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NURS 127 > FINAL > Flashcards

FINAL Flashcards

1
Q

In 2013, the FNHA began a new era in BC First Nations health governance and health care delivery, how so?

A

by taking responsibility for the programs and services formerly delivered by Health Canada.

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2
Q

The FNHA is the health and wellness partner to over ______ diverse First Nations communities and citizens across BC.​

A

200

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3
Q

FNHA healh premotion strategies include primary health care through more than _______ medical health centres and nursing stations

A

130

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4
Q

What is the operating principles philosophy off of which the FNHA acts?

A

Wellness
E mphasis on personal best
Living it
Listen learn and act
Never leaving anyone behind
Excellence
Service delivery and system transformation
Sustainabillity, integrity, efficiency, and innovation

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5
Q

What is the unique health governance structure that the FNHA is a part of?

A

political representation and advocacy through the First Nations Health Council, and technical support and capacity development through the First Nations Health Directors Associatio

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6
Q

Who do the FNHA work in partnership with?

A

BC First Nations

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7
Q

Describe nixons coin model

A

a coin with two sides: one side represents advantages and the other represents disadvantages. It emphasizes that privilege is complex and multidimensional, intersecting with various aspects of identity such as race, gender, sexuality, and socioeconomic status.

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8
Q

How does nixons coin model suggest people can be allies?

A

individuals can be allies by recognizing their own privilege, listening to and amplifying the voices of marginalized groups, and actively working to dismantle systems of oppression.

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9
Q

Continuum of cultural safety and humility includes

A

cultural competence
cultural awareness
cultural sensitivity

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10
Q

Main points of Jancey article

A

Approaching problems at their root instead of treating the symptoms

Holistic perspective
Comprehensive appraoch
Multisector collaboration
Preventative measures
Evidence based strategies
COmmunity empowerment
Health inequalities

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11
Q

Difference bw health education and health promotion

A

Health education

Consciously constructed opportunities for learning involving some form of communication designed to improve health literacy, including improving knowledge, and developing life skills, which are conducive to individual and community health

Health promotion
Encompasses “not just individual action abut also social, political, and environmental action to change the determinants of health and thereby improve health; it is the process of enabling people to increase their control over, and improve, their health

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12
Q

First peoples principals of learning was developed by who?

A

collaboratively by the First Nations Education Steering Committee and BC Ministry of Education

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13
Q

Principals of learning

A

Learning supports WELLBEING of self +

Learning is HOLISTIC, reflexive, reflective, experiential, and relational

Learning involves recognizing CONSEQUENCES for actions

invovles GENERATIONAL roles and responsibilities

involves role of Indigenous KNOWLEDGE

Learning is EMBEDDED in memory, history, and story

Involves PATIENCE and time

REQUIRES exploration of one’s identity

involves recognizing that some knowledge is SACRED and needs permission for sharing

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14
Q

Which principal of learning has implications for nurses roles?

A

Learning is EMBEDDED in memory, history, and story

Using story and narrative in health education.
Providing learners with opportunities to share their own stories and voice.

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15
Q

2 approaches to using the principle of learning through embedded memory and story into healthcare?

A

Provide learners with opportunities to share their own stories
Addresses power imbalances

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16
Q

4 Rs for respectful storytelling

A

Respect
Responsibility
Relevance (recognize importance of Indigenous culture in todays world)
Reciprocity

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17
Q

What does reciprocity mean for storysharing with Indigenous people

A

recognizing that relationships between Indigenous and non-Indigenous peoples must be based on mutual respect, understanding, and benefit

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18
Q

Define privelage

A

Unearned advantage that others dont have

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19
Q

Oppression

A

Opposite of privelaged

You have an unearned disadvanatage that others don’t have

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20
Q

Is it easier to notice when you are facing oppression or privelage?

A

Oppression

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21
Q

What is intersectionality

A

An approach to understanding how systems of inequities,

such as sexism, racism and ableism,

interact with each other to produce complex patterns of privilege and oppression.

22
Q

Is the result of intersectionality additive (do two spots on one side of the coin mean your 2x as privelaged?)

A

No it’s much more complex

Relevance depends heavily on context

23
Q

Culture

A

Broad term encompassing areas like language, communication styles, food etc. helps define a groups values

24
Q

Ethnicity

A

Usually referring to language, country of heritage, nd often intersects with culture and religion

25
Q

Nationality

A

Describing where a person lives/ is a citizen of BUT also can include their country of origin

26
Q

Race

A

A social construction used to categorize people based on no scientific proof

27
Q

Racial hiearchy within Canada

A

British
Northwest and central europeans
Southern Europeans
Eastern Europeans
Asians
Aboriginals and Aftricans

28
Q

Is there genetic diversity bw groups?

A

There is more genetic diversity among groups than bw them

29
Q

Social construct

A

a concept that exists not in objective reality but because of human interaction over time and reinforced through ideas

30
Q

Allyship defined as

A

the “active, consistent, and arduous practice of unlearning and re-evaluating in which a person of privilege seeks to operate in solidarity with a marginalized group of people

31
Q

Is culture fixed or a social construction

A

Social construction
Fluid an dynamic

32
Q

Cultural awareness

A

Initial understanding that cultural variations exist

33
Q

Cultural sensitivity

A

Showing respect and valuing cultural diversity

34
Q

Cultural competence

A

is an ongoing process not an outcome

Process of respecting, accepting, and applying knowledge and skills

35
Q

Cultural humility

A

A commitment to actively taking responsibility for seeking to understand the culture and experiences of others.

36
Q

What is one thing that can allow us to overlook the burden of history

A

A narrow view of culture

excluding the backdrop of history & context

Not understanding personal privelage

Assumptions based on phenotypes

37
Q

Cultural safety based on 3 premises

A

Analysis by health professional of his or her cultural self and its influence on client interactions.

Acknowledgement of the power imbalance favouring the health professional and addressing this so that the client’s cultural environment is safe.

HCP learning and applying new foundational skills

38
Q

Principals of allyship

A

Self awareness
Empathy
Humility
Solidarity
Committment

39
Q

Cycle of oppression

A

Stereotype
Prejudice (whole way of thinking based on stereotypes)
Discrimination (actions based on prejudice)
Oppression (discrimination backed by systemic power)

40
Q

Empowerment

A

A process by which people gain more control over their lives and health

41
Q

The ladder of intervention

A

With each step up the ladder, peoples choices are more and more influenced/intruded upon

42
Q

Steps on the ladder of intervention

A

Eliminate choice
Restrict choice
Guide choice through disincentives
Guide choice through incentives
Guide choice through changing the default policy
Enable choice
Provide information
Do nothing or simply monitor the situation

43
Q

Population health promotion model

A

With WHOM can we act
On WHAT can we act
WHY take this action to improve health
HOW can we take action

44
Q

Participatory approach to community based work

A

directly address the marginalization and powerlessness caused by entrenched health inequalities

45
Q

Community based

A

Sees the community as a medium or setting for the intervention

Target specific individuals or subgroup

Work within community

46
Q

Community development

A

Building capacity within the commuinty

Target commuinty structures, services or policies

Activities are broad targeting wider factors that impact. health

47
Q

Community engagement approaches

A

Patient/consumer involvement in development
Peer-/lay-delivered interventions
Empowerment of the community

48
Q

Philosophy of community development

A

Committment to equality
Emphasis on participation
Recogizing skills of people

49
Q

Parts of a community centered appraoch

A

Participation
Community empowerment
Community led
Social justice
Asset/Strengths-based

50
Q

Stereotype

A

Oversimplified, exaggerated, and usually negative view of group of people

51
Q

Key area of action put forward by Ottawa charter

A

Strengthening community action

52
Q
A

NURS 127 (4 decks)

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