Midterm Flashcards

1
Q

Nation building and nightingale era, first half of century characteristics

A

poverty, poor health/self care, created by industrial capitalism, immigration, urbanizaiton

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2
Q

Nation building and nightingale era, second half of century characteristics

A

First nursing school
Health promotion
Creation of the VON

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3
Q

Early 20th century nursing

A

3 sectors emerge (hospital, private, public)

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4
Q

Priorities for CHN in early 20th cent

A

TB and school nursing, midwifery and health education, reducing infant mortality

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5
Q

when was CHN pioneered

A

early 20th cent

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6
Q

Mid 20th century emphasis

A

From child health/immunizations/communicable diseases to reducing morbidity/mortality from chronic disease

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7
Q

what demand was placed on CHN in mid 20th century

A

postpartum home visits

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8
Q

what happened to CHN in 1980s (mid 20th cent)

A

Recession l/t loss of nursing positions in healthcare, esp hospitals

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9
Q

What pandemics occured in mid 20th cent

A

HIV, AIDS

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10
Q

late 20th cent

A

WHO adopted primary health care as a vision for health acheivement
CHN provide leadership to enhance PHC

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11
Q

Early 21st cent

A

Romanow commission to inc emphasis on homecare
Chronic disease prevention
Global health equity

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12
Q

Public health

A

organized efforts of society to keep people healthy, prevent injury/illness/death in populations

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13
Q

public health care

A

focus on individuals to limit impacts of disease and disability

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14
Q

primary prevention

A

promotes health using upstream approach to identify potential risk factors, do not want injury to occur

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15
Q

Secondary prevention

A

promotes health through early disease identification

Focus is to halt an illness

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16
Q

Tertiary prevention

A

initiated when individual is symptomatic.

Focus is on prevention of further disability

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17
Q

political advocacy

A

advocation for political changei n regards to status of immigrants

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18
Q

Health equity

A

All people are able to reach their full potential and are not disadvantaged d/t any circumstance
Fair distribution of health resources

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19
Q

emancipatory knowing

A

capacity of CHN to recognize social/political problems and that things could be different, piece together experience to promote change. req understanding equity

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20
Q

Sociopolitical Knowing

A

asks nurses to find intersections between health related interests of nursing and the public
Multiple layers and influences on health include social context of individual + fam

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21
Q

critical social theoery

A

considers that multiple social and economic factors result in power differentials in societ

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22
Q

Feminist theory

A

Focus on role of sexism and oppression in creation of inequity

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23
Q

Complexity Science Theory

A

View that in any given situation a combination of diverse parts creates a new situation, no single appraoch

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24
Q

core concepts of complexity science theory

A

interconnectedness, non linearity, self organization, co evaluation

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25
Q

Intersectionality theory

A

considers multiple oppressive forces at play

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26
Q

Postcolonial theory

A

considers role of race and history in creation of equity

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27
Q

Critical caring theory theory

A

Health promoting process reflect cores of PHN, while encompassing community and populations.

28
Q

Concepts in critical caring theory

A

teaching-learning, creation of supportive + sustainable environments, social justice, building capacity, honouring local beliefs

29
Q

Strengths based theory

A

Incorporates thinking about positives, what works well, what holds potential. finds balance between focusing on client strengths and dealing with problems

30
Q

5 prinicipals of PHC

A
accessibility
Public participation
HP
Appropriate technology
Intersectional collab
31
Q

Accessability

A

healthcare is universally accessible to all people regardless of geography

32
Q

What is important about accessability

A

healthcare that stigmatizes vulnerable groups is not deemed accessible

33
Q

Public participation

A

Population is encouraged to participate in

34
Q

Social justice

A

fair distribution of society’s benefits, responsibilities and consequences

35
Q

Focus of social justice

A

relative position of one group in relationship to others in society

36
Q

Some of the ten defining attributes for social justice

A
equity
human rights
Democracy and civil rights
capacity building
just institution
enabling environments
37
Q

professional power

A

influence stemming from professional position we hold

ABility to impact persons state of being

38
Q

Everyday ethics

A

how nurses attend to ethics in carrying out their daily interactions, including how they appraoch practice and reflect

39
Q

Empowerment

A

Process by which people gain control over the factors decisions that shape hteir lives

40
Q

Advocacy

A

Takes a standards for practice, aims and reforms that are in line with moral goals of public health

41
Q

Capacity building

A

Being where individuals and communities help identify relevant health issues and

42
Q

4 Ethical principals

A

Transparency
Least restrictive or coercive means
Reciprocity
Harm principal

43
Q

Transparency

A

Refers to how decisions are made

Anybody relevant should participate in decision making in accountable and equal fashion PREVENTING political interface

44
Q

Least restrictive coercive means

A

stipulates that the full force of governmental authority and power should not be used if less coercion is possible

45
Q

reciprocity

A

if public action is warranted, social entities such as Ph, are obligated to assist individuals in meeting ethical responsibility

46
Q

Harm principal

A

Justification for restricting the liberty of people in a democratic society

47
Q

Mortality rate

A

deaths per 1000 people annually

48
Q

Crude mortality rate

A

Compare number of deaths from a specific cause within a population

49
Q

Specific mortality rate

A

Compares number of deaths from a specific cause in a particular subgroup within the whole group

50
Q

Proportional mortality

A

Number of deaths from a spec cause in a given population over a certain time period COMPARED against total # deaths in same tim period

51
Q

temporal relationship

A

person does not get the disease until aafter they have been exposed to the cause

52
Q

Strength of association

A

exposure to a specific stressor or cause that is most likely to bring on the disease

53
Q

Dose response

A

persons who are most exposed . are most ill

54
Q

Specificity

A

cause is linked to a specific disease

55
Q

Consistency

A

everyone who eats contaminated food gets the illness, and if another food is contaminated with the same bacteria, they get the illness too

56
Q

Biologic plausibility

A

consistent with current biomed knowledge

57
Q

Experimental replication

A

Several studies done by different people in different places that produce the same results

58
Q

Casual relationship

A

Occur where there is a definite, statistical cause and effect relationsihp between a particular stimulus/occurnece

59
Q

odds ratio

A

measure of association between an exposure and an outcome. represents the odds that an outcome will occur given a particular exposure, compared to the odds of the outcome occurring in the absence of that exposure.

60
Q

what does odds ratio represent

A

represents the odds that an outcome will occur given a particular exposure, compared to the odds of the outcome occurring in the absence of that exposure.

61
Q

Target population

A

population for whom nursing intervention is intended for

62
Q

Surveillance

A

constant watching or monitoring of disease to assess patterns quickly + identify events that do not fit in pattern

63
Q

Prevalane

A

spec disease process in population at a point in time

64
Q

Relative risk

A

Calculated by incidence rate of disease in exposed popluation / incidence of disease in unexposed population

65
Q

fx of relative risk

A

determine if certain populations are at inc risk compared to others