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Discipline In Nursing > Prior To Midterm #1 > Flashcards

Prior To Midterm #1 Flashcards

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
Healthcare system
-health is a varying idea -encompasses a greater circle that includes everyone -includes psychology, environment created, planet concerns, people (empathize with their stories)
26
What are the interests/focuses for nursing
-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)
27
Kintsugi
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
28
Healing vs curing
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
29
Empirical knowing
Scientific, factual and evidence based aspects of nursing -application of medicine based on data/scientific knowledge -measurable, senses
30
Ethical knowing
The moral and ethical considerations in nursing -best interest of patience -ethical dilemmas, patient rights, and moral principles
31
Personal knowing
Who you are, and who you are as a professional -important of nurse’s own feelings and values -all professional experiences and their influences
32
Aesthetic knowing
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
33
Nursing Theory
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
34
Not focusing on diseases, focusing on ___
The people having diseases -patients
35
Difference between assumptions and propositions
Assumptions- without proof/ educated guess Propositions- things we believe/value
36
Nursing theories is a …
Blueprint -way of thinking “All nurses have”
37
Ethics vs morality
Ethics - something you have to do Morality - don’t like it or personal disagreement Example
38
Emancipatory
How to care for people -justice, in understanding who that other person is -what people need
39
Unknowing
Being open to re-learning -understanding there’s new ways of doing things
40
Empirically
How we take care of people justly -just I’ve, understanding everyone is difference
41
Synoptic knowing
Almost like holistic -using all these ideas of knowing together -depends on situation what is more important
42
Metaparadigm
The way nurses organize knowledge for this practice -strengthens the profession, models and theories -guides practice
43
four metaparadigm
-nursing -person -health -environment
44
Nursing
Before- one way, transactional experience where nurse is more powerful After- relational and reciprocal, learning happens both way
45
Person
Before- was “one”, individual with disease After- there is background behind the person (family/environment) and everyone has potential
46
Health
Before- have a disease or do not After- individual personal belief expression of their health
47
Environment
Before- physical environment (food/clutter) After- mental, spiritual, financial and climate change all alter peoples life expectancy
48
Criticisms of the metaparadigm
-different perspectives (generations, sex, religion) -not scientific -no relationship building -colonial lack of family/choice
49
What needs to be done to decolonize the metaparadigm
-constant evolving -globalization -creativity -being rather than knowing -work with the patient not on the patient
50
McGill model of nursing
-the patients capacity -a strength based model
51
Orems model of nursing
-deficit and self care -the patient is broken and needs help
52
Objective
Measurable -based off evidence -external
53
Subjective
-based off feeling -pain -internal
54
Inductive
-way to gather facts -more generalizations -know an outcome
55
Deductive
-find a hypothesis -don’t know the outcome
56
Self regulation
Recognition of our basis
57
Systematicity
Inductive and deductive
58
Maturity
Life experiences and a way of doing
59
Grounded in relationship
Form connections
60
Critical reflexivity
Aware of your own criticism
61
Listening
Skill
62
Possibilities
Awareness
63
Curiosity
Staying curious about the patient
64
Different framing
Comfortable knowing people who are different -LGBTQ
65
Multiple insights
Always working alongside people, every perspective is important
66
Intuition
Something that hasn’t manifested or articulated yet -subjective -trust your gut
67
Collective
Utilizing all of the people and knowledge
68
Openness
Not being judgemental or predetermine things
69
Critical thinking
-multiple perspectives -process, is not linear -reflecting, analyzing, thinking, questioning -evaluate and then go back
70
Commitment
More learning and curiosity
71
Complex
Grey area, change, perspectives -flexible
72
Basic
Right and wrong
73
Nursing process
A collaborative, client centred process where clinical decisions are made
74
Nursing diagnosis
A symptomatic observation that is collaborative with the patient -not a medical observation -lived experience and current -potential risk of patient
75
Planning
Acting on priorities, CURE (Critical, urgent, routine, extra) -SMART goals
76
Implementation
The act of actually doing -not blind decision -maslow’s hierarchy of needs
77
Evaluation
Are questions you ask yourself after the implementation -asses outcome and learn
78
Nursing assessment
Gather, sort and analyze the patient -body, mind and spirit -previous/current
79
Nursing process order
Nursing diagnosis-planning-implementation-evaluation-nursing assessment
80
Maslow’s hierarchy of needs
1. Physiological needs 2. Safety 3. Love 4.esteem 5. Self actualization
81
Six stages of the clinical judgment
1. Recognize cues 2. Analyze cues 3. Prioritize and hypothesis 4. Generate solutions 5. Take actions 6. Evaluate outcomes
82
Recognize cues (six clinical judgments)
What matters the most -senses, objective/subjective -symptoms -all sources of information (history, family) -prioritizing and zero bias
83
Analyze cues (six clinical judgments)
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
Prioritize and hypothesize (six clinical judgments)
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
Generate solutions (six clinical judgments)
What can I do -planning stage (who else needs to be involved) -“what we want” as outcome -nursing interventions to reach that goal
86
Take actions (six clinical judgments)
What will I do -evidence informed practice -realistic -in highest to lowest priority (ABC’s) -safety
87
Evaluate outcomes (six clinical judgments)
Did it help -observable -rate (succes or pain) -goal reaching? -expected vs observed outcomes
88
Environmental factors
-setting/situational -client observations -rescources -health records -time pressure -cultural considerations -task complexcivity -risk assessment
89
Individual factors
-nursing factors -cognitive loads -nursing characteristics

Discipline In Nursing (2 decks)

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