NUR 139 MODULE A

Five Integrated Processes

1. Caring
2. Culture/Spirituality
3. Learning/Teaching
4. Communication/Documentation
5. Nursing Process

NCLEX Test Plan

• Starting with smaller goals that interconnect in modules to connect to goals that will provide what you need to know for an official license
• GTC uses this test plan to develop what the student actually needs to know to be of service to the student
• 4 main areas:
  • safe and effective care
  • psychological integrity
  • health promotion and maintenance
  • physiological integrity

QSEN concept in nursing

• Fundamentals page 313
• QSEN = Quality and Safety Education for Nurses
  • for preparing future nurses who will have the KNOWLEDGE, SKILLS AND ATTITUDE necessary to continuously improve the quality and safety of the healthcare systems within which they work that result in COMPETENT nursing practices
  • this may include competencies such as:
    • patient centered care
    • evidence based practice
    • teamwork and collaboration
    • quality improvement
    • safety
    • informatics
• ATTITUDE as defined by QSEN
  • Nurse Values
    • seeing health care situations ‘through patients’ eyes’
    • shared decision making (Teamwork Collaboration)
    • Patient centered care
  • Nurse Respects
    • attributes of team members
    • patient as core of health care team
  • Nurse Appreciates
    • importance of being a safety mentor and role model
    • strengths and weakness of scientific evidence for practice

GTC Program Vision

• Nursing Provides Patient Centered Care
• Nursing Emphasizes Quality and Safety
• Nursing Improves, Restores and Maintains Health

GTC Program Mission

• Meets the needs of the Public
• Graduate Nurse has the essential:
  • Knowledge
  • Skills
  • Technology
  • Attitude (QSEN)

How GTC ties it all together

• Standards, Guidelines, Organizations that influence GTC Nursing Curriculum
  • ANA
  • NLN
  • QSEN
  • NOF
  • CDC
  • OSHA
  • SBON
  • DHEC
• NCSBN writes NCLEX
  1. Provides a Test Blueprint (outline)
  2. 4 patient Need Categories
  3. 5 Integrated (Linking)Processes

THEN

• GTC Applies Concept Based Teaching
  • Developed GTC Conceptual Framework
    • End of Program Student learning Outcomes (EPSLOs) in the POI
      • Course Student Learning Outcomes (CSLOs) in the POI
        • Module Student Learning Outcomes (MSLOs) in the POI

THEN

• National Council Licensing Examination (NCLEX)

Definition of Nursing

• “Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” -ANA

Aims of Nursing

• To promote health
• To prevent illness
• To restore health
• To facilitate coping with disability or death

Meeting the Aims of Nursing

• Nurses use knowledge, skills, and critical thinking.
• Nurses give care in a variety of traditional and expanding nursing roles.
• Nurses use cognitive, technical, interpersonal, and ethical/legal skills.

Meeting Aims of Nursing by Using...

• Cognitive skills involve thinking about the nature of things sufficiently to make decisions regarding care.
• Technical skills enable nurses to manipulate equipment to produce a desired outcome.
• Interpersonal skills involve caring relationships.
• Ethical/legal skills enable nurses to conduct themselves morally and professionally.

Nursing as a Profession and Discipline

• Profession
  • a paid occupation, especially one that involves prolonged training and a formal qualification
  • a calling requiring specialized knowledge and often long and intensive academic preparation; a principal calling, vocation, or employment; the whole body of persons engaged in a calling
• Discipline
  • a branch of knowledge, typically one studied in higher education
  • a paid occupation
• Nurses will...
  • Practice in a wide variety of settings.
  • Develop a specific body of knowledge.
  • Conduct and publish nursing research.
  • Recognize nursing role in promoting health.
  • Use nursing knowledge as base for nursing practice.

Nurses in all Settings

• Caregiver
• Communicator, Teacher/Educator
• Counselor
• Leader
• Researcher
• Advocate
• Collaborator

Advanced Practice Registered Nurse (APRN)

• Clinical nurse specialist
• Nurse practitioner
• Nurse anesthetist
• Nurse–midwife

Licensed, certified, Master degree or higher, and approved to practice in role

Additional Expanded Roles

• Clinical nurse leader
• Nurse educator
• Nurse administrator
• Nurse researcher
• Nurse entrepreneur

Education Requirements

• Practical and Vocational Nurse LPN/LVN
  • Education - 1 year
• Registered Nursing education RN
  • Education - Associate Degree 2years OR Bachelor Degree 4 years
• Graduate education in nursing Specialty Area
  • Education - Master Degree, PhD, DNP
• Continuing education - may be required for license renewal

National League of Nurses

• provide a recommendation as to what nursing education should look like
• fosters the development and improvement of nursing services specifically in education

ANA Scope and Standards of Practice

• WHAT I NURSE "SHOULD" DO
• Define activities that are specific and unique to nursing
• Allow nurses to carry out professional roles
• Serve as protection for the nurse, patient and healthcare institution
• 6 Standards of Practice
• 11 Standards of Professional Performance
• NOT A LEGAL GOVERNING BODY THAT CAN EFFECT NURSE LICENSE

Standards of Professional Performance/Practice as defined by ANA

Standards of Practice: "The Nursing Process"

• Standard 1 Assessment
• Standard 2 Diagnosis
• Standard 3 Outcomes Identification
• Standard 4 Planning
• Standard 5 Implementation
• Standard 6 Evaluation

SC Board of Nursing Scope and Nursing Practice Acts

• The true legal regulatory body that defines the Nursing Scope of Practice from a lawful standpoint and can have an effect on the nursing license and also from a legal stance depending on the violation. Nurse Practice Acts define this scope.
  • (http://www.llr.state.sc.us/pol/nursing/).
• Nurse practice acts regulate the practice of nursing including education and licensure.
• Define legal scope of nursing practice.
• Exclude untrained or unlicensed people from practicing nursing.
• Create a state board of nursing.
• Make and enforce rules and regulations.
• Define important terms and activities in nursing.
• Provide Legal requirements and titles for RNs and LPNs.
• Establish criteria for education and licensure of nurses.
• State Board of Nursing approves state nursing programs.
• Protect the public

Evidence Based Practice

• Evidence‐based practice (EBP) is a problem solving approach to clinical practice that integrates the conscientious use of best evidence in combination with a clinician’s expertise as well as patient preferences and values to make decisions about the type of care that is provided.
  • Conscious use/integration of the best research evidence with clinical expertise and patient preferences in nursing practice
  • EBP is more than research utilization
  • Includes knowledge gained through experience
  • An expectation of professional nursing practice
  • Nursing Code of Ethics
  • patient outcomes improve with EBP
  • Nursing outcomes improve with EBP
  • Standard of professional nursing practice
  • Professional obligation as experts in the field of nursing

Health Insurance Portability and Accountability Act (HIPAA)

• As health care providers, we have always been called upon to maintain the privacy and confidentiality of patient health information (PHI)
• This is an ethical and legal obligation that we hold as nurses and as nursing students
• Until recently, patient medical records were recorded and maintained primarily on paper.
• Records were then filed and stored in physician offices, hospitals, and other health care areas.
  • These records were kept in locked cabinets or closets.
• Lessons to be learned:
  • Dispose of items containing PHI appropriately.
  • Be sure to log out of computer or data systems containing PHI.
  • Avoid discussing patients in public places
  • ONLY access what you need to know to do your job!

Nurses display “Caring Behaviors” and “Comforting” Needs:

• Physiologic: pain relief
• Psycho-spiritual: reducing anxiety
• Social/Relational: role expectations
• Environmental: food, language, light