DIMENSIONS FINAL EXAM STUDY GUIDE
Hippocrates
"Father of Modern Medicine.
Beliefs focused on harmony with the natural law instead of on appeasing the
gods. Emphasized treating the whole client, mind, body, spirit, and the
environment.
Made diagnosis on the basis of symptoms rather than on an isolated idea of a disease.
He was concerned with ethical standards for physicians, expressed in the now-famous Hippocratic Oath.
Why have the use of integrative health practices increased?
Dissatisfaction with conventional health care, desire for greater control of health, desire for cultural and
philosophical congruence with personal beliefs, belief in the effectiveness of alternative therapies, individual health
status, rising cost of conventional health care
Evidence-Based Practice (EBP)
Using research findings to guide nursing practice. It uses statistical data to estimate the risk-benefit ratio.
The Cap (Common Nursing symbols)
A symbol of service to others. The first one was in 1874, primary used to keep long hair out of the way. Each school
designed their own. Separate ceremonies for pinning and capping. Capping was after 6 months of classroom
education. Signs of rank were first year, white cap, 2nd year, vertical black band on the edge, and 3rd year,
graduation, vertical band removed and a black band across the front.
The Nursing Pin (Common Nursing Symbols)
During the crusades, Knight's hospitallers wore a white Maltese cross around their neck, showing they were skilled
in treating injured soldiers.
The first modern nursing pin attributed to Nightingale, which was the blue cross with her head in the middle. Each
program designed a unique pin to represent values, philosophies, beliefs, and goals.
The Lamp (Common Nursing Symbols)
Flame of Life, extinguished by death. The burning of the lamp symbolized enlightenment that accompanies
knowledge. Florence used the lamps during her rounds at night.
Isabel Adams Hampton-Robb (Helped shaped modern day nursing and their roles)
Focused on the academics rather than clinically raised standards of education in the U.S. She was an advocate for
reducing long hours. She was the first president of the ANA, and helped develop American Journal of Nursing.
Lillian Ward (Helped shaped modern day nursing and their roles)
Opened the Henry Street Settlement (a storefront health clinic in a poorer part of NYC. The nurses made home visits
and focused on sanitary conditions and children's health). She was an advocate for wellness education, Founded the
National Organization for Public health nursing, in 1912.
Lavinia Lloyd Dock (Helped shaped modern day nursing and their roles)
Write the medical textbook for nurses. She addressed problems of poverty and squalor. She was dedicated to the
pursuit of equal rights. She spent of 20 years fighting for women's rights to vote.
,Annie W. Goodrich (Helped shaped modern day nursing and their roles)
She ran multiple nursing schools throughout New York. In 1910, she was appointed State Inspector of Nursing
Schools (a position on physicians held), and was the Dean of Nursing in the Army Nursing School, and Yale School
of Nursing. She established a nursing training program at Vassar College.
Loretta C. Ford (Helped shaped modern day nursing and their roles)
Founded Nurse Practitioner (NP) Practice.
Florence Nightingale (Helped shaped modern day nursing and their roles)
Universally regarded as the founder of modern nursing, Florence Nightingale dedicated her long life to improving
health care and nursing standards. She worked tirelessly for the reform of health care and nursing and was appointed
to many related committees and commissions. A prolific writer, she wrote extensively about improving hospital
conditions, sanitation, nursing education, and health care in general.
Quality and Safety Education for Nurses (QSEN)
Using the model contributed to the adoption of quality and safety competencies as core practice values. Built on 5
competencies developed initially by the Institute of Medicine.
What are the 5 Competencies? (QSEN)
-Client centered care.
-Teamwork & collaboration.
-Evidence-based practice.
-Quality improvement.
-Safety.
-Informatics.
Case Manager
Acts as an advocate for the client and their family by coordinating care and linking the client with the healthcare
team, physician, resources, and payor.
GOAL: To help the client obtain quality, cost-effective care while decreasing duplication and fragmentation of care.
Main method in which nurses can gain power in nursing
Professional unity; joining a professional organization
Political activity: getting involved politically
Accountability and professionalism: demonstrating these traits
Networking: "old boy system" nurse support network system "don't eat your young"
Future trends in the nursing profession: look at nursing as a profession.
Review examples of ways a nursing license may be revoked
• Conviction for a serious crime
• Demonstration of gross negligence or unethical conduct in the practice of nursing
• Failure to renew a nursing license while still continuing to practice nursing
• Use of illegal drugs or alcohol during the provision of care for clients or use that carries over and affects
clients' care
• Willful violation of the state's nurse practice act
Identify why it is important for nurses to join professional organizations
Organizational certification is referred to as accreditation and indicates that the institution has met standards
established either by the government or by a nongovernmental agency.
, Main method in which nurses can gain power in nursing
Nurses are demonstrating their power to achieve a goal when they band together and exert power as a group
horizontal violence
takes place almost exclusively in the work setting. It has been recognized by the National Institute for Occupational
Safety and Health (NIOSH) as one of the leading causes of poor staff morale, excessive sick days, turnover of staff,
nurses leaving the profession, poor quality of care, and physical symptoms such as insomnia, hypertension,
depression, and gastrointestinal upset.
Importance of Interpersonal education for nurses
Local health needs
Fragmented health-care practices
Present and future health-care needs
Shortages in the health workforce
Collaborative practice
Improved health-care system
Purpose and needs for nursing licensure
Rules and regulations written by the state boards of nursing become statutory laws under the powers delegated by
the state legislature, and define powers regarding the practice of nursing within the state.
Vertical Violence
Bullying from a superior, or vertical violence, is a type of harassment that can permeate the entire organization and
have a detrimental effect on its effectiveness. The concept of inappropriate use of coercive power becomes a key
element in vertical violence.
What are the 3 levels of service in health care?
Primary care refers to health promotion and preventive care, including programs such as immunization campaigns.
Secondary care is frequently provided in hospitals and other acute care settings, with an emphasis on diagnosis and
the treatment of complex disorders.
Tertiary care emphasizes rehabilitative services, long-term care, and care of the dying.
What are the 4 systems types in Western Medicine and what are the goals of each system?
Type 1 Health-Care System goals are preserving autonomy and acceptance of social differences
Type 2 Health-Care System Egalitarian values are given high priority, but so are practitioner and client autonomy.
Type 3 Health-Care System the state-operated and state-funded health services were based on an egalitarian value
and public management.
Type 4 Health-Care System focuses on keeping the general public healthy so that they can continue to contribute to
society and the economy.
Civility
Based on recognizing that all human beings are important, for people to treat others as they would wish to be treated
(the Golden Rule)
Examples of civility in nursing education
Hippocrates
"Father of Modern Medicine.
Beliefs focused on harmony with the natural law instead of on appeasing the
gods. Emphasized treating the whole client, mind, body, spirit, and the
environment.
Made diagnosis on the basis of symptoms rather than on an isolated idea of a disease.
He was concerned with ethical standards for physicians, expressed in the now-famous Hippocratic Oath.
Why have the use of integrative health practices increased?
Dissatisfaction with conventional health care, desire for greater control of health, desire for cultural and
philosophical congruence with personal beliefs, belief in the effectiveness of alternative therapies, individual health
status, rising cost of conventional health care
Evidence-Based Practice (EBP)
Using research findings to guide nursing practice. It uses statistical data to estimate the risk-benefit ratio.
The Cap (Common Nursing symbols)
A symbol of service to others. The first one was in 1874, primary used to keep long hair out of the way. Each school
designed their own. Separate ceremonies for pinning and capping. Capping was after 6 months of classroom
education. Signs of rank were first year, white cap, 2nd year, vertical black band on the edge, and 3rd year,
graduation, vertical band removed and a black band across the front.
The Nursing Pin (Common Nursing Symbols)
During the crusades, Knight's hospitallers wore a white Maltese cross around their neck, showing they were skilled
in treating injured soldiers.
The first modern nursing pin attributed to Nightingale, which was the blue cross with her head in the middle. Each
program designed a unique pin to represent values, philosophies, beliefs, and goals.
The Lamp (Common Nursing Symbols)
Flame of Life, extinguished by death. The burning of the lamp symbolized enlightenment that accompanies
knowledge. Florence used the lamps during her rounds at night.
Isabel Adams Hampton-Robb (Helped shaped modern day nursing and their roles)
Focused on the academics rather than clinically raised standards of education in the U.S. She was an advocate for
reducing long hours. She was the first president of the ANA, and helped develop American Journal of Nursing.
Lillian Ward (Helped shaped modern day nursing and their roles)
Opened the Henry Street Settlement (a storefront health clinic in a poorer part of NYC. The nurses made home visits
and focused on sanitary conditions and children's health). She was an advocate for wellness education, Founded the
National Organization for Public health nursing, in 1912.
Lavinia Lloyd Dock (Helped shaped modern day nursing and their roles)
Write the medical textbook for nurses. She addressed problems of poverty and squalor. She was dedicated to the
pursuit of equal rights. She spent of 20 years fighting for women's rights to vote.
,Annie W. Goodrich (Helped shaped modern day nursing and their roles)
She ran multiple nursing schools throughout New York. In 1910, she was appointed State Inspector of Nursing
Schools (a position on physicians held), and was the Dean of Nursing in the Army Nursing School, and Yale School
of Nursing. She established a nursing training program at Vassar College.
Loretta C. Ford (Helped shaped modern day nursing and their roles)
Founded Nurse Practitioner (NP) Practice.
Florence Nightingale (Helped shaped modern day nursing and their roles)
Universally regarded as the founder of modern nursing, Florence Nightingale dedicated her long life to improving
health care and nursing standards. She worked tirelessly for the reform of health care and nursing and was appointed
to many related committees and commissions. A prolific writer, she wrote extensively about improving hospital
conditions, sanitation, nursing education, and health care in general.
Quality and Safety Education for Nurses (QSEN)
Using the model contributed to the adoption of quality and safety competencies as core practice values. Built on 5
competencies developed initially by the Institute of Medicine.
What are the 5 Competencies? (QSEN)
-Client centered care.
-Teamwork & collaboration.
-Evidence-based practice.
-Quality improvement.
-Safety.
-Informatics.
Case Manager
Acts as an advocate for the client and their family by coordinating care and linking the client with the healthcare
team, physician, resources, and payor.
GOAL: To help the client obtain quality, cost-effective care while decreasing duplication and fragmentation of care.
Main method in which nurses can gain power in nursing
Professional unity; joining a professional organization
Political activity: getting involved politically
Accountability and professionalism: demonstrating these traits
Networking: "old boy system" nurse support network system "don't eat your young"
Future trends in the nursing profession: look at nursing as a profession.
Review examples of ways a nursing license may be revoked
• Conviction for a serious crime
• Demonstration of gross negligence or unethical conduct in the practice of nursing
• Failure to renew a nursing license while still continuing to practice nursing
• Use of illegal drugs or alcohol during the provision of care for clients or use that carries over and affects
clients' care
• Willful violation of the state's nurse practice act
Identify why it is important for nurses to join professional organizations
Organizational certification is referred to as accreditation and indicates that the institution has met standards
established either by the government or by a nongovernmental agency.
, Main method in which nurses can gain power in nursing
Nurses are demonstrating their power to achieve a goal when they band together and exert power as a group
horizontal violence
takes place almost exclusively in the work setting. It has been recognized by the National Institute for Occupational
Safety and Health (NIOSH) as one of the leading causes of poor staff morale, excessive sick days, turnover of staff,
nurses leaving the profession, poor quality of care, and physical symptoms such as insomnia, hypertension,
depression, and gastrointestinal upset.
Importance of Interpersonal education for nurses
Local health needs
Fragmented health-care practices
Present and future health-care needs
Shortages in the health workforce
Collaborative practice
Improved health-care system
Purpose and needs for nursing licensure
Rules and regulations written by the state boards of nursing become statutory laws under the powers delegated by
the state legislature, and define powers regarding the practice of nursing within the state.
Vertical Violence
Bullying from a superior, or vertical violence, is a type of harassment that can permeate the entire organization and
have a detrimental effect on its effectiveness. The concept of inappropriate use of coercive power becomes a key
element in vertical violence.
What are the 3 levels of service in health care?
Primary care refers to health promotion and preventive care, including programs such as immunization campaigns.
Secondary care is frequently provided in hospitals and other acute care settings, with an emphasis on diagnosis and
the treatment of complex disorders.
Tertiary care emphasizes rehabilitative services, long-term care, and care of the dying.
What are the 4 systems types in Western Medicine and what are the goals of each system?
Type 1 Health-Care System goals are preserving autonomy and acceptance of social differences
Type 2 Health-Care System Egalitarian values are given high priority, but so are practitioner and client autonomy.
Type 3 Health-Care System the state-operated and state-funded health services were based on an egalitarian value
and public management.
Type 4 Health-Care System focuses on keeping the general public healthy so that they can continue to contribute to
society and the economy.
Civility
Based on recognizing that all human beings are important, for people to treat others as they would wish to be treated
(the Golden Rule)
Examples of civility in nursing education
