Essay Questions Flashcards
What is implicit bias? How can this affect the nursing care you provide?
Implicit bias = subconcious attitudes, stereotypes, & prejudices that individuals hold about certain groups of people.
- These biases can affect our thoughts, decisions, and actions without us being aware of it. In turn, this may influence diagnosis and assessment, communication, medication and treatment plans, or even how we treat the patient we are caring for.
What is a health disparity? What are some of the causes? What might be an upstream approach to this problem?
Health Disparity: refers to differences in health outcomes, access to healthcare, & health-related quality of life among different populations. Health disparities highlight unequal distribution of health resources & opportunities resulting in some populations experiencing higher rates of disease, disability, & mortality when compared to other populations.
- These disparities can be based on various factors including race, ethnicity, socioeconomic status, gender, age, disability, geographic location, etc.
UPSTREAM APPROACHES:
* Healthcare Access ensures equitable access to healthcare services through measures such as expanding medicaid, increasing the number of healthcare providers in underserved areas, and reducing barriers to care like transportation and childcare.
* Community-Based Programs: which invest in various initiatives within the community to address specific needs of marginalized populations. These programs can provide education, outreach, and support services to improve the overall health and well-being of a population.
What are the stages in the transtheoretical model? How can you use this model (TTM) when using motivational interviewing communication skills?
STAGES OF TRANSTHEORETICAL MODEL:
1.) Pre-contemplation: Individual is not yet considering making a change.
* MI - focuses on building rapport & raising awareness about the issue
2.) Contemplation: individual is aware of the problem & considering making a change
* MI - can be used to explor the pros & cons of change
3.) Preparation: individual decides to make a change
* MI - can help the patient set realistic goals
4.) Action: individual is actively making a change
* MI - used to monitor progress & address any obstacles or setbacks
5.) Maintenance: after a successful change, it focuses on the new behavior
* MI - can help with strategies to prevent relapse
6.) Termination / Adoption: change is now a part of the individual’s identity
* MI - discussing strategies to ensure the change that has been made remains a permanent change
List 3 major changes that have occured to bring about change to the 21st century healthcare.
- Development of patient-centered care
- Increased use of technology
- Increased autonomy / personal responsibility
Describe the 8 principles of public health nursing in your own words.
1.) The client is the population.
2.) Public health nurses are obligated to do what will bring the greatest good to the most amount of people possible.
3.) The client and the nurse are equals.
4.) The priority of public health nursing is primary prevention.
5.) The focus of public health nursing is on creating healthy environmental, social, & economic conditions.
6.) Public health nurses are obligated to reach out to anyone and everyone who may benefit from the service or activity being offered.
7.) Using research and the creation of evidence-based strategies is the best way to implement an overall improvement.
8.) Collaboration is the best way to protect the health of people
