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Nursing: Professional Role

Terms in this set (67)

Power
The ability or capacity to exert influence on another person or group of persons.
Empowerment
The increased amount of power that an individual or group is either given or gains.
Referent Power
Establishing and maintaining a close personal and/or therapeutic relationship with a client.
Expert Power
Exercised by the individual when knowledge, skills, or expertise is either used or withheld in order to influence the behavior of others.
Power of Rewards
Depends on the ability of one person to grant another some type of reward for specific behaviors or changes in behavior.
Coercive Power
The ability to punish, withhold rewards, and threaten punishment.
Legitimate Power
Depends on a legislative or legal act that gives the individual or organization a right to make decisions that they might not otherwise have the authority to make.
Collective Power
When a large group of individuals who have similar beliefs, desires, or needs become organized & influence policies that affect the members of the organization.
Evidence Based Practice
Uncovering, evaluating, & using evidence from research as the basis for deciding about and providing client care.
Sentinel Event
A unexpected occurrence that results in death or serious physical or psychological injury to a patient.
Delegation
To designate ancillary staff to carry out nursing tasks under the RN's scope of practice. Tasks are delegated by RNs to those who are educated and trained to perform the task.
Group Dynamics
3 or more people working together for a common goal. Underlie team building. Team members feel valued and respond better when they are included in the decision making process.
Leadership
The ability of an individual to influence the behavior of others.
Laissez-faire
Permissive, non-directive, or passive leadership style. Allows the group to do what they want. Minimal planning, decision making and involvement as a leader.
Democratic
Leadership style. Decision making and planning shared by the group. Leader provides guidance. Members work together. Equal status among the group.
Authoritarian
Leadership style. Controlling. Directive. Provides direction by giving orders. Works best in emergency situations.
Dictator
Has no regard for the feelings of the group.
Benevolent Leader
Attempts to include the group in decision making, but ultimately makes the final decision.
Time-Motion Theory
Providing the right incentive (money), is expected to increase productivity.
Human Interaction Theory
Being able to elicit employees' commitment, loyalty, creativity, productivity, and continuous improvement.
Motivational Theory
Ability to influence the choices people make among a number of possible choices open to them.
Herzberg's Motivation-Hygiene Theory
People have 2 basic categories of needs: hygiene factors (salary, benefits, job security, status, policies, & relationships) and needs motivators (advancement, recognition of achievement, & opportunities for growth).
Functional Nursing
Each nurse performs a task (task-orientated).
Team Nursing
Team members function together.
Primary Care Nursing
One RN is responsible for all of the clients' needs.
Modular Nursing
RN and ancillary staff work closely (RN is the leader).
Internal Barriers
Lack of understanding, self-conscious, and fear of not being liked.
External Barriers
Poor staffing.
Gap
Breakdown in communication when information is not shared.
Staff Nurse
Attempts to allocate client assignments for a shift; distributes the medications at 9 AM to 24 clients; and supervise two aides, a licensed practical nurse, and a nursing student.
Clinical Nurse Specialist
Practice in secondary or tertiary care settings and focus on care of individuals who are experiencing an acute illness.
Case Manager
Expertise of both levels of preparation. Coordinate services for clients with high risk or long term health problems who have access to the full continuum of health-care services.
Lamp
Signaled that help was coming. Became a sign of caring and comfort. Symbol of the ideals and selfless devotion of Florence Nightingale.
Maltese Cross
Symbol of those who cared for the sick. First modern nursing pin traced to Florence Nightingale.
Cap
A symbol of service. Signified "service to others."
Florence Nightingale
Regarded as the founder of modern nursing. Was big on hygiene and cleanliness. Promoted the idea that "we care for the human being."
Isabel Adams
Always focused on the academic rather than the clinical side of nursing. Formed the American Society of Superintendents of Training Schools for Nurses.
Lillian Wald
Opened the Henry Street Settlement, a storefront health clinic. Dedicated social reformer, efficient fundraiser, and an eloquent speaker. Advocated wellness education.
Lavinia Lloyd Dock
Wrote the first medication textbook for nurses.
Annie W. Goodrich
Provided nursing care at Lillian Wald's Henry Street Settlement in NY. Appointed a state inspector of nursing schools. Established a nursing training program at Vassar College.
Nurse Practice Act
State legislation regulating the practice of nurses that protects the public, defines the scope of practice, & makes nurses accountable for their actions.
Registration
Listing of names on an official roster after certain pre-established criteria have been met.
Licensure
An activity conducted by the state through the enforcement powers of its regulatory boards to protect the public's health, safety, & welfare by establishing professional standards.
Mandatory Licensure
Requires anyone who wishes to practice nursing to pass a licensure examination and become registered by the SBN.
Institutional Licensure
Allows individual health-care institutions to determine which individuals are qualified to practice nursing within general guidelines established by an outside board.
Certification
Granting of credentials to indicate that an individual has achieved a level of ability higher than the minimal level of competency indicated by licensure.
Accreditation
Indicates that the institution has met standards established by the government or by a nongovernmental agency.
Nurse Midwife
Conducts prenatal examinations, prenatal teaching, and delivers babies vaginally in uncomplicated pregnancies.
National League for Nursing
Existent to maintain and improve the standards of nursing education. To foster the development and improvement of hospital, industrial, public health, and other organized nursing services & of nursing education.
American Association of Colleges of Nursing
Existent to improve the standards for higher education for professional nursing.
American Nurses Association
Concerned with the quality of nursing practice. Rallies for the improvement of health and access of health-care services for everyone, improvement and maintenance of high standards for nursing practice, and promotion of the professional growth and development of all nurses.
National Students Nurses' Association
Represents the needs of nursing students.
Sigma Theta Tou
Honors organization. Recognizes leadership or individuals who have made important contributions.
Model
Hypothetical representation of something that exists in reality. Explains relationships.
Client
Primary recipient of nursing care.
Health
Viewed as a continuum, ranging from a completely healthy state to a completely unhealthy state.
Environment
Includes living conditions, public sanitation, and air and water quality. Interpersonal relationships and social interactions. Psychological process, religious beliefs, sexual orientation, personality, and emotional responses.
Nursing
Providing basic physical care, psychological support, and relief of discomfort.
General Systems Theory
System is defined as an organized unit with a set of components that interact and affect each other.
Boy Adaptation Model
Main goal is to allow the client to reach his or her highest level of functioning through adaptation.
Orem Self-Care Model
States that health care is each individual's own responsibility. Aimed at helping clients direct and carry out activities that either help maintain or improve their health.
King Model of Goal Attainment
Nursing must function in all three system levels found in the environment: personal, interactional, and social. Care of the individual is the main focus.
Watson Model of Human Caring
To balance the impersonal aspects of nursing care that are found in the technological and scientific aspects of practice with the personal and interpersonal elements. Supports spirituality.
Neuman Health-Care Systems Model
Focuses on the individual and his or her environment and is applicable to a variety of health-care disciplines. Overall holistic view of humanity.
Johnson Behavioral System Model
Considers client behavior to be the key to preventing illness and to restoring health.
Confirming Message
Conveys person is worthy and important.
Disconfirming Message
Unreceptive, irrelevant responses, impersonal, and ambiguous responses that have more than one meaning.
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