Kelly Vana's Nursing Leadership and Management

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Nursing Leadership & Management, Fourth Edition This valuable new edition:
Includes new and up-to-date information from national and state health care and nursing organizations, as well as new chapters on the historical context of nursing leadership and management and the organization of patient care in high reliability health care organizations Explores each of the six Quality and Safety in Nursing (QSEN) competencies: Patient-Centered Care, Teamwork and Collaboration, Evidence-based Practice (EBP), Quality Improvement (QI), Safety, and Informatics Provides review questions for all chapters to help students prepare for course exams and NCLEX state board exams Features contributions from experts in the field, with perspectives from bedside nurses, faculty, directors of nursing, nursing historians, physicians, lawyers, psychologists and more
 provides a strong foundation for evidence-based, high-quality health care for undergraduate nursing students, working nurses, managers, educators, and clinical specialists.

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Table 3.3 Historically Significant Events in the History of Nursing Compiled by B. Lusk

1846 First public use of anesthesia during surgery: allowed more complex surgeries and thus required more skilled nursing.
1851–1854 Crimean War: English aware of poor nursing care for troops. Nightingale and 38 volunteer nurses sent to English army hospitals in Turkey, near the Crimean peninsula.
1860 Nightingale establishes first training school for nurses in London, England
1863 International Red Cross established in Geneva, Switzerland.
1873 First “Nightingale Type” Nurse Training Schools opened in the U.S.
1880s Germ theory of disease developed
1899 International Council of Nurses founded.
1893 National League for Nursing (NLN) founded. Lillian Wald founds the Visiting Nurse Service of New York.
1896 American Nurses Association (ANA) founded.
1902 Lina Rogers Struthers hired, in New York, as the first U.S. school nurse.
1908 National Association of Colored Graduate Nurses founded; merged with the ANA in 1951.
1909 First university‐based school of nursing opened at the University of Minnesota.
1912 Public Health Nurses Association founded; merged with the NLN in 1951.
1917 Standardized curriculum for nursing developed by NLN.
1920 Women gained the vote.
1922 Sigma Theta Tau founded at Indiana University.
1923 Goldmark Report on Nursing Education. Mary Breckenridge founds the Frontier Nursing Service.
1924 First doctoral program for nurses, in education, opened at Teacher's College, Columbia University, New York.
1930s Great Depression: Graduate nurses began staffing hospitals; closure of some hospital‐based training schools; start of hospital insurance programs.
1934 Grading Committee Report on Nursing Education.
1942 Penicillin (discovered in 1928) starts to be used to treat infections.
1945 Cadet Corps nursing program initiated.
1946 Hill‐Burton Act. Infusion of money into hospital construction.
1948 Brown Report on Nursing Education.
1950s Beginning of associate degree education for nurses, closure of some hospital diploma training schools.
1953 National Student Nurses Association founded.
1960s Development of specialized hospital patient units for coronary and critical care. Growth of nursing specialization.
1964 Nurse Training Act. Infuses Federal money into nursing and nursing education.
1965 First Nurse Practitioner program established at University of Colorado; Development of Medicaid and Medicare programs—expands insured health care.
1970s Clinical Nurse Specialist role developed.
1971 American Assembly for Men in Nursing founded.
1974 Florence Wald founds first U.S. Hospice in Connecticut.
1986 National Center for Nursing Research founded.
1993 National Institute of Nursing Research, one of the National Institutes of Health, founded.
2004 Doctorate in Nursing Practice endorsed by member schools of the American Association of Colleges of Nursing.
2008 Consensus model for Advance Practice Registered Nurses developed by the National Council of State Boards of Nursing and the APN Consensus Work Group. The roles are: Certified Nurse Midwife, Certified Registered Nurse Anesthetist, Clinical Nurse Specialist, and Certified Nurse Practitioner.
2010 Affordable Care Act—expands health insurance.

KEY CONCEPTS

1 Nursing history must be interpreted through the contexts of gender, society, science, and place.

2 In 1873, three nurse training schools, using Nightingale's principles for nursing education, were founded in the U.S.

3 Scientific progress required nurses' more extensive education.

4 Early nursing contributions to society's health included nursing knowledge‐based care within hospitals and nursing public health initiatives in the wider community.

5 Public health nursing was central to the early professional development of nursing.

6 Nursing professional organizations were initiated soon after formal nursing education began.

7 During the Great Depression of the 1930s, nursing practice moved from private duty nursing to hospital staff nursing.

8 The move from hospital training schools for nurses to collegiate nursing education accelerated in the 1950s and 1960s.

9 Nursing theories were foundational to nursing science research.

10 Advanced Practice Nursing roles have had a long history.

KEY TERMS

Nursing history

Professional identity

Nurse Training Schools

Visiting Nurses

Henry Street Settlement

Nursing technicians

Image of nurses

Ethics

REVIEW QUESTIONS

1 Nurses who had graduated from nurse training schools largely moved from private duty nursing to hospital staff nursing during the 1930s because of which of the following?Medical care was becoming increasingly complex and more graduate nurses were needed.Student nurses' liability insurance would not cover student nurses in the role of primary caregivers.Graduate nurses were cheaper for hospitals than running their own nurse training schools.Student nurses' education was moving away from hospital training schools to colleges and universities.

2 The public views nurses more favorably during which of the following times?Complimentary television shows.War.Infectious disease outbreaks.When the results of the Gallop Poll, which showed nurses rate highest in ethics, is released.

3 The movement toward formal education for nurses in the 1870s came about for all the following reasons EXCEPT for which of the following?Rapid industrialization.Expansion of scientific knowledge, such as anesthesia and antisepsis.Expansion of hospital building.Women's desire for more independence.

4 In the nineteenth century, during the early years of nurse training schools, student nurses usually had classes during which of the following times?In 3 month blocks every year.After their 12 hr shift on the wards.On their day off from clinical work.After their 6 hr shift on the wards.

5 Which of the following professional nursing organizations was NOT one of the first nursing organizations?American Society of Superintendents of Training Schools for Nurses—now the NLN.Sigma Theta Tau International Honor Society of Nursing—now Sigma.National Organization of Public Health Nurses.Nurses' Associated Alumnae of the United States and Canada—now the ANA.

6 Which scientific discovery came first?Anesthesia.X‐Rays.Antisepsis.Penicillin.

7 What was one outcome of the Hill‐Burton Act of 1946?More nurses were needed.More acute care patients were admitted to hospitals.Hospital insurance could be more readily obtained.Fewer Medicaid recipients were admitted to hospitals.

8 After World War II, several factors converged to worsen the nursing shortage. Which of the following was NOT a factor?Nurses wanted to leave nursing to get married.Military nurses didn't wish to return to the constraints and rules of civilian nursing.Nurses wanted to have children and start a family that had been delayed by the war.The military wounded required an infusion of nurses to care for them.

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