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1、Unit One Modern Nursing I believe that we will make a great progress in the future, and I am glad to spend this spring semester with you all. Now lets learn Unit One Text A: Modern Nursing. Unit OneReading A: Modern Nursing I. Warm-up Tasks II. To learn new words and expressions III. Explanation of

2、the text Teaching Aims and Requirements:1. Train & improve the ability of listening and speaking2. Read medical words and expressions correctly and memorize them.3. Understand, know well and master some important concepts of modern nursing.Unit 1 Nurse Roles Expanded Warm-up Tasks Listen to the foll

3、owing recording “Nursing Roles Expanded ” twice, and then decide whether each of the following statements is True(T) or False(F) according to the information given in the recording. Task 1 True or False Statements _ 1. Surprising changes are taking place in the local medical practice in the U.S. _ 2

4、. Usual treatments and even some important tests are being done not by doctors but by nurses. _ 3. Susan Delean-Botkin and Kel Kneut Hanson are both primary care doctors with forty years experience. T T FTrue or False Statements _ 4. The roles of nurse practitioners remain the same despite the lack

5、of primary care doctors. _ 5. Nurses are not only doing screenings(筛查) and vaccinations but also treating minor types of illnesses. _ 6. In most states, nurse practitioners work without a doctors supervision, although many nurses like to see it supervised. _ 7. The America Medical Association is qui

6、te positive about the expanded nurse roles. F F T FTask 2 Sentence Completion 1. Susan, a nurse practitioner, believes that they can do what they do extremely well because they are _. 2. The United States may face a shortage of primary care doctors so many new doctors are _. 3. While going to emerge

7、ncy rooms and using high levels of care are more costly to the system, retail clinics really help to _.4. According to the America Medical Association, patient care should _ led by doctors.5. Many believe there may be no alternative but to expand nurse roles as _ are going to primary care. remain a

8、team effort alleviate those problems choosing to become specialists primary care specialists fewer and fewer new doctors The Explanation of Modern Nursing1. Nursing has been called the oldest art and the youngest profession. When looking at the historical development of nursing, most nurse historian

9、s agree that nursing, or the care of the ill and the injured, has been done since the beginning of human life. However, modern nursing has only been developed since Florence Nightingale established professional nursing in the 19th century. The original desire of nursing was to keep people healthy an

10、d to provide comfort, care, and assurance to the sick. Although these general goals of nursing have remained relatively stable over the centuries, the practice of nursing has been significantly influenced by the advance of science and changing needs of the society. the first purpose of nursing 2. At

11、 present, nurses worldwide can receive nursing education of different levels through various channels and routes. The educational levels include secondary professional nursing education (intend to training personnel to perform basic nursing skills in the hospitals), associate degree education in nur

12、sing (intended to training personnel for the work of clinical nursing, supervision, and teaching for the students in the clinical practice and nursing management), baccalaureate education in nursing (intended to training personnel to carry out nursing instruction in the nursing school or colleges, m

13、anagement and direct client care in hospitals), master degree education in nursing (preparing personnel for clinical nursing, nursing management, nursing research, and nursing education), and doctoral degree education (preparing personnel to act as nursing educators and nursing researchers). Nursing

14、 Education Levels : (1) Secondary professional nursing education (2) Associate degree education in nursing (3) Baccalaureate education in nursing(4) Master degree education in nursing (5) Doctoral degree education 3. As nursing continued to evolve, nurses were deeply involved in identifying the defi

15、nition, function, purpose, means, goals, utilitarianism, and uniqueness of nursing. As a result, a number of theoretical nursing models have been developed to reflect a broad range of viewpoints about the relationships between man, health, environment, and nursing. (modern nursing)be involved in: ta

16、king part in sth; being part of sth or connected with sth.e.g. They are deeply involved in debt. be involved with: having a close personal relationship with sbe.g. You are too emotionally involved with the situation. Four elements of nursing: man, health, environment, and nursing. Major Nursing Theo

17、ries: (1) Florence Nightingales Environmental Adaptation; (2) Peplaus Theory of International Relations; (3) Rogers Theory of Unitary Human Beings; (4) Orems Self-care Theory; (5) Roys Adaptation Theory (6) Neumans Systems Model; (7) Leiningers Theory of Culture Care Diversity and Universality. Thes

18、e theories and models are evolving conceptual bases for nursing practice that are separated and distinct from medical practices and that place nurses in collaborative and independent position within the health care system. Detailed Explanation of Nursing Theories as Follows:(1) Florence Nightingales

19、 Environmental Adaptation She believed that nursing is a profession about Environmental Manipulation, Nutrition, and Conservation of Patient Energy. Environment is the core concept in Nightingales model of nursing. (2) Peplaus Theory of International Relations Psychodynamic nursing, to describe the

20、dynamic relationship between a nurse and a patient; The core is the use of a therapeutic relationship between the nurse and the patient and development of the patients competencies. Four phases: orientation (定位阶段) identification (确认阶段) exploitation (利用阶段) resolution (解决阶段) (3) Rogers Theory of Unita

21、ry Human BeingsShe regards nursing as a humanistic science dedicated to concern with maintaining and promoting health, preventing illness, and caring for and rehabilitating the sick and disabled. She thinks that the unitary man is a united whole manifesting characteristics more than and different fr

22、om the sum of his parts. (4) Orems Self-care Theory Orem believes that the individual has a need for self-care actions and that goals of nursing are to help the client care for himself.The theory centers on the individual with deficits in self-care due to illness, injury, or disease. Orems theory is

23、 made up of the three interrelated theories: self-care, self-care deficit, and nursing systems. (5) Roys Adaptation TheoryRoys theory focuses on the person asa a bio-psycho-social adaptive system and describes nursing as a humanistic discipline that places emphasis on the persons own coping abilities. The goal of nursing is

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