Nursing Ch 14
APA FORMAT AND 3 REFERENCE
1-Do you think it is important for nurses to be involved in their professional organizations? Why or why not?
2. The Affordable Care Act (“ObamaCare”) has been both praised and vilified. Debate the pros and cons of this legislation and of health-care reform in general.
3. What is your vision of nursing’s future? How will you contribute to shaping it?
4. Interview a nurse educated in a diploma program at least 20 years ago.
a-How did that nurse’s education differ from your education today?
5. Locate the website of a professional organization related to nursing. Bring a copy of the organization’s mission, membership criteria, and standards of practice.
6. Ask five people of different ages and gender who do not work in the health-care field what they think most nurses do. Compile their answers with the answers your classmates collected and summarize them. Compare the summary to what you know nurses actually do.
a-Were the answers realistic?
b-Did they over- or underestimate the responsibilities most nurses have?
c-Did they recognize the wide variety of things nurses do?
d-Was there a difference by age or gender of the person answering the question?
e-What do the results tell you about the public’s image of nursing?
f-What do you think influences their image the most? Explain your answer.
7. Describe the nurse of the future.
a-What does he or she do?
b-Do you think nursing will become a more powerful force in health care?
c-Why or why not?
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Looking to the Future
Chapter 14
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Nursing’s Public Image
25 years ago, society perceived nurses in gender-linked, task-oriented terms.
Popular media has improved somewhat in their portrayal of nurses.
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Professional
Organizations
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The American Nurses Association
(ANA)
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American Nurses Association
Works for improvement of health-care standards
Promotes availability of health-care services
Fosters high standards for nursing
Promotes the rights of nurses in the workplace
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ANA’s Social Policy Statement
The social context of nursing practice
The nature and scope of nursing practice
Specialization in nursing practice
Regulation of nursing practice
The ethics of nursing practice reviewed by the House of Delegates
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American Nurses Association (cont’d)
Stimulates and promotes the professional development of nurses
Advances nurses’ economic and general welfare
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Benefits to Membership
The primary voice of nursing in the U.S.
Continuing education
Representation in the workplace and political arena
Position statements on contemporary issues of importance of nurses
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The National League for Nursing
(NLN)
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National League for Nursing
Membership is open to other health professionals and interested consumers, not just nurses.
Participates in test services, research, and publication
Lobbies actively for nursing issues
Currently working with the ANA and other nursing organizations on health-care reform
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National League for Nursing (cont’d)
Accreditation Commission
Accredits colleges and schools of nursing
Test services
Publications
Advocacy
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NLNAC (National League for Nursing Accrediting Agency)
has become
ACEN (Accreditation Commission for Education in Nursing)
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The National Organization for Associate Degree Nursing
(NOADN)
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National Organization for Associate Degree Nursing
Associate degree nursing programs prepare the largest number of new graduates for RN licensure.
Began in 1986
Organizational Affiliate of ANA as of 2013
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Role of NOADN
Strong educational programs
Dynamic education of students in a variety of settings
Emphasis on lifelong learning
Continued articulation with colleges and universities
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Other Organizations
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NSNA (National Student Nurses Association)
Associate degree, baccalaureate, and diploma program students are eligible.
Conferences, career development board reviews
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American Academy of Nursing
Leaders in nursing practice, education, administration, and research
Mission to advance health policy and practice
New members are nominated and elected.
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National Institute for Nursing Research
Federal agency
Supports and conducts basic and applied research
Supports research training of nurse scientists
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Specialty Organizations
Nurses may join specialty organizations as well.
Provide nurses with information regarding standards of practice and evidence-based practice within specialty areas
Focus on specific practice areas or interest groups
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Health Care
Technologically advanced
Highly sophisticated
Very expensive
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Health-Care System Changes
Historical perspective
Managed care
Health insurance
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Current Concerns
Fragmentation
Many are uninsured
High and rising costs
Quality and safety
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Health-Care Reform
Universal insurance coverage
Better bridges between hospital, home care, nursing homes, ambulatory care
More preventive care
Reduced disparities in health care and health- care outcome
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Issues: Nursing Today
Preventing patient care errors, including medication errors
Emphasis on outcomes
Changing competencies
Improved infection control
Inadequate staffing increases patient mortality
Aging nursing workforce
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Changing Competencies
Critical thinking skills
Understanding of systems
Care management
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Changing Competencies (cont’d)
Team-building and communication skills
Negotiating, collaborating, conflict management skills
Cultural competency
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Changing Competencies (cont’d)
Flexibility
Technological competence
Business skills
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Communicating
Nursing’s Role
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Tri-Council
ANA, NLN, AACN, AONE
Designed a campaign to communicate the contributions of nurses
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Three Areas
Nurses as resource people
Nurses as health-care coordinators
Nurses as expert practitioners
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Using Nursing Influence
Carry your license.
Use your special training and experience.
Become a double agent.
Network with and empower colleagues.
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Using Nursing Influence (cont’d)
Eliminate “the enemy within.”
Focus on operations.
Organize as a supportive group.
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In the Future
More holistic, patient-centered care
Seamless transitions from hospital to extended care at home
Eliminate health disparities
Universal health-care insurance
Equalizing emphasis on prevention, acute care, long-term care, mental health
Healthier environment
Global health concerns
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Conclusion
Nursing has a rich and exciting future.
Nursing is cyclical.
Nursing is diverse.
Nursing deals with individuals, their health, and their environments.
To meet the needs of the future, nurses need to become involved in advocacy and research.
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Conclusion (cont’d)
Nurses need to take the lead in movement toward a clearer identity and role delineation of the profession.
To achieve nursing goals, the value of nursing and acceptance of its professional status must be recognized.
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