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Reviewer (NCMA110).pdf, Exams of Nursing

Reviewer (NCMA110).pdf Reviewer (NCMA110).pdf

Typology: Exams

2022/2023

Uploaded on 09/25/2022

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NCMA110
Coverage:
1. Introduction to nursing (Profession)
2. Terminologies
3. Evolution of nursing
4. Metaparadigm
NURSING
As an Art
- As a professional nurse you will earn to
deliver care artfully with compassion,
caring, and respect for each patient's
dignity and personhood.
As an Science
- Nursing practice is based on a body of
knowledge that is continually changing
with new discoveries and innovations.
- Evidenced based practices nursing
concept, theories, science subjects
Profession
- An occupation that requires extensive
education or a calling that requires
special knowledge, skill, and
preparation.
- A profession is generally distinguished
from other kinds of occupations by:
a) Its requirement of prolonged,
specialized training to acquire a
body of knowledge pertinent to the
role to be performed.
b) An orientation of the individual
toward service, either to a
community or to an organization
c) Ongoing research
d) A code of ethics
e) autonomy
f) Professional organization.
Terminologies:
Professionalism
- Refers to professional character, spirit,
or methods. It is a set of attributes, a
way of life that implies responsibility
and commitment.
Professionalization
- Is the process of becoming professional,
that is, of acquiring characteristics
considered to be professional.
Level of Proficiency Nurses
(By Patricia Benner)
1. Novice
- Nursing student
- Entering new field
2. Advanced beginner
- Have few experience
3. Competent
- 2-3 years’ experience
4. Proficient
- 3-5 years’ experience
- Can assist novice nurses
- Can readily transfer knowledge gain
from multiple previous experiences.
5. Expert
- A lot of experience
- Supervisor, head nurse
Scope and Standards of Nursing Practices
- Provide a specified service according
to standards of practice and to follow a
code of ethics (ANA, 2015)
- Professional practice includes
knowledge from social and behavioral
sciences, biological and physiological
sciences, and nursing theories.
- Nursing practice incorporates ethical
and social values, professional
autonomy, and a sense of commitment
and community (ANA,2010b)
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Coverage:

  1. Introduction to nursing (Profession)
  2. Terminologies
  3. Evolution of nursing
  4. Metaparadigm

NURSING

As an Art

  • As a professional nurse you will earn to deliver care artfully with compassion, caring, and respect for each patient's dignity and personhood.

As an Science

  • Nursing practice is based on a body of knowledge that is continually changing with new discoveries and innovations.
  • Evidenced based practices nursing concept, theories, science subjects

Profession

  • An occupation that requires extensive education or a calling that requires special knowledge, skill, and preparation.
  • A profession is generally distinguished from other kinds of occupations by: a) Its requirement of prolonged, specialized training to acquire a body of knowledge pertinent to the role to be performed. b) An orientation of the individual toward service, either to a community or to an organization c) Ongoing research d) A code of ethics e) autonomy f) Professional organization.

Terminologies:

  • Professionalism
  • Refers to professional character, spirit, or methods. It is a set of attributes, a way of life that implies responsibility and commitment.
  • Professionalization
  • Is the process of becoming professional, that is, of acquiring characteristics considered to be professional.

Level of Proficiency Nurses (By Patricia Benner)

1. Novice

  • Nursing student
  • Entering new field 2. Advanced beginner
  • Have few experience 3. Competent
  • 2-3 years’ experience 4. Proficient
  • 3-5 years’ experience
  • Can assist novice nurses
  • Can readily transfer knowledge gain from multiple previous experiences. 5. Expert
  • A lot of experience
  • Supervisor, head nurse

Scope and Standards of Nursing Practices

  • Provide a specified service according to standards of practice and to follow a code of ethics (ANA, 2015)
  • Professional practice includes knowledge from social and behavioral sciences, biological and physiological sciences, and nursing theories.
  • Nursing practice incorporates ethical and social values, professional autonomy, and a sense of commitment and community (ANA,2010b)

a) Promote health and wellness b) Preventing illness c) Restoring health d) Caring for dying

Professional Responsibilities and Roles:

  1. Autonomy and accountability
  • This is an essential element of professional nursing that involves the initiation of independent nursing intervention without medical orders.
  1. Caregiver
  • Maintain/ regain health of the patient.
  1. Manager
  2. Advocate
  • You protect your patient legal rights and provide assistant in certain rights
  1. Communicator
  • Good communicator
  1. Educator
  • Explain concept, procedures and facts about the health to patient

Nursing education:

  1. Licensed practical/ vocational nursing program
  • Assistant nurses
  1. Registered nursing programs
  • Baccalaureate degree programs
  1. Graduate nursing programs
  • Master’s Degree Program
  • Doctoral Programs (PhD)
  1. Continuing education
  • Updating skills/ experience

Expanded Career Plans:

  1. Nurse practitioner
  2. Nurse anesthetist
  3. Nurse educator
  4. Nurse midwife
    1. Nurse researcher
    2. Nurse administrator
    3. Forensic nurse
    4. Nurse entrepreneur
    5. Military nurse
    6. Flight nurse

“Theory without practice is Empty; Practice without theory is blind.”

Common terminologies:

1. Philosophy

  • Belieafs and values that define a way of thinking and are generally known and understood by a group or discipline. 2. Nursing philosophy
  • Declaration of a nurse’s beliefs, values and ethics regardunf their care and treatment of patients while they are in nursing profession. Core values:
    • Social justice
    • Safe, compassionate and ethical care
    • Health and well-being
    • Respect
    • Accountability 3. Theory
  • A belief, policy or procedure proposed or followed as the basis of action 4. Nursing theory
  • Body of knowledge that describes or explain and is used to support nursing practice. - Explains - Describes - Predicts - Prescribes

Concepts : Abstract concept

  • General – grand theory Concrete concepts
  • Specific – middle range theory

Abstract concepts Concrete Concepts

Source of concepts:

  • Naturalistic concept
    • Seen in nature or in nursing practice.
  • Research-based concept
    • The result of conceptual development that is grounded in research processes through qualitative, phenomenological or grounded theory approaches
    • Previous topic of research

Category of nursing theory: ( Accdg. to Martha Raile Alligood 2017)

  1. Nursing philosophy
    • Works of Nightingale, Watson, Ray, and Benner are categorized under this group.
  2. Nursing conceptual models
    • Conceptual models of Levine, Rogers, Roy, King, and Orem are under this group.
  3. Grand nursing theories
    • Are works derived from nursing philosophies, conceptual models, and

other grand theories that are generally not as specific as middle-range theories.

  1. Middle-range theories
    • theories are that of Mercer, Reed, Mishel.

Historical Sketch:

  1. Curriculum era
  • Focuses on what must be studied and learned to become a nurse from hospital-based diploma program into college and nursing.
  1. Research era
  • Nurses started to be introduced and integrated in the nursing curriculum.
  1. Graduate education era
  • From BSN to master Program ( nursing models and nursing theory course)
  1. Theory era
  • Contemporary phase where the emphasis is on theory-based nursing practice and theory development.

EVOLUTION OF NURSING

  • Shiphrah and Puah
    • They rescue baby moses
    • They hid him in order to save his life
    • Ditto nagsimula ang nursing.

Ancient Civilization

  • Nursing was noted to be as old as time.
  • Started from: instinct, human nature nurturing, caring behavior
  • The term Nurse – originated from the Latin word “Nutire” or Nurture in English – meaning it’s to suckle or to feed the baby.
  • Wet nurses – the women who breastfeed somebody else baby.
  • Man was Doctors; Women was Caregiver
  • Illness – considered to be a cursed from evil spirit; they use physical harm to take away the evil spirit.

Egyptians Rites

  • Health and healing beliefs of ancient civilization
  • Superstition and magic\injuries from wars and other tragic event.
  • Injuries from wars and other tragic events.
  • Repairing and suturing wound
  • Planning to decrease public health problems.
  • They started out a calendar method and the writing.

Palestinian Time

  • Under the leadership of Moses, hydrous develop mosaic code which represented the one of the first organized method of disease control prevention.
  • It contain public loss that did not allowed to eat a slaughtered animals longer than 3 days.
  • Communicable disease – they are being isolated in the public and only when the priest considered them healed is the only time that they can back home.
  • Home visit only

Greek (Greece)

  • 15 ~ 100 BC
  • Greek mythology
  • God Asclepius – god of medicine; pinatayuan sya ng temple na nagsisilbing hospital. - Athena - Zeus - Poseidon - Hippocrates - Known as a Greek physician. - Invented Hippocratic Oath – you need to see the evidence that happening to patient before you conclude the condition of patient. - Considered as the most outstanding figures of history of medicine. - He encourage health care providers to look not just on the physical part of the patient that has an ill. But also the environment where the patient is. - Basket Healers – assistant of the priest.

Indian Period (Hindu)

  • 2000 ~ 1200 BC
  • Vedas – books that contains spices and herbs, magic and charms use for healing.
  • Prenatal and childhood illness.
  • Started performing cesarean deliveries.
  • Women at this time were primarily responsible for caring for the home and the family.

Chinese Period

  • They practice stitching confuses.
  • The most important of tradition in china is the belief about health and illness being on the balance using the yin and yang technology/philosophy.
  • Yin and yang – the imbalance of this will result as an illness. They should be interconnected and interdepended in the natural world.

Florence Nightingale changed the image of Nursing…

  • 1860 – Nightingale laid the foundation of professional nursing when the first school of nursing was established.
  • St. Thomas hospital
  • This marked the birth of modern nursing
  • 1854 – She started training the nurses.
  • During the Crimean war, she requested to help in the military hospital.

Transformation of nursing into a profession Nightingale describe Nursing as…

  • Science – nursing is a body of scientific knowledge using empirics.
  • Art – nursing has its own proper of doing things and applying knowledge.

Nursing as an Art

  • It is the art of caring sick and well individual.
  • It refers to the dynamic skills and methods in assisting sick and well individual in their recovery. Nursing as a Science
  • It is the body of abstract knowledge arrived through scientific research and logical analysis. Nursing as a Profession
  • A calling in which its members profess to have acquired special knowledge by training or experience or both so that they may guide, advise or save others in the special field.
  • According to American Association, Professional Nurses and compasses upon a passion for increasing well- being for patients, a desire to provide specialized skills and grow as a nurse.

Significance of Nursing Theory:

  • Discipline
  • is refers to a branch of education, a department of learning, or a domain of knowledge.
  • Profession
  • Refers to a specialized field of practice founded on the theoretical structure of the science or knowledge of that discipline and accompanying practice abilities.
  • We need to follow the code of ethics

History and Philosophy of Science Rationalism

  • Emphasizes the importance of a priori reasoning as the appropriate method of advancing knowledge.
  • Priori Reasoning – use deductive logic by reason from the cause to effect or from a generalization to a particular instance.

Paul Reynolds

  • 1971
  • Labeled this approach theory then research Albert Einstein
  • Rationalist view very evident in his work
  • Theoretical approach – that attempts to understand the root cause of something and construct a predictive model that explicitly say when the event will happen again.

Francis Bacon

  • Believed that scientific truth was discovered through generalizing observed facts in the natural world.
  • Inductive reasoning – it aims to develop a theory based on evidences that you got

Empiricism

  • Based on the central idea that scientific knowledge can be derived only from sensory experience.
  • Specific to general

Burrhus Frederic Skinner (B.F. Skinner)

  • Asserted that advances in the science of phycology could be expected if scientist would focus on the collection of empirical data.
  • Operant conditioning – ideas that behavior determined by consequences.
  • Reward and punishment.

Early 20 th^ century views of science and theory

  • First half of 20th^ century
    • Philosophers focused on the analysis of theory structure.
    • Scientist – focused on empirical research
    • Positivism – term used by Auguste Comte emerged as the dominant view of modern science.
    • Believed that empirical research and logical analysis (deductive and inductive) were two approaches that would produce scientific knowledge. (deductive reasoning – proving)

Late 20 th^ century: Michael Foucault

  • Epistemology (knowledge) and Psychological tormented.
  • He stated that empirical knowledge was arranged in different patterns at a given time and in a given culture and that humans were emerging as object of study.
  • His book “The Order of Things: an Archaeology of the Human Sciences”

Harold Brown

  • Set forth a new epistemology challenging the empiricist view proposing that theories play a significant role in determining what the scientist observes and how it is interpreted.
  • Each individual has its own interpretation of a certain issue/experience, based on their exposure education and knowledge.

NURSING METAPARADIGM

  • The board conceptual boundaries of the discipline of nursing, human beings, environment and health.

Person

  • Also referred to as client or human beings
  • The recipient of nursing care and may include: - Patients - Groups - Families - Communities
  • Each person is treated and regarded as unique and autonomous.

d) Nursing

  • Nursing is an art through which the practitioner of nursing gives specialized assistance to persons with disabilities which makes more than the ordinary assistance necessary to meet needs for self-care.

Maslow’s Hierarchy of Needs

Psychological needs

  • Necessary for survival
  • Highest priority and must be met first
  • Includes: food, water, breathing, homeostasis, nutrition, air, temperature regulation, shelter clothing, sleep/rest, sex

Safety

  • Contributes largely to the behavior at this level.
  • Includes: financial security, freedom from harm, psychological safety and physical safety.

Love/Belonging

  • A need to form or maintain social connections. - Includes: friendship, romantic attachment family, social groups and religious groups

Esteem

  • People need to sense that they are valued and by others. And feel that they are making contribution to the world.
  • Includes: self-esteem, personal worth, need for appreciation, respect

Self-actualization

  • Involves the need to fulfill your total potential and to become the best that you can possibly be.

How to prioritize the patient and prioritize the problem:

  • By using your Maslow’s Hierarchy of needs and ABC
  • ABC – A-Airway, B-Breathing and C- Circulation (gagamitin to pag parehas sila ng physiological needs at d mo alam kung sino uunahin mo)

Lahat yan galing sa ppt, at kumuha din ako sa notes ko at reviewer ni sarah sa evolution. Kaya yun iba medyo mahaba HAHAHA tsaka yun mga name ng tao dyan tama lang yun spelling nyan, sinearch ko pa yan isa isa kung tama bay un spelling nun name nila HAHA Kaya natin to guys!! Study well 

  • Aki