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hildegard peplau originated what term? |
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therapeutic sense of self |
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Three working phases of TSS |
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orientation, working phase, termination |
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what does peplau's "orientation" phase entail? |
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establishes friendship, trust, identify major problems and concerns |
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end relationship in a therapeutic manner, positive and negative feelings |
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astrology, special diets, massage and rest to drive away evil spirits |
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greeks differed from other cultures bc they.. |
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focused on natural law instead of appeasing the gods |
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ethical standards for physicians.. |
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Hippocratic oath, developed by hippocrates |
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developed policy, law, and protection of public health- clean water, spas and baths, sewage disposal, mobile war nursing units |
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Infectious disease became greater during the IND. REV bc.. |
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people moved from farms to cities, living conditions and close quarters |
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Florence N. was involved in what war? |
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The crimean war, took volunteers to war front to try and help, was denied by military |
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Advocated Health maintenance, nursing was an art and a science.. |
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Said each person should be treated as individual, and nurses should meet needs of the patient- not demands of physicians |
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Jamaican healer or doctress.. |
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Recognized as significant minority nurse.. |
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believed that organizations like the Red cross were needed in US... |
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Worked w congress to pass the geneva conventions so that the red cross could operate in peace-time |
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Founder of American Red cross, red cross nursing service, and the Army nurse corps |
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What prompted move toward formal education of nurses? |
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3 american schools were modeled after Flo Night's school.. |
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Bellevue, Connecticut, Boston |
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First african american trained nurse in US |
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Wealthy nurse who broke barrier of social conscience.. |
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worked in mental hospital for a year, then entered woman's med college, then quit and devoted life to public health |
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Creator of community health nursing.. |
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First nursing school for men... |
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School for male nurses, NYC 1986 |
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School for african americans |
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Spelman college, atlanta baptist |
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NLN adminstered first nation wide state board test in.. |
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pushing back darkness, symbol of goodness purity and wisdom, learning knowledge, sign of caring. |
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each school cap is unique |
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UTMB school pin: disciplina, praesidium, civitatis, state seal emblem.. |
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education, to guard and protect, the state, emblem: single 5 pt star, oak leave=strength, olive leaves=peace |
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investigiation of the nature, causes, principles and reality knowledge or values based on logical reasoning |
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a system of thought based on inquiry.. |
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critical analysis of fundamental assumptions or beliefs |
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a set of ideas or beliefs relating to a particular field or activity, an underlying story |
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nursing philosophy, examines the relationship between truth and ideal in nursing.. |
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this examination forms the framework for nursing practice.. |
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these are based upon beliefs about nursing and expressions of values.. |
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philosophy developed by each nurse.. |
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philosophy developed by schools of nursing, hospitals med systems, and nursing organizations.. |
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promotes exchange of matter, energy, and information with other systems and the enrionment.. |
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major components of nursing philosophy |
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person, environment, health |
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does not interact with other systems or the environment.. |
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vitals, safety, love, self esteem, self actualization |
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an open system integrates... |
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person, environment, and health |
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3 categories of beliefs.. |
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existential, evaluative, prescriptive/proscriptive |
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process of values involves 3 steps.. |
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choosing, prizing and acting on values |
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a group of related concepts that explain existing phenomena and predict future events.. |
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theory acceptance includes.. |
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inclusiveness, consistency, accuracy, relevance, fruitfulness, simplicity |
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this guides research and practice, ex. health stress and adaptation |
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the basic ingredients of nursing theory are.. |
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organizing and linking concepts.. |
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a symbolic representation of the construct |
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provides a broad, general view of nursing that clarifies values and answers broad disciplinary questions such as.. |
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a group of related concepts that describe a view of nursing |
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the most abstract aspect of the structure of nursing knowledge |
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the first nursing theorist.. |
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nightingales canon's of nursing.. |
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ventilation and warming, reduce noise, beautiful objects, flowers, pets reduce suffering, diet, light, chattering hopes and advice, cleanliness |
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identified the client's feelings as a predictor of positive outcomes.. (theorist) |
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florence nightingale of the 20th century.. |
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theorist: to assist the individual sick or well, to perform activities contributing to healing/peaceful death, that he would do unaided if he could. |
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how many need of patients by Virginia Henderson? |
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Theorist: Proposed 10 "carative" factors, holistic outlook addresses altruism,caring among nurse, environment and client is essential to healing.. |
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Theorist: science of unitary man: energy fields, openness, pattern and organization. Nurse promotes synchronicity between human being and their universe |
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Theorist: Measuring the client's self care deficit relative to need, nurse implements aprropriate measure to assist the client |
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TH: adaptation will occur by assisting the "biopsychosocial" client in modiying external stimuli.. |
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TH:Culturally congruent nursing care leads to health and well being of patient, nursing care defined by culture, culture, and caring is the theme |
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nurses structure their practice around a theory and use it to guide them to: assess, plan, diagnose, intervene, and evaluate nursing care |
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originated term "therapeutic sense of self" |
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3 phases of nurse patient relationship.. |
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orientation/intro, working, termination |
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four tasks of orientation phase |
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trust enables participation, each other as individuals?, identify major problems and needs, approx. length of relationship |
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patients may exhibit periods of intense effort and periods of resistance to change in the.. |
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ego defense mechanism , working phase, often precedes positive change |
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nurses distinguish needs from their patients' needs and get their own met outside the nurse-patient relationship |
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stages of professional socialization.. |
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1unilateral dependence, 2 negative/independence, 3dependece/mutuality, 4interdependence |
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80 hours of instruction, cert exam |
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12-18 months, texas=12 months, must pass nclex |
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diploma, 2-3 years, associates- 60-72 hours |
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unviersity based, 120 semester hours, must pass nclex rn |
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graduation rate of nurses |
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blocks to communication include.. |
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using cliches, asking how or why?, using questions that probe, judgmental comments, gossip and rumors, giving FALSE ASSURANCE! (not all but some) |
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socialization professional nursing whatever.. |
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socialization involves a process by which a person acquires the skills and sense of identity that are characteristic of a profession |
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professional socialization in nursing involves |
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internalization of values and norms of that profession |
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goals of professional socialization.. |
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to learn the technology of the profession, to learn to internalize the prof. culture, to find an acceptable version of the role, to integrate this professional role into other life roles. pretty much, become ONE WITH NURSING. muahaha. |
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professional nursing values.. |
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committment to public service, autonomy, committment to lifelong learning and education, belief in the dignity and worth of each person |
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Stages of Cohen's cognitive development.. 4 |
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1- Unilateral Dependence, 2- negative independence, 3- dependence/mutuality, 4- Interdependence |
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3 stages of professional role development.. |
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stage 1- compliance, stage 2- identification, stage 3- internalization |
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From Novice to expert stages.. |
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novice, advanced beginner, competent, proficient, expert. this is so dumb. |
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characteristics of prof. nursing.. |
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high esteem for self and others, view conflicts w possible positive outcomes, open to other's perspectives, take risks w strong sense of self, high tolerance for ambiguity.. what does this shit even mean. |
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a nurse who has characteristics of professional nursing..(summary).. |
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confident, willingness to work with others, practices caring, values self reflection, strong sense of self |
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a nurse in cohen's first stage (unilateral dependence) |
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reliant on external authority, limited questioning or critical analysis |
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a nurse in cohen's second stage (negativity/independence) |
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cognitive rebellion; diminished reliance on external authority |
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a nurse in cohen's third stage (dependence/mutuality) |
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reasoned appraisal/begins integration of facts and opinions following objective testing |
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a nurse in cohen's fourth stage (interdependence) |
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collaborative decision making; committment to professional role' self concept now includes professional role identity |
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what happens in the orientation phase of nurse patient relationship? |
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"getting to know you," putting the patient at ease with a pleasant, unhurried approach. major problems will have been identified |
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what happens during the working phase of nurse patient relationship? |
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tackle tasks outlined in the previous phase, education towards self care.. |
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what happens during the termination phase of nurse patient relationship? |
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ending the relationship in a therapeutic manner |
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view patient within context of..social contexts with three interacting systems, personal, interpersonal and social.. person+relationships+society |
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the process by which people acquire characterstics of a culture from infancy. |
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