FUNDAMENTALS OF NURSING PRACTICE (LECTURE)

MODULE 1
*Factors And issues affecting health and illness
-Self concept -is an individual’s view of self
-Self Esteem how a person thinks about oneself
*Sressors affecting self concept
-identity stressors -especially during adolescence
-role performance stressors -role conflict,role ambiguity,role strain,role overload
-body image stressors -affect appearance structure or function or a bodypart
*health care delivery system/healthcare setting and services
1Primary care primary care
-prenatal and the well baby care
-nutrition counseling
-family planning
-exercise, yoga, and meditation classes
2. Preventive care
-blood pressure and cancer screening
-immunization
-mental health counseling in crisis prevention
3. Secondary acute care
-emergency care
-acute medical surgical care
-radiological procedures for acute problem
4. Tertiary care
-intensive care
-subacute care
5. Restorative care
-cardiovascular and pulmonary rehabilitation
-orthopedic rehabilitation and home care
-sports medicine and spinal cord injury programs
6. Continuing care
-assisted living
-psychiatric and older adult daycare
MODULE 2
*Nursing as a profession
-patient centered care
-professionalism
.administer quality care
.be responsible and accountable
-health care advocacy groups
.robert Wood Johnson Foundation I think (RWJF)future of nursing:campaign for action
.institute of Medicine (IOM)publication on the future of nursing
*Science and art of nursing practice
-nursing requires:
.current knowledge and practice standards
.insightful and compassionate approach
.Critical thinking
-benners stages of nursing proficiency:
.novice
.advance beginner
.competent
.proficient
.expert
*Professional roles
-autonomy -involves the initiation
-caregiver -help patients regain health
-advocate -protects your patients human and legal rights
-educator- teaching can be formal or informal
-communicator -allows you to know your patience including the strength and weaknesses
-manager -establish an environment care to provide quality positive patient outcomes
*Historical influences
-nurses
.respond to needs of patience
.actively participate in determining best practices
*Civil war at the beginning of the 20th century
-clara Barton -founder of the American Red Cross
-Mother bickerdyke -organized ambulance services
-harriet tubman - a prominent female in the underground railroad movement of free slaves
-mary mahoney -first professionally trained American African nurse
-lilian Wald and Mary Brewster -opened Henry street settlement
MODULE 3
*Theoretical views in caring
-caring -a universe of phenomenon that influences the way we thin, feel,and behave
-caring -heart of nurses ability
*Kristen Swanson (theory of caring )
-define caring as a nurturing way of relating to an individual
*Five caring processes
-knowing -striving to understand
-being with- emotionally present to the other
-doing for -do in for the other
-enabling -facilitating the others passage
- maintaning belief -sustaining fate in the other’s capacity
MODULE 4
*6Cs of caring
-compassion - means to be with another in theirr suffering
-competence -acquiring and using evidence
-conscience -moral ethical and legal decision making
-confidence- trust in one’s ability to care for others
-commitment -maintaining and elevating the standards
-compartment -professional presentation of us as nurses
*Caring in a nursing practice -you grow in your ability to care and develop caring behaviors
1. providing presence -a person to person encounter
2. Touch -provides comfort
3. Listening -includes interpreting and understanding
4. Knowing the patient -develops overtime
5. Spiritual caring -achieved when a person can find a balance between his life values
6. Relieving symptoms and suffering -give a patient comfort,dignity,respect And peace
MODULE 5
*communication and interpersonal relationship
-to ability to relate to others is important for interpersonal communication
*levels of communication
-intrapersonal communication -self talk
-interpersonal communication -is 1 on one interaction between a nurse and other person
-small group communication -small number of people meet
-public communication -interaction with an audience
- electronic communication -use of Technology
*Forms of communication
-verbal communication
-nonverbal communication
MODULE 6
*Nursing process -provides a clinical decision making approach for you to develop and implement an
individualized plan of care
MODULE 7
*Domains of learning
-cognitive -includes all intellectual behaviors
-affective -deals with expressions
-psychomotor -involves acquiring

*cognitive-discussion one on one or group

*affective-role playing
*psychomotor-demonstration
MODULE 8
*Variabless influencing health and health beliefs and practices
-variables influence -how a person think and acts
-health beliefs -can negatively or positively influence
*internal variables
-developmental stage
-intellectual background
-perception of functioning
-emotional factors
-spiritual factors
*external variables
-family practices
-social economic factors
-cultural background