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PROFESSIONAL GROWTH > MIDTERM - CH. 1 & 2 > Flashcards

MIDTERM - CH. 1 & 2 Flashcards

1
Q

Northern College’s Mission Statement for Nursing Programs

A

through a student-centred learning environment, and in partnership with the community, Northern College Nursing Programs graduate caring and competent practitioners. These practitioners are accountable for maintaining the standards of the profession as well as being responsive to the needs of the consumer and society at large.

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2
Q

WATSON CARATIVE FACTOR:

  • relates to satisfaction through giving and extending the sense of self
  • although values are learned early in life, they can be greatly influenced by educators
A

Forming a humanistic-altruistic system of values.

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3
Q

WATSON CARATIVE FACTOR:

  • feelings of faith and hope promote wellness by helping client adopt health-seeking behaviours
  • developing an effective nurse-client relationship, nurse facilitates feelings of optimism, hope and trust
A

Instilling faith and hope

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4
Q

WATSON CARATIVE FACTOR:

- nurses who are able to recognize and express their feelings are better able to allow others to express theirs

A

Cultivating sensitivity to one’s own self and others

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5
Q

WATSON CARATIVE FACTOR:

  • kind of relationship that involves effective communication, empathy, and non possessive warmth
  • promotes and accepts the expression of positive and negative feelings
A

Developing a helping-trust (human care) relationship

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6
Q

WATSON CARATIVE FACTOR:

  • sharing sorrow, love and pain is a risk-taking experience
  • nurse must be prepared for negative feelings
A

Expressing positive and negative feelings

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7
Q

WATSON CARATIVE FACTOR:

- caring linked to nursing process contributes to creative problem-solving approach to nursing care

A

Using a creative problem-solving caring process

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8
Q

WATSON CARATIVE FACTOR:

  • separates caring from curing
  • shifts responsibility for wellness to client
A

Promoting transpersonal teaching/learning

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9
Q

WATSON CARATIVE FACTOR:

  • client can experience change in any aspect for the internal and external environments
  • nurse must assess client’s ability to cope with mental, emotional and physical changes
A

Providing a supportive, protective or corrective mental, physical, sociocultural, and spiritual environment

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10
Q

WATSON CARATIVE FACTOR:

- caring is conveyed by recognizing and attending to client’s physical, emotional, social and spiritual needs

A

Assisting with gratification of human needs

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11
Q

WATSON CARATIVE FACTOR:

  • being open-minded and attending to spiritual, mysterious, unknown existential dimension of life, death and suffering
  • “allowing for a miracle”
A

Being sensitive to existential-phenomenologic-spiritual force

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12
Q

authentic criterion of humanness

A

CARING

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13
Q

requires knowledge, trust, hope and commitment

A

CARING

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14
Q

to care and be cared about are fundamental human needs

A

CARING

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15
Q
  • a way of thinking, acting and believing which requires discipline and commitment to enable the client to come to care for themselves with as much independence as possible
A

CARING

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16
Q
  • competence in caring can be modelled, acquired, practiced, perfected, evaluated
A

CARING

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17
Q
  • learning is a lifelong process
A

TEACHING/LEARNING

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18
Q
  • value lifelong learning in an effort to maintain current standards of practice and to assist learners in developing competent skills, attitudes and an interest in the nursing profession
A

TEACHING/LEARNING

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19
Q
  • egalitarian relationships with facilitators in environment of trust, collaboration and affirmation facilitate adult learning and development
A

TEACHING/LEARNING

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20
Q
  • value emancipatory learning coupled with interactions that are based on principles of caring
A

TEACHING/LEARNING

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21
Q
  • lifelong learning is the goal of all curriculum and educative experiences
A

TEACHING/LEARNING

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22
Q
  • learners feel cared for when their past experienced is valued
A

TEACHING/LEARNING

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23
Q
  • dynamic concept which may be reflected in different ways according to individual needs, culture, community and society
A

HEALTH

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24
Q
  • nurses possess ability to respond holistically in setting goals and directing energy and resources to achieve realistic goals while caring about self and others
A

HEALTH

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25
Q
  • healing is a process of recovering from disease and/or maximizing restoration of functional capacity
A

HEALTH

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26
Q
  • caring practical nurse supports the client’s achievement of optimal health and healing in collaboration with client and other members of health care team
A

HEALTH

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27
Q
  • healthy environment promotes health and healing and is influenced by internal and external factors including caring, culture, lifestyle, age, gender, relationships, and politics, economical and ecological factors
A

HEALTH

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28
Q
  • art and science
A

NURSING

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29
Q
  • practice requires exercise of accountability in the acquisition and use of knowledge, skills, beliefs and caring
A

NURSING

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30
Q
  • respect and care for the whole person
A

NURSING

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31
Q
  • encourage and support individuals, families, and groups within communities to promote, protect and improve health, maximize healing and provide comfort through life closure
A

NURSING

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32
Q
  • composite being comprised of mind, body and soul
A

CLIENT

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33
Q
  • each individual is unique and has specific requirements that must be met in order to attain and maintain a state of equilibrium while constantly interacting with his/her environment
A

CLIENT

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34
Q

practice in a professional manner within legislative and ethical framework

A

Practical Nursing Program Learning Outcomes

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35
Q

develop and sustain therapeutic relationships with clients

A

Practical Nursing Program Learning Outcomes

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36
Q

communicate effectively with clients, health care team members and others

A

Practical Nursing Program Learning Outcomes

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37
Q

participate effectively as a team member to support clients’ achievement of their expected health outcomes

A

Practical Nursing Program Learning Outcomes

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38
Q

integrate theory, principles and concepts into competent nursing practice

A

Practical Nursing Program Learning Outcomes

39
Q

complete assessments in a holistic, comprehensive and analytical manner

A

Practical Nursing Program Learning Outcomes

40
Q

prioritize and organize nursing and health care

A

Practical Nursing Program Learning Outcomes

41
Q

implement and evaluate nursing interventions competently

A

Practical Nursing Program Learning Outcomes

42
Q

use a variety of technological tools to support clients’ achievement of their expected health outcomes

A

Practical Nursing Program Learning Outcomes

43
Q

apply principles of teaching/learning to promote clients’ health and wellness

A

Practical Nursing Program Learning Outcomes

44
Q

Based on:

  • collaborative learning
  • critical thinking
  • group work
A

Understanding the Caring Curriculum

45
Q

Students are accountable for own decisions and actions and for developing competence throughout PN education. Students are encouraged to seek opportunities to facilitate their success in program.

A

Understanding the Caring Curriculum - Student Learning Responsibilities

46
Q
  • collective body of knowledge that attempted to define nursing
  • included the concepts of person, environment, health care and nursing care
A

metaparadigm concepts

47
Q

metaparadigm concepts - client & person

A

Theorists saw people as an entity with 4 dimensions:

  1. biological
  2. psychological
  3. social
  4. spiritual
48
Q

metaparadigm concepts - environment

A

may involve individuals family and social ties, community, health care system and geopolitical issues that affect health

49
Q

metaparadigm concepts - health

A

theorists defined health to reflect a vision of nursing care that applied to both individual and society and to all clients - sick and well

50
Q

metaparadigm concepts - nursing

A

linked a view of the client with an understanding of the person’s environment, life and health goals

51
Q

CARPER’S WAYS OF KNOWING

A
  1. empirical
  2. esthetic
  3. personal
  4. ethical
52
Q
  • represents the science of nursing

* emphasizes the generation of theory that is systematic and controllable by factual evidence.

A

empirical (CARPER’S WAYS OF KNOWING)

53
Q
  • the art of nursing

- emphasizes expressiveness, creativity, perceptions, subjectivity and empathy

A

esthetic (CARPER’S WAYS OF KNOWING)

54
Q

focuses on interpersonal processes and the therapeutic use of self in relation with another

A

personal (CARPER’S WAYS OF KNOWING)

55
Q
  • represents a pattern of knowing related to what ought to be done and focuses on matters of obligation.
A

ethics (CARPER’S WAYS OF KNOWING)

56
Q

CULTURAL ASPECTS OF CARE

A

nurses must provide caring that are based on clients’ cultural values and beliefs

57
Q

SWANSON’S THEORY OF CARING

A
  • knowing
  • being with
  • doing for
  • enabling
58
Q

THE HUMAN ACT OF CARING (5 C’s)

A
  • compassion
  • competence
  • confidence
  • conscience
  • commitment
59
Q

CLIENT’S PERCEPTIONS OF CARING

A

when clients believe that health care professionals are sensitive, sympathetic, compassionate and interested in them as people - they become active partners in the plan of care

60
Q

ETHICS OF CARE

A

ensures nurses do not make decisions solely on the basis of intellectual or analytical principles.

61
Q

CARING IN NURSING PRACTICE (5 aspects)

A
  • providing presence
  • touch
  • listening
  • knowing the client
  • family care
62
Q

NURSE BEHAVIOURS PERCEIVED BY FAMILIES AS CARING

A
  • being honest
  • giving clear explanations
  • keeping family members informed
  • trying to make the client comfortable
  • showing interest in answering questions
  • providing necessary emergency care
  • assuring the client that nursing services will be available
  • answering family members’ questions honestly, opening and willingly
  • allowing the client to do as much for himself as possible
  • teaching the family how to keep client physically comfortable
63
Q

“two or more professionals learn with, from, and about each other across the spectrum of their life-long professional educational journey to improve collaboration, practice, and quality of client-centered care”.

A

Interprofessional education (IPE):

64
Q

IPE is the most recent health human resources education reform initiative in Canada

A

Intraprofessional education (IPE)

65
Q

Is the provision of comprehensive health services to patients by multiple health caregivers who work collaboratively to deliver quality care within and across settings

A

Interprofessional collaboration (IPC)

66
Q

Personal values and beliefs:

A
  • influence your nursing practice
  • nursing will challenge your values and beliefs
  • our decision making will have a direct impact on your patient’s safety and well being
67
Q

BELIEFS

A
  • convictions or creeds
  • opinions that may be true or false.
  • are inter-related and affect your behaviour.
  • shape philosophy
  • transmitted from generation to generation
  • exhibited through attitudes and behaviours
68
Q

VALUES

A
  • shape philosophy
    • freely chosen principles, ideals, or standards held by an individual, class, or group that give meaning and direction to life
    • reflect subjective beliefs about what is right, worthwhile, or desirable
  • relatively stable and are resistant to change
  • evolve with maturity
  • develop in response to:
    A) individual personality traits
    B) culture in which one is raised
    C) society in which one is raised
69
Q

KNOWLEDGE

A
  • product of knowing
  • knowing is an individual human process
  • Can be shared or communicated with others
  • Can be newly created
  • Are theories on how humans know what they know
70
Q
  • complex, organized occupation preceded by a long training program
  • exists to meet the needs of society
A

PROFESSION

71
Q

CHARACTERISTICS OF A PROFESSION

A
  1. education
  2. expertise
  3. accountability
  4. autonomy
  5. authority
  6. unity
72
Q

being answerable to someone for your actions

A

ACCOUNTABILITY

73
Q

ACCOUNTABILITY IN NURSING

A

society trusts nurses and gives us the right to self-regulation, thus we are responsible and accountable for our actions

74
Q

self-governing (self-regulating)

A

AUTONOMY

75
Q

AUTONOMY IN NURSING

A
  • purpose of autonomy in any profession is to protect the public – in nursing’s case, to keep keep the patient safe from harm
  • doing something simply “because the doctor said so” is unsafe practice
76
Q

Who is the College of Nursing?

A
  • regulatory body for the province’s approximately 150,000 nurses.
  • works to protect the public interest
  • supports nurses in their practice
77
Q

2 legislative frameworks for CNO

A
  • The Regulated Health Professions Act,1991 and Nursing Act,1991 provide the legislative framework for nursing in Ontario
78
Q

College’s Role (4 things)

A
  1. Articulating and promoting practice standards.
  2. Establishing requirements for entry to practice
  3. Administering a Quality Assurance (QA) Program.
  4. Enforcing standards of practice and conduct.
79
Q

How does CNO govern?

A

The College has six statutory Committees comprised of nurses and public members:

  1. Inquiries, Complaints and Reports
  2. Discipline
  3. Executive
  4. Fitness to Practise
  5. Quality Assurance
  6. Registration
80
Q

is an authoritative statement that sets out the legal and professional basis of nursing practice

A

CNO PROFESSIONAL STANDARD

81
Q

7 PROFESSIONAL STANDARDS

A
  1. Accountability
  2. Continuing competence
  3. Ethics
  4. Knowledge
  5. Knowledge application
  6. Leadership
  7. Relationships
82
Q

ACCOUNTABILITY AS PER CNO

A

Each nurse is accountable to the public and responsible for ensuring that her/his practice and conduct meets legislative requirements and the standards of the profession.

83
Q

WHY DO WE NEED ETHICS?

A
  • continuity of care
  • speaks to what is “right”
  • understanding and communicating beliefs and values helps nurses to prevent ethical conflicts and to work through them when they do occur
84
Q

10 ETHICAL VALUES

A
  1. Types of ethical concerns
  2. Resolving ethical conflicts
  3. Document layout
  4. Client well-being
  5. Client choice
  6. Privacy and confidentiality
  7. Respect for life
  8. Maintaining commitments
  9. Truthfulness
  10. Fairness
85
Q

NURSING AS PER CNO

A
  • therapeutic relationship
  • enables the client to attain, maintain or regain optimal function by promoting the client’s health through assessing, providing care for and treating the client’s health conditions
  • achieved by supportive, preventive, therapeutic, palliative and rehabilitative means
86
Q

THERAPEUTIC RELATIONSHIP AS PER CNO

A
  • established and maintained by the nurse through the nurse’s use of professional nursing knowledge, skill, and caring attitudes and behaviours
  • provides nursing services that contribute to the client’s health and well-being
  • based on trust, respect and intimacy and requires the appropriate use of the power inherent in the care provider’s role
87
Q

ACCOUNTABILITY OF PROFS

A
  • accountable both for sharing appropriate nursing knowledge and for maintaining safe, effective and ethical client care in accordance with the standards
  • not accountable for the learner’s actions if the nurse has fulfilled her/his responsibilities as outlined and if the nurse had noway of knowing that the error was going to occur
88
Q

ACCOUNTABILITY OF LEARNER

A

a nurse is expected to meet the practice standards of the College and is accountable to CNO when in the learner role

89
Q

“The one unified voice for registered practical nurses in Ontario”

A

RPNAO

90
Q

WHAT DO RPNAO DO? (4 THINGS)

A
  • promotes you as an RPN to the public
  • develop code of ethics
  • sit on boards of federal government to promote nursing
  • have a voice in curriculum of college
91
Q

RPNAO MISSION

A

Creating excellence in health care through RPN advancement & utilization

92
Q

PURPOSE OF RPNAO

A

To advocate for RPNs in diverse settings, resulting in optimum client health services through policy, legislation and regulation.

To advocate for quality, respectful working environments for RPNs.

To enhance the professional competencies of RPNs by ensuring the research, development and delivery of quality educational programs.

To promote the benefits of membership to RPNs in order to ensure a strong and unified professional voice.

To promote a closer working relationship with other health & related organizations

93
Q
  • process by which people learn social rules and become members of groups
  • involves learning to behave in a way that is consistent with other persons occupying same role
  • goal is to internalize professional ID that includes norms, values, attitudes and behaviours of the profession
A

PROFESSIONAL SOCIALIZATION

94
Q

OCCUPATION VS. PROFESSION

A

occupation:

  • on-the-job training
  • manual work
  • workers are supervised
  • accountability rests on employer
  • values, beliefs, ethics unimportant

profession:

  • college or university
  • work requires mental creativity
  • workers are autonomous
  • accountability rests on individuals
  • values, beliefs, ethics important

PROFESSIONAL GROWTH (4 decks)

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