and CORRECT Answers
Florence Nightingale Defined nursing as both an art and a science, differentiated nursing from medicine,
created freestanding nursing education; published books about nursing and health
care; is regarded as the founder of modern nursing (see text for further information)
Clara Barton Volunteered to care for wounds and feed Union soldiers during the Civil War;
served as the supervisor of nurses for the Army of the James, organizing hospitals
and nurses; established the Red Cross in the United States in 1882
Definitions of Nursing The central focus in all definitions of nursing is the patient (the person receiving
care), which includes the physical, emotional, social, and spiritual dimensions of that
person. Nursing is no longer considered to be concerned primarily with illness care.
Nursing's concepts and definitions have expanded to include the prevention of
illness; the promotion and maintenance of health for people, families, groups, and
communities; and care for seriously ill and dying people.
Nursing: Scope and Standards of Practice "Nursing incorporates the art and science of caring and focuses on the protection,
promotion, and optimization of health and abilities; prevention of illness and injury;
facilitation of healing; and alleviation of suffering through compassionate presence.
Nursing is the diagnosis and treatment of human response, and advocacy in the care
of individuals, families, groups, communities, and populations in recognition of the
connection of all humanity (p. 1)."
Quality and Safety Education for Nurses (QSEN) - Project (2018) to meet the challenge of preparing nurses with the knowledge,
skills, & attitudes to continuously improve healthcare
- Patient centered care
- Teamwork & collaboration
- Evidence-based practice
- Quality improvement
- Safety
- Informatics
Different types of Healthcare Related Infections - Nosocomial: infection acquired as a result of healthcare
- Healthcare Acquired Infections (HAI): increased cost to healthcare system, leading
cause of death in hospitals, can be prevented (major focus for QSEN)
- Exogenous: pathogen acquired from healthcare equipment
- Endogenous: normal flora multiply and cause infection as a result of treatment
, Spheres of Nursing Care - Wellness and Disease Prevention: Focuses on promoting health, preventing
illness, and educating patients about healthy lifestyle choices.
- Chronic Disease Management: Provides care for individuals with long-term health
conditions, such as diabetes, heart disease, and cancer.
- Regenerative and Restorative Care: Supports patients recovering from surgery,
injury, or illness, and helps them regain their function and independence.
- Hospice and Palliative Care: Provides comfort and support to patients and their
families during the end of life.
Confidentiality HIPPA-Ensured Patient Rights
- To see and copy their health record
- To update their health record
- To request corrections of any mistakes
- To get a list of the disclosures a health care institution has made independent of
disclosures made for the purposes of treatment, payment, and health care
operations
- To request a restriction on certain uses or disclosures
- To choose how to receive health information
Lawsuit Prevention To prevent lawsuits, nurses should prioritize accurate and thorough documentation,
foster open and compassionate communication with patients and families, stay
current with professional best practices, and maintain professional liability insurance.
Adhering to established hospital policies, scope of practice, and the chain of
command also provides protection.
Delegation authorizing an unlicensed person in providing nursing services while retaining
accountability for how the unlicensed person performs the task
- only RNs can delegate
Five Rights of Delegation - Right task
- Right circumstances
- Right person
- Right direction and communication
- Right supervision and evaluation
Types of Isolation contact, droplet, airborne
Infection cycle
Components of the Infection cycle (Chain of infection) - Infectious agent
- Reservoir
- Portal of exit
- Means of transportation
- Portal of entry
- Susceptible host
Infectious agent - Pathogen
- Normal flora that becomes pathogenic
Reservoir Where pathogens live and multiply
- Living (humans, animals, insects)
- Non-living (food, equipment, water)