Mid term Flashcards

1
Q

Six principles of collaboration

A

Focus on the client
A population health approach
Quality care and services
Access
Trust and respect
Communication

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2
Q

Attributes of Community Health nursing

A

relational
focuses on primary health care delivery
Advocacy
population based vs individual client centered
political in nature (public and health policy)
health promotion, disease prevention, protection, maintenance, restoration, coordination, management

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3
Q

Health promotion

A

process of enabling (resources and information_ to increase and control their health and wellbeing

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4
Q

Essential health care

A

universally acceptable, full participation

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5
Q

population health

A

taking action on the conditions that affect a pop health (SDoH) and create changes

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6
Q

Upstream

A

Macroscopic
Includes a primary prevention perspective
SDoH, economic, political and environmental factors

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7
Q

Nursing origin story

A

first nations founders
colonialism and epidemics
white settlers

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8
Q

Nursing timeline (history)

A

Jeanne Mance (first nurse)
Grey nuns (nursing connected to the church)
Politicization and medicalization of health care
British North America Act
Florence Nightengale
Victorian order of nursing
Epidemics (immigrants)

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9
Q

1867 British North American Act

A

basic health services only at the federal level
high economic disparities
Quarantine and marine hospitals

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10
Q

Florence Nightengale

A

spearhead again by women’s groups
birth of modern nursing, epidemiology

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11
Q

Late 1800s-1900s

A

canadian authorities began to take action to protect public health because of epidemics. Introduced vaccination programs and established boards of health

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12
Q

Origins of Community Health Nursing

A

Grey Nuns assisted in the development of health services and education within communities
Influenced by Florence Nightengale and womens groups

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13
Q

CHA 5 principles

A

Public administration
Comprehensiveness (insurance)
Universality (everyone has the same level of health care)
Portability (people who move to different province is still covered from their home province)
Accessibility

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14
Q

Y2K

A

Panic and progress
1980s
economic recession (changes the funds that are availble for health care

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15
Q

Lalonde Report

A

Canada
4 departments - environment, lifestyle, human biology, health care system

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16
Q

Alma Ata

A

WHO and UNICEF
International conference on primary health care

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17
Q

The Epp Framework and the Ottawa Charter

A

First WHO international conference on Heath promotion hosted by canada

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18
Q

Home health nursing

A

Acute, Chronic, rehabilitative, and palliative care in order to support people to live independently in their communities for as long as possible

Home care assist with coordinating and managing admission to long –term care

Disease care and treatment that requires surgical or medical interventions

Street nursing

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19
Q

Public Health Nursing

A

Organized efforts of society to keep people healthy and prevent injury, illness and premature death.

A combination of programs, services, and policies that protect and promote the health of all Canadians.

Disease and injury prevention

Community development

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20
Q

Public Health Agency of Canada (PHAC)

A

Legal mandate
To promote, protect the health of Canadians through leadership, partnership, innovation and action in public health

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21
Q

Home health discipline

A
  1. elements of home health nursing (assessment, planning skills, education, communication relationships, equity and capacity)
  2. foundations of home health nursing (core knowledge incl. health promotion and protection)
  3. Quality and professional responsibility (quality care, professional responsibility)
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22
Q

Health equity

A

social conditions interact to prevent people from making decisions or taking actions that would promote health.

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23
Q

Romanow Commissions report

A

shifting policy toward primary healthcare, home healthcare, and health promotion, with nurses playing key role

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24
Q

Morals

A

Shared and generational societal norms about what constitutes right or wrong conduct

25
Q

Values

A

Beliefs about the shared worth or importance of what is desired or esteemed within a society

26
Q

Population Health

A

Aim: to improve the health of groups of people while reducing health inequalities and their underlying determinants

requires coherent multi-level policies in health and other sectors

Social equity lens

27
Q

Dimensions of Community Health

A

Status: physical (morbidity, mortality, life expectancy, risk factors), emotional (satisfaction and mental health), social components (crime rates, function levels)
Structure: community services and structure
Process: effective functioning/problem solving

28
Q

Socio-structural determinants

A

engagement of community in planning, monitoring and evaluating programs
Determinants are interrelated

29
Q

Important ethical obligations of CHNs

A

confidentiality
accountability

30
Q

Harm principle

A

justification to take action to restrict the liberty of an individual or a group in order to prevent harm to others

31
Q

Principle of Least Restrictive

A

achieve public health needs but the full authority and power should be used for exceptional circumstances
Includes education, facilitation, discussion precede restrictions

32
Q

Reciprocity Principle

A

society must be prepared to facilitate individual and community efforts to discharge their duty

33
Q

Transparency Principle

A

manner and context in which decisions are made

34
Q

CNA position statement on promoting culturally competent care

A

knowledge, skill, attitudes, and personal attributes to maximize respectful relationships with diverse populations

35
Q

nmemonic representing key questions to encourage reflexive practice

A

Awareness
Skills
Knowledge
Encounters
Desire

36
Q

Structural Racism

A

historical, cultural and social ways that are set and pushed because that is the way you have known them all along. Policies from the system

37
Q

Systemic Racism

A

A system in which public policies, institutional practices, cultural representations, and other norms work in various, often reinforcing ways to perpetuate racial group inequity
System where policies or practices (“this is our school of nursing policy”), cultural representatives, are reinforcing and perpetuating cultural racism and causing inequities

38
Q

White Privilege

A

puts other people that are not white at a disadvantage and the other at an advantage. Oblivion, peripheral vision (if I don’t have to see it, I won’t)

39
Q

Institutional Racism

A

policies, practices within an institution that favor certain individuals

40
Q

visible minority

A

people of colour, people who are neither indigenous or caucasion

41
Q

Racially visible

A

terminology more commonly used to indicate “visible minority” status

42
Q

Diversity

A

refers to the uniqueness of the client within the cultural context
Focuses on client assets that build capacity

43
Q

Visible diversity

A

differences that can be observed when looking at somone

44
Q

Invisible diversity

A

characteristics that cannot be readily seen such as disability, religion, sexual orientation, military experience, socioeconomic background, marital status, nation origin, and more

45
Q

culture

A

language, gestures, tools, customs and traditions that define a groups values and organize social interactions
social construct, embedded in every day life, shared, fluid and dynamic

46
Q

overt racism

A

individual

47
Q

Systemic racism

A

institutional

48
Q

Attributes to cultural competence

A

Cultural…
awareness
knowledge
understanding
sensitivity
interaction
skill

49
Q

Eurocentrism

A

values, attitudes or beliefs that are based on or reflect the European frame of mind

50
Q

Cultural humility

A

A commitment to actively taking responsibility for seeking to understand the culture and experiences of others.
Being comfortable not being the expert
Knowing one can never fully understand the experience, history, and background of another

51
Q

Colonialism

A

acquiring political control over a group of people and exploiting them economically

52
Q

Stereotype

A

a preconceived idea of a particular group or person

53
Q

Prejudice

A

preconceived opinions based on stereotypes which results in consistent interconnected ways of thinking and understanding

54
Q

Racism

A

discrimination directed at a particular group because of their racial or ethnic identity

55
Q

Cultural Safety

A

Analysis by health professionals of their cultural self and its influence on cultural interactions
Acknowledgement of power imbalance favoring the health professional and addressing it
HCP learning and applying new skills

56
Q

Cultural awareness

A

an initial understanding that variations exist

57
Q

Cultural sensitivity

A

showing respect and valuing cultural diversity

58
Q

What helps remove barriers of power and authority and promote equality?

A

Cultural safety

59
Q

Cultural assessment

A

consider communication, space, social organization, time and environment