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Pre-Nightingale Era Nursing the sick was designated to the woman of the tribes Illnesses were attributed to evil spirits within the body of the person who was ill The ancient practitioner used both black and white magic to cure illnesses
Early Civilization
Egyptian temples had
housing for the sick Deborah, the nurses companion of a child, was the first nurse noted in history India, was the first country to record the use in the care of the sick
300 AD
1633
Sisters of Charity was founded
1836
Deaconess
Kaiserwerth, founded
Institute Germany
of was
1860
The
Nightingale Training School for Nurses at St. Thomas Hospital in London, England was established. Florence Nightingale published the
What is nursing? The act of utilizing the environment of the patient to assist him in his recovery (Florence Nightingale) The unique function of the nurse is to assist the individual, sick or well in the performance of those activities contributing to health or its recovery (Virginia Henderson)
oriented and adoptable to the needs of the individual, the family, and community during health and illness (ANA) The diagnosis and treatment of human response to actual or potential health problems
DEFINITION OF TERMS
calling that requires special knowledge, skill and preparation (Kozier, et. al, 2004)
Professionalism - Refers to professional character, spirit or methods. It is
- Is the process of becoming professional, that is, of acquiring characteristics considered to be professional
CRITERIA OF A PROFESSION
Distinct identity and Subculture
profession is motivated by altruism, with members working is some sense for the good of the society
Code of Ethics
nursing profession requires integrity of its members; that is, a member is expected to do what is considered right regardless of the personal cost
Autonomy
autonomous if it regulates itself and sets standards for its members Professional Organization operates under a mother organization
SCOPES OF NURSING
Involves four areas
1. Promoting health and wellness Engaging in attitudes and behavior that enhances
the quality of life and maximize personal potentials Acts like Enhancing healthy lifestyle Preventing drugs and alcohol misuse
2. Preventing Illness The goal is to maintain optimal health by preventing disease Acts like Immunization Prenatal and infant care Prevention of Sexually Transmitted Diseases (STDs)
3. Restoring Health Focus is on the ill client and extends from early detection of disease through helping the client during the recovery period Acts like Providing direct care to the ill Performing diagnostic and assessment procedures Consulting other health professional about the clients problems
4. Care of the Dying Involves comforting and caring for people of all ages who are dying
LEVELS OF PREVENTION
Primary prevention - The nurse identifies risk factors, attempts to eliminate
Secondary prevention - intervention or active treatment after symptoms have occurred Elements: a. Strengthening resistance also known as health maintenance b. Early diagnosis/detection c. Health screening d. Prompt treatment Tertiary Prevention Rehabilitation - reestablishment of high level wellness
nursing problems - Holistic delivery of health care to meet the social, physical, intellectual, creative, emotional and spiritual needs of the family (21 problems)
Needs - To work interdependently with other health caregivers. Focus is on the independent satisfaction of 14 human needs (complementarysupplementary)
need that when met diminishes distress, increases adequacy and enhances wellbeing. - Three elements comprises a nursing situation; 1) Client behavior, 2)Nurse Reaction and 3) Nurse Actions
adapts to illness and how actual or potential stress can affect ability to adapt. The goal of nursing is
to reduce stress. Clients basic needs are categorized according to behavioral systems model
Dorothea Orem - Self-care Deficit model - Nursing care is necessary only if the client is unstable to fulfill biological, psychological, development or social needs
(adaptation), thus the goal of nursing is to help the person adapt to this changes in physiological needs, self-concept, role function and interdependent relations during health and illness
Lydia Hall
- The client is composed of overlapping parts; person (core), pathologic state and treatment (cure) and body (care)
Being - Believes that nursing incorporates knowledge of basic sciences, physiology and nursing practice. Views nursing primarily as a sciences and is committed to research. The humanistic science of nursing, man is changing and coexisting with the environment
Hildegard Peplau - Pyschodynamic Nursing - To develop interaction between the client and the nurse
identify goals focuses on the dynamic interpersonal relationship between the client and the nurse. Communication is used to help client re-establish positive adaptation to the environment
relationship to stress, the reaction to it and reconstitution factors that are dynamic in nature. - Views the client as an open system consisting of a basic structure or central core of energy resources, surrounded by two concentric boundaries, referred to as lines of resistance
Jean Watson
formalized experience designed to enlarge the knowledge or skills of practitioners (Kozier, et. al, 2004) Continuing education is the responsibility of each practicing nurse. Constant updating and growth are essential to keep abreast of scientific and technological change and changes within the nursing profession.
Disadvantages a. There is a great possibility of understaffing which may require nurses to sacrifice some of their plans or put in overtime work. This is especially true in hospitals where budget for personnel is limited b. Because of the bulk work of some staff nurses do not find time anymore to improve their skills through continuing education programs. Or, if the hospitals are far flung, no continuing education programs are provided
Disadvantages a. There are no fixed hours of work. The nurse may be called upon anytime of the day and night b. Facilities for care of the sick are limited so that practice or skills may also be limited c. The public health nurse may not be immediately aware of changes nor trends in fields of medicine or nursing
e.
within the company Custodian of employees health records Counselor Adviser of workers Health and safety teacher
of choice should consider the following factors: a. They must be academically inclined. The basic educational requirement is a Bachelors Degree in Nursing, with an upward trend to a Masters level b. Teachers often work more than 40 hours per week. While this is not normally spent in classroom teaching, much time is spent in planning lessons preparing or correcting examinations, attending faculty meetings and serving in committees and counseling students.
c. Teachers in college of nursing should have a sound experience in the field they wish to teach. If they teach any clinical subject they should have at least a years experience as staff nurse in that particular area
Forces medical facilities b. To prepare each nurse Corps Officer to meet future assignments at higher level of responsibility in the different stations and general hospitals in peace and war c. To teach, train enlisted personnel who perform nursing function under supervision. Special emphasis is on enlisted members who function in setting where there are no nurses
Qualifications a. Must be a Filipino citizen b. Must be of good moral character and must possess a
c.
d.
e.
f. g. h.
pleasing personality Must be a registered nurse with a board rating of at least 80% Female candidates must be single, never been married nor positively found to have given birth to a living or stillborn child Must not be more than 32 years of age at the time of commission Must satisfy the following height requirement: Male -62 inches; Female 60 inches Must have at least one year hospital experience Must be mentally and physically fit for military service and cleared by appropriate agencies
Caregiver - the primary role of the nurse. The nurse combines both arty and science of nursing to promote wellness through activities that prevent illness, restore health, and facilitate coping with disability or death.
2. Communicator - the use of effective interpersonal and therapeutic communication skills to establish and maintain helping relationships with patients of all ages in a wide variety of health setting.
3. Teacher/Educator - the use of communication skills to assess, implement, and evaluate individualized teaching plans to meet learning needs of patients and their families
4. Counselor - the use of therapeutic interpersonal communication skills to provide information, makes appropriate referrals, and facilitates the patients problem solving and decision-making skills
5. Leader - the assertive, self-confident practice of nursing when providing care, effecting change, and functioning with groups
6. Researcher - the participation in or conduct of research to increase knowledge in nursing and improve patient care 7. Advocate - the protection based on the of human or legal rights and the securing of care for all the patients based on the belief that patients have their right to make informed decisions about their own health and lives.
8. Change agent - the nurse assist clients to make modifications of their behavior 9. Manager - the manages the nursing care of individuals, families, and communities. The nurse-manager also delegates nursing activities to ancillary workers and other nurses, and supervises and evaluates their performance