - Answers -Master's prepared generalist clinician
-Not APRN [Advanced Practice Registered Nurse]
-Oversees the care coordination of a distinct group of patients, evaluates outcomes, and has the
decision - making authority to change care plans when necessary
-Expertise in quality improvement and cost-effective resource utilization
Doctorate - Answers PhD - doctor of philosophy - research
DNS - doctor of nursing science - advance clinical nursing practice
DNP - doctor of nursing practice - advanced nurse practitioners -
Distance Mobility Programs - Answers -External degree model:
Makes it possible for experienced adult learners to earn one of many degrees
-Known as "classroom without walls":
Excelsior College: previously known as the New York Regents College
University of Phoenix Online
Excelsior college - Answers -Innovative distance mobility program
-Developed under New York Board of Regents:
'the external degree program'
-Provides degree programs for adult learners underserved by traditional programs
-The nursing programs enroll thousands
History of Nursing licensure - Answers -Identification/recognition of nursing skills: Recognition:
nursing pins and registries
-Purpose of licensure: Graduate nurses, physicians, and hospitals set criteria for licensure of nurses in
the US & Primary purpose was, and still is, the protection of the public
Nurse Practice Acts (NPAs) - Answers -Each state develops rules and regulations [laws] to govern the
practice of nursing within that state
-Written and passed by legislator
-American Nurses Association (ANA) and later the National Council of State Boards of Nursing
(NCSBN) provide a template for nurse practice acts
components of nurse practice acts - Answers -Purpose of Act
-Definition of Nursing and Scope of Practice
-Licensure Requirements
-Renewal of Licensure
-Mandatory Continuing Education
Regulatory board of nursing - Answers to ensure safe practice; membership usually appointed by the
governor's office