1. Superintendent over female nurses in english field hospital turkey
2. Developed training schools for nurses

• Anny g fox became first nurse to recieve purple heart because of example of calmness curage and leadership during attach on pearl harber

• Indentification- self and patient
• Situation- describe whats going on
• bak ground- what lead to current situation and pattient statusw beofre
• Assesment- describe what you believe to be happening
• Respnse/request- describe what you beleive should happen
• Read back/ responce- receiver ackowleges info given and gives responce

• Assesment
•  diagnosis
•  planning
•  inplementation
•  evaluation
• TO creat a plane to make patient care highest quality as well as discharge and home care

• Intital- occurs upon intital contact with patient- head to toe begins with asking about symptoms
• Focuses- Performed on each problem once identified
• Emergency- done when time is of essanve
• Ongoing- occurs continues though out patient experience

Basic physilogical needs- air food water

saftey- healthy enviroment/ physical

Love and belonging- healthy relationships

Selfesteem- selfesteem respect reliance

Self actualzation needs- indivdual max potential

She believe the role of the nurse was to access and ulitmitaly meet the need for assistance

4 primary dimensions to theory

1. Distress- by pt
2. Nursing role- asses meet pt immediate need
3. Nursing action- Provide for immediate need
4. Outcome- change in behavior or pt

Theory= reconize probematic situtaions

• PT must adapt to enviroment in a positive way both in health and adaption

• adaption
• person
• enviroment
• health

Theory all about that when pt can adapt effectively to demands of enviroment stimuli, the person can maintain integrity, conserve his or her energy and ulimatly promote his or her own survival, growth and reproduction as a human system.

• Unfreexing stage= develops awarness of problem and reconizes and decreasing statues quo....(can problem be inproved by proposed change?)
• Moving stage- focuses on clearly indentifying issue at hand, development of goals and objectives, and stratigies to meet goals. (developement and encouragment of new values, attitudes, and behaviors toward the proposed change)
• Refrezing- Change has become part of working enviroment, prevent return to past behaviors

There may be cost involved in implementing the new health promoting actions.... Although a new action may reduce likehood of contracting a specific disease process, implementing the action may prove to be costly, wheather in terms of actual funds or discomfort or convience...

What beleif of Health model?

1. Primary- Bahavories that maintain welness and prevent illness ex exercise
2. Secondary- Reconizing symptoms and initiate treatment
3. Tertiary- rehab after disease to prevent disablity

Selyes general Adaption syndrom

Alarm..Restance..Exhaution

1. alarm- any physical/ mental trama triggers a set of reactions in attempt to stress
2. Resistance- indivdual adapts to stress and becomes more resistant to illness as the immune system wrks harder to accommodate the demands placed upon it
3. Exhaution- The person sustains a sudden drop in hir or her restance level d/t the bodys inability to maintain homeostasis and the body becomes suceptible to various disease process

examples of 'cues to action' in health belief action

internal-vs-external

Internal- Systom that motivates th seek medical care

external- reads atricle to make apt

Manager

• postions assigned to them
• exspected to carry out certain duties
• delegate athouratiy
• provide with ligit source and power

• Planning- most basic and time consuming, begins with development of goals that refelect organization mission and invision and delopment of stargies to accomplish goalrs
• organizing- nurse managers matches wrk to be accomplish with resource available to complete care- budget renovation, types of new equitment/materials outdated of need discarded
• Directing- Supervise pt care and make sure it does fall below quality standards
• Controling- aware of all reg and how they infect pt care

consistance use of resource based on infor to make decisons

1. P- patient/problem
2. I- Interventoin or action
3. C- compair interventions
4. O- outcomes 

• ask questions
• aquire evidence
• apraise evidence
• apply
• selfevatuate

1. Discovery- new knowledge produces by mothods used in other studies
2. evidence summary- evidence from all reaserch available combined
3. Translation- clinical req generated by valid reliable evidence and clinical expertice
4. Inplentation- evidence influence clinical makind deciions and bein to change nurse practice
5. Evaluation- effect of change evaluated by pt pop health provider and system

Goals written in 1 or 3 domains

1. Psycomotor- physical movement
2. congnitive- knowlegde and intellectual skills
3. Affective- feelings, values, and attitudes

Objective= info about client through observation

Subjective= info from patient that can't be observed

5- Communication Styles

upward, downward, horizontal, diagnal, grapevine

1. Upward- message to higher level(rn to supervisor)
2. Downward-message sent to subordinate(Rn to STNA)
3. Horizontal- interaction btw those on same level (RN-RN)
4. Diagnal- interaction btw those in diff depatments (RN- dietition)
5. Grapevine- most informal channel of communication

Transtheoretical Model of change

Precontemplation, complation, preperation, action, maintance

Focuses on the decision-making abiltity of the individual to make an intentional change in his or her behavior over time...5 stages

1. Preontemplation- no action to change for 6 months
2. Contemplation-change in next 6 months
3. prperation- action within month
4. Action- odvious change
5. Maintaince- prevent relapse