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66 Cards in this Set

  • Front
  • Back
Unilateral Dependence
begins to question authority
Unilateral dependence
Individual places complete reliance on external controls & searches for right answer
Negative Independence
(difficult stage for nurses)
Negative / Independence
- Student begins to pull away external controls has cognitive rebellion.
Dependence / Mutuality
(moves from opposition to evaluative, applies knowledge)
Dependence / Mutuality
Marks beginning of empathy & commitment to others.
- Neither mutuality nor autonomy is dominant, learns from others and solves problems.
reflection, values independent thinking authenticity autonomy
Benner's 5 stages of nursing professional development / socialization
Advanced beginner
Stage 1 of Benner's 5 stages
Stage 2 of Benner's 5 Stages
Advanced beginning
Stage 3 of Benner's 5 Stages
Stage 4 of Benner's 5 Stages
Stage 5 of Benner's 5 Stages
Able to state rules, facts & guidelines/ Lack of knowledge and experience
Advanced Beginner
Able to formulate principles into action/ Lacks experience & prioritizing
Analyzes problems and prioritize, solid on rules and principles (”Cohen’s” dependence/mutuality stage)
Grasps situations contextually, solve probs. with alternative fixes (able to see that “rules” don’t always apply)
Internalized understanding, moves beyond rules, experience and depth of knowledge (not all nurses reach this stage)
Kelman 's 3 Stages of Role Development
accepts influence of others in or to gain acceptance and positive response
Adopts attitudes and behaviors of a role model
professional norms and values are incorporated into the students self concept
O'Neil and Pew Commission on Nursing Socialization
Embracing a personal ethic of responsibility and service
O'Neil and Pew Commission on Nursing Socialization
- Exhibiting ethical behavior in all professional activities
O'Neil and Pew Commission on Nursing Socialization
Contributing to the continuous improvement of the healthcare system
O'Neil and Pew Commission on Nursing Socialization
Continuing to learn and help others
Therapeutic Touch
Energies therapies
Mind/Body interventions
Mind/Body interventions
Manipulative and body-based methods
Herbal Therapy
Biologically based therapies
Magnetic Therapy
Energies Therapy
Patient Support Groups
Mind-body interventions
Homeopathic Medicine
Alternative Medical Systems
Strategies to promote minorities Employment in Nursing
Raise awareness level of diversity issues through educational offerings in the workplace and through organizational meetings.
Strategies to promote minorities Employment in Nursing
Seek experts on cross cultural nursing issues from reputable sources, such as Transcultural Nursing Society
Strategies to promote minorities Employment in Nursing
Use mentoring programs where people are matched based on their cultural backgrounds.
Strategies to promote minorities Employment in Nursing
Use technology and media to connect with people of different cultures
Ways to promote a real image of nursing
• Tell the details
• Avoid using nursing jargon
• Prepare ahead of time to tell your story
• Do not suppress your enthusiasm
• Reflect the nurse’s clinical judgment and competency
Ways to promote a real image of nursing
• Connect work to contemporary issues
• Respect patient’s confidentiality
• Educate the public
• Describe nurse’s work
• Make known the agency of the RN
Ways to promote a real image of nursing
• Deal with the fear of angering the physician
• Accept thanks
• Be ready to take advantage of openings to promote nursing
• Respond to queries with real stories
• Deal with the fear of failure
Patient Bill of Rights year mandated
The Patient Care Partnership (2003)

What to expect when in a Hospital:
- High-quality patient care
- Clean and safe environment
The Patient Care Partnership (2003)

What to expect when in a Hospital:
- Involvement in your care
- Protection of your privacy
The Patient Care Partnership (2003)

What to expect when in a Hospital:
- Preparation of you and your family for when you leave the hospital
- Help with your bill and filing insurance claims
Societal Trends: Violence, Global Aging and Technological Advances:
- Violence in the workplace
- Mental health needs
- Global aging
Societal Trends: Violence, Global Aging and Technological Advances:
- Nursing supply and demand
- Consumerism
- Complementary and Alternative Approaches
Societal Trends: Violence, Global Aging and Technological Advances.
- Technologic changes
- Disaster Preparedness
- Research Needs
One’s ability to “self rule” and generate personal decisions independently
Deeds of mercy, kindness and charity, taking actions to benefit patients
"refraining from actions” to “do no harm”
Fair distribution to burdens and benefits
Actions based on duties, not on their rewards, happiness, or consequences
Idea is to promote greater good in situations
Virtue Ethics
Pertains to questions “what makes on excellent or right,” intellectual and character traits and habits that are developed throughout ones life.
Ethic of Care
Personal relationships and relationship responsibilities are emphasized
The four Topic Method for Analysis in Clinical Ethics Cases:
– Medical indications
– Patient preferences
– Quality of life
– Contextual features
Clinical Nurse Leader
- An advanced generalist role prepared at the master’s level of education.
Clinical Nurse Leader
o Oversees the coordination of care for a group of patients, assess cohort risk, provides direct patient care in complex situations, and functions as part of interdisciplinary team
- CNL approach
o Being advanced as a partnership with education and practice
o Occurring at a broad national level of activity
CNL approach
o Being structured with milestones for that partnerships to attain
o Being facilitated by nurses and administrators at the highest levels within health care organizations
- Terminal practice degree, bases upon the series of reports from the IOM that address quality of health care, patient safety and educational reform, as well as following the movement of other healthcare professions
- Encompasses any form of nursing intervention that influences healthcare outcomes for individual patients, managements of care for individuals and populations, administration of nursing and health organization, and the development and implementation of health policy
A factor or factors currently impacting the changing healthcare environment
- Nursing shortages
- Increasing cost of care
- Decreasing cost of reimbursement to healthcare providers
- Increase in the use of technology in practice
- Knowledge explosion concerning disease management
The practice of nursing and core competencies for all clinicians
- Reduction of patient care error
- Increase access to and satisfaction with health care
- Improve quality and eliminate racial, ethnic, and gender disparities in health care