Session 4 + 5 Flashcards
What is a profession?
Occupation that requires special knowledge and skill.
What is the criteria of a profession?
- Specialized body of knowledge- nursing has well defined knowledge and expertise. Increased research also adds to this body of knowledge.
- Specialized education- degree for entry to practice as a RN, university
- Service orientation- service different nursing from other occupations. have altruism- selfless concern for others
- Professional organization- operate under a professional organization is different from a professional from an occupation
- Autonomy/self regulate- profession is autonomous if it regulates itself and sets standards for it members
- Code of ethics- nursing requires integrity, and nurses have a code they follow.
What are continuing competencies?
Measure the ongoing ability to integrate and apply knowledge, skill, judgement, and expertise. They ensure RNs are enhancing their practice through self directed learning. There is random continuing audits throughout the year.
What is reflective practice?
Uses questioning approach, evaluate/refines practice constantly, seek to increase skill, considers the needs of patients, practice with understanding self values and biases.
The stereotypes that affect nursing image in history and today?
Heroine/angel: virtuous worker, self sacrifice, kind, caring, there to serve, and born to help
Handmaiden: follows orders, uneducated worker, doctors servant
Harridan/battleaux: strict, mean, aggressive, scary, and cold hearted
Harlot/sexy nurse: plaything, beautiful wound women
Superhero (new): strong, brave, nurses challenge and defeat enemy, seen in COVID 19
What are the challenges with nursing image?
Inaccurate images limit public understanding, contribute to nursing shortage, physicians get credit for nursing work, stereotypes impact public perception.
What is values vs ethics?
Values- standards that give person sense of what’s right and wrong. Derived from religion/society/family and they change as we grow. They influence how we interpret info.
Ethics- study of good conduct, character, and motives. Determine what’s good and valuable for all. Involves critical reflection, exploring one’s values/behaviour/action/judgements.
Core components of the CNA code of ethics and what is it?
It informs everyone about ethical values and responsibilities and endeavours of nurses. It’s a regulatory tool used for nursing in Canada. It also provides guidance for ethical relationships.
Part 1- Nursing values and ethical responsibilities: 1. provide safe, compassionate, competent, and ethical care (in their speech and actions, build trustworthy relationships, honesty), 2. promote health and well being, 3. promote and respect informed decision making (person has right to refuse or withdraw consent), 4. Honouring dignity (use respect), 5. Maintain privacy and confidentiality, 6. Promote justice (safeguard human rights, equality, fairness) 7. Be accountable (accountable for actions and answerable for their practice)
Part 2- Ethical endeavours r/t broad societal issues: ethical nursing practice addresses broad aspects of social justice that are associated with health and well-being. Want to improve systems and structures the create equity for all.
What is bioethics and the 4 principles of it?
Principled reasons across health care professions. Obligation/reason based/outcome orientation. The principles are…
1. Autonomy- respect that person can make their own decisions
2. Nonmaleficence- not cause harm to others, risk vs. benefit
3. Justice- fair treatment of individuals and groups in society
4. Beneficence- produce good and benefit for another person
How is the code of ethics aspiratory and regulatory?
A= inform about ethical values and responsibilities of a nurse
R= nurses bond to code of ethics as part of the regulatory process that serves and protects the public
What is responsibility, accountability, and advocacy?
R= reliable/dependability, duty to perform actions, and the nurse is responsible for pt, family, community, and society.
Ac= accept responsibility for one’s decisions and actions. Honesty and integrity. Respect for dignity/worth/self determination of patient.
Ad= active support of issue/cause. Defended and speak up for others that can’t. RN are patient advocates.
What domains does caring occur in?
Active caring of the patient (actions) and kindness/concerned nurse (genuine). There is a difference between care and caring.
What is futile care?
Life sustaining/prolonging technology where care doesn’t return patient to productive life (they stay in a vegetative state). It’s non beneficial to overall well being.
What are barriers to resolving ethical issues and then how can we resolve issues?
Lack of workplace support, conflict, little resources. Resolve by reviewing code, bring up concerns with colleague, ask for advice and support, and be familiar with legislation.
What is ethical problem?
Conflict between values, uncertain course of action.
