NURS 201

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NURS 201

• Week 2 Lectures

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• Topic 1
• Nursing Practice
• and the Health Care Delivery System

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Nursing Practice and the Health Care Delivery
System

• Influences
• History
• Society
• Todays Influences
• Cost
• Evidence-Based Practice/Research
• Nursing Shortage

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Pioneers in Nursing

• Clara Barton
• Civil War
• Establishment of American Red Cross

• Florence Nightengale
• Crimean War
• Health Maintenance and Restoration
• Notes on Nursing What It Is and What It Is Not

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The Nursing Profession

• Professional Standards
• American Nurses Association (ANA) Standards of
  Professional Performance
• ANA Scopes and Standards of Nursing Practice

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Nurse Education

• RN
• BSN
• MSN
• DSN and PhD

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Nursing Practice

• Nurse Practice Acts
• Licensure
• Certifications

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Professional Responsibilities

• Autonomy and Accountability
• Caregiver
• Advocate
• Educator
• Communicator
• Manager
• Career Development

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Professional Organizations

• National League for Nursing
• International Council of Nursing
• Nursing Students
• National Student Nurses Association
• KCU Chapter of Student Nurses Organization

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• Health Care Delivery System

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Group Work Health Care Regulation and
Competition

• Utilization Review
• PPS and DRGs
• MCOs
• Medicaid and Medicare

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Group Work Levels of Health Care

• Primary Care
• Secondary Care
• Tertiary Care
• Restorative Care
• Continuing Care

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• Topic 2
• Management of Nursing Care

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Critical Thinking

• How can we teach it?
• How does it apply to nursing?

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Critical Thinking Nursing Process
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Chapter 20

• Managing Client Care

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Nursing Care Delivery Models

• Functional nursing
• Team nursing
• Total patient care
• Primary nursing
• Case management

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Decentralized Decision Making

• Responsibility
• Autonomy
• Authority
• Accountability
• Staff involvement

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Staff Involvement

• Nursing practice or problem-solving committees
• Nurse/physician collaborative practice
• Interdisciplinary collaboration
• Staff communication
• Staff education

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Leadership Skills for Students

• Clinical care coordination
• Clinical decisions
• Priority setting
• Organizational skills
• Use of resources
• Time management

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Leadership Skills for Students (contd)

• Evaluation
• Team communication
• Delegation
• Knowledge building

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Quality Management

• Definition
• Professional standards
• Care guidelines
• Outcomes
• Quality improvement teams

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Components of a QI Program

• Responsibility
• Scope of service
• Quality indicators
• Thresholds for evaluation
• Data collection and analysis
• Evaluation of care

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Components of a QI Program (contd)

• Resolution of problems
• Evaluation of improvement
• Communication of results

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Models for Process Improvement

• PRIDE
• FOCUS-PDCA
• FADE

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• Health, Wellness, and Caring

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What is Health?
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Health

• A state of being that people define in relation
  to their own values, personality, and lifestyle

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Models of Health and IllnessGroup Work

• Health belief model
• Health promotion model
• Basic human needs model
• Holistic health model

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Internal Variables

• Developmental stage
• Intellectual background
• Perception of functioning
• Emotional and spiritual factors

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External Variables

• Family practices
• Socioeconomic factors
• Cultural background

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Health Promotion

• Passive
• Active
• Exercise
• Nutrition
• Stress reduction
• Illness prevention

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Levels of Preventive Care

• Primary prevention
• Secondary prevention
• Tertiary prevention

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Risk Factors

• Genetic and physiologic factors
• Age
• Environment
• Lifestyle

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Levels of Prevention

• Primary
• Secondary
• Tertiary

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Healthy People 2010

• Goals
• Increase the quality years of healthy life for
  Americans
• Eliminate health disparities among Americans

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Illness

• A state in which a persons physical, emotional,
  intellectual, social, developmental, or spiritual
  functioning is diminished or impaired compared
  with previous experience

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Impact of Illness

• Behavioral and emotional changes
• Body image
• Self-concept
• Family roles and dynamics

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Stages of Health Behavior Change

• Precontemplation
• Contemplation
• Preparation
• Action
• Maintenance stage

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How Do Nurses Impact Health Behaviors?

• Health/Illness Models
• Health Belief
• Health Promotion
• Basic Human Needs
• Holistic Health