Chapter 1 Nursing Foundations

1. Chapter 1 Nursing Foundations

2. Nursing Origins • Youngest profession but oldest art • During the Middle Ages in Europe Religious groups assumes many roles of nursing

3. The Nightingale Reformation • The Crimean War • Nightingale’s contributions • Training people for future work • Selecting those with upstanding character • Improving sanitary conditions for sick and injured

4. The Nightingale Reformation (cont’d) • Nightingale’s contributions (cont’d) • Reducing death rate of British soldiers (from 60% to ….?) • Providing classroom assistance and clinical teaching • Advocating nursing education should be lifelong

5. Question • Is the following statement true or false? Florence Nightingale advocated that nursing education should be lifelong.

6. Answer True. Florence Nightingale advocated that nursing education should be lifelong because of technological advances, to demonstrate competence and ensure the public’s confidence, and to practice according to current nursing standards.

7. Contemporary Nursing(التمريض المعاصر) • Combining nursing art with science (skills & knowledge) • Art: "Ability to perform an act skillfully ". • Science:" Body knowledge unique toparticular subject". • Integrating the nursing theory • Nursing theories and application (table.. next)

8. Contemporary Nursing (cont’d)

9. Contemporary Nursing (cont’d) • Defining nursing • Nursing definitions by: • Florence Nightingale • Virginia Henderson • American Nurses Association

10. The Educational Ladder • Factors that influence choice of nursing program: • Career goals • Geographic location of schools • Opportunity for part-time vs. full-time employment

11. The Educational Ladder (cont’d) • Factors that influence choice of nursing program (cont’d): • Costs involved • Length of program • Reputation and success of graduate • Flexibility of course scheduling

12. The Educational Ladder (cont’d) • Registered nurse (RN) • Works with physician or dentist • Manages or provide direct care to client • Educates clients and the public: medical conditions • Delegates client care to LPN

13. The Educational Ladder (cont’d) • Registered nurse (cont’d) • Three paths • Hospital-based diploma program • Traditional route for nurse • Lowest number of diploma programs compared to other basic nursing educational programs

14. The Educational Ladder (cont’d) • Registered nurse (cont’d) • Hospital-based diploma program (cont’d) • Reasons for decline • Movement to increase professionalism in nursing • Hospital no longer financially subsidizes school of nursing

15. The Educational Ladder (cont’d) • Registered nurse (cont’d) • Associate degree program (diploma) • Length: 24 months • Aimed at shortening nursing education • Would not be expected to work in a management position

16. The Educational Ladder (cont’d) • Registered nurse (cont’d) • Baccalaureate program • Greatest flexibility in qualifying for nursing positions • Preferred in areas requiring substantial independent decision making

17. The Educational Ladder (cont’d) • Registered nurse (cont’d) • Graduate nursing program • Master’s-prepared nurses: clinical specialist, nurse practitioner, administrator, educator • Doctoral degree: conduct research; advise, administer, and instruct nurses pursuing graduate and undergraduate degrees

18. The Educational Program (cont’d) • Registered nurse (cont’d) • Continuing education • Planned learning experience beyond the basic nursing program • Rationale for acquiring continuing education

19. The Educational Program (cont’d)

20. Unique Nursing Skills • Assessment skills (Acts that involves collecting data) • Following activities requires use of assessment: • Interviewing, observing, examining client and family; reviewing client’s medical record; obtaining facts from other health care workers

21. Unique Nursing Skills (cont’d) • Caring skills (action to restore and maintain health) • Assisting with ADLs • Safe care of clients who require invasive or highly technical equipment • Helping client become self-reliant

22. Unique Nursing Skills (cont’d) • Counseling skills • Communicating with client • Actively listening • Offering pertinent health teaching • Providing emotional support

23. Unique Nursing Skills (cont’d) • Counseling skills (cont’d) • Use active listening • Clarify client’s perspective (own decision) • Teach clients: promote healing processes, staying well, preventing illness, and carrying out ADLs • Use empathy not sympathy

24. Empathy: "Intuitive awareness of what the patientis experiencing". • Sympathy:" Feeling as emotionally distraught as the patient".

25. Unique Nursing Skills (cont’d) • Comforting skills • Provide stability and security during a health-related crisis