MIDTERM 1 Flashcards
Florence nightingale
America’s first professional nurse, created first nursing school
Mary seacole
Denied application to be nurse, established hotel to treat people during Crimean war anyways
Charlotte Edith Anderson Monture
First indigenous registered nurse, rejected in Ontario, went to U.S.
Bernice Redmon
First black nurse allowed to practice in Canadian public health
Hard skills
Science/ evidence based
Soft skills
Compassion, caring, empathy
Patterns of knowing - empirical
Logical reasoning and problem solving
Patterns of knowing - personal
Relating to others
Patterns of knowing - aesthetic
Beauty of showing care
Patterns of knowing - ethical
Right from wrong
Patterns of knowing - Emancipatory ways of knowing
Awareness of social problems
Nursing metapardigm
How nursing is viewed
Metaparadigm - person
Seeing patient as a whole person, understanding habits, lifestyles, coping mechanisms, etc.
Metaparadigm - environment
Internal environment vs external environment, factors that come into play that affect patients’ health
Metaparadigm - health
All types of health, physical, mental, sociocultural, spiritual, developmental
Metaparadigm - nursing
Strengthen skills by providing support to patients
Five W’s of relating
Who, what, where, when, why
Aspects of therapeutic nurse-client relationship
Purposeful, goal-oriented, time-limited, patient’s best interest, trust, respect, professional intimacy, empathy, power
Patient centred care
Make patients responsible for their health to, make them take the lead when possible
Personal vs professional relationships
Behaviour, length, purpose, structure, power balance, location, etc.
Over involved
Extra time, attention, personal disclosure, visiting clients in off hours
Disengaged
Withdrawal, minimizing clients suffering, defensive, judgmental
Gift giving
- Is it appropriate?
- Accept TEAM gift after ensuring:
- gift was not asked to be given by patient
- client is mentally competent
- client does not want anything in return
- does not change dynamic of relationship
- no potential for negative feelings
Quality assurance
Important regulatory tool in ensuring public receives safe, quality, and ethical care; self-assess, develop learning plan, evaluate
Cultural humility
Knowing and learning other’s cultures, understand, self-reflect
Subculture
Smaller group of people within the dominant culture
Ethnicity
Members that share a cultural background
Ethnocentrism
Beliefs that one’s culture is better than others
Cultural relativism
Each culture is unique
Cultural diversity
Variation among groups
Acculturation
Taking on certain cultural norms from dominant group
Assimilation
Full adoption of mainstream culture
Principles of culturally competent communication
No bias, no assumptions, no jargon
3 D’s
No demeaning, devaluing, disempowering
3 R’s
Revise, respect, rights of person
Caring for indigenous peoples - 4 R’s
Respect, responsibility, reciprocity, relevance
CNO - college of nurses of Ontario
Protect public, promoting safe nursing practices
Registered nurses association of Ontario
Representing nurses, develops policies, guidelines, scholarships for students
Ontario nurses association
Supports nurses when investigated, advocates salaries, protests
Canadian nurses association
Promotion of professional regulation
International council of nurses
Assures quality nursing care world wide
Theoretical framework
Creates foundation of how a nurse should practice
Hildegard peplau
Interpersonal nursing theory, first nurse theorist to describe phase of nurse patient relationship, shift focus from “doing to” to “doing with”
Phases of therapeutic relationship
- Review data before meeting patient
- Developing relationship by meeting client for first time
- Supporting patients care needs
- Evaluates treatments and goals (final phase)
Relational inquiry
Why is this happening?; explore further by observing and analyzing; curious and question based mindset
Relational orientation
Figuring out aspects of the situation
Inquiring action
Determine what is significant
Intrapersonal
What is going on inside an individual person
Interpersonal
What is going on in between people
Contextual
What is going on around people
Boundary crossing vs boundary violation
Boundary crossing: unharmful unprofessional behaviour
Boundary violation: harmful professional behaviour
