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final Flashcards

1
Q

what is caring

A

foundation to nurse-pt relationship and nursing practice

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2
Q

benner

A

states levels of nursing knowledge from novice all the way to proficient

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3
Q

leininger

A

transcultural care
stated that nurses need better knowledge regarding their pt’s culture in order to provide better care

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4
Q

watson

A

theory of human caring

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5
Q

swanson

A

theory of caring and healing
knowing, being with, doing for, enabling, and maintaining belief

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6
Q

caring is an

A

interaction between nurse and patient in atmosphere of mutual respect and trust

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7
Q

ethic of care

A

concerned with relationship between people and with a nurse’s characteristics and attitude towards others

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8
Q

ethics of care places the nurse as

A

the patient’s advocate, influences the nurse’s clinical judgement and helps guide clinical decision making regarding ethical dilemmas by attending to relationships and giving priority to each patient’s unique personhood

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9
Q

how do nurses show care

A

providing presence
touch
listening
knowing the patient
providing spiritual care
relieving symptoms and suffering
family care

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10
Q

presence

A

person to person encounter converying a closeness and sense of caring where nurse is available and responsive to pt needs

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11
Q

touch

A

a comforting approach that reaches out to pts to communicate concern and support
can be task oriented, caring, protective, or therapuetic

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12
Q

listening

A

necessary for meaningful interaction with patients where listener needs to be present and engaged with patient in nonjudgmental and accepting manner

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13
Q

knowing the patient

A

the core of clinical decision making and patient-centered care
helps you develop and understanding that helps you to better know the patient as unique individual which helps better analyze cues, identify, main problems, and provide individualized, EBC

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14
Q

relieving symptoms and suffering

A

requires patient-centered actions that give a patient comfort, dignity, respect and peace and provides comfort and support measure ot family and friends

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15
Q

spirituality

A

an awareness of one’s inner self and a sense of connection to a higher being, nature, or some purpose greater than oneself, has positive impact on ability to cope with anxiety, stress, and depression

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16
Q

scientific and nursing knowledge base

A
  • relationship between spirituality and healing not completely understood
  • individual’s intrinsic spirit seems to be an important factor in healing
  • spirituality has positive impact on ability to cope with anxiety, stress, and depression in situations
  • a persons inner beliefs and convictions are powerful resources for healing
  • nursing research shows association between spirituality and healing
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17
Q

five concepts of spirituality

A
  • self-transcendence
  • connectedness
  • faith and hope
  • inner strength and peace
  • meaning and purpose in life
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18
Q

factors impacting spirituality

A
  • acute illness
  • chronic illness
  • terminal illness
  • near death experience
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19
Q

critical thinking

A

involves applying knowledge and interpersonal skills that enable nurses to enhance pas spiritual well being and health

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20
Q

assessment of spirituality

A
  • through pt eyes
  • environmental factors
  • experience with illness or disbailiity
  • assessment tools : spiritual well being scale (SWB)
  • FICA (faith, importance, community, address)
21
Q

pt outcomes

A

mutually agreed on plan of care that are relastic and align with pt beliefs, practice and culture

22
Q

setting priorities

A

pt identifies what is most important to them

23
Q

teamwork and collaboration

A

involve members of organized religion into plan of care when appropriate and with pt’s permission

24
Q

health promotion

A

establishing presence
supporting a healing relationship

25
Q

acute care

A

support systems
diet therapies
supporting rituals

26
Q

restorative and continuing care

A

prayer
meditation
supporting grief work

27
Q

unconscious bias

A

bias we are unaware of and that happens outside our control which is influenced by our personal background, cultural environment, and personal experiences

28
Q

implicit bias

A

aware of, responsible to address and recognize

29
Q

what is patient centered care

A

approach to planning, delivery, and evaluation of health care that is grounded in mutually beneficial parternships among health care providers, patients, and families

30
Q

patient centered care

A

redefines the relationship in health care by placing an emphasis on collaborating with people of all ages at all levles of care and in all health care settings

31
Q

cultural congruent care

A

another name transcultural care
emphasizes the need to provide care based on individuals cultural beliefs, practices, and values

32
Q

how to accomplish cultural congruent care

A
  • need to address own implicit bias
  • be respectful and responsive to individual patient preferences, needs and values
  • ensure that patient values guide all clinical descions
33
Q

cultural competence

A

professional health must be cultuarlly sensitive, appropriate, and competent to meet the multifaceted health care needs of each person, family, and community

34
Q

intercultural encounters involve

A
  • emic world view insider perspective
  • emic world view - outsider perspective
  • sterotype-assumed belief aout a particular group
  • trouble arises when provider interpret behaviors based on their own view
35
Q

how to develop cultural competence

A

begins with a self exam and gaining awareness of own racial, ethnic, and cultural identity
allows understanding of cultural factors that shape patients life experiences, home health care porblems and behavior and how they might perceive those problems with building a positive nurse-pt relationship
develops/evolves over time, ongoing process

36
Q

capinha-bacote’s model of cultural competence

A
  1. cultural desire
    2.cultural awareness
  2. cultural encounters
  3. cultural skill
  4. cultural knowledge
37
Q

cultural awareness and cultural knowledge

A

awareness-self examines the dynamics of personal biases stereotypes, values, and beliefs related to others different form ones own heritage

38
Q

awareness leads to

A

knowledge

39
Q

knowledge

A

process which a HCP seeks and obtains a sound educational base about culturally diverse groups with focus on health-related beliefs and cultural values, disease incidence and prevalence, and treatment efficacy

40
Q

cultural skill

A

ability to conduct a cultural assessment of a patient to collect relevant cultural data about a patient’s based physical assessment

41
Q

development of cultural skills takes

A

time and practice, collection of culturally based nursing history, conducting of cultural based physical assessment

42
Q

language

A

use plain language when speaking to clients and avoid medical jargon

43
Q

language interventions

A
  • provide language assistant resources
  • inform of availability of resources in preferred language
  • ensure competence of those providing language assistance serices
  • provide easy to understand printed materials in native languages
44
Q

cultural desire

A

your desire to engage with patient who have cultural differences that evokes the process of cultural competence and understand them from their cultural perspectivec

45
Q

cultural desire requires

A

understanding of pt’s world view so you can develop caring relationship with your client

46
Q

health people 2020

A
  • poor health status
  • disease risk factors
  • limited access to health care
  • poor health outcomes
47
Q

social determinants are

A

widely responsible for health disaprities

48
Q

health disparities

A

populations who are poor and uninsured experience greatest disparities
marginalized groups more likely to experience poor health outcomes (lgbtq, people fo color, people with disabilities, people without college education)

nur302 (2 decks)

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