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Discipline Midterm Flashcards

1
Q

RRC BN program mission statement

A

…”To prepare graduates, who practice nursing as knowledgeable, competent and caring, health professionals, and contribute to society, as learned, innovative, and thinking citizens “

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2
Q

Can a person achieve health and wellness in the presence of illness/disease

A

Yes!

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3
Q

How do person/individual/client and the environment relate?

A

People/person cared for our unique despite similar conditions/illnesses
Environment, greatly impact health, and decision the person/community makes

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4
Q

Concept

A

Mental formulation of an object or event; concrete or abstract

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5
Q

Conceptual framework

A

Group of related concepts; provides overall view of relationship between concepts, provides direction for curriculum, goals, content, course selection, etc.

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6
Q

What is relational practice?

A

both client and nurse bring their “worlds” to bear on the partnership
Nurses must meet patients where they are at
The goal is to understand clients experience, and what is important to them

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7
Q

What is the core of relational practice?

A

Nurse client partnership!

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8
Q

What is the goal of nurse client partnership?

A

Optimal level of health and wellness for client and their circumstances
The nurse is 100% responsible for this relationship
The client and nurse both play a role in this relationship; the client knows best about their life, the nurse is more knowledgable medically

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9
Q

Context (outermost ring)

A

Circumstances in which situations occur
In the moment and continuously changing
Nurse and client have unique contextual influences

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10
Q

Inner petals of conceptual framework

A

Health and status of patient (different mindsets depending on situation)
Knowledge/beliefs/past experience of patient
Knowledge and skill of nurse
Professional expectations of nurse (standards that nursing and public expect nurse to uphold and practice in alignment with)
Environment (relationships differ)

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11
Q

Reflection (inner ring)

A

Thinking part

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12
Q

Reflexivity (inner ring)

A

Action taken as result of conclusions, drawn when reflecting

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13
Q

What are the key characteristics of relational practice?

A

Curiosity and humility
Conscious awareness of self and others
Considers health, and sociorelational experience
Take action using critical analysis of context, situation, and knowledge

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14
Q

What are the 3 organizations Manitoba nurses connect with?

A

The college of registered nurses of Manitoba
Association of regulated nurses of Manitoba
Canadian nurses association

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15
Q

What is the college of registered nurses of manitobas role?

A

Protects and serves the public interest through quality registered nursing regulation
Sets standards for RN education and practice in Manitoba
Sets standards to ensure public safety

Nurses are licensed through the CRNM

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16
Q

What is the association of regulated nurses of Manitobas role?

A

Provincial professional voice for nurses; including nursing students
Advocate for regulated nurses and health of people living in Manitoba
Support and promote excellence in nursing practice

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17
Q

What is Canadian nurses association role?

A

National professional voice for nurses
To make nursing better for nurses, patients and public health system
Speaks for and represents regulated nurses to other organizations and government

Publish code of ethics (CoE)
Influence health policy
Promotes role of the RN

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18
Q

CNA code of ethics

A

Statement of ethical values of RN and nurses licensed in extended roles. Demonstrates nurses commitment to persons with health care needs and persons receiving care

Is aspirational and regulatory- designed to inform everyone about ethical value, subsequent responsibilities and endeavours of nurses

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19
Q

What are the current requirements for RNs?

A

Complete recognized education
Pass NCLEX
complete criminal record. Neck and register in a province or other country

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20
Q

How to remain an RN?

A

in Manitoba, RNs must re register and complete a continuing competence program (CCP) annually.
CCP helps demonstrate activities the RN has done to keep knowledge and skills relevant and current

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21
Q

What are the characteristics of a profession?

A

Accountability
Specialized body of knowledge
Competent application of knowledge
Code of ethics
Service to public
Self regulated

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22
Q

What does increasing numbers of nurses improve?

A

Shorter lengths of stay
Better discharge plan
Lower rates of medication errors
Saves health care system money

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23
Q

Disease

A

Physiological deviation from normal

24
Q

Illness

A

Experience of living with a disease

25
What is stress?
Your body is response to a demand, activity, event Stress is subjective -only described by person experiencing it And objective – BP, HR, temp
26
What are stressors?
Things that activate our stress response and make us feel stressed out Physiological stressors- stress on joints from running, birth, malnutrition, infection Emotional/psychosocial stressors- learning about something tragic, relationship conflict, financial struggles, exams
27
Stress response sis primitive and involuntary, what are the 2 primitive stress responses that our body has?
Sympathetic adrenal medullary system Hypothalamic pituitary adrenal axis These cause increased HR, BP,breathing, sugar levels When chronically activated stressors and stress response can lead to harm and disease
28
What is noncompliance?
Mismatch between what is prescribed in terms of medications or lifestyle changes and what the client adtually does Caused by: costs, side effects, lack of knowledge
29
Complications of stress
Physiological- nausea, vomitting, crying Psychosocial- depression, anxiety
30
What are standards?
Measuring stick of what is acceptable and what is we feel is not
31
Responsibility
Reliable and dependable Distinguish between right and wrong Accepting standards (expectations)
32
Accountability
Being answerable for what you have done Maintaining fitness to practice Reporting unsafe practice of others Being g capable to explain how and why you did or did not meet expectations
33
CRNM practice expectations
Client centered practice- good for all patients (values and beliefs :respect, autonomy, human dignity, realizing clients are experts, clients should be leaders) Competent practice- develop continuing competence to maintain and enhance nursing knowledge, demonstrates critical thinking and use of current evidence from nursing science p, other disciplines etc.
34
Types of knowledge
Empirics/science Personal Ethics Emancipatory Art
35
Empirics/science knowledge
Knowledge developed through systematic research to describe and explain phenomena Involves conscious problem solving using logic Research should follow strict guidelines to ensure quality Sometimes hard to integrate because anecdotal
36
Artistic knowledge
Ability to understand behaviour and “read” people Reflects personality and creativity
37
Personal knowledge
Knowledge you have about yourself (values, beliefs,biases etc.) Most important aspect of nursing Self knowledge- knowing yourself through self reflection, knowing biases, beliefs and values, being aware of biases, beliefs and values and how they influence decisions
38
Ethical knowledge
Moral component Knowing right from wrong Patient and context need to be considered (CoE) not always absolute
39
Emancipatory knowledge
Allows you to recognize social and political problems Uncover root of issues Make change with community
40
What is evidence informed decision making
Considering combination of factors in order to provide best client centred care. Evidence from research Evidence from Assessment Clinical expertise Information about patient presences and values
41
A competent nurse is someone who is….
Able to integrate knowledge, skills and clinical judgement and apply it in practice
42
Breaches in CoE
Sharing confidential info Posting about patients, coworker Sexually explicit material Pursuing personal relationships with patients Using social networking sites to bully/intimidate patients/cowoworkers
43
What are the 5 critical questions before posting on social media?
Will it affect professional reputation? Am I reacting to someone else’s post? Is the info accurate, verifiable and best available research? Am I breaching PHIA or privacy laws? What are my reasons for sharing details about clients story/image on social media?
44
Professional practice
Focuses on practice of nurse and patient safety Maintain competence and fitness to practice Duty to report unsafe practice Results in safest type of care!
45
Fitness to practice
Cognitive Physical Psychological Emotional Not dependent on alcohol, drugs, other substances etc.
46
Duty to report
Concerns about individual or work environment Assists in maintaining trust with public Concerns about individual: believe under influence, breeched confidentiality, falsifies info, abuse to patients/coworkers Concerns about environment: poor orientation/preparation, conflict between others, lack of resources
47
Therapeutic relationship
Planned and goal oriented professional relationship established between nurse and patient with purpose of assisting patient to meet their needs. Purposeful Goal directed Time limited Always about patients
48
Phases of therapeutic relationship
Pre interaction: RN aware of own feelings working with patient orientation: first meet, set goals, build trust and respect Working: solutions explored, tried and evaluated Termination: goal assessed, relationship ends
49
Characteristics present in therapeutic relationship
Empathy: feeling WITH a person Unequal power: nurse holds more power, more authority and influence in HCS Respect and trust: nurse must respect patients choices
50
Types of communication
Verbal- words we speak, vocabulary chosen, pace, timing and tone (7%) Nonverbal- any communication not including spoken/written word (93%)
51
Collaborative care
Guides our practice when we are working in professional capacity with others on health care team
52
Intraprofessional
Team of nurses/nursing students
53
Interprofessional
All healthcare providers
54
What is Confidentiality?
All client info is to be kept private; personal health information PHIA( personal health information act) Ensures patients have access to their personal health information Ensures patients personal health information is private
55
When can patient information be shared?
Person being told is involved in persons care Hospital is allowed to contact emergency contact and tell them your injured With patients family with patients permission In order to prevent harm to self/others

Discipline Midterm (1 decks)

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