Role & Scope Final Exam Study Guide
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Module 10-11:
Professionalism: What do nurses need to do to become more recognized as a profession? How
does increased responsibility impact nurses’ need for further education? What was Florence
Nightingale’s contribution to the profession? What does the ANA say about these issues?
(Chapter 1 of Catalano)
Team work: How can nurse managers build better teams? What is QSEN and what are QSEN
competencies?
Leadership: Know the 3 styles of leadership and how they affect teams. When are they best
used? Do communication styles matter? What is the difference between leading and managing?
What can a nurse manager do about conflict in the team?
QSEN: What is QSEN and what are QSEN competencies? How is it helpful to nursing
students? What is a JCAHO requirement for client education? What motivates clients to learn?
Advocacy: How does the nurse advocate for the client? What are appropriate political
activities for nurses? Why does it matter? What is discharge teaching? How do nurses ensure
the teaching has been effective?
Nursing Process: Review the steps and understand the significance.
Ethics: Know the Definitions relating to Ethics and their significance to nurses, according to the
ANA code. Understand nurses’ need to be accountable in all situations.
Critical thinking: Know the first steps in the process to arrive at a positive outcome.
Clinical judgment and Prioritization: What is it? How is clinical judgment gained? How does
the nurse prioritize care? How does the nurse delegate care and to whom?
Complementary and Alternative Medicine (CAM): Why is the term healing used rather than
medicine when referring to alternative care? How can nurses advocate for their patients in
using alternative forms of healing practices?
*Burnout: Chief causes? Effects on the profession as well as on individual nurses? (Catalano
Nursing Now! Chapter 10 of 7th edition) Why is there a nursing shortage?
*indicates new material from Module 11 which is open for you now. Remember, anything you
have read or covered to date is “fair game”!
Module 10 - Education
What vision first comes into your mind when you think about the concept of education as it
relates to nursing? Is it your own nursing education? Or is it the patient education you provide
in the healthcare setting? Both are accurate and are pertinent to this week's discussion.
, Nursing Education
With more than 3.1 million members, the nursing profession is the largest segment of our
nation's healthcare workforce. Of the nearly 3.1 million licensed RNs, 45.4% were initially
educated in ADN programs, compared to 34.2% of RNs initially educated in BSN and higher
degree programs, according to federal data. Among RNs who graduated in 2005 or later, 56.6%
received their initial nursing degrees from ADN programs.
The Robert Wood Johnson Foundation (RWJF) and the IOM in 2008, launched a two year
study to respond to the needs in the nursing profession. The purpose of the report was to
provide blueprints and recommendations for the future of nursing. One of the outcomes was
noting the extreme healthcare complexity that nurses and other healthcare providers were seeing
in the hospital setting. They (RWJF) recommended that 80% of all RN's hold a Bachelor's
degree by 2020.Through its deliberations, the committee developed four key messages:
Nurses should practice to the full extent of their education and training.
Nurses should achieve higher levels of education and training through an improved
education system that promotes seamless academic progression.
Nurses should be full partners, with physicians and other health care professionals, in
redesigning health care in the United States.
Effective workforce planning and policy making require better data collection and
information infrastructure.
The education debate goes back 40 years when the American Nurses Association suggested that
the Bachelor's Degree in Nursing (BSN) be the minimum entry point for registered nurses
(Smith, 2009). Proponents suggest that critical-thinking and leadership skills needed for dealing
with diverse patient populations fall into the realm of the BSN-prepared nurse (Smith, 2009).
Some opponents believe that since Associate Degree Nurses (ADN) and BSN graduates all take
the same national boards for licensure, the NCLEX, the skills sets are the same and cannot be
differentiated by credential.
In 2013, the community college presidents were convened by RWJF and agreed that the ADN
must remain one of the entry points to nursing, however, should not be the terminal education
point for the vast majority of nurses. All stressed that best practices are needed to advance
academic progression in nursing across all levels, from associate to doctoral degrees. Nurses, in
general, are unaware of the conflict, and each individual nurse tends to favor his or her own
credential as the best one!
Although the ANA continues to push for a single entry into the nursing profession, the issue
remains a state board of nursing level issue. Several states have enacted legislation for the BSN
to be either required upon licensure or soon thereafter. It remains up to the individual RN to
determine which degree is necessary for working in that state.
Patient Education