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    Hinkle PPT CH 01

    Uploaded by

    Dennis Gallardo
    medsurg

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Hinkle PPT CH 01

    Uploaded by

    Dennis Gallardo
    80 views23 pages
    medsurg

    Original Title

    Hinkle PPT Ch 01

    Copyright

    © © All Rights Reserved

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    PPTX, PDF, TXT or read online from Scribd

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    medsurg

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    80 views23 pages

    Hinkle PPT CH 01

    Uploaded by

    Dennis Gallardo
    medsurg

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 23

    Chapter 1

    Health Care Delivery


    and
    Evidence-Based Nursing Practice

    Copyright © <year> Wolters Kluwer Health | Lippincott Williams & Wilkins


    Nursing Defined

     Florence Nightingale (1858): The goal of nursing is “to


    put patient in best condition for nature to act upon him.”
     American Nurses Association Social Policy statement
    (2010): 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.”

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Patient vs. Client

     Patient is derived from the Latin term “to suffer.”


     Client is derived from the Latin term “to lean.”
     Both terms are used interchangeably.

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Healthy People 2020

     Goals that, if reached, could have major impacts on


    improving the nation’s health
     Reduce or eliminate illness, disability, and premature
    death among individuals and communities
     http://www.healthypeople.gov/2020/default.aspx

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Health

     The World Health Organization (WHO) defines health in


    the preamble to its constitution: “state of complete
    physical, mental, and social well-being and not merely
    the absence of disease and infirmity” (2006)
     Health-illness continuum: ever-changing, best viewed as
    continuum
     People with chronic illness or disability may attain a high
    level of wellness.

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Wellness

     Wellness: has been defined as equivalent to health


     Hood and Leddy (2010): wellness has four components:
    o Capacity to perform to best of ability
    o Ability to adjust, adapt to varying situations
    o Reported feeling of well-being
    o Feeling that “everything is together,” harmonious

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Nursing in Transition

    Shifts in
    Population
    Demographics

    Major Health Care Increase in


    Reform Efforts Aging Population

    Changes in Health Increase in


    Care Financing Cultural Diversity

    Higher Costs of Changing Patterns of


    Health Care Diseases

    Increased
    Increased
    Consumer
    Technology
    Expectations

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Health Promotion

     Increased emphasis on:


    o Health
    o Health promotion
    o Wellness
    o Self-care

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Question #1

    Is the following statement true or false?


    The health care system in the United States, which
    traditionally has been disease oriented, is placing
    increasing emphasis on health and its promotion.

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Answer to Question #1

    True
    Rationale: The health care system in the United States,
    which traditionally has been disease oriented, is placing
    increasing emphasis on health and its promotion. Today,
    increasing emphasis is placed on health, health promotion,
    wellness, and self-care. Health is seen as resulting from a
    lifestyle oriented toward wellness.

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    A Need for Change

     IOM (2000) To Err is Human: Alarming breakdown in


    quality control in the American health care system
     100,000 Americans die annually from preventable errors
     Crossing the Quality Chasm: A New Health System for
    the 21st Century (IOM, 2001): Envisioned a reformed
    health care system
     Led to pay for performance measures

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Quality Care and Patient Safety

     Joint Commission: National Patient Safety Goals


     Medicare and Medicaid Services: Core Measures
     Agency for Healthcare Research and Quality: Hospital
    Consumer Assessment of Healthcare Providers and
    Systems survey
     Institute for Healthcare Improvement: 5 Million Lives
    Campaign

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Evidence-Based Practice

     Best practices derived from valid and reliable research


    studies
     Identify and evaluate current literature and research
     Drives changes in health care

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Coordination of Care

     Seamless transition of care from hospital to community


    setting
     Nurse’s role
    o Case management
    o Clinical nurse leader

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    A Nurse’s Responsibility

     American Nurses Association Social Policy Statement


    (2010)
     Nurse Practice Act
     Code of Ethics for Nurses

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Basic Needs: Maslow’s Hierarchy

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Advanced Practice Nursing Roles

     Certified nurse practitioner


     Clinical nurse specialist
     Certified nurse-midwives
     Certified registered nurse anesthetists

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Question #2

    Which advanced practice role(s) involves a minimum


    education of a master’s degree?
    A. Certified nurse practitioner
    B. Clinical nurse specialist
    C. Certified nurse-midwives
    D. Certified registered nurse anesthetists
    E. All of the above

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Answer to Question #2

    E. All of the above


    Rationale: A minimum education for each of these roles is a
    master’s degree. Some advanced practice roles require a
    post-master’s degree certification and others require or
    encourage a doctorate degree. Variation may occur from
    one state to the next. There are different subspecialties in
    each advanced practice role.

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Quality and Safety Education for Nurses

     Knowledge, Skills, and Attitudes


    o Patient-centered care
    o Teamwork and collaboration
    o Evidence-based practice
    o Quality improvement
    o Safety
    o Informatics
    http://qsen.org/

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Interprofessional Collaborative Practice

     Core Competencies for Interprofessional Collaborative


    Practice
     http://www.aacn.nche.edu/education-resources/ipecrepo
    rt.pdf

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Interprofessional Teamwork and IOM

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


    Interprofessional Collaborative Practice
    Domains

    Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

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