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Professional Seminar IProfessional Seminar I
NUR 1010NUR 1010
Sara Wiscombe, RN, MSNSara Wiscombe, RN, MSN
History of NursingHistory of Nursing
Until mid-1800s apprentice-type Until mid-1800s apprentice-type educationeducation
Florence NightingaleFlorence Nightingale Lived and worked in EnglandLived and worked in England Began ‘modern’ era of nursingBegan ‘modern’ era of nursing First to conduct research to support First to conduct research to support
practicepractice Established first school of nursingEstablished first school of nursing
Clara BartonClara Barton Established the American Red Cross Established the American Red Cross
after Civil Warafter Civil War
Dorothea DixDorothea Dix Nurse for the Union Army Nurse for the Union Army In charge of hospitals, nurses, In charge of hospitals, nurses,
suppliessupplies
Mary MahoneyMary Mahoney First African-American RNFirst African-American RN Led the awareness of cultural/ethnic Led the awareness of cultural/ethnic
diversitydiversity
19011901 Nursing education moved into colleges, Nursing education moved into colleges,
offered degree instead of just diplomaoffered degree instead of just diploma 1920-1930s1920-1930s
Nurse Midwife and CNS education programs Nurse Midwife and CNS education programs establishedestablished
Also ANA Code of Ethics for nursesAlso ANA Code of Ethics for nurses
1950s 1950s Graduate level nursing coursesGraduate level nursing courses
1965 Nurse Practitioner Role1965 Nurse Practitioner Role Developed out of healthcare needs of Developed out of healthcare needs of
childrenchildren Pediatric NP program established by Pediatric NP program established by
Loretta Ford and Henry SilvermanLoretta Ford and Henry Silverman
Nursing ProfessionNursing Profession
More than a skilled technicianMore than a skilled technician Extended education necessaryExtended education necessary Provides specific serviceProvides specific service Practice is defined by theoretical Practice is defined by theoretical
knowledgeknowledge Nurses govern themselves Nurses govern themselves Code of EthicsCode of Ethics
http://http://www.nursingworld.orgwww.nursingworld.org/ethics/code/ethics/code
Nurse Practice ActsNurse Practice Acts
Each state has specific regulations Each state has specific regulations (laws) to obtain and keep a license (laws) to obtain and keep a license Amount of schoolAmount of school Background checks Background checks Rules about behaviorRules about behavior Regular renewal periodsRegular renewal periods CEU requirementsCEU requirements
LPN Candidates must pass the LPN Candidates must pass the NCLEX-PNNCLEX-PN
RN candidates must pass the NCLEX-RN candidates must pass the NCLEX-RNRN
Both RNs and LPNs mustBoth RNs and LPNs must Abide by rules set forth by the stateAbide by rules set forth by the state Practice within the scope of practice Practice within the scope of practice
identified by the stateidentified by the state
Practice Acts & RulesPractice Acts & Rules
http://fac.dos.state.fl.us/faconline/chhttp://fac.dos.state.fl.us/faconline/chapter64.pdfapter64.pdf
http://http://doh.state.fl.us/mqa/nursing/info_Pracdoh.state.fl.us/mqa/nursing/info_PracticeAct.pdfticeAct.pdf
http://abn.state.al.us/main/nurse-prahttp://abn.state.al.us/main/nurse-practice-act/content.htmlctice-act/content.html
LPN EducationLPN Education At least one year of formal nursing At least one year of formal nursing
educationeducation Clinical training included in Clinical training included in
educationeducation
RN EducationRN Education
Combines general college classes with Combines general college classes with nursing educationnursing education
2 year college or university = ADN2 year college or university = ADN 4 year college or university = BSN4 year college or university = BSN ADN + 2 more years of college classesADN + 2 more years of college classes
CertificationCertification
RNs with significant work experience RNs with significant work experience in a particular areain a particular area
For specialized areasFor specialized areas Critical Care, Emergency, OB, etc.Critical Care, Emergency, OB, etc. http://www.nursingworld.org/ancc/certifihttp://www.nursingworld.org/ancc/certifi
cation/cert/certs/specialty.htmlcation/cert/certs/specialty.html
Additional EducationAdditional Education
Graduate = MSNGraduate = MSN CRNA, CNM, CNS (Educator or CRNA, CNM, CNS (Educator or
Administrator) and CRNPAdministrator) and CRNP DoctoralDoctoral
DSN or PhDDSN or PhD
Nurse RolesNurse Roles
CaregiverCaregiver AdvocateAdvocate EducatorEducator CommunicatorCommunicator ManagerManager
ResponsibilitiesResponsibilities RNRN
Assessment, Assessment, Analysis and Analysis and Nursing DiagnosisNursing Diagnosis
Planning carePlanning care Interventions & Interventions &
ImplementationsImplementations EvaluationEvaluation Teaching Teaching
LPNLPN Observe and Observe and
collect datacollect data Assist in planning Assist in planning
carecare Implement nursing Implement nursing
measuresmeasures Assist in evaluatingAssist in evaluating Reinforce teaching Reinforce teaching
by RNby RN
Issues in NursingIssues in Nursing
Population DemographicsPopulation Demographics AgingAging Mobility Mobility
Human RightsHuman Rights AbortionAbortion EuthanasiaEuthanasia Right to dieRight to die
Issues in NursingIssues in Nursing
BioterrorismBioterrorism Rising costs of healthcareRising costs of healthcare Changes in the way nurses think Changes in the way nurses think
about careabout care Nursing shortageNursing shortage
Staffing ratiosStaffing ratios Faculty at schools of nursingFaculty at schools of nursing
PrivacyPrivacy Also called Confidentiality – HIPPAAlso called Confidentiality – HIPPA
Organ transplantOrgan transplant Stem Cell researchStem Cell research Gene manipulationGene manipulation
Hamric, A.B., Spross, J.A., and Hanson, C.M. Hamric, A.B., Spross, J.A., and Hanson, C.M. (2000). (2000). Advanced Nursing Practice; An Advanced Nursing Practice; An Integrative ApproachIntegrative Approach, 2, 2ndnd ed. Philadelphia, PA: ed. Philadelphia, PA: W. B. Saunders.W. B. Saunders.
Potter, P.A. and Perry, A.G. (2005). Potter, P.A. and Perry, A.G. (2005). Fundamentals of Nursing,Fundamentals of Nursing, 6 6thth ed. St. Louis, ed. St. Louis, MO: Mosby.MO: Mosby.
Zerwekh, J. and Claborn, J.C. (2003). Zerwekh, J. and Claborn, J.C. (2003). Nursing Nursing Today; Transition and Trends,Today; Transition and Trends, 4 4thth ed. St. ed. St. Louis, MO: Mosby.Louis, MO: Mosby.
ReferencesReferences