Important concepts for N1200 Final Flashcards
Provincial organization that is not involved in student related practice issues. Not an educatioal body. Required to be a member to practice in Ontario.
Legislative authority to regulate practice.
Responsibility to the public.
Monitors continual pracitce and education requirements.
CNO
Provincial organization, publishes BPGs.
RNAO
Provincial labour representatives
ONA
•National organization; being a member here makes you a member of ICN
We are members since we are students
CNA
International nurse organization; white heart symbol; international code of ethics published by them
ICN
Necessary to have strenghts of mindset.
Self-awarness
engage in introspection/reflection, understand own values, recognize the right of others to make choices consistent with their values
self-awareness
What are the different strengths of mindset?
Mindfulness, humility, open-mindedness, non judgmental attitude
What are the different strengths of knowledge and knowing?
Curiosity, self-reflection
What are the different strengths of relationship?
Respect and trust, empathy, compassion and kindness
What are the different strengths of advocacy?
Courage, self-efficacy
Courage to do what is right, even in the face of adversity.
Moral courage
Courage to be with someone during hard times.
Vital courage
Courage to help others even if this places you in danger
physical courage
Reflection requires these two.
Self-awareness and critical thinkking
the things that really matter to you – influence the way we think, behave and the choices we make
values
convictions that a person thinks is true – underpin and guide behaviour and actions
beliefs
: judgements comprised of affective, behavioural and cognitive aspects
Attitudes
provide care by asking a person about their stories, asking about their culture and confirming, rather than generalizing.
cultural sensitivity
ensuring that people feel safe to share their culture without feeling alienated
cultural safety
what you can gain/learn, how we express what we know
knowledge
– process – way of perceiving and understanding yourself and the world
knowing
study of the way of being. Relational quality of being present with another – art of nursing
ontology
study of the origins of nursing knowledge, its structure and methods, patterns of knowing, etc.
epistemology
What are the components of Carper’s patterns of knowing?
empirical, esthetic, personal knowledge, ethics
situations with ambiguity or uncertainty in which the consequences are difficult to predict
moral dilemmas
aptitude to acknowledge social and political injustice or inequity, to realize things could be different, and to piece together complex elements of experience and context to change a situation to improve people’s lives
emancipatory knowing
condition of openness to other possibilities, interpretations, etc. Suspension of biases and values so that you can learn what the patient is experiencing.
unknowing
study of the philosophical ideals of right and wrong behaviour on what you think ought, or ought not, to do
ethics
study of ethical issues emerging from advances in biology and medicine.
bioethics
doing or promoting good for others
Beneficence
avoiding or minimizing harm or hurt onto others
non-maleficience
related to concern for equitable distribution of benefits and burdens of society – broad social change necessary to address SDoH
Social justice
situates ethical action explicitly in relationship
relational ethics
placing the values of one ethnicity over another
ethnocentrism
generalizing towards a whole population, from the actions of few – can be on the basis of race, age, gender, etc.
stereotyping
idea or opinion that is not based on fact, knowledge or experience
prejudice
when you act on these prejudices = unjust or prejudicial treatment of diferent categoires of people based on race, age, sex, etc.
discrimination
antagonism directed against someone of a different race based on thoughts of racial superiority
racism
when you know what should be going on but the institute or facility that you are in makes it impossible for you to do the right thing.
moral distress
being accountable and responsible for the judgements, decisions and actions you take
moral integrity
long-lasting powerfully integrated morality integrated into one’s thoughts about themselves – keeps eating at you
moral residue
unintended injuries or complications that result in death, disbality or longer stays
adverse events
reporting of malpractice issues in the workplace
whistle blowing
focus on the illness and lacks appreciation of patient context.
DBC
- Regulates scope of practice for 28 health professions
- List controlled acts for regulated health professionals (13)
- Allowed self-regulation
- Procedural code – outlines responsibilities of each of the colleges
RHPA - 1991
prescribed procedure below dermis or mucous membrane; administering a substance by injection or inhalation, basically putting an instrument or finger in any opening, dispensing a drug (cannot delegate
controlled acts
Controlled acts for nursing are under what?
Nursing act - 1991
• Entry to practice, title protection, controlled acts authorized to nursing, QA, professional misconduct regulations
Nursing act - 1991
What are the 3 places to have liability insurance or protection?
Canadian nurse protective society
RNAO
ONA
required – testing nurse knowledge about and understanding of laws, practice standards and guidelines
jurisprudence
easier to change the condition that led to the error than to change the behaviour; ask why something fails, not who caused it to fail
systems approach
resulted in harm to patient
harmful incident
incident did not reach the patient, so no harm resulted
near miss
reached patient, but no discernible harm resulted
no harm incident
– rules and procedures in place, but violated – e.g. failure to wash hands – related to person
routine violation
allowing someone unqualified to do a task to same time – related to person
optimizing violation
important steps are skipped – linked to organizational failure
necessary violation
What are the phases of the therapeutic NC relationship?
Pre-interaction phase
orientation/introductory phase
working phase
closing/termination phase
What is the acronym SOLER?
- S – sitting at a comfortable angle and distance
- O – open posture
- L – leaning forward, looking interested, listening attentively
- E – eye contact without staring
- R – relaxed
What are the stages of the interview process?
Preparation
intitiation/introduction
exploration/wokring state
termination
thinking the medical professional is always correct, takes away person’s ability to make decisions.
paternalistic approach
empowerment for both nurse and client – talk about willingness to try new things.
self efficacy
reasoning by novices; slow process based on standardized approaches
analytic
reasoning based on pattern recognition – pick up patterns form previous experiences
intuitive
reasoning based on understanding of client’s story – finding out the meaning of the illness for the client taking into account their context, beliefs and values
narrative
How does Tanner’s CJ model link with the nursing process model?
nursing assessment (noticing) nursing diagnosis (interpreting) planning intervention (responding) evaluation (reflection)
What are the fives sides of the house for the situated clinical decision making framework?
Knowing the profession knowing the self Knowing the case knowing the patient knowing hte person
Theory that views person as multi-dimensioanl being – whole is greater than the sum of its parts
systems theory
Theory of process of growth and maturation that is directional and has an orderly purpose
Developmental theories
Goal would be finding an intervention technique to promote optimal socialization between nurse and client
interactive theory
most complex and broad; non-specific and abstract; lacks operational definitions
Grand theory
– target specific phenomena, limited in scope – deal with concrete concepts that operationally defined, amenable to empirical testing
middle range theory
Theory that aims to describe a phenomenon
descriptive theory
Theory used to used to control or manage a desired phenomenon
Prescriptive theory
Components of nursing paradigm
Person, environment, health nursing
5 principles of Canada health act (1948)?
Public administration comprehensiveness universality portability accessibility
What is our system called? What does it protect us from?
What is the major limitation?
- Medicare – protects against user fees and extra billing
* Major limitation is that it is only related to hospital care or physician services in the community
Who is the Federal minister of health?
Provincial?
Ginette Taylor
Dr. Eric Hoskins
favoured continuation of medicare system primary health is the single most important basis for which we should renew healthcare – direction we took
Romeno report
favoured increasing private sector involvement in healthcare
Kirby report
What are the five levels of care?
Health promotion, disease and injury prevention, diagnosis and treatment, rehabilitation, supportive care
Doesn’t require power differentials to be present
incivility
displaced violence directed against one’s peers rather than adversaries.
lateral violence
What are the conflict management styles?
- Force – I win, you lose
- Avoidance – I lose, you lose
- Compromise – I win some, you win some
- Accommodation – I lose, you win
- Collaboration – I win, you win
What is OBEFA?
- O – opening statement – indicate there is something you want to discuss
- B – behaviour – focus on behaviour, not person
- E – effect or consequence of behaviour
- F – feelings – how it makes you feel
- A – action – indicating how you want to work on this together
What are the three outcomes of healthy work environments?
Patient safety, job satisfaction, nurse retention
dominant influences that maintain the status quo.
Hegemony
