Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Concepts Exam 2 > Lecture 2 > Flashcards

Lecture 2 Flashcards

1
Q

Caring

A

universal phenomenon influencing the ways in which people think, feel, and behave in relation to one another

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Caring has been studied from a variety of perspectives, both ethical and philosophical.

A

Leininger’s Transcultural Caring
Watson’s Transpersonal Caring
Swanson’s Theory of Caring (5 caring processes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Madeleine Leininger

A

Stresses the importance of understanding cultural caring behaviors

The essence and central, unifying, and dominant domain that distinguishes nursing from other health disciplines
An essential human need, necessary for the health and survival of all individuals
Assists an individual or group in improving a human condition
Helps protect, develop, nurture, and sustain people

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Jean Watson

A 
**10 Carative Factors
Care promotes healing and wholeness
Rejects the disease orientation to health care
Places care before cure
Emphasizes the nurse-client relationship
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Swanson’s Theory of Caring

A

five categories or processes **Table 7-2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Patient perceptions

A

important because healthcare is placing a greater emphasis of patient satisfaction.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Patients value the affective dimension of nursing car

A

Connecting w/ patients and their families

Being present

Respecting values, beliefs, and choices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Patients’ become active partners in plan of care when nurses are

A

Sensitive
Sympathetic
Compassionate
Interested

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Ethic of Care

A

professional, ethical covenant that nursing has with the public.

In any patient encounter a nurse needs to know what behavior is ethically appropriate.

Places the nurse as the patient’s advocate who solves ethical dilemmas by creating a relationship and giving priority to each patient’s unique personhood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Caring

A

is a product of culture, values, experiences, and relationships with others.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Caring behaviors include

A

Providing presence
Touch
Listening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Providing Presence

A 
“Being there”
“Being with”
Established presence includes:
Eye contact
Body language
Voice tone
Listening
Positive/Encouraging attitude
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Touch

A

comforting approach that reaches out to patients to communicate concern and support.

Contact – skin to skin
Non-contact – eye contact

Creates a connection:
Task-oriented touch - performing task or procedure

Caring touch – nonverbal communication; holding hand, back massage, position patient

Protective touch – protects a nurse and/or patient. Most obvious form of protective touch, preventing an accident. Can protect a nurse emotionally as they distance themselves from a patient when they are unable to tolerate suffering or needs to escape from a situation that is causing tension (negative feelings in a patient?)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Listening

A

critical component of nursing care and is necessary for meaningful interactions with patients.

To listen effectively means to silence yourself and listen with openness.

Opens lines of communication

Creates a mutual relationship

By actively listening you begin to truly know your patients and what is important to them.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Knowing the Patient

A

Develops over time

The core process of clinical decision making

Aspects of knowing include:
Responses to therapy, routines, and habits
Coping resources
Physical capacities and endurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Spiritual Care

A

health is achieved when a person can find a balance between their life values, goals and belief systems and those of others.

Research show a link between spirit, mind, and body.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Intrapersonally

A

connected to oneself

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Interpersonally

A

connected to others and the environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Transpersonally

A

connected with the unseen, God, or higher power

20
Q

Relieving Pain and Suffering

A

Caring nursing actions that give a patient comfort, dignity, respect, and peace.

Suffering and pain are multifaceted:
Physically
Emotionally
Socially
Spiritually
21
Q

Family Care

A

People experience life through relationships with others.

Caring does not occur in isolation from a patient’s family.

Family is an integral resource and should be active participants in plan of care.

Nurse should learn about patients’ families and what their roles are in the patients’ life.

Understand the patients illness may impose stress on family members as well.

22
Q

Challenge of Caring

A

Challenges
Task-oriented biomedical model
Institutional demands
Time constraints
Reliance on technology, cost-effective strategies, and standardized work processes
If health care is to make a positive difference in patients’ lives, health care must become more holistic and humanistic.

23
Q

Health disparity

A

A particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage

An inequality or difference between the health status of a disadvantaged group , such as people with low incomes and wealth ,and an advantaged group such as people with high income and wealth

Difference/inequality between disadvantaged and advantaged groups related to incidence, prevalence, and outcomes health conditions, diseases, and complications

24
Q

Members of the disadvantaged group/marginalized group experience:

A

Increased incidence of disease
Poor health outcomes
Die at an earlier age

25
Q

Health Care Disparities

A

Differences among populations in the:
Availability, Accessibility, Quality of health care services (e.g., screening, diagnostic, treatment, management, and rehabilitation) aimed at prevention, treatment, and management of diseases and their complications.

26
Q

Social Determinants of Health

A

access to social and economic opportunities;
the resources and supports available in our homes, neighborhoods, and communities;
the quality of our schooling; t
he safety of our workplaces;
the cleanliness of our water, food, and air;
the nature of our social interactions and relationships.

The conditions in which we live explain in part why some Americans are healthier than others

27
Q

Which “disparity” deals with incidence, prevalence, and outcomes of health conditions, diseases, and related complications

A

Health Disparity

28
Q

Addressing HC Disparities

A

Focus on cultural competency, health literacy, and patient- and family-centered care

Recognize that valuing each patient’s unique needs improves the overall safety and quality of care and helps to eliminate health disparities.

29
Q

Culture

A

Norms, values, and traditions
Ethnicity, race (physical characteristics ; color of skin), nationality, and language
Gender, sexual orientation, location, class, and immigration status

30
Q

Intersectionality

A

Belonging simultaneously to multiple social groups

31
Q

Oppression

A

A system of advantages and disadvantages tied to our membership in social groups

32
Q

Transcultural Nursing

A

Leininger (2002a)
A comparative study of cultures to understand similarities (culture universal) and differences (culture-specific) across human groups.

33
Q

Goal of Transcultural Nursing is to Provide

A

Culturally congruent care
Care that fits a person’s life patterns, values, and system of meaning
Requires specific knowledge, skills, and attitudes in the delivery of culturally congruent care

34
Q

Disease

A

Malfunctioning biological or psychological processes

35
Q

Illness

A

The way that individuals and families react to disease

36
Q

Cultural Competency

A

Defined as the enabling of health care providers to deliver services that are respectful of and responsive to the health beliefs, practices, and cultural and linguistic needs of diverse patients.

37
Q

How do organizations do this, by integrating the following

A
  • value diversity
  • cultural self assessment
  • manage the dynamics of difference
  • institutionalize cultural knowledge
  • adapt to diversity
38
Q

Cultural Awareness

A

Becoming more self-aware of your biases and attitudes about human behavior is the first step in providing patient-centered care

Bias: a predisposition to see people or things in a certain light, either positive or negative.

39
Q

Selected Components of Cultural Assessment

A 
Ethnic heritage and ethnohistory
Bicultural history
Social organization
Religious and spiritual beliefs
Communication patterns
sexual orientation/gender  identity
Caring beliefs and practices
Socioeconomic status
40
Q

Linguistic Competence

A

Communicate effectively and convey information in a manner that is easily understood by diverse audiences

  • Limited English proficiency
  • Low literacy skills/not literate
  • Disabilities
  • Hard of hearing/deaf

Interpretive services
Do not use patient’s family members

41
Q

Health Literacy

A

The ability to obtain, process, and understand health information needed to make informed health decisions

42
Q

Teach-Back Method

A

The teach-back method is an intervention that helps you to confirm that you have explained what a patient needs to know in a manner that the patient understands. When using this technique,do not ask a patient,”Do you understand?”or “Do you have any questions?” Instead ask open-ended questions to verify his/her understanding

43
Q

Cultural Encounters

A

Are interventions that involve a nurse directly interacting with patients from culturally diverse backgrounds
Provide opportunities to learn about other cultures and develop effective intercultural communication
Facilitates the development of refining, or modifying existing values, beliefs, and practices to develop cultural desire , awareness, skill, and knowledge

44
Q

Cultural Desire

A

The motivation of a health care professional to “want to”—not “have to”—engage in the process of becoming culturally competent
Natural desire to engage in the cultural competence process motivated by passion, commitment, and caring

45
Q

Core Measures

A

Joint Commission and Centers for Medicare and Medicaid services developed standards, which include considering patient’s unique cultural perspectives

Core measures are key quality indicators that help health care institutions improve performance, increase accountability, and reduce costs

Intended to reduce health disparities

Concepts Exam 2 (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions