NRS 2012 Newton Final Exam

1940s

Nursing for the Future (Brown, 1948) integrated education & practice, nursing schools began to develop Doctoral programs. lacked nursing content

1979

First doctor of nursing practice-focused degree, Case Western

2000

PhD and doctorate programs in nursing are readily available. 79 programs, 62 offered by PhD

2004

DNP was made as the entry-level degree for advanced practice nursing

role of PhD

scientists, uses EBP, creates nursing knowledge, curriculum on chronic illnesses

DNP

RESEARCH, administrators, informatics, practitioners, nursing knowledge, improves patient outcomes

DNP programs should focus on

nursing theory (Flanagan)

A PhD in nursing provides

a foundation of nursing practice, education, and healthcare delivery by providing leadership from nursing faculty, research experiences and opportunities for interdisciplinary collaborations

entry level of APRNS

masters degree

nursing implications of DNP and PhD

related to 6 steps of nursing process

DNP prepared APRNS

able to work bedside

DNP practitioners

leadership roles

DNP nurse leader

healthcare policy and management

DNP or PhD

faculty

difference between phd and dnp

education and implementation

level of education for dnp and phd

doctoral

academic misconduct definition

the use if unallowed materials in an academic setting that give the student and unfair advantage at the cost of dishonesty- impacts patient care

plagiarism

most common act of academic misconduct

Clinical nurse leaders

master level (NOT APRNS), new role (2005), collaboration to ensure safety, quality improvement, reduce hospital costs, use evidence based criteria

CNL original fundamentals

introduction, understanding, implementation

CNL additional fundamentals

creativity, leadership, improvement, competency

Qualitative Research

research that relies on what is seen in field or naturalistic settings more than on statistical data (SUBJECTIVE)

Quantitative Research

research that collects and reports data primarily in numerical form (OBJECTIVE)

APRN (Advanced Practice Registered Nurse)

A nurse with a master's degree and advanced experience. APRNs include nurse practitioners (NPs), who work as primary care providers; certified nurse-midwifes (CNMs), who provide gynecological and obstetrical care; clinical nurse specialists (CNSs), who handle a wide range of physical and mental problems; and certified registered nurse anesthetists (CRNAs), who administer anesthetics.

NP's

APRN that requires masters.

CRNA

APRN role that requires doctorates, 7-8.5 yrs, critical care experience, intubation and anesthesia (COVID),

midwife

2-4 years after BSN, 1600's, are communicators and educators, frontline status

CNS

APRN, decrease blood contamination, reeducate nurses, kurin device

type 3 lateral/horizontal violence

nonphysical abuse in the workplace between co-workers

goal of nursing

facilitate attainment of positive patient outcomes

Nursing definition

the diagnosis and treatment of human responses and advocacy in the care of individuals, families and communities, etc.

the focus of nursing is NOT

disease, pathology, medical diagnoses

depth and breadth

education, experience, role, population served

art of nursing based on

caring and respect for human dignity

clinical practice is based on

nursing knowledge

4 APRN roles

nurse anesthetist, nurse midwife, clinical nurse specialist, nurse practitioner

Non-APRNs

nursing education, forensic nursing, informatics

critical thinking

NOT a step by step linear process. process thats gained only through experience and having an active curiosity toward learning. outcome focused and driven by the patients and familys needs.

habitual care

do what they are told to do- novice/ basic nurse

complex thinkers

2 yrs experience. more creative and innovative

Commitment/Expert

no assistance, full accountability. ~5+ years

types of thinking

Visual, Auditory, Performance-Based.

thinking is the foundation of

nursing practice= what you know

Doing is the

OUTCOME of thinking=applying what you know= competency based nursing practice

foundation of professional nursing

critical thinking

the nursing process is only used by

the discipline of nursing

nursing process in 6 steps

assessment, diagnosis, outcome identification, planning, implementation, evaluation

ANA standards of practice describes a

competence (middle) level of nursing care. they are authoritative statements. expected to PERFORM.

ANA is NOT

education or specialty based

back channeling

Active listening technique that prompts a respondent to continue telling a story or describing a situation. Involves use of phrases such as "Go on," "Uh huh," and "Tell me more."

leading question

A question phrased in a way that suggests the answer that an interviewer wants to hear.

Diagnostic conclusions

When the nurse accurately identifies patterns of data, they form

data cluster

lead to diagnostic conclusions, comprised of signs/symptoms

types of diagnoses

problem focused, risk for, health promotion (write diagnoses related to .....)

example of patient goal

the pt WILL REPORT less pain

planning

prescribes strategies to attain expected outcomes. written in future tense r/t what the nurse will do

Theroy

knowledge

nursing theory

helps explain nursing phenomena and predict outcomes related to the phenomena

domain

the perspective of a profession or discipline

watson

caring

roy

adaptation

Nightingale

patients environment

benner

Skill Acquisition; novice, advanced beginner, competent, proficient, and expert.

Kolcaba

comfort

pender

health promotion

Mishel

uncertainty of illness

deductive reasoning

quantitative, predictions

inductive reasoning

qualitative, observations