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Nursing Semester 1 > Nursing and Caring > Flashcards

Nursing and Caring Flashcards

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1
Q

What is nursing? (6)

A

Art and Science

Guided by a code of ethics

Based on standard

Evidence-based practice

Critical thinking

Patient centered and includes family and community

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2
Q

ANA definition of Nursing

A

Nursing is the:

PROTECTION

PROMOTION

OPTIMIZATION of health and abilities,

PREVENTION of illness and injury

ALLEVIATION of suffering through the diagnosis and treatment of human response,

ADVOCACY in the care of individuals, families, communities, populations

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3
Q

Nursing standards are:

A

a MINIMUM set of criteria of practice to provide quality care

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4
Q

Nursing as a Profession

A

Patient centered care

Professionalism

  • administer quality care
  • be RESPONSIBLE and ACCOUNTABLE

Health care advocacy groups

  • Robert Wood Johnson Foundation (RWJF) Future of Nursing: Campaign for Action
  • Institute of Medicine (IOM) publication on The Future of Nursing
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5
Q

Nursing 6 standards of practice (ADOPIE)

A

Nursing process is the foundation of clinical decision making

ASSESSMENT

DIAGNOSIS

OUTCOMES IDENTIFICATION

PLANNING

IMPLEMENTATION-Coordination of care
-Health teaching/promotion

  • Consultation
  • Prescriptive Authority and Treatment

EVALUATION

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6
Q

Standards of Professional Performance (10)

A

Ethics

Education

Evidence-Based Practice and Research

Quality of Practice

Communication

Leadership

Collaboration

Professional Practice Evaluation

Resources

Environmental Health

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7
Q

Code of Ethics:

A

Code of ethics is the philosophical ideals of RIGHT and WRONG that define principles used to provide care

Important for you to incorporate own values and ethics into practice

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8
Q

Primary Roles and Functions of the Nurse: (9)

A

Care Provider

Advocate

Change Agent

Researcher

Delegator

Educator

Leader

Manager

Collaborator

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9
Q

Contemporary Influences:

A

Importance of nurses’ self-care

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10
Q

Changes in society lead to changes in nursing (4)

A

Affordable Care Act (ACA)

Rising health care costs

Demographic changes

Medically underserved

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11
Q

Trends in Nursing:

A

Evidence-based practice

Quality and Safety Education for nurses (QSEN)

Impact of emerging technologies

Genomics

Public perception of nursing

Impact of nursing on politics and health policy

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12
Q

Theoretical Views on Caring

A

Caring: a universal phenomenon that influences the way we think, feel and behave

Since Florence Nightingale, nurses have studied caring

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13
Q

Caring is at the:

A

heart of a nurse’s ability to work with all patients in a respectful and therapeutic way

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14
Q

Caring is:

A

PRIMARY
-determines what matters to a person

-Helps you provide patient centered care

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15
Q

Leininger’s Transcultural Caring:

A

Caring is an essential human need

Caring helps an individual or group improve a human condition

Caring helps PROTECT, DEVELOP, NURTURE and sustain people

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16
Q

Leininger describes the concept of care as:

A

the essence and central, unifying and dominant domain that distinguishes nursing from other health disciplines

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17
Q

Care is:

A

an essential human need, necessary for the health and survival of all individuals

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18
Q

For caring to be effective, nurses need to

A

learn culturally specific behaviors and words that reflect human caring in different cultures to identify and meet the needs of all patients

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19
Q

Watson’s Transpersonal Caring:

A

HOLISTIC

Promotes healing and wholeness

Rejects the disease orientation to health care

Places CARE before CURE

Emphasizes the nurse-patient relationship

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20
Q

When a nurse focuses on transpersonal caring, she:

A

looks for deeper sources of inner healing to protect, enhance, and preserve a person’s

  • dignity
  • humanity
  • wholeness
  • inner harmony

Nursing becomes almost SPIRITUAL

21
Q

Swanson’s Theory of Caring:

A

Defines caring as a nurturing way of relating to an individual

States that caring is central nursing phenomenon but is not necessarily unique to nursing practice

22
Q

Swanson’s theory provides:

A

direction for how to develop useful and effective caring strategies appropriate for multiple age groups and health care settings

23
Q

Swanson’s 10 Carative Factors:

A

Forming a human-altruistic value system

Instilling faith-hope

Cultivating a sensitivity to one’s self and to others

Developing a helping, trusting, human caring relationship

Promoting and expressing positive and negative feelings

Using creative problem-solving, caring processes

Promoting transpersonal teaching-learning

Providing for a supportive, protective and/or corrective mental, physical, societal, an spiritual environment

Meeting human needs

Allowing for existential-spiritual forces

24
Q

Summary of Theoretical Views (5):

A

Nursing caring theories have common themes

Caring is highly relational

Caring theories are valuable when assessing patient perceptions of being cared for in a multicultural environment

Enabling is an aspect of caring

Knowing the context of a patient’s illness helps you choose and individualize interventions that will actually help patient

25
Q

Swanson’s Theory of Caring Process:

A

Knowing

Being with

Doing for

Enabling

Maintaining belief

26
Q

Patient’s Perspective of Caring:

A

Patients value the affective dimension of nursing care

  • Connecting with patients and their families
  • Being present
  • Respecting values, beliefs and health care choices
27
Q

What is an ethic of care?

A

unique so professional nurses do not make professional decisions based solely on intellectual or analytical principles

Ethic of care places CARING at the CENTER of decision making

28
Q

An ethic of care places…

A

the nurse as the patient’s advocate, solving ethical dilemmas by attending to relationships and giving priority to each patient’s unique personhood

29
Q

As you deal with health and illness in your practice…

A

You grow in your ability to care and develop caring behaviors

30
Q

Caring is one of those human behaviors that we….

A

CAN GIVE AND RECEIVE!

31
Q

Use caring behaviors to…

A

reach out to colleagues and care for them too!!!

32
Q

Caring in nursing practice factors (7)

A

Providing presence

Touch

Listening

Knowing the patient

Spiritual caring

Relieving pain and suffering

Family care

33
Q

Behaviors that demonstrate caring in nursing: (4)

A

Nurse’s presence

Consistency and predictability

Use of touch

Listening in the nurse-patient relationship

34
Q

Presence, by simply being in a patient’s room,

A

nurses have the potential to calm the fears of a patient and family and demonstrate caring

35
Q

Research indicates that the interpersonal skills of nurses…

A

who demonstrate caring and compassion, such as being present with patients in times of crisis are often the basis on which patients determine the COMPETENCE of their nurses

36
Q

Providing Presence factors (6)

A

Being with

Body language

Listening

Eye contact

Tone of voice

Positive and encouraging attitude

37
Q

Provision of care that is consistent and is delivered in a predictable way can…

A

make the experience less intimidating for the patient

38
Q

Practice standards and clinical guidelines help…

A

ensure a more consistent approach to nursing care and help optimize patient outcomes

39
Q

Providing treatment based on standardized best practices allows…

A

all patients to receive similar high quality care

40
Q

Touch:

A

provides comfort

Creates a connection

  • non contact touch
    ex: eye contact
  • contact tough
    ex: task-oriented touch, caring touch, protective touch
41
Q

Protective touch is:

A

touch that protects a nurse and/or patient.

example: preventing an accident (holding or bracing the patient to avoid fall)

Can protect nurse emotionally when nurse withdraws from patient unable to tolerate suffering or escape a situation that is causing tension

42
Q

Listening (3)

A

Creates trust

Opens lines of communication

Creates a mutual relationship

43
Q

Knowing the Patient:

A

Develops over time

CORE PROCESS of clinical decision making

44
Q

Aspects of knowing include (3)

A

Responses to therapy, routines, habits

Coping resources

Physical capacities and endurance

45
Q

Spiritual caring is achieved when…

A

a person can find a balance between his life values, goals, and belief symptoms and those of others

46
Q

Spirituality offers a sense of:

A

Intrapersonally (connected with oneself)

Interpersonally (connected with others and the environment)

Transpersonal (connected with the unseen, God, or higher power)

47
Q

Relieving symptoms and suffering includes (4)

A

performing caring nursing actions that give a patient comfort, dignity, respect and peace

Providing necessary comfort and support measures to the family or significant others

Creating a physical patient care environment that soothes and heals the mind, body and spirit

Comforting through a listening, nonjudgmental, caring presence

48
Q

The challenge of caring (4)

A

Task-oriented biomedical model

Institutional demands

Time constraints

Reliance on technology, cost effective strategies, and standardized work processes

49
Q

If health care is to make a positive difference in patients’ lives, health care must be more…

A

HOLISTIC and HUMANISTIC

Nursing Semester 1 (24 decks)

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