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NURS 114 > NURS 114 MIDTERM > Flashcards

NURS 114 MIDTERM Flashcards

1
Q

Professional Standards in Nursing

A
  1. define safe, competent, and ethical practice
  2. reflect values of nurses
  3. clarify professional expectations

Legal minimal requirements must meet expectations

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2
Q

4 areas

A

clinical, research, education, administration

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3
Q

Standard 1

A

professional responsibility and accountability
- function under scope of practice
- maintain fitness in all aspects of life
- promote self care
-accountability and responsibility
Maintains standards of nursing practice and professional conduct determined by BCCNM.

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4
Q

Standard 2

A

knowledge-based practice
- sharing knowledge
- must be knowledgeable about the standards
- communicate clearly
- make decisions with critical thinking
Consistently applies knowledge, skills and judgment in nursing practice.

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5
Q

standard 3

A

client-focused provision of services
- collaborating with others
- support client care
- delegate and assist others to learn new things
Provides nursing services and works with others to provide health care services in the best interest of clients.

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6
Q

standard 4

A

ethical practice
- protects and care for client dignity
- confidentiality
- self-aware
- demonstrate honesty and integrity
Understands, upholds and promotes the ethical standards of the nursing profession

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7
Q

fiduciary relationship

A

one in which a professional provides service that causes the recipient to trust in their knowledge
understand the law to protect ourselves and the patients rights

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8
Q

where is nursing regulated at?

A

provincial/ territorial level

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9
Q

tort

A

civil wrong committed against a person or property

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10
Q

intentional tort

A

assault: physical or verbal abuse that creates in another person apprehension or a fear of imminent harmful or offensive contact.

battery: unintentional or intentional physical contact with patient without consent

false imprisonment: if they willingly came, they should be able to leave

invasion of privacy: confidentiality
- can breach if abuse is suspected

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11
Q

unintentional torts

A

negligence: known as malpractice, not meeting the standards (meds, IV, falls)

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12
Q

consent

A

a signed form when they are first admitted and there are more for further procedures.
rules for consent:
1. explanation of procedure
2. names of people helping
3. risks / harms that may occur
4. alternative options and risks for not doing anything
NURSE DOES NOT HAVE THIS DUTY

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13
Q

unconscious vs conscious consent

A

temporary decision maker if the patient goes unconscious, next of kin.
if conscious there must be no coercion and be told the risks and benefits of not doing it

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14
Q

BCCNM

A

BC College of Nurses and Midwives
- Protection of the public
- Approve nursing education programs
- Mandatory
- practice standards

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15
Q

NNPBC

A

Nurses and Nurse Practitioners of BC
- Advocacy
- Represents
- optional

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16
Q

CNA

A

Canadian Nurses Association
- Lobbying to parliament
- advocate for healthy public policy and quality
- serving public interest
- optional

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17
Q

CASN

A

Canadian Association of Schools of Nursing
- Voice for nursing education, research, and scholarship
- TWU accredited
- Optional

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18
Q

BCNU

A

BC Nurses Union
- mostly mandatory
- priority is members
- workplace issue, wage, and work conditions
- positive change

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19
Q

ICN

A

International Council of Nurses
- Represents nursing worldwide
- Mental and physical well-being of nurses
- Partner with WHO

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20
Q

Professional Bodies review

A

regulator = BCCNM
professional = NNPBC, CNA, ICN, CNSA?
educational = CASN
union = BCNU

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21
Q

sources of law

A

constitution of Canada
civil rights - private relationships between people
common law
statute law

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22
Q

Professional Regulation

A

HPA (Health’s profession act) and BCCNM

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23
Q

criminal liability

A

Must determine degree to which the act deviated from the standard of a reasonably competent practitioner

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24
Q

PIPEDA

A

personal information protection & electronic documents act

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25
Q

FOIPPA

A

freedom of information and protection of privacy act

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26
Q

standards in nursing

A

Nurses are compared to these
1. define safe, competent, and ethical practice
2. Reflect values of nurses
3. Clarify professional expectations
-main goal is to support nurses while keeping them accountable

27
Q

what is a value?

A

Something that is important and you think is right
Def. strong personal belief and an idea that a person or group believe have merit
(This varies amongst people, cultural context, generates right and duty)

28
Q

trinity values

A
  • covenantal care
  • collaboration
  • equity
  • transformation
  • culture of inquiry
29
Q

medical errors

A

always report it

30
Q

ethics

A

study of philosophical ideals of right and wrong
what you are ought to do
- code of ethics
- values and standards

31
Q

code of ethics CNA

A

Statement on ethical values and commitment to people needing health care
Developed by nurses for nurses
-includes responsibility, accountability and advocacy
-offers guidance in ethical situations

32
Q

CNA - code of ethics cont.

A
  1. nursing values and ethical responsibilities
  2. ethical societal standards
    - we have to be aware of social determinant
33
Q

code of ethics applied

A
  • responding to incompetent, unsafe, and unethical care
  • conflict of ones conscience
  • natural or human-made disaster
  • relationships with nursing students
  • job act
34
Q

MAiD

A

Medical Assistance in Dying
- inform supervisor of the CONFLICT OF CONSCIOUS
- provide standard of care until other measures of nursing care can be given

35
Q

nursing role in MAiD

A

Providing information and education about MAiD and answering questions about MAiD
specific care.
Acting as an independent witness per the Criminal Code.
Acting as a proxy per the Criminal Code.
Acting as a witness in a telehealth assessment.
Aiding in the provision of MAiD.

36
Q

not a nurses duty in MAiD

A

Determining eligibility.
Providing MAiD – prescribe, dispense, compound, prepare or administer any
medications associated with MAiD.
Encourage, recommend, counsel, advise a person to consider MAiD.
Pronounce death.
Document any aspect of MAiD.
Aid in the provision of MAiD to a family member.

37
Q

MAiD requirements

A

in writing and have an independent witness (no connection to will, cannot be caregiver of client, cannot be operator of where they live, must know MAiD, 18 and up)
-must sign in a mental good state but if you cannot physically sign then you can have proxy (18 and up, no connection to will, and knows MAiD)

38
Q

MAiD requirements

A

Eligible for publicly funded health-care services in Canada:
18 years old; capable of making decisions re: own health
- Has made voluntary request for MAiD, without external pressure
- Given informed consent after having been informed of the available means to relieve their suffering, including palliative care
- Has a grievous & irremediable medical condition
- Serious & incurable illness, disease, or disability
- In advanced state of decline that cannot be reversed
- Enduring physical or psychological suffering is intolerable & cannot be relieved under conditions that they consider acceptable

39
Q

7 values of the Code of Ethics

A
  1. providing safe, compassionate, competent, and ethical care.
  2. promoting health and wellbeing
  3. preserving dignity
  4. promoting and respecting informed decision making
  5. maintaining privacy and confidentiality
  6. promoting justice
  7. being accountable
40
Q

3 words that are important

A

Responsibility
- Reliable and dependable
- Ability to distinguish right and wrong
- Includes duty to preform actions adequately and thoughtfully

Accountability (explanations of rational)
- Able to accept responsibility or to account for one’s actions
- Must be answerable – able to offer reasons & explanations
- Professionally accountable nurses:
- Keep up with professional standards, laws & regulations
- Ensure they have skill to provide nursing practice
- Maintain their fitness to practice – physical, mental, emotional capacity

Advocacy (everyone’s views are heard and right to choice)
- Acting on behalf of another person, speaking for person who cannot speak for themselves, or intervening to ensure that views are heard
- Protect right to choice, dignity, privacy & confidentiality

41
Q

beneficence

A

doing or promoting good for others

42
Q

nonmaleficence

A

avoidance of harm or hurt

43
Q

justice

A

fairness - unbiased allocation of resources
social justice - equitable distribution of benefits and burdens in society

44
Q

promoting justice CNA Code of Ethics

A

equity - SON philosophy
Equity: inclusivity and hospitality; dignity and opportunity for health; moral mandate to attend to structural vulnerability and inequities (Values)

45
Q

deontology

A

defines actions as right or wrong
beneficence

46
Q

utilitarianism

A

proposes that the value of something is determined by its usefulness

47
Q

bioethics

A

obligation and reason-based, outcome oriented
autonomy

48
Q

feminist ethics

A

focuses on inequalities between people
ethics of care

49
Q

nursing education in Canada

A

1874- first hospital diploma school in St. Catharines (needed to know English, haven good character and chirstian motives)
1919- undergraduate program at UBC
1932- weir report (nurse preparation goes from hospitals to an education source and nurses get a technical and liberal education)
1982- CNA approved resolution for baccalaureate as entry to practice with target date of 2000

50
Q

angel of mercy

A

noble, moral, regions, virginal, self sacrificing

51
Q

girl Friday

A

subservient, cooperative, methodical, dedicated, modest, and loyal

52
Q

the heroine

A

brave, rational, dedicated, decision, humanistic, and autonomous

53
Q

the mother

A

maternal, nurturing, sympathetic, passive, expressive, and domestic

54
Q

sex object

A

sensual, romantic, hedonistic, frivolous, irresponsible, promiscuous individual

55
Q

ideal image for nurses

A

the careerist
an intelligent, logical, progressive, sophisticated, empathetic, and assertive man or woman who is committed to attaining a higher and higher standards of healthcare

56
Q

men in nursing

A

during crusades men tended to be sick and injured
there was practice of men only as caring for until Florence Nightingale
Barrier for nursing societal attitudes, they were not readily accepted (OBGYN), economic with money

57
Q

Florence Nightingale

A

founder of modern nursing

58
Q

1st nursing school

A

London, only women accepted

59
Q

Biblical roots in nursing

A

Gods covenant
vocational call to serve
Jesus is healer

60
Q

Hotel Dieu

A

1639 – first nursing mission established by 3 Augustinian nuns
Smallpox epidemic
Later became known as Hotel-Dieu de Quebec – first hospital in Canada
-healing the body and the soul
all social classes

61
Q

nursing nuns

A

physician worked under nuns
tasks assigned by mother superior

62
Q

Grey nuns

A

1737 Margaret d’Youville starts Sisters of Charity of Montreal (Grey Nuns)
1880 Grey Nuns fully engaged in hospital work
-also known as the sisters of charity
they pledged their lives to helping the poor and sick
eventually established hospitals across Canada including: Edmonton, Calgary, St. Paul and Lethbridge
Missionaries

63
Q

Weir report

A

1932
Recommended that nurse preparation be transferred from hospitals to general education system & that nurses receive adequate liberal arts education as well as technical education at degree level.

NURS 114 (2 decks)

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