Foundations And Adult Health Nursing, 7th Edition Lecture Notes

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Foundations and Adult Health Nursing, 7thed.1Lesson Plans forThe Evolution of NursingCHAPTER LESSON PLANS & OBJECTIVESLesson1.11.Describe the evolution of nursing and nursing education from early civilization to the twentiethcentury.2.Identify the major leaders of nursing history inAmerica.3.Discuss the significant changes in nursing in the twenty-first century.4.Discuss societal influences on nursing.5.Identify the major organizations in nursing.6.Define the three purposes of National Association for Practical Nurse Education and Service(NAPNES) and National Federation of Licensed Practical Nurses (NFLPN).Lesson1.27.Identify the components of the health care system.8.Describe the complex factors involved in the delivery of patient care.9.Identify the participants in the health caresystem.10.Define practical and vocational nursing.11.Describe the purpose, role, and responsibilities of the practical or vocational nurse.CHAPTER TEACHING FOCUS•In this chapter, the student will be introduced to the history of nursing, from early civilization to themodern times, including the major leaders and organizations.•The student will have the opportunity to learn about the health care system, its components, and itsparticipants, and the role of the practical/vocational nurse will be explored.CONCEPTSThe following conceptual themes and specific concepts match those presented in Giddens, J. R. (2013).Concepts for nursing practice.St. Louis: Elsevier. The specific exemplars chosen and listed below foreach concept have been tailored specifically to correspond to theCooper/Gosnelltextbook.THEME: Health Care Delivery•Concept: Care CoordinationoExemplar: Nurse Case Management, p. 14THEME: Attributes and Roles of Nurse•Concept: ProfessionalismoExemplar:Comportment, p. 15oExemplar: Box 1-2: Characteristics, Roles, and Responsibilities of the Practical orVocational Nurse, p. 15

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2Chapter1The Evolution of Nursing___________________________________________________________Foundations and Adult Health Nursing, 7thed.CHAPTER PRETESTHave the students answer thesequestions prior to covering this chapter to understand where they standin relation to the content.1.Primitive people believed that a person became ill when an evil spirit entered the ___________.a)mindb)spiritc)bodyd)house2.Florence Nightingale’s plan focused onwhich concepts?a)Sanitation, recordkeeping, hygiene, and nutritionb)Documentation, assessment, planning, and teachingc)Cleanliness, grammar,recordkeeping, and leadershipd)Education, bathing, care of wounds, health, and safety3.How did World War I and World War II influence nursing?a)They increased focus onservice to the patient.b)They offered nurse’s aide certification.c)They offered a career in the military.d)They pressured states to mandate requirements for nurses.4.What is the difference between approved nursing programs and accredited nursing programs?a)There is no difference.b)Approved programs meet minimum state requirements, whereas accredited programsarereviewed by a professional organization with higher standards than the state.c)The accredited program requires the maximum state requirements, whereas the approvedprogram requires the state’s minimum requirements.d)The approved programs are less expensive than the accredited programs.5.The phraseholistic health care systemindicates that this system’s focus ison the________.a)diseaseprocess of the patientb)patient’s perceived needsc)patient’s financial deficitsd)comprehensive care of the patient6.What are Maslow’s five categories of basic human needs?a)Nutrition, safety, love, confidence, and talentsb)Security, nutrition, family, self-esteem, and performancec)Physiologic, safety and security, love and belonging, self-esteem, and self-actualizationd)Safety and security, self-actualization, education, family, and employment7.Which is included in the Patient’s Bill of Rights?a)Thepatient has the right to refuse treatment and be informed of the medical consequences.b)The patient has the right to choose the nurse who is caring for him/her in the hospital.c)The patient has the right to discuss his/herhealth care provider’spractice with otherproviderstodetermine theprovider’s ethics.d)The patient has the right to influence his/her roommate’s care while in the hospital.8.Which fallswithin the LPN/LVN’sroles and responsibilities?a)Supervise nurse’saides, registered nurses, and respiratory techniciansb)Practiceunder a physician’s licensec)Obtain and maintaincurrent licensure and practice within the scope of practiced)Medically diagnosepatients who are admitted to the hospital

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__________________________________________________________Chapter1The Evolution of Nursing3Foundations and Adult Health Nursing, 7thed.9.Acare planis a document that outlinesthe_____________.a)disease process of the patientb)health care provider’sstrategyin caring for a patientc)methods usedto meet the patient’s needs by the health care teamd)generalstrategyof the unit in which the patient is admitted10.The termhealthmeans ___________.a)condition of physical, mental,andsocial well-being, and absence of diseaseb)without diseasec)without disease, illness,orphysical paind)without worry or physical difficulties

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4Chapter1The Evolution of Nursing___________________________________________________________Foundations and Adult Health Nursing, 7thed.Chapter Pretest Answers1.c2.a3.d4.b5.d6.c7.a8.c9.c10.aCHAPTER BACKGROUNDASSESSMENTDiscussthese questionswith your students prior to covering this chapter to understand where they standin relation to the content.Question:What standards did Florence Nightingale contribute to nursing, and how have they affected thestandards of the nursing profession today?Answer:Florence Nightingale’s standards of good hygiene, sanitation, patient observation, accuraterecordkeeping, nutritional improvements, and introduction of medical equipment have been incorporatedinto presentnursing education and the nursing profession.Question:Why did professional nursing organizations develop in the twentieth century, and what is theirpurpose today?Answer:In the beginning of the twentieth century, LPN nursing programs varied from each other.Because of World War I and World War II, the demand for nurses increased and it became apparent thatstandards within the profession were necessary. The Association of Practical Nurse Schools was foundedin 1941 and planned the curriculum for the LPN profession. This has evolved into the National LeagueforNursing(NLN), which provides accreditation for nursing programs. The NLN has set standards thataccreditednursing programs must follow to receive the organization’s accreditation. These standardsprovide continuity within the nursing profession.

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__________________________________________________________Chapter1The Evolution of Nursing5Foundations and Adult Health Nursing, 7thed.LESSON1.1Instructor PreparationTextbook Objectives Covered1.Describe the evolution of nursing and nursing education from early civilization to the twentiethcentury.2.Identify the majorleaders of nursing history in America.3.Discuss the significant changes in nursing in the twenty-first century.4.Discuss societal influences on nursing.5.Identify the major organizations in nursing.6.Define the three purposes of National Association for Practical Nurse Education and Service(NAPNES) and National Federation of Licensed Practical Nurses (NFLPN).Lesson Preparation Checklist•Prepare lecture fromTEACH lecture slidesavailable on Evolve.•Assemble materials and supplies needed for eachlesson as indicated below.Materials and Supplies•computer and PowerPointprojector•guest speakers: malenurse, disaster responseteam nurseKey Terms•accreditation (FAAHN p. 10,FON p. 10)•approved program (FAAHNp.10, FON p. 10)•articulation (FAAHNp. 10,FON p. 10)•certification (FAAHN p.13,FON p.13)•health (FAAHN p. 17, FON p.17)•health care system (FAAHNp.12, FON p.12)•holistic (FAAHN p.13, FON p.13)•holistic health care (FAAHNp.12, FON p.12)•illness (FAAHN p.1FON p.1)•licensure (FAAHN p.4, FONp.4)•patient (FAAHN p.17, FON p.17)•pesthouses(FAAHN p. 2,FON p. 2)•portfolio (FAAHNp. 10, FONp. 10)•wellness (FAAHN p.12, FONp.12)

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6Chapter1The Evolution of Nursing___________________________________________________________Foundations and Adult Health Nursing, 7thed.LESSON1.1Student PreparationAssignments2 hours1READ–Textbook (FAAHN pp.1-7, FONpp.1-7)ANSWER–Text•NCLEX Review:3 (FAAHN pp.19-20, FONpp.19-20)ANSWER–Study Guide•Multiple Choice:17, 18(FAAHN p.2, FON p.2)•Critical Thinking Activities:32(FAAHN p.5, FON p.5)2READ–Textbook (FAAHNpp. 2-4, FONpp. 2-4)REVIEW•Figure 1-1,Florence Nightingale, the first nursing theorist (FAAHN p.2, FON p.2)•Figure 1-2,The Nightingale lamp(FAAHN p. 3, FON p. 3)•Figure 1-3,Nursing students in an early training program(FAAHN p.3, FON p. 3)•Figure 1-4,Isabel Hampton Robb (FAAHN p. 4, FON p. 4)•Table 1-1,Leaders in the Development of Nursing in America(FAAHN p.4, FON p. 4)•Table 1-2,LeadingTheories(FAAHN p.17, FON p.17)ANSWER–Text•NCLEX Review:7 (FAAHNpp.19-20, FON pp.19-20)ANSWER–Study Guide•Matching:1-10(FAAHN p.1, FON p.1)•Multiple Choice:19(FAAHN p.3, FON p.3)3READ–Textbook(FAAHNpp.7-9, FONpp.7-9)ANSWER–Text•NCLEX Review:12, 13(FAAHNpp.19-20, FON pp.19-20)ANSWER–Study Guide•Multiple Choice:20, 21(FAAHN p.3, FON p.3)4READ–Textbook(FAAHNpp.7-9, FONpp.7-9)ANSWER–Text•NCLEX Review:15(FAAHNpp.19-20, FON pp.19-20)ANSWER–Study Guide•Multiple Choice:26(FAAHN p.3, FON p.3)5READ–Textbook(FAAHN pp. 9-10, FONpp. 9-10)ANSWER–Text•NCLEX Review:1(FAAHNpp.19-20, FON pp.19-20)ANSWER–Study Guide•Short Answer:11(FAAHN p.1, FON p.1)

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__________________________________________________________Chapter1The Evolution of Nursing7Foundations and Adult Health Nursing, 7thed.LESSON1.16READ–Textbook(FAAHNpp. 9-10, FONpp. 9-10)ANSWER–Text•NCLEX Review:4(FAAHNpp.19-20, FON pp.19-20)ANSWER–Study Guide•Short Answer:12(FAAHN p.2, FON p.2)SIMCHART•Lesson Plan: Using the EHR to Communicate•Lesson Plan: Documentation as a UAP50-Minute Lesson PlanLecture Outline30minutesSlide01Chapter 1The Evolution of Nursing1Slide02The History of Nursing and Nursing Education•Factors that have changed nursing•Howwe care for the sick•The way people live•The relationship of people with their environment•Thesearch for knowledge and truth through education•TechnologicadvancesTALKING POINTS:•What are some current healthcare needs/changes that will likely cause continuedevolution?Slide03Care of the Sick During Early Civilization•Evolution ofviews of health, wellness,andillness•Ancient practicesTALKING POINTS:•Discuss some of the different practices and the beliefsaboutthe role of women inhealthcare.2Slide04Nursing Education in the Nineteenth Century•Hospitals•Overcrowded•Poor hygienic practices•Untrained people•Women of “proper upbringing” did not work•Nurses endedup being inmates or prostitutesTALKING POINTS:•Discuss the differences between early and late nineteenth-century nursing education.•What did the poor hygienic practices dotothe infection and mortality rate?

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8Chapter1The Evolution of Nursing___________________________________________________________Foundations and Adult Health Nursing, 7thed.LESSON1.1Slide05Nursing Education in the Nineteenth Century cont’dFlorence Nightingale•Known as “Lady of the Lamp”•Credited asthe first nursing theorist•Helped to shift theviews of nursing educationTALKING POINTS:•What influences did Florence Nightingale have on the hospital environment during theCrimean War?•Why is Florence Nightingale known as the “Lady of the Lamp”?Slide06Nursing Education in theNineteenth Century cont’dNursing from Occupation to Profession•Florence Nightingale began the reformation of nursing•Established nursing school at Saint Thomas Hospital in London•Promoted new standards of nursing•“Nightingale Plan”establishedTALKING POINTS:•Discuss the “Nightingale Plan” as amodel for nursing education.•What significant changes did Florence Nightingale make that are used in nursing today?•Discuss the impact of American nursing leaders (seeTable 1-1).Slide07Changes in Nursing During the Twentieth Century•Licensing of Nursing•First states to mandate licensure•National League for Nursing (NLN)•American Nurses Association (ANA)TALKING POINTS:•Discuss the differences betweentheNLN and ANA on licensure and education.Slide08Changes in Nursing During the Twentieth Century cont’d•Impact on nursing•World War I•World War II•ContemporarynursingTALKING POINTS:•Discuss thesignificant changes in the nursing caps, uniforms, and shoes over the pastdecade.•What does the “pinning ceremony” signify?

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__________________________________________________________Chapter1The Evolution of Nursing9Foundations and Adult Health Nursing, 7thed.LESSON1.13&4Slide09Significant Changes in NursingDuringthe Twenty-First Century•Demographicchanges•Women’shealth careissues•Men innursing•Humanrights•Medicallyunderserved•NursingshortageTALKING POINTS:•Discuss advantages and disadvantages of the significant changes seen in nursing in thetwenty-first century.Slide 10Development of Practical andVocational Nursing•Attendantnurses—3 months education•Practicalnursing programsimproved educational standards•Federal funds helped recruitment of men and womenTALKING POINTS:•Discuss the differences between the attendant nurseandthe practical nurse.5&6Slide 11Organizational Influence•Association of Practical Nurse Schools•Founded 1941•Dedicated topractical nursing•Planned the first standard curriculum for practical nursing•Name changed in 1959 to current name—National Association forPractical NurseEducation and Service (NAPNES)TALKING POINTS:•Discuss what NAPNES does today in guiding practical nursing education.Slide 12Organizational Influence cont’d•National Federation of Licensed Practical Nurses (NFLPN)•Founded byLillian Kuster in 1949•Membership limited to LPN/LVNs•National League for Nursing (NLN)•In 1961, established the Department of Practical Nursing Programs•Developed an accreditation service for these programs,whichtoday is called theCouncil of Practical Nursing Programs.Slide 13Program Credentialing•Approvedprogram•Minimum standards set by the respective state agency•Ensures that a given program•Meets the needs of the student•Has adequate course content and qualified faculty•Isofsufficient length andhasadequate facilities•Provides clinical experience•AccreditationTALKING POINTS:•Discuss the differencesinan approved program versus an accredited program.

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10Chapter1The Evolution of Nursing___________________________________________________________Foundations and Adult Health Nursing, 7thed.LESSON1.1Slide 14Contemporary Practical and Vocational NursingEducation•Types ofpractical nursing programs offered for LPN/LVNs•Programs must meet minimum state standards•Length 12-18 months•ArticulationagreementsTALKING POINTS:•Discuss the value of articulation agreements in nursing education.Slide 15Career Advancement•Careerladders•Professional andeducational portfolioTALKING POINTS:•Discuss the criteria that would be utilizedfor acareer ladder in a long-term care facilityversus a hospital or acute care setting.Slide 16Factors thatInfluenced Practical and Vocational Nursing•Need fortrained caregivers•World War I•Theself-taught practical nurse•Duties of LPN/LVNs•Positionpaperof the American Nurses AssociationTALKING POINTS:•Discuss how the LPN/LVN has evolved through the centuries.Slide 17Licensure for Practical and Vocational Nursing•Licensinglaws•Protect the publicfrom unqualified practitioners•Managed by state agencies such as the state board of nursing•National CouncilLicensureExamination for Practical Nurses(NCLEX-PN)•Exam successfully completed awards licensure for the stateTALKING POINTS:•Why are licensing laws important in nursing?•Discussthe significance of the NCLEX examination.Slide 18Question 1Florence Nightingale is known for all of thefollowing except:1.“Lady of the Lamp”2.Credited as the first nursing theorist3.Helpedprovide care to wounded soldiers duringWorld War I4.Helped shapeviews of nursing educationTALKING POINTS:Answer: 3

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__________________________________________________________Chapter1The Evolution of Nursing11Foundations and Adult Health Nursing, 7thed.LESSON1.1Slide 19Question 2Florence Nightingale gainedrespectfromthe medical communityfor:(Select all that apply.)1.establishinga nursing school in London.2.institutingsanitary conditions and promoting nutrition to the sick.3.significantlydecreasing the mortality rate of the soldiers.4.patience, dedication, and empathic treatment of soldiers.TALKING POINTS:Answer: 1, 2, 3, 4Slide 20Question 3What significant change isseen intwenty-first century nursingpractice?1.Number of men in nursing has decreased.2.Presently,health care costs account for over 28% ofthe USgross domestic product.3.Life expectancy is changing, decreasing the needs of our geriatric population.4.Recognition of the unique health needs of women in areas such as reproductive health,heart disease, and cancer.TALKING POINTS:Answer: 4ActivitiesClassroomChoose from below to make20 minutesOnline1ASSESS BASELINE•Have the class complete the Pretest. Collecttheir work and use the results to guide howyou teach the class.DISCUSS•Discuss the evolution of nursing since earlycivilization under the influence of ancientGreece and the work of Hippocrates.ASSESS BASELINE•Post the Pretest and the BackgroundAssessment online and have your classcomplete them. Use the results toguide howyou teach the class.POST & COMMENT•Post the following topic online and havestudents comment. DiscusstheancientHebrews’ dietary and religious practices.

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12Chapter1The Evolution of Nursing___________________________________________________________Foundations and Adult Health Nursing, 7thed.LESSON1.12DISCUSS•Discuss the hospital environment prior toFlorence Nightingale’s influence and howherprinciples changed the hospitalenvironment and nursing care in thenineteenth century.GAME•Take six pieces of paper and on each writeone of the followingcategories: goodhygiene, sanitation, patient observation,accurate recordkeeping, nutritionalimprovement, and introduction of newmedical equipment.Wad the papers intoballs. Throw one of the wadded balls to agroup of students. The student who catchesthe ball or is nearest to an uncaught ball is toopen the paper and read the category. Thestudent is to comment on the rationalebehind these categories and why they areimportant to nursing. The student then getsto choose one of the remaining five wads ofpaper and throwit at a group of studentswho have to follow the same actions listedabove. This is repeated until all wads ofpaper are discussed.POST & COMMENT•Post the following topic online and havestudents comment. What is the “NightingalePlan” and how did it influence nursingeducation?3DISCUSS•Discuss how circumstances in the twenty-first century have changed how nursing careis delivered.GUEST SPEAKERS•Invite a male nurse and a nurse who isinvolved with a disaster response team tospeak to the class about their roles asnurses.POST & COMMENT•Post the following topic online and havestudents comment. Discuss the importanceof nurses being aware of the issues thatpose potential problems in the delivery ofnursing care.4DISCUSS•Discuss the development of the AmericanNurses Association (ANA) and how itinfluences nursing today.PRESENT•Bring to the class pictures of nursing hats,pins, and lamps that resemble those usedduring Florence Nightingale’s era. Askstudents to bring any of these actual items toclass that may belong to family or friendswho are nurses.POST & COMMENT•Post the following topic online and havestudents comment.Discusswhatcircumstances caused the requirement forlicensure.•Post the following topic online and havestudents comment.Discuss how World WarI and World War II influenced the nursingprofession.

Foundations And Adult Health Nursing, 7th Edition Lecture Notes - Page 14 preview image

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__________________________________________________________Chapter1The Evolution of Nursing13Foundations and Adult Health Nursing, 7thed.LESSON1.15DISCUSS•Discuss the progression and rationale fromthe Association of Practical Nurse Schoolsto the development of theNationalAssociation of Practical Nurse Education.PRESENT•Divide the classroom into three groups. Onegroup will represent an “approved nursingprogram,” another group will represent an“accredited nursing program,” and the thirdgroup will be agroup of potential nursingstudents who are determining in whichprogram to enroll. The groups are to try topersuade the students to enroll in theirprogram. After a few minutes of promotingtheir programs, the third group is to choosewhich program they would enroll in and therationale for their choice.POST & COMMENT•Post the following topic online and havestudents comment. Discuss the adoption ofLPN/LVNs into the National LeagueforNursing(NLN).6DISCUSS•Discuss why the nursing hasprofessionalorganizations to govern the profession.POST & COMMENT•Post the following topic online and havestudents comment. Discuss the importanceof the development of nursing standards,protection and promotion of the LPN/LVNprofession,and the education of the publicregarding the LPN/LVN profession.Critical Thinking QuestionWhat characteristics define the role of the LPN/LVN?Guidelines:The role of the LPN/LVN is a responsible member of the health care team whoparticipates in professional organizations, maintains a professional appearance,and performswithin the scope of practice and legal parameters of theprofession.The LPN/LVN should staycurrent oneducational changes within theprofession to enhance his/her knowledge.The LPN/LVNmains a current license and practices under the supervision of a medical physician, registerednurse (RN), osteopathic physician,and/or dentist.Instructor Notes/Student Feedback

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14Chapter1The Evolution of Nursing___________________________________________________________Foundations and Adult Health Nursing, 7thed.LESSON 1.2InstructorPreparationTextbook Objectives Covered7.Identify the components of the health care system.8.Describe the complex factors involved in the delivery of patient care.9.Identify the participants in the health care system.10.Define practical andvocational nursing.11.Describe the purpose, role, and responsibilities of the practical or vocational nurse.Lesson Preparation Checklist•Prepare lecture fromTEACH lecture slidesavailable on Evolve.•Assemble materials and supplies needed for eachlesson as indicated below.Materials and Supplies•computer and PowerPointprojector•guest speaker:nursemanager,LPN/LVNKey Terms•accreditation (FAAHN p. 10,FON p. 10)•approved program (FAAHNp.10, FON p. 10)•articulation (FAAHNp. 10,FON p. 10)•certification (FAAHN p.13,FON p.13)•health (FAAHN p. 17, FON p.17)•health care system (FAAHNp.12, FON p.12)•holistic (FAAHN p.13, FON p.13)•holistic health care (FAAHNp.12, FON p.12)•illness (FAAHN p.1FON p.1)•licensure (FAAHN p.4, FONp.4)•patient (FAAHN p.17, FON p.17)•pesthouses(FAAHN p. 2,FON p. 2)•portfolio (FAAHNp. 10, FONp. 10)•wellness (FAAHN p.12, FONp.12)Student PreparationAssignments2 hours7READ–Textbook (FAAHNpp.11-12, FONpp.11-12)REVIEW•Figure 1-7,Health care continuum (FAAHN p.12, FON p.12)ANSWER–Text•NCLEX Review:6 (FAAHNpp.19-20, FON pp.19-20)8READ–Textbook (FAAHNpp.12-13, FONpp.12-13)REVIEW•Figure 1-8,Maslow’s hierarchy (FAAHNp.12, FON p.12)ANSWER–Text•NCLEX Review:11, 14 (FAAHNpp.19-20, FON pp.19-20)ANSWER–Study Guide•Multiple Choice:22-24, 26, 27(FAAHNpp.3-4, FONpp.3-4)•Critical Thinking Activity:31, 33(FAAHNpp.4-5, FONpp.4-5)

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__________________________________________________________Chapter1The Evolution of Nursing15Foundations and Adult Health Nursing, 7thed.LESSON 1.29READ–Textbook(FAAHNpp.13-17, FONpp.13-17)REVIEW•Figure 1-9,Nurse collaborating with other members of the interdisciplinary team(FAAHN p.16, FON p.16)ANSWER–Text•NCLEX Review:16(FAAHNpp.19-20, FON pp.19-20)ANSWER–Study Guide•Multiple Choice:25(FAAHN p.3, FON p.3)10READ–Textbook(FAAHNpp. 17-18, FONpp. 17-18)REVIEW•Figure 1-10,Nurse documenting patient care at a computer(FAAHN p.16, FON p.16)ANSWER–Study Guide•Short Answer:13(FAAHN p.2, FON p.2)•Fill-in-the-BlankSentences:15, 16(FAAHN p.2, FON p.2)11READ–Textbook(FAAHN pp. 18-19, FONpp. 18-19)REVIEW•Box 1-2,Characteristics,Roles, and Responsibilities of the Practical or Vocational Nurse(FAAHN p.15, FON p.15)ANSWER–Text•NCLEX Review:9(FAAHNpp.19-20, FON pp.19-20)ANSWER–Study Guide•Fill-in-the-BlankSentences:14(FAAHN p.2, FON p.2)•Multiple Choice:28-30(FAAHN p.4, FON p.4)

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