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Nursing

University

Introduction to the Bachelor's Degree in Nursing. Source: Wikipedia (CC BY-SA 4.0).

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Definition, concepts, and nursing professionals

  • Nursing: a discipline of care, health promotion, and disease prevention
  • Nature: autonomous, independent, and multidisciplinary work
  • ANA Definition (1987): diagnosis and treatment of human responses to health problems
  • Historical Milestone: Florence Nightingale, "Notes on Nursing" (1859)
  • Key concepts: self-care, research, metaparadigm, nursing process, models and theories
  • University level: Graduate Nurses (responsible for management, evaluation, and care)
  • Nursing functions: independent (care) and interdisciplinary (invasive techniques, medication)
  • Triage function: the nurse's responsibility in emergency departments to prioritize patients
  • Nurse supervisor: organizes the work and the physical environment of the unit
  • Vocational training level: Nursing Assistants (TCAE)
  • Evolution in Spain: Practitioners → ATS (1950-1970) → D.U.E. (1977) → Graduates (Bologna Process)

Historical evolution, training, and nursing specialties

  • Clinical assistant: legislative figure in 1973
  • Vocational training for assistants: started in 1975
  • Mandatory vocational training title for assistants: since 1984
  • Nursing assistant category: created in 1986
  • Current title: Nursing Assistant Technician (Decrees 546/1995 and 558/1995)
  • Qualification level of the degree: Level 3 (since 2007)
  • Specialist examination: Enfermero Interno Residente (EIR) (Internal Resident Nurse)
  • Specialist residency duration: 2 years
  • EIR specialties: mental health, occupational, family/community, geriatric, obstetric-gynecological, pediatric, military, and prison nursing
  • First nursing school: India, 250 BC (exclusive to men)
  • Term 'nosocomial': derived from nosocomi (a man who provided care in ancient Rome)
  • Oldest care practice: feeding by the mother/substitute

Historical evolution of nursing: Middle Ages, Modern, and Contemporary periods

  • Middle Ages: Close link between Christianity, monasteries, and nursing care
  • Crusades: Emergence of three figures (warrior, religious, and nurse)
  • Military nursing orders: Knights of Saint John of Jerusalem, Teutonic Knights, and Knights of Saint Lazarus of Jerusalem
  • Spain: Hospital del Obispo Masona (Mérida) is the first institution (6th century)
  • Key medieval hospitals: Hôtel-Dieu (Paris/Lyon), Santo Spirito (Rome), Seo de Tortosa, Mérida, and d'en Clapers (Valencia)
  • Beguine movement: Holy women who cared for the sick without religious vows
  • Historical denominations: macipa, mossa, clavera, donado, donada, hospitaler, hospitalera, enfermero
  • Administration: Generally men, except in the Hospital del Rey de Burgos
  • Until 1500: Predominantly domestic care (wet nurses, midwives,助comadronas)
  • 16th Century: The Protestant Reformation suppresses charitable institutions and abandons nursing care
  • 1500-1860: "Dark Age of Nursing" (considered a religious occupation, not an intellectual one)
  • Scientific advancement: The microscope improves well-being in the health sciences
  • 1836: Kaiserwerth Deaconess Institute (Theodor Fliedner) begins formal training

Historical and conceptual evolution of nursing

  • Key publication: Notes on Nursing by Florence Nightingale in 1859
  • Nightingale Training School for Nurses founded in 1860
  • Nightingale's innovation: training by nurses in hospital and community settings
  • Nightingale's concept: a clean environment for nature to act upon the patient
  • Official university degree in nursing in Spain: 1915 (Universidad Central de Madrid)
  • First 50 positions for visiting and sanitary nurses in Spain: 1933
  • First nursing text in the U.S.: Clara Weeks Shaw, 1885
  • Pioneer of Community Nursing: Lilian Wald (project in New York, 1893)
  • Sigma Theta Tau founded in 1922 to promote research and leadership
  • Bixler and Bixler's professional criteria: identified during World War II
  • Dorothea Orem's definition (1958): human service for self-care and facilitator of autonomy
  • Ami Francis Brown's definition (1958): assistance and care as a central function
  • Gertrud B. Ujhely's definition (1962): support and sustenance for the patient through interpersonal relationships
  • Lydia E. Hall's circles of functions (1964): body-care, illness-cure, and person-introspection

Historical and conceptual evolution of nursing

  • Professional base: self-regulation, public service, and deontological autonomy.
  • Hildegard Peplau (1964): Nursing as an educational process and psychodynamic relationship.
  • Martha Rogers (1970): Nursing as a science/art based on research; priority on promotion and prevention.
  • Callista Roy (1970): Focus on the biopsychosocial being and its adaptation responses.
  • Interrelationship models: Integrate Peplau, Rogers, and Roy.
  • Beverly Witter Du Gas (1970): Care is the central role; the care process is the scientific method.
  • Rosamaria Alberdi (1980s): First mention of care for social groups.
  • Yyer, Tapatich, and Renocchi-Losey (1986): The guiding axis is the care plan throughout the life cycle.
  • María Consuelo Castrillón (1980s): Three functions: caring, managing, and educating.
  • Spain (1953): Unification into ATS (Asistente Técnico Sanitario - Health Technical Assistant).
  • Spain (1977): Transformation of ATS into DUE (Diplomado Universitario en Enfermería - University Diploma in Nursing).
  • Spain (Present): Obtaining a PhD in Nursing following the Bologna Process.
  • USA (Present): Two types of doctorate; access to the American Academy of Nursing through original research.

External links and references

  • Study: Forensic nurses provide better care than physicians in cases of rape and sexual assault
  • Study source: The Campbell Collaboration (September 13, 2018)
  • Multimedia resource: Gallery on Nursing on Wikimedia Commons

Flashcard preview (6 of 30)

  1. 01

    According to the American Nurses Association, what defines nursing?

    The diagnosis and treatment of human responses to actual or potential health problems.

  2. 02

    Who published the book "Notes on Nursing" in 1859, laying the foundations of professional nursing?

    Florence Nightingale

  3. 03

    In Spain, what are the two current levels of study in nursing?

    University Degree in Nursing and Vocational Training Cycle in Nursing Assistantship.

  4. 04

    In the context of hospital emergencies, what initial clinical assessment function does the nurse perform?

    Triage

  5. 05

    In Spain, which functions are considered interdisciplinary for the nurse?

    Medication administration, special dressings, and invasive techniques.

  6. 06

    In what year was the Statute of Non-Medical Health Personnel of the Social Security (Order of the Ministry of Labor) approved?

    1973

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