Chapter 4 Education for Nursing

Chapter 4 Education for Nursing

Chapter 4Education for Nursing Education for Nursing Ballard school in New York YWCA program 3-month course Red Cross nurses aides during World Wars I and II World War II practical nursing program

35 hours lectures 45 hours supervised clinical experience Education for Nursing Schools before 1941 Minimal educational planning Minimal supervision National Association of Practice Nurse Education (NAPNE)

Regulates education and practice Uniform laws for certification and licensure Defining Professional and Nonprofessional Occupational Professional Competent and qualified Expert in a particular occupation Characteristics

Serious approach High level of integrity Trustworthy Has high standards Defining Professional and Nonprofessional Educational Professional Requires minimum of 4 years or up to 8 years of formal study beyond high school

A professional: Studies theory and its application Subscribes to a code of ethics Participates in organizational activities/research Works independently of others Defining Professional and Nonprofessional Nonprofessional refers to educational preparation. Administrators and managers at acute care settings tend to say LVNs are nonprofessionals due to

education they have had not competence All nurses should function as professionals. Nursing Statistics Employment outlook for LP/VNs is good Professional nursing graduates increasing LP/VN programs increasing Scope of Practice Describes tasks and duties legally permitted Defined by:

State laws, which vary around the country Employer rules and regulations Professional standards You must understand your states scope of practice for practical/vocational nurses. Types of Nursing Programs Four-Year Professional Nursing Programs A professional nurse has completed 4 plus years of college, and passed RN licensure exam

Studied nursing theory and application Performs according to a code of ethics Participates in development of nursing through membership in nursing organizations Engages in nursing research Works independently Types of Nursing Programs Two-Year Associate Degree Programs Prepares for the occupation of nursing

Passes RN licensure exam Two-year program sponsored by community, technical, and junior colleges Types of Nursing Programs Diploma Nursing Programs Sponsored by hospitals Two to three year program with emphasis on clinical nursing practice May be affiliated with a college or a university

Types of Nursing Programs Practical/Vocational Nursing Programs Approximately 1 year of education with emphasis on nursing skills applicable to variety of patients and health care settings Preparation to function under supervision of: Registered nurse Physician Dentist

Nurse Practitioner Types of Nursing Programs Program Overview Is 10 to 18 months in length Sponsored by Trade schools

Technical and vocational schools Colleges and universities Junior and community colleges Hospitals Private and government agencies Types of Nursing Programs Curriculum Integrated sections of classroom theory, laboratory practice, and clinical experience

Typically 1,200 to 1,800 hours Fundamentals of nursing Communication skills Anatomy and physiology Nutrition and diet therapy Types of Nursing Programs

Mental health Microbiology Maternity nursing Medical and surgical nursing Pharmacology and medication administration math Geriatrics Types of Nursing Programs

Graduates of practical/vocational nursing programs should: Pass licensing exam Be prepared to perform entry-level tasks Meet patient needs both physically and psychosocially Teach health and disease prevention Understand effects of change on health care Be active in local and national nursing associations Pursue continuing education Types of Nursing Programs

Certified Nurse Aide Programs 1987 Omnibus Budget Reconciliation Act mandated: State approved programs100 hours minimum Competency testingwritten and practical Nurse aide registries Minimum 12 continuing education hours each year Student nurses may be eligible for placement on the nurse aide registry

Types of Nursing Programs Combination Programs Career Ladder Programs are a pathway to bachelors or masters degree in nursing May exit and enter at certain times Allows for efficient progression Articulated (Joined) Programs PN/VN to AD Two levels of education and one or two schools

Types of Nursing Programs External Degree Programs RN Students work independently at their own pace No lectures, no supervised clinical practice Distance Learning Program Off campus learning via technology Requires computer skills Lectures on television or computer Requires independent learning skills Approval and Accreditation

Approval State approval of a nursing education program is mandatory for new programs and renewal approvals have to be done periodically and a prerequisite for taking nurse licensing examinations. Accreditation Is voluntary Is done by the National League for Nursing Accreditation Commission Indicates a program exceeds minimum requirements

Organizations Have a specific purpose Require by laws and procedural rules to meet purpose Two organizations important to student nurses Student organizations Nursing organizations Organizations Student Organizations

Student councilmost common form Made up of elected representatives from the student body and the faculty Makes recommendations to sponsoring organizations Serves as a disciplinary board Provides opportunities to have a voice in student education and exercise leadership skills Organizations Health Occupations Students of American (HOSA) A national organization for students enrolled in

health occupations programs Purpose is to assist students in developing: Vocational understanding of a nurse Awareness of social intelligence Civic consciousness Leadership skills Organizations Alumni Associations Open to all graduates of the school or a program

Purpose is to keep in touch with the school and classmates Offer: Networking opportunities Access to continuing education programs Job opportunities Information on advances and changes in your field Standards for the Licensed Practical/Vocational Nurse National Federation of Licensed

Practical Nurses (NFLPN) Nursing Practice Standards for the Licensed Practical/Vocational Nurse outlines standards of performance in areas of: Education Legal and ethical status Practice Continuing education Specialized nursing practice Standards for the Licensed Practical/Vocational Nurse

National Association for Practical Nurse Education and Services (NAPNES) Standards of Practice and Educational Competencies of Graduates of Practical/Vocational Nursing Programs outline professional behaviors and competencies in: Communication Assessment Planning Caring interventions Managing

Job Responsibilities of the Licensed Practical/Vocational Nurse State nurse practice acts and laws govern the practice of nursing. State boards of nursing further define role, function, and job responsibilities. Job responsibilities vary according to employer or institution policies. It is important to know the skills LPN/LVNs are expected to perform.

Licensing Mandatory licensing protects the public from untrained people and upholds nursing standards set by law and nursing organizations. Licensing examination Measures knowledge of nursing practice Requires retention of information taught Can be taken more than once Licensing

Examination Requirements Must be a graduate of a state-approved nursing program Must have directors signature to indicate satisfactory completion of theoretical and clinical requirements Must have official transcript submitted with application Must pay a licensure application fee Licensing NCLEX-PN

One licensing examination for LPN/LVN in all states National Council Licensure Examination for practical nurses NCLEX-PN notifies each state board of pass/fail State board of nursing determines who receives a license Licensing Legal Title Licensed practice nurse (LPN)

Licensed vocational nurse (LVN in Texas and California) Nursing license Entitles holder to enter practice as described by state Is not transferrable Is mandatory Licensing State Boards of Nursing Administer Nurse Practice Acts or administrative rules

governing nursing and licensure issues Have the authority to issue, revoke, or suspend licenses Licensing gives legal authorization to practice A license must be kept current and renewed periodically. May require continuing education Practicing after a license has expired or been revoked is a violation. Licensing Are responsible for protecting the safety and welfare of people who receive nursing service in their state

Are made up of elected or appointed experienced nurses as well as consumers Operate under their own state laws Cooperate with one another NCSBNdevelops licensure examinations Licensing State Boards of Nursing authorized duties include: Evaluating nursing program curricula Developing nursing standards Approving nursing schools

Issuing, renewing, and endorsing licenses Initiating disciplinary actions License suspension or revocation Licensing Licensure by Endorsement Obtaining a license to work in another state without taking the licensing exam again Licensed nurses going to work in another state must apply for a license in that state.

Licensing Nurse Licensure Compact (NLC) Refers to legal agreement or compact between states to recognize a nurses license in another state Offers mutual recognition Allows interstate practice Gives multistate licensure and practice privileges Proponents say this reduces barriers to health care

Licensing NLC opponents concerns: Requires states to unconditionally accept the licensure standards of other states Continuing education and practice requirements for license renewal vary Disciplinary jurisdiction issues Reduced ability to oversee standards of practice Licensing Disciplinary Sanctions

License can be revoked or suspended if a licensee is guilty of an offense: Certain mental or physical illnesses Conviction of a felony or crime involving moral turpitude or gross immorality Fraud or deceit in obtaining a license Willful neglect of a patient Negligence Disciplinary Sanctions

Habitual use or chemical dependency Violations of state nurse practice laws Suspended or revoked license in another state When a nurses right to practice is questioned: He/she must be notified by state board Must be given a hearing Disciplinary Sanctions State Boards of Nursing can: Issue letters of reprimand Refuse to issue or renew a license

Place a licensee on probation Impaired Nurse Programs Formal Rehabilitation programs for nurses who risk losing their licenses

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