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Outline for Exam # 1 NUR 100

Topic Chapters/ Book


Early Civilization

Egypt, Palestine, Greece, India, China, Rome


1 CN
Florence Nightingale
Mary Seacole
1 CN
Middle Ages
The Renaissance and the Reformation Period
The Colonial American Period 1 CN
World War I Example of new field of specialization
for nurses 1 CN
The Great Depression (1930-1940) 1935
Nursing in the 1960s
Nursing in the 1970s
Nursing in the 1980s
Nursing in the 1990s
Nursing in the Twenty first century 1 CN
Civil War to the Beginning of the Twentieth
Century Clara Barton
Dorothea Lynde Dix
Harriet Tubman
Sojourner Truth
Susie King Taylor
Mary Mahoney was the first professionally
educated African-American. She may be one of
the first proponents of better relationships
between cultures and races and respect for
individuals regardless of background, race, color,
or religion.
Lillian Wald and Mary Brewster 1 CN
Nurse Reinvestment Act ,
The Enduring Public Concern with Nursing 2 CN
Why Is This Happening? Nurses sabotage /
Creating a new image 2 CN
Charles Dickens’ portrayal of Sairey Gamp 2CN
Changing Nurse-Physician Interactions 2CN
Summary of Trends and Issues in Contemporary
Nursing Education (table3-1) 3CN
2

Performance-based assessment.
4 APRN roles
Clinical nurse specialist
Certified nurse practitioner
Certified nurse midwife
Certified registered nurse anesthetist
3CN

Outline for Exam # 1 NUR 100

Topic Chapters/ Book


Components of a Theory 4 PP
The Domain of Nursing
Domain
Paradigm
Conceptual framework
Nursing metaparadigm
Person
Health
Environment/Situation
Nursing 4 PP
Operational definition
Conceptual definition 4 PP
Types of Theory. What are Grand Theory, Middle-
range, Practice, Descriptive, Prescriptive, 4pp
Selected Nursing theories. TABLE 4-3PP/ Nursing
theorist ,TABLE 5-2 CN
1. Nightingale Theory
2. Peplau’s Theory
3. Henderson’s Theory
4. Orem’s Theory
5. Leininger’s Theory
6. Betty Neuman’s Theory
7. Roy’s Theory
8. Watson’s Theory
9. Benner Theory
10. King’s Theory
11. Abdellah Theory
12. Levine Theory
13. Mishel Theory
14. Pender Theory
15. Kolcaba Theory
4 PP 5CN
3

As a system nursing process.


Input, Output , Content, Feedback
4 PP

Outline for Exam # 1 NUR 100

Topic Chapter (Potter Perry)


Self-transcendence Connectedness—being
intrapersonally, interpersonally and
transpersonally 35
Faith—Hope—Religion 35
Spirituality
35
Spiritual Health
35
Atheist / agnostic
35
Spiritual well-being
35
Religious care/ Spiritual care 35
Spiritual distress is Acute illness, Chronic illness
Terminal illness, Near-death experience 35
Table 35-1 Hinduism, Buddhism, Islam, Judaism,
Christianity (Health care Beliefs/implications for
health and nursing) 35
Table 35-2 Hinduism, Buddhism, Islam, Judaism,
Christianity, Jehovah’s witnesses 35
The spiritual well-being scale
FICA 35
Assessment tool 35

Outline for Exam 1 NUR 100

Topic Chapter (Potter Perry)


Self-concept , Identity ,body image, Role 33
4

confusion, Role performance


Self-concept thinks/self-esteem feels 33
Figure 33-3 Common Stressors that influence
self-concept
33
Factors Influencing Self-Concept 33
Components of Self-Concept 33
The Nurse’s Effect on the Patient’s Self-
Concept 33
Self-Concept: Developmental Tasks Box 33-1 33
Role conflict, the sick role, Role ambiguity, Role
strain, Role overload 33
Healthy People 6
Definition of Health 6
Health Belief Model 6
Health behaviors (Positive /Negative) 6
Health Promotion Model 6
Holistic Health Model 6
Maslow’s Hierarchy of Needs (Basic Human
Needs Model) 6
Illness, Acute Illness , Chronic Illness 6
Internal and external variables
Impact of illness on patient and family 6
Table 6-1, Three Levels of Prevention pages
74
PLEASE LOOK AT passive and active strategies
of health promotion page 73 6
Risk Factors. Nonmodifiable Risk Factors
/modifiable Risk Factors 6
Table 6-2 Precontemplation, Contemplation;
Preparation, Action, Maintenance stage

Risk Factor/Risk Factor Modification and


Changing Health Behaviors.
6
Chapter 9PP 9PP

Introduction
Culture refers to the learned and shared
beliefs, values, norms, and traditions of a
particular group, which guide our thinking,
decisions, and actions.
Unconscious bias
5

Implicit bias
Culturally congruent care
Cultural competence
Changing demographics
World View
World view
Emic
Etic
Avoid stereotyping
Treat the individual
See every patient encounter as cross-cultural

Health Disparities
Health disparity
A particular type of health difference that is
closely linked with social, economic, and/or
environmental disadvantage (ODPHP, 2016)
Social determinants of health
The conditions in which people are born,
grow, live, work, and age (WHO, 2019)
Marginalized groups
Gay, lesbian, bisexual, or transgender; people
of color; people who are physically and/or
mentally challenged; and people who are not
college educated
Intersectionality
A research and policy model used to study
the complexities of people’s lives and
experiences
Describes the forces, factors, and power
structures that shape and influence life
Each of us is at the intersection of two
categories:
Privilege
Oppression
Formal and informal system of advantages
and disadvantages tied to membership in
social groups, reinforced by societal norms,
biases, interactions, and beliefs
Intersectionality
Iceberg analogy
Most aspects of a person’s world view are
hidden
Understanding the different levels of
6

oppression and where you stand helps you


develop cultural competence.
Racial, Ethnic, and Cultural Identity
Cultural competence or cultural respect
Meaningful and useful care strategies based
on knowledge of the cultural heritage, beliefs,
attitudes, and behaviors of those to whom
they render care
Racial identity
Ethnic identity
Cultural identity
Acculturation
Assimilation

Disease and Illness


Illness
The way in which individuals and families
react to disease
Culture affects how an individual defines the
meaning of illness.
Disease
Malfunctioning of biological or psychological
processes
A Model of Cultural Competence
Campinha-Bacote
Cultural awareness
Cultural knowledge
Cultural skill
Cultural encounters
Cultural desire

Cultural Awareness and Knowledge

Cultural awareness
Self-examination of one’s biases toward other
cultures and an in-depth exploration of one’s
own cultural and professional background
Stereotypes
Chapter 9PP
Cultural knowledge
Learning or becoming educated about the
beliefs and values of other cultures and
diverse ethnic groups
Health-related beliefs and cultural values
7

Disease incidence and prevalence


Treatment efficacy
Cultural Awareness and Knowledge

Storytelling
Helps identify the real problems affecting a
patient’s health status and find culturally
appropriate ways to intervene
World view of providers and patients
Iceberg analogy tool
Conduct a comprehensive cultural
assessment
These deeply held values reside “underneath
the iceberg.”

Cultural Skill
The summary of the domains of culture is a
framework for the information you might
choose to include in a nursing history.
Collecting a patient history
Linguistic competence
Provide language assistance resources
Inform all of the availability of language
assistance
Ensure competence of those providing
language assistance
Provide print/multimedia materials in local
languages

Learn to anticipate physical findings based on


a patient’s cultural health practices
Teach-Back and Plain Language
Plain language
Teach-back
Confirms patient understands teaching
Working with interpreters
Cultural Encounter and Desire
Cultural encounter goals:
Communicate in a way that generates a wide
Chapter 9PP

variety of responses
Interact to validate, refine, or modify existing
values, beliefs, and practices about a cultural
8

group
Cultural desire
Having the motivation to engage patients so
that you understand them from a cultural
perspective
LEARN Model

Chapter 10 CN

Federally Defined Minority Groups


Asian-American
Black or African-American
Hispanic or Latino
Native Hawaiian and other Pacific Islander
American Indian and Alaska Native

Changing Economics

Joblessness
Homelessness
Poverty
Unemployment; more minorities lack health
care
Substandard housing
Poor physical and mental health; self-image
Limited access to health care insurance and
health care
Violence
Businesses, churches, and schools have
become sites for random acts of violence
Unemployment is associated with violence
Homicide is the second leading cause of
death among Americans 15-24 years of age
Chapter 10 CN

Intimate partner violence (IPV) is greatest


cause of injury in women 15-24 years of age,
across all ethnic, racial, socioeconomic, and
educational groups
Lack of Diversity in
Health Care Force
9

Better recruitment efforts by other disciplines


Current Status
Highest percentage—Blacks or African-
Americans
Lowest percentage—American
Indian/Alaskan Native
Men in nursing represent a minority

Recruitment and Retention of Minorities in


Health Care Workforce
Before World War II: National Association of
Colored Graduate Nurses (NACGN)
During World War II: Cadet Nurse Corps had
two black recruiters; recruited from black
colleges
After World War II—National efforts by
NACGN
Recruitment in the 1960s and 1970s
Many efforts to recruit economically
disadvantaged
Sealantic Fund—Rockefeller Foundation
“Breakthrough to Nursing”

Recruitment and Retention of Minorities in


Health Care Workforce (Cont.)
Recruitment in the 1990s
American Nurses Foundation report:
“Strategies for Recruitment, Retention and
Graduation of Minority Nurses in Colleges of
Nursing”
Chi Eta Phi
National African-American nursing society
with chapters throughout the country
Nursing shortage reports
American Hospital Association, Robert Wood
Johnson Foundation, Joint Commission, and
Chapter 10 CN

Association of Academic Health Centers


Reasons for Cultural Competence
Nurse’s culture often differs from client’s
Culturally incompetent care is more costly
Culturally incompetent care is ineffective
10

Meet specific objectives for persons in


different cultures as outlined by Healthy
People 2020
Disparities in health and health care
Nursing is committed to social justice
Global infectious disease epidemics

POTTER PERRY BOOK. PP

CONTEMPORARY NURSING BOOK. CN

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