DQ: Impact of 19th-Century Nurses

DQ: Impact of 19th-Century Nurses

DQ: Impact of 19th-Century Nurses

NR 390 Week 4 DQ

Week 4 Impact of 19th-Century Nurses
 

Important nurses of the 19th century are often overshadowed by Nightingale’s prominence. Select one 19th-century nurse other than Nightingale and describe this person’s
contributions to the profession. Although some duplication is expected, please try to select a nurse who has not already been presented by a classmate

Great post! I can totally relate to the experience of the EMR system going down on night shift and having to revert back to paper charting.   Downtime is scheduled for nights and I think that they have adapted pretty well now that it has happened a few times.  However, newer nurses who have never documented on paper charting often get overwhelmed when having to fill out the forms.  The pros of the computerized documentation systems are that it allows others to review the chart and have access from anywhere.  They no longer have to be on the unit to read results for a patient or their progress notes.   The other pro is it is clear and legible.  Handwritten notes are very difficult to read at times and can cause errors in interpretation.  You end up having to call the doctor back to clarify simple orders or notes, whereas if it is typed it is clear.  You still may need to call to clarify if the dose seems off, but otherwise it prevents errors and enables car code scanning for med administration.  The one thing I think is lacking that was better with paper charting is the nurse’s notes.  I have seen that nurses no longer know how to write narrative notes.   They rely on clicking on boxes that describe the patient’s lung sounds for example or their heart rate and rhythm.  I used to do chart reviews and I remember that when you would pick up a chart for a patient you can clearly follow what happened based on the notes.  Now, even though the assessment is simplified because of the check boxes it does not give you a picture of the patient sometimes.

I attended a training session and in the class the instructor encouraged us to only use the templates and not to free text notes.   I did not like this and find this is why nurses notes are lacking in substance. So, if you forget to click a box it was not done.  Overall though I am grateful for electronic documentation systems.   Linda Richards certainly was an admirable woman in nursing history with her accomplishment of developing the first documentation system for patient records.

I think some people that are from ethnic and racial diverse backgrounds also face economic, social, and environmental challenges.  Therefore, they may feel that becoming a nurse is not possible.  They may not know about financial assistance, they may not think that they have a chance at being a nurse as most others in the same race and ethnicity are not nurses, and perhaps they are not close to a school or have a way to get to a school.  They may also feel that they have no chance of getting admitted to a school due to their race or ethnicity.  Unfortunately, racism does still exist in America, and they may feel that nurses are white men and women, and that they would be chosen over them for entry into a nursing school.  This may not even be a factor, but they may feel that way anyway.  There is not that much advertising for nursing school, and I think there should be more as they say we are entering another nursing shortage, perhaps more advertising showing diversity and financial assistance should be done.  It is said if you want something bad enough you will find a way, but people need the information also.  Mary Mahoney had the perserverance to go for what she wanted.  Patient care is affected in that people of the same race know about their own culture and can relate better with the patient, and may make them feel more comfortable with their patient care.

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DQ: Impact of 19th-Century Nurses

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Read Also:  DQ: Nightingale Information New to You  

Purpose

To apply lessons in nursing history to living nurses contributing to nursing history through an interview and recording of historical information

Course Outcomes

The Course Project enables the student to meet the following Course Outcomes:

CO 1.   Incorporate appropriate historical perspectives into current professional nursing practice. (PO #2)

CO 4.   Compare current professional nursing practice roles with historical roles of the nurse. (PO #7)

Points

The entire project is worth 600 points. Milestone 1 is worth 100 points of this total.

Due Date

Submit your completed NR390 Milestone 1 to its Dropbox by Sunday at 11:59 p.m. MT at the end of Week 1.

Requirements and Guidelines

1. Nursing history is being made today by exemplary nurses throughout the world. Select one registered nurse who is creating nursing history to be the subject of this project. This RN must have at least 15 years of RN licensure. The nurse could be a family member, friend, colleague, acquaintance, manager, former instructor, or other nurse who is creating, delivering, or influencing the practice of nursing in your area. Do not select a former or current patient. Remember that a nurse does not have to create a nursing theory, write textbooks, or be the head of a nursing organization to make nursing history. The chief nurse executive who manages to deliver quality care in a small rural hospital with a tiny budget has a story worth telling. The nurse who served in the military has a story that is important to document as nursing history. The staff nurse who consistently provides high-quality care is making history. History is not merely the major accomplishments or events, but includes the activities nurses everywhere do in their nursing lives. Milestone 1 is due at the end of Week 1.
2. Clearly explain to the selected nurse that statements made in the interview will be recorded (audio, video, and/or written) and submitted to instructor. The interview is not intended for public access.
3. Obtain permission from the selected nurse to participate in an interview about his or her
   1. memories of nursing and nursing education;
   2. contributions to nursing; and
   3. persons or events that have influenced his or her nursing practice.
4. Carefully review the Milestone 1 Grading Criteria and Grading Rubric. Complete only Milestone 1 requirements at this time.
5. Download the Milestone 1 Template. Save it to your computer in Microsoft Word 2010 (or later) as a .docx file with the file name Your Last Name Milestone 1.docx. Type directly on your saved Milestone 1 Template. Submit your completed Milestone 1 as instructed by Sunday of Week 1.
6. NOTE: Do not complete the interview at this time.

Grading Criteria

Category	Points	%	Description
Name of Selected Nurse	15	15%	Provides first and last name of selected nurse with credentials.
Years Selected Nurse Has Been an RN	15	15%	States the number of years the selected nurse has been an RN. Nurse must have held an RN license for at least 15 years.
Your Relationship With Selected Nurse	25	25%	Describes details of your relationship with the selected nurse.
Why You Selected This Nurse	45	45%	Explains details of why the selected nurse is making nursing history and was chosen as the subject of this Course Project.
Total	100 points	100%

Grading Rubric

Assignment Criteria	A (100%)Exceptional   Outstanding or highest level of performance	B (88%)Exceeds   Very good or high level of performance	C (80%)Meets   Competent or satisfactory level of performance	NI (38%)Needs Improvement Poor or failing level of performance	F (0%)Developing   Unsatisfactory level of performance
Name of Selected Nurse15 points	States first and last name of the selected nurse and credentials (example, BSN, RN, FNP, etc.). Explains the meaning for each credential (example, RN is registered nurse).15 points ☐	States first and last name of the selected nurse and credentials but with no explanation for the credentials.13 points ☐	States first AND last name of the selected nurse.12 points ☐	State first OR last name of the selected nurse.6 points ☐	Does not state names or credentials of the selected nurse.0 points ☐
Years Selected Nurse Has Been an RN15 points	Selects a nurse who has been an RN for at least 15. States specific number of years the selected nurse has been an RN.15 points ☐	Selects a nurse who has been employed for at least 15 years, but not necessarily as an RN. States specific number of years selected nurse has been employed.13 points ☐	States incorrectly the number of years selected nurse has been an RN. 12 points ☐	Selects a nurse who has less than 15 years of experience as an RN.6 points ☐	Does not state years the selected nurse has been an RN.0 points ☐
Your Relationship With Selected Nurse25 points	Clearly identifies the relationship of student to the selected nurse with details of length of relationship and circumstances.25 points ☐	Mostly identifies the relationship of student to the selected nurse but generally describes the length of the relationship and/or the circumstances.22 points ☐	Somewhat identifies relationship of student to the selected nurse but provides few details of the length of the relationship or the circumstances.20 points ☐	Minimally identifies the relationship of student to the selected nurse and provides minimal details about the relationship.10 points ☐	Does not clearly identify relationship of student to selected nurse and/or length of the relationship.0 points ☐
Why You Selected This Nurse45 points	Clearly explains details about why this nurse was selected.45 points ☐	Mostly explains details about why this nurse was selected.40 points ☐	Somewhat explains details about why this nurse was selected.36 points ☐	Minimally explains details about why this nurse was selected.17 points ☐	No information provided as to why this nurse was selected.0 points ☐
Total Points Possible = 100 points