NURS 170 Final- Ch 18-23 Flashcards
Fiduciary Relationship
provides service that causes the recipient to trust in the specialized knowledge and integrity of the nurse
Jurisprudence
- Studying the law
Contravention
come into conflict or infringe on laws and rules
Registered Nurses Profession Regulation
- defines rules for RN practice in Alberta
- practice statement for registered nurses
- protected titles
- registration requirements
- annual practice permits
- continuing competence
- authorized restricted activities
HIA and FOIP
who can access what information
Statute Law
created by an elective legislative body
Tort
civil wrong against another person or their property
Intentional Tort
willful acts that violate another person’s right
4 Intentional Torts
- Assault
- Battery
- Invasion of privacy
- False Imprisonment
Negligence
conduct that does not meet standard of care as determined by law
Vicarious Liability
legal doctrine where the law holds the employer responsible for the act of an employee
Advocacy
acting on behalf of another person, speaking for someone who cannot speak for themselves, intervening to ensure views are heard
Unintentional Tort
Unwillful act that violates another person’s right
Strategis to Prevent Negligence: Documentation
- chronological
- comprehensive
- legal document
- completed in timely fashion
- best defence against allegations
Adverse Events
events that result in unintended harm to the patient, and are related to the care and/or services provided to the patient rather than to the patients underlying medical condition
Risk Management
practice of minimizing adverse events resulting in the highest possible quality of care
Scope of Practice
- set and maintain professional standards of practice
- should be communicated with public, and other stakeholders
- promotes competence
Canadian Nurses Protective Society (CNPS)
- legal support system
- not-for-profit operated by nurses
- occurrence based
Professional Socialization
essential process of learning skills, attitudes, and behaviours necessary to fulfill professional roles
Basis of Systematic Theory
a distinct way of viewing a phenomena surrounding the knowledge base of the profession
Characteristics of a Profession
- basis in systematic theory
- specialized competencies
- dedication to raise standards
- specialties with specific missions
- code of ethics
- self - regulation
- professional culture
- authority recognized by society
Self-Regulation
profession accountable to government and public
Registration and Licensure
determine the eligibility of applicants to practice in their jurisdiction
Entry-Level Competencies
- knowledge, skills, judgement and attributes required of an RN to practice safely and ethically in a designate role and setting
- assessed by regulatory body
- measured through NCLEX
- NEPAB
- guides curriculum
- guide for public and employer awareness
Continuing Competence
-annual process of collecting feedback from a variety of sources to evaluate nursing practice
Certification
-indicates to people outside and in your profession that you are qualified
Standards of Practice
authorities statement that describes required behaviour and establishes a measure of safe, competent and ethical nursing practice
Professional Conduct
- part of CARNA’s mandate
- begins with receipt of a complaint leading to follow up
Steps CARNA Takes After Receiving a Complaint
- Investigation
- Hearing
- Sanctions
- Follow-Up
Importance of Nursing Organizations
- common goal
- advocacy
- political action
- professional development
- educate, support, motivate
- shape leadership
Praxis
- reflection and action directed towards transforming the world
- bring together the philosophical and theoretical in line with potential practices
Epistemology
philosophy concerned with sources of knowledge and truth
Ontology
examination of the nature of being or reality
Nursing Praxis
bringing together theory and practice making theory and practice mutually dependent
Caring Defined
- central concept in nursing process
- universal phenomenon that influences how we think, feel and behave in relation to each other
Caring Defined: Kristen Swanson
- nurturing way of relating to a valued other to whom you have a sense of responsibility
- client’s well-being should be enhanced by the nurse
Theory of Caring: 5 Processes
- Knowing
- Being With
- Doing For
- Enabling
- Maintaining Belief
Caring Defined: Simone Roach
-does not imply subservience but freedom
3 Elements that Provide Language for Caring
- 10 Caritas Processes: universal practices of human caring
- Transpersonal Caring Relationship: emphasis on the nurse/patient relationship grounded in relational ontology
- Caring Moment: reflective/meditative approach
Common Themes in Caring Theories
- relational mutuality
- more than “doing”
- everydayness
- recognition of context
- well-being of patient through caring support of nurse
Ethic of Care
- places caring at the centre of decision making
- concerned with relationships between people and nurses attitude to others
- includes a sensitivity to power differentials
Emancipatory Knowing
- awareness of social problems
- critical reflection of status quo
- questioning assumptions
- gives nurses the ability to critique an analyze barriers of injustice and become agents of change
What drives action?
-need to seek freedom from inequality
Praxis occurs when you ______ in an integrated way to support ______
- all patterns of knowing
2. social justice
Social Justice
- fair distribution of resources
- focus on position of one social group in relation to others
- root causes of disparity and solutions
Traits of Nurses Who Developed Powerful Nursing Practice
- acknowledge unique role
- commitment to continuous learning
- professional comportment
- effective collaboration
- take leadership advocacy roles
- sought-after perspective
- enhance power of organizations
Political Action
-process of using power to influence decision makers to implement changes to improve the lives of clients, communities, and populations
Importance of Involvement
- governments are influenced by what they hear
- nurses have lots of credibility
- unique perspectives
- successful advocators
Fundamentals of Political Action
- understand nature of organization
- use comportment
- have a plan
Primary Health Care
- right care right time right provider
- improving health of Canadians
- clients at centre of care
Principals of PHC
- Accessibility
- Active Public Participation
- health promotion and chronic disease prevention/management
- Use of appropriate technology and innovation
- Intersectoral Cooperation and Collaboration
Primary Care
- the element within primary health care that focuses on health care services, including health promotion, illness and injury prevention, and the diagnosis and treatments of illness and injury
- entry point to health care system
Vision of Future Nursing
- lead collaborative teams
- improve access to care
- expanded scope of practice
- SDOH determination
- advocating for sustainability
- support management of own health
Roger’s Theory
Innovation(new knowledge)+Diffusion (implementing knowledge) =Spread of Knowledge
5 Stages to Move Innovation to Practice
- Awareness
- Persuasion
- Decision
- Implementation
- Adoption
Cochrane Contribution
- systemic reviews
- peer reviewed
- problem isn’t volume but access
Values In Canadian Code of Ethics
- Safe, competent Ethical Care
- Promote Health
- Informed Decision Making
- Honour Dignity
- Maintain Confidentiality
- Promote Justice
- Be Accountable
ICN
Globally ensures quality nursing, health policies, advancing nursing knowledge
CNA
-Rn role in Canada
-Claire
-Includes provincial
associations
-certifies 21 specialties
CNSA
increase legal and ethical educational aspects
CARNA
Vision Excellent Regulation
Mission: serve public safety, build progressive leadership
Values: integrity, respect, accountability, professionalism
-disciplinary
UNA
union
CFNU
- voice for nurses on national level
- advocacy to gov’ of Canada
CASN
education, policy
theory, research, practice
accretion for university programs
CCRNR
- monitors prov’, national, global issues to regulation
- advises
- Where organizations collaborate for education requirements etc.
