Midterm Flashcards
Define cultural safety
An outcome of nursing education that enables safe care to be defined by those receiving it
Define cultural sensitivity
Demonstrated by the nurse who accepts the legitimacy of difference and is capable of reflecting on impact that their life experience and positional power has on others
Define cultural awareness
First step toward understanding that there are cultural differences
Define culturally congruent care
The use of sensitive, creative and meaningful care practices to fit with the general values, beliefs and lifeways of clients
Define culturally competent care
A process whereby nurses continuously strive to work within the patient’s cultural context
List the qualities of a profession.
- A profession is an occupation that requires extensive education/specific knowledge, skill and preparation
- It must include:
- Body of Knowledge
- Specialized education and training
- Service orientation
- Professional organization
- Autonomy and self regulation
- Code of Ethics
Define professional standards.
Define practice guidelines.
What are the Professional Standards outlined by the CNO? (7)
Professional standards: Outline the expectations for buses that contribute to public safety
Practice Guidelines: Address specific practice-related issues, help nurses understand their responsibilities and how to make safe and ethical decisions in their practice
- Accountability
Nurse are accountable to the public and responsible for ensuring their practice and conduct meets legislative requirements and standard of the profession
- Continuing competence
Nurses maintain and continuously improve their competence by participating in the CNO’s quality assurance program
- Ethics
Nurses understand, uphold and promote the values and beliefs described in the CNO ethics practice standard
- Knowledge
Nurses possess, through basic education and continuing learning, knowledge relevant to their professional practice
- Knowledge application
Nurses continually improve the application of professional knowledge
- Leadership
Nurses demonstrate leadership by providing, facilitating and promoting the best possible care to the public
- Realtionships
Nurses establish and maintain respectful collaborative, therapeutic and professional relationships
- Therapeutic nurse-client relationships: Nurses keep the client’s needs as the focus of the relationship, which is based on trust, respect, intimacy and the appropriate use of power
- Professional relationships: Nurses enter into professional relationships based on trust and respect that result in improved client care
What is professionalism?
To be professional you must have professionalism which encompasses:
- Values and attitudes
- Demeanour
- Appearance
- Language
How does the RANO define professionalism?
- Knowledge
- Spirit of Inquiry
- Accountability
- Autonomy
- Advocacy
- Innovation and visionary
- Collegiality and collaboration
- Ethics and values
Define professional socialization in the context of nursing.
The process in which people learn behaviours and attitudes deemed necessary to fit into a cultural group e.g., nursing culture
Describe the steps in the socialization process of ‘becoming a nurse’.
- Learn new technology, facts, skills & theory
- Internalize professional culture
- Find personally & professionally acceptable version of role
- Integrate new role into other life roles
Discuss the CNA & International Council of Nurses’ Code for Nurses (Responsibility, Accountability and Advocacy)
Responsibility
- Reliability and dependability
- Ability to distinguish between right and wrong
- A duty to perform actions adequately and thoughtfully
- E.g., When a nurse is administering a medication, she is responsible for assessing the patient’s need for the drug, for administering it safely and correctly and for evaluating the patient’s response to it
Accountability
- Being able to accept responsibility or account for one’s actions
- Answerability: Being able to offer reasons and explanations to other people for aspects of nursing practice
- E.g., You know that a patient who will be discharged soon is confused about how to self-administer insulin. The patient, institution and society rely on your judgement and trust you to take action in response to this situation
Advocacy
- Acting on behalf of another person, speaking for persons who cannot speak for themselves, or intervening to ensure that views are heard
- Informed consent: Nurses advocate on behalf of patients to make sure that the patient understands the treatment and has the capacity to give their consent for the treatment
- Protection of patient’s right to privacy and confidentiality
- E.g., Intervening if other members of the health care team fail to respect the patient’s privacy; following policies that protect the patient’s privacy
What are the 5 entry-to-practice competencies?
- Professional responsibility and accountability
- Knowledge-based practice
- Ethical practice
- Service to the public
- Self regulation
Differentiate between care and caring.
Care: The provision of what is necessary for the health, welfare, maintenance, and protection of someone or something.
Caring: Displaying kindness an concern for others.
Discuss values, including their formation, clarification and conflict.
Value: A strong persona belief and an ideal that a person or group believes to have merit; influences behaviour through one’s conviction that a certain action is correct in a certain situation
Value Formation: The process whereby individuals acquire their values
- Moral development: Occurs throughout childhood and adolescence; the process whereby people learn to distinguish right from wrong and to form values on which they base their behaviour
- Cultural Values: Refers to values adopted through immersion in a certain social setting; individuals choose some values and discard or transform others
Values Conflict: Occurs when personal values are not congruent with those of a patient, colleague or institution
