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Professional Seminar I. NUR 1010 Sara Wiscombe, RN, MSN. Syllabus . H:\PROFESSIONAL SEMINAR.doc. History of Nursing. Until mid-1800s apprentice-type education Florence Nightingale Lived and worked in England Began ‘modern’ era of nursing First to conduct research to support practice

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Professional Seminar I

NUR 1010

Sara Wiscombe, RN, MSN


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Syllabus

  • H:\PROFESSIONAL SEMINAR.doc


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History of Nursing

  • Until mid-1800s apprentice-type education

  • Florence Nightingale

    • Lived and worked in England

    • Began ‘modern’ era of nursing

    • First to conduct research to support practice

    • Established first school of nursing


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  • Clara Barton

    • Established the American Red Cross after Civil War

  • Dorothea Dix

    • Nurse for the Union Army

    • In charge of hospitals, nurses, supplies


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  • Mary Mahoney

    • First African-American RN

    • Led the awareness of cultural/ethnic diversity

  • 1901

    • Nursing education moved into colleges, offered degree instead of just diploma

  • 1920-1930s

    • Nurse Midwife and CNS education programs established

    • Also ANA Code of Ethics for nurses


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  • 1950s

    • Graduate level nursing courses

  • 1965 Nurse Practitioner Role

    • Developed out of healthcare needs of children

    • Pediatric NP program established by Loretta Ford and Henry Silverman


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Nursing Profession

  • More than a skilled technician

  • Extended education necessary

  • Provides specific service

  • Practice is defined by theoretical knowledge

  • Nurses govern themselves

  • Code of Ethics

    • http://www.nursingworld.org/ethics/code


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Nurse Practice Acts

  • Each state has specific regulations (laws) to obtain and keep a license

    • Amount of school

    • Background checks

    • Rules about behavior

    • Regular renewal periods

    • CEU requirements


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  • LPN Candidates must pass the NCLEX-PN

  • RN candidates must pass the NCLEX-RN

  • Both RNs and LPNs must

    • Abide by rules set forth by the state

    • Practice within the scope of practice identified by the state


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Practice Acts & Rules

  • http://fac.dos.state.fl.us/faconline/chapter64.pdf

  • http://doh.state.fl.us/mqa/nursing/info_PracticeAct.pdf

  • http://abn.state.al.us/main/nurse-practice-act/content.html


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LPN Education

  • At least one year of formal nursing education

  • Clinical training included in education


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RN Education

  • Combines general college classes with nursing education

  • 2 year college or university = ADN

  • 4 year college or university = BSN

  • ADN + 2 more years of college classes


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Certification

  • RNs with significant work experience in a particular area

  • For specialized areas

    • Critical Care, Emergency, OB, etc.

    • http://www.nursingworld.org/ancc/certification/cert/certs/specialty.html


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Additional Education

  • Graduate = MSN

    • CRNA, CNM, CNS (Educator or Administrator) and CRNP

  • Doctoral

    • DSN or PhD


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Nurse Roles

  • Caregiver

  • Advocate

  • Educator

  • Communicator

  • Manager


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RN

Assessment, Analysis and Nursing Diagnosis

Planning care

Interventions & Implementations

Evaluation

Teaching

LPN

Observe and collect data

Assist in planning care

Implement nursing measures

Assist in evaluating

Reinforce teaching by RN

Responsibilities


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Issues in Nursing

  • Population Demographics

    • Aging

    • Mobility

  • Human Rights

    • Abortion

    • Euthanasia

    • Right to die


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Issues in Nursing

  • Bioterrorism

  • Rising costs of healthcare

  • Changes in the way nurses think about care

  • Nursing shortage

    • Staffing ratios

    • Faculty at schools of nursing


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  • Privacy

    • Also called Confidentiality – HIPPA

  • Organ transplant

  • Stem Cell research

  • Gene manipulation



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References

  • Hamric, A.B., Spross, J.A., and Hanson, C.M. (2000). Advanced Nursing Practice; An Integrative Approach, 2nd ed. Philadelphia, PA: W. B. Saunders.

  • Potter, P.A. and Perry, A.G. (2005). Fundamentals of Nursing, 6th ed. St. Louis, MO: Mosby.

  • Zerwekh, J. and Claborn, J.C. (2003). Nursing Today; Transition and Trends, 4th ed. St. Louis, MO: Mosby.