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Discipline In Nursing > Prior To Midterm #1 > Flashcards

Prior To Midterm #1 Flashcards

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1
Q

Three pillars of BSCN philosophy

A

Knowing, being, doing

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2
Q

Being

A

-the idea that relationship and self is very meaningful
-everyone has the right too… (respect, dignity, full potential)
-people are unique with stories
-authentic connections

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3
Q

Knowing

A

Multiple truths and perspectives
-constantly changing
-caring scientists (offers the best care for success)
-complexity science (sense making and decision making)
-learning from others by self critiques

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4
Q

Doing

A

The healthy change and solution
-authentically, how do you want to come across
-shared meaning, in relationship building
-capacity and capability
-engaging with interdisciplinary and intersectoral approaches

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5
Q

Four types of truths

A

-objective
-subjective
-normative
-complex

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6
Q

Objective truth

A

-measurable
-five senses
Physically observed proof

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7
Q

Subjective

A

Individual perspective
-pain

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8
Q

Normative

A

Gourd agreement
-cultural
-ethnical, gender, religion

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9
Q

Complex

A

What truth is best/most effective
-changes, situational
-in the best interest

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10
Q

Three knowings

A

-axiology
-epistemology
-ontology

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11
Q

Axiology

A

Values
-idea that everyone has values and they won’t all be the same
-knowing about yourself

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12
Q

Epistemology

A

Knowledge
-knowing things to help with empathy and building connection

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13
Q

ontology

A

Life experiences
-death, joy and sadness

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14
Q

Body mind spirit

A

Holistic view on each part of a humans self being important and valued

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15
Q

Profession

A

The act of doing something
-teaching, clinician

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16
Q

Spirituality

A

The meaning and purpose in life
-fuel
-how to express who we are as a person

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17
Q

Religion

A

Celebrating spirituality together in community
-traditions, belief

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18
Q

Discipline

A

Knowledge/ three knowing’s
-axiology
-epistemology
-ontology

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19
Q

How to enhance spirituality

A

-respect boundaries
-listening authentically
-encouraging story
-exploring suffering and joy
-interests
-connection
-hope and meaning

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20
Q

Advantages of a holistic approach

A

Patient: Creates comfortable environment, with trust, higher chance to be more healthy
Self: learning about self, context, more passionate

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21
Q

Criteria (to be a professional)

A

-BSCN
-specific knowledge
-code of ethics
-prof organization CRNA (permit, discipline, take care of themselves)

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22
Q

Challenges of engaging from a holistic perspective

A

-may be response from people around you
-emotionally attached

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23
Q

Nursing science

A

A title we desire to become
-discipline of a nurse
-experimental research of a scientist
-application of theory to practice
-cyclical (learning in class but altering it)
(Final exam)

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24
Q

Nurses working in ___

A

Health care system

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25
Q

Healthcare system

A

-health is a varying idea
-encompasses a greater circle that includes everyone
-includes psychology, environment created, planet concerns, people (empathize with their stories)

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26
Q

What are the interests/focuses for nursing

A

-knowledge of ourself (similarities/differences of us and patents)
-patient experience (how that disease affects the patient) (patient has value)
-in relationship (intentional, slow down)

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27
Q

Kintsugi

A

Serving for others
Not broken if you’re not “perfect”
-seeing brokenness as opportunity to give back
-empathize with how difficult it is to ask for help

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28
Q

Healing vs curing

A

Curing- decreasing/absence of the disease (antibiotic), alleviating the symptoms
Healing- wellbeing, mental state or mindset
-Situational wether one is more important… neither can exist before the other
Difference- healing always possible, curing is not always

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29
Q

Empirical knowing

A

Scientific, factual and evidence based aspects of nursing
-application of medicine based on data/scientific knowledge
-measurable, senses

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30
Q

Ethical knowing

A

The moral and ethical considerations in nursing
-best interest of patience
-ethical dilemmas, patient rights, and moral principles

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31
Q

Personal knowing

A

Who you are, and who you are as a professional
-important of nurse’s own feelings and values
-all professional experiences and their influences

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32
Q

Aesthetic knowing

A

Artistry and creativity in nursing
-the way we do things as nursing or adaptations
-see patient as a whole beyond medical condition
-patient’s experience, emotions and context

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33
Q

Nursing Theory

A

Framework for making decisions and guides our practice
-what does it mean to be a nurse?
-relationships between concepts (affect daily quality of life)
-being

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34
Q

Not focusing on diseases, focusing on ___

A

The people having diseases
-patients

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35
Q

Difference between assumptions and propositions

A

Assumptions- without proof/ educated guess
Propositions- things we believe/value

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36
Q

Nursing theories is a …

A

Blueprint
-way of thinking
“All nurses have”

37
Q

Ethics vs morality

A

Ethics - something you have to do
Morality - don’t like it or personal disagreement
Example

38
Q

Emancipatory

A

How to care for people
-justice, in understanding who that other person is
-what people need

39
Q

Unknowing

A

Being open to re-learning
-understanding there’s new ways of doing things

40
Q

Empirically

A

How we take care of people justly
-just I’ve, understanding everyone is difference

41
Q

Synoptic knowing

A

Almost like holistic
-using all these ideas of knowing together
-depends on situation what is more important

42
Q

Metaparadigm

A

The way nurses organize knowledge for this practice
-strengthens the profession, models and theories
-guides practice

43
Q

four metaparadigm

A

-nursing
-person
-health
-environment

44
Q

Nursing

A

Before- one way, transactional experience where nurse is more powerful
After- relational and reciprocal, learning happens both way

45
Q

Person

A

Before- was “one”, individual with disease
After- there is background behind the person (family/environment) and everyone has potential

46
Q

Health

A

Before- have a disease or do not
After- individual personal belief expression of their health

47
Q

Environment

A

Before- physical environment (food/clutter)
After- mental, spiritual, financial and climate change all alter peoples life expectancy

48
Q

Criticisms of the metaparadigm

A

-different perspectives (generations, sex, religion)
-not scientific
-no relationship building
-colonial lack of family/choice

49
Q

What needs to be done to decolonize the metaparadigm

A

-constant evolving
-globalization
-creativity
-being rather than knowing
-work with the patient not on the patient

50
Q

McGill model of nursing

A

-the patients capacity
-a strength based model

51
Q

Orems model of nursing

A

-deficit and self care
-the patient is broken and needs help

52
Q

Objective

A

Measurable
-based off evidence
-external

53
Q

Subjective

A

-based off feeling
-pain
-internal

54
Q

Inductive

A

-way to gather facts
-more generalizations
-know an outcome

55
Q

Deductive

A

-find a hypothesis
-don’t know the outcome

56
Q

Self regulation

A

Recognition of our basis

57
Q

Systematicity

A

Inductive and deductive

58
Q

Maturity

A

Life experiences and a way of doing

59
Q

Grounded in relationship

A

Form connections

60
Q

Critical reflexivity

A

Aware of your own criticism

61
Q

Listening

A

Skill

62
Q

Possibilities

A

Awareness

63
Q

Curiosity

A

Staying curious about the patient

64
Q

Different framing

A

Comfortable knowing people who are different
-LGBTQ

65
Q

Multiple insights

A

Always working alongside people, every perspective is important

66
Q

Intuition

A

Something that hasn’t manifested or articulated yet
-subjective
-trust your gut

67
Q

Collective

A

Utilizing all of the people and knowledge

68
Q

Openness

A

Not being judgemental or predetermine things

69
Q

Critical thinking

A

-multiple perspectives
-process, is not linear
-reflecting, analyzing, thinking, questioning
-evaluate and then go back

70
Q

Commitment

A

More learning and curiosity

71
Q

Complex

A

Grey area, change, perspectives
-flexible

72
Q

Basic

A

Right and wrong

73
Q

Nursing process

A

A collaborative, client centred process where clinical decisions are made

74
Q

Nursing diagnosis

A

A symptomatic observation that is collaborative with the patient
-not a medical observation
-lived experience and current
-potential risk of patient

75
Q

Planning

A

Acting on priorities, CURE
(Critical, urgent, routine, extra)
-SMART goals

76
Q

Implementation

A

The act of actually doing
-not blind decision
-maslow’s hierarchy of needs

77
Q

Evaluation

A

Are questions you ask yourself after the implementation
-asses outcome and learn

78
Q

Nursing assessment

A

Gather, sort and analyze the patient
-body, mind and spirit
-previous/current

79
Q

Nursing process order

A

Nursing diagnosis-planning-implementation-evaluation-nursing assessment

80
Q

Maslow’s hierarchy of needs

A
  1. Physiological needs
  2. Safety
  3. Love
    4.esteem
  4. Self actualization
81
Q

Six stages of the clinical judgment

A
  1. Recognize cues
  2. Analyze cues
  3. Prioritize and hypothesis
  4. Generate solutions
  5. Take actions
  6. Evaluate outcomes
82
Q

Recognize cues (six clinical judgments)

A

What matters the most
-senses, objective/subjective
-symptoms
-all sources of information (history, family)
-prioritizing and zero bias

83
Q

Analyze cues (six clinical judgments)

A

What does it mean
-connections, ask questions
-all the ‘knowings’
-cointerpret (coworkers, patient, family)
-needs, concerns and problems (in terms of patient or family)

84
Q

Prioritize and hypothesize (six clinical judgments)

A

Where do I start
-maslows and CURE
-establishing the priorities
-if I do A will it affect B? C?
-rational to back up decisions

85
Q

Generate solutions (six clinical judgments)

A

What can I do
-planning stage (who else needs to be involved)
-“what we want” as outcome
-nursing interventions to reach that goal

86
Q

Take actions (six clinical judgments)

A

What will I do
-evidence informed practice
-realistic
-in highest to lowest priority (ABC’s)
-safety

87
Q

Evaluate outcomes (six clinical judgments)

A

Did it help
-observable
-rate (succes or pain)
-goal reaching?
-expected vs observed outcomes

88
Q

Environmental factors

A

-setting/situational
-client observations
-rescources
-health records
-time pressure
-cultural considerations
-task complexcivity
-risk assessment

89
Q

Individual factors

A

-nursing factors
-cognitive loads
-nursing characteristics

Discipline In Nursing (2 decks)

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