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NURS 170 > Up to Midterm 1 > Flashcards

Up to Midterm 1 Flashcards

1
Q

BScN Philosophy

A

Being, Knowing, Doing

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2
Q

Being

A

What makes you a nurse
-Relationship + self is meaningful
-everyone has the right to (respect, dignity, full potential)
-everyone has unique stories/experiences
-create authentic connections

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3
Q

Knowing

A

Having the theoretical knowledge
-knowing there are multiple truths (that change)
-complexity science (sense/decision making)
-Caring Science (uses 4 ways of knowing)
-Deep knowing- learn from others, self critique/critical reflection

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4
Q

Doing

A

Applying nursing skills
-create relationships + safes paces
-authentically, how you want to come across
-engage in interdisciplinary + intersectoral approaches

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5
Q

4 types of truth

A

-Objective
-Subjective
-Normative
-Complex

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6
Q

Objective truth

A

-measurable
-physically observed
(5 senses)

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7
Q

Subjective truth

A

Individuals perspective
-internal/not visible
-not measurable

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8
Q

Normative truth

A

Group agreement
-cultural
-ethnic, gender, religion

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9
Q

Complex truth

A

what truth is best/most useful in a specific situation
-in the best interest

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10
Q

3 knowings

A

-Axiology
-Epistemology
-Ontology

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11
Q

Axiology

A

Ethics
-everyone has different values you may disagree with, but must help
-knowing about yourself

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12
Q

Epistemology

A

Knowledge (Nursing knowledge)
-knowing things to help build connections (empathy)
-Know how to treat symptoms (nurses don’t cure)

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13
Q

Ontology

A

Nature/existence of life
-Experiences, beliefs, feelings

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14
Q

bodymindspirit

A

Holistic view, each part of a humans self is important + valued

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15
Q

Spirituality

A

what gives meaning to life
-expresses who we are
-why we’re unique
- fuel to life

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16
Q

Religion

A

Cultures/communities celebrating spirituality together
- traditions + beliefs

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17
Q

Enhancing spirituality

A

-respect boundaries
-listen authentically
-encourage their story/interests
-explore suffering + joy (growth from them)
-connection
-hope + meaning

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18
Q

Spiritual Cues Include

A

-unspoken words (fine=not fine)
-recognize unseen boundaries (crossed arms)
-familiar objects (bible, cross)
-behavioural cues (no eye contact)

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19
Q

Holistic approach advantages
pt:self

A

Pt: will be more comfortable and engage in their health, trust you
self: be more passionate, have context

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20
Q

Holistic approach challenges

A

-may become emotionally attached
-be a response from those surrounding you
-Pt may not open up/ trust you; they could just ignore

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21
Q

Holistic knowledge you will learn

A

how to kindly deal with difficult pts
be more open to new/different ideas

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22
Q

Profession

A

The act of doing something
-teaching, clinician, researcher

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23
Q

Discipline

A

Knowledge/3 knowing’s
-axiology
-epistemology
-ontology

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24
Q

Professionals criteria

A

-BScN
-specific disciplinary knowledge
-code of ethics
-proof of organization CRNA (permit, discipline, take care of themselves)

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25
Q

Nursing Science

A

What we want to become/do as nurses
-application of theory to practice
-discipline of a nurse
-experimental research
-borrowed, personal knowledge
-Cyclical (what you learn in class but alter in life)
(FINAL EXAM)

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26
Q

Nurses work in ___

A

Health care system

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27
Q

Health Care 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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28
Q

Focuses/interest of nursing

A

-self knowledge (diff between us and pt)
-pt experience (how diseases effect them mentally)
-create relationships with pt

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29
Q

Canadian Nurses Association

A

-RNs are self-regulated healthcare professionals
-contribute to health care through leadership
-coordinate care + support clients
-nursing science is our foundation

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30
Q

Kintsugi

A

not seeing others as broken if not perfect
-brokeness is an opportunity to give back
-empathize with the difficulty to ask for help
-create a relationship

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31
Q

Nurseology requires

A

Requires nurse to get through defences + fears pts have that prevent self knowing

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32
Q

Nurses first priority

A

Self, if they are not in their best condition (are burnt out) they can’t provide adequate care to pt

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33
Q

Healing

A

well-being, mental state/mindset
-is ALWAYS possible

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34
Q

Curing

A

Decreasing/absence of disease (medications/treatments), alleviating symptoms
-NOT always possible

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35
Q

Healing vs. Curing

A

-in situations, one can be more important in a specific settings (bleeding out/safety needs fixed first)
-can have one without the other

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36
Q

Nursing theory is/uses

A

framework for decision making
-blueprint for nurses to follow
-uses the 3 knowledge types

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37
Q

4 Patterns of Knowing

A

-Empirics
-Personal
-Ethics
-Aesthetics

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38
Q

Empirics

A

Scientific/factual- has evidence
-application of medicine based on data/scientific knowledge
-measurable

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39
Q

Ethics

A

Moral/ethical considerations
-best interest of patience
- ethical dilemmas, Pt rights, moral principles

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40
Q

Personal

A

who you are as a professional + individual
cant have professional without personal
-all professional experiences have influence

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41
Q

Aesthetic

A

Artistry + creativity in nursing
-how we do things
- see pt as a whole not just the medical condition
- pts experience, emotions, and context

42
Q

Synoptic knowing

A

Integrative- must be thinking of other ways pf knowing
unique
courage- ask questions, do they have someone to care for them

43
Q

Unknowing

A

open to re-learning
Curiosity- ask questions
Openness- take chances/be open to new opportunities
Respect- Others opinions that may be different/don’t change their thoughts

44
Q

don’t focus on disease; focus on___

A

taking care of the PEOPLE who have to live with the disease

45
Q

Aspects of the metaparadigm

A

Nursing
Person
Health
Environment

46
Q

What does the metaparadigm do

A

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

47
Q

Person

A

how we define someone/what we believe/think about a person
( don’t shame decisions, see them as their friends, family, community)

48
Q

Health

A

Relationships they have
money they have
- health can improve with social compatibility

49
Q

Environment

A

Includes holistic views
physical conditions they live in (roof over head, enough food, clean H2O0
climate (planetary health)

50
Q

Nursing

A

managing interactions between person and environment
creating a reciprocal relationship, learning happens both ways
Before- nurse was more powerful

51
Q

Criticisms of the metaparadigm

A

lack of consensus
not a scientific approach
colonial

52
Q

Ethics vs. Morality

A

Ethics- Something you have to do
Morality- don’t like/a personal disagreement

53
Q

Emancipatory

A

How to care for people
-Justice, understand who the person is
-what people need

54
Q

How to decolonize the metaparadigm

A

-Constantly evolve
-Globalize
-allow creativity
-Being rather than knowing
-work with not on the pt

55
Q

McGill model of nursing

A

Pts capacity
strength-based model

56
Q

Orems model of nursing

A

degrative/ pt doesn’t take part in their health
pt is broken + needs help
-Puts pt down/feel useless

57
Q

Objective

A

Measurable
based on evidence
visual
external
repeatable

58
Q

Subjective

A

based off pts feeling
internal
pain
nonvisual

59
Q

Inductive

A

way to gather facts
more generalized
don’t nessisarily find answers

60
Q

Deductive

A

Have a thought/hypothesis
gather facts to find answers
test the theory

61
Q

Sensemaking

A

Understand:
different framing (LGBTQ)
multiple insights (colleagues opinions)
Intuitive (gut feeling)
Collective (listen to pts perspectives)
openness (no judgement)

62
Q

Critical thinking

A

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

63
Q

Self regulation

A

recognize biases

64
Q

interpretation

A

openmindedness to more then one way to do something

65
Q

inference

A

what assumption you may be making

66
Q

Maturity

A

life experiences and a way of doing things

67
Q

systematically

A

inductive + deductive thinking

68
Q

Nurses are grounded in relationship and need to, ___

A

Form connections

69
Q

inquisitiveness

A

curiosity

70
Q

critical reflexivity

A

aware of own criticism

71
Q

Listening

A

Skill

72
Q

possibilities

A

awareness

73
Q

curiosity

A

staying curious about pt

74
Q

Complex

A

grey area, change, perspectives, flexible

75
Q

Basic

A

right + wrong

76
Q

What is the nursing process

A

A cyclic, collaborative, universally applicable client-centred process where decisions are made.

77
Q

Nursing Diagnosis

A

-symptomatic observation, collaborative with pt
-not a medical observation
-lived + current experiences
- potential risk of pt

78
Q

Planning

A

acting on priorities CURE
(Critical, Urgent, Routine, Extra)
-SMART goals

79
Q

Implementation

A

the act of doing
not a blind decision
Maslow’s heiarchy of needs

80
Q

Evaluation

A

Questions you ask after the implementation
assess the outcome (did it work what can I do better)

81
Q

Nursing assessment

A

Gather, sort, analyze the pt
bodymindspirit
previous/current

82
Q

Nursing process order

A

assessment-analysis-planning-implementation-evaluation

83
Q

Maslow’s hierarchy of needs

A
  1. Physical needs
  2. Safety
  3. Love
  4. Esteem
  5. Self-actualization
84
Q

Clinical judgement order

A
  1. Recognize cues (what matters most, objective/subjective)
  2. analyze cues (what does it mean)
  3. prioritize + hypothesize (where do I start)
  4. generate solutions (what can I do)
  5. take action (what will I do)
  6. evaluate outcomes (did it help)
85
Q

Environmental factors

A

-setting/situational
-client observations
-resources
-health factors
-time pressure
-cultural considerations
-task complexity
-risk assessment

86
Q

Individual factors

A

-nursing factors
-cognitive loads
-nursing characteristics

87
Q

Two-eyed seeing

A

taking into consideration indigenous + Western (nursing) knowledge strengths
important to have a blended approach

88
Q

Indigenous view on knowledge

A

-healing, wellness, general world view
-learn from communities, the band (each had different views)
-taught by elders, knowledge keepers
- viewed women as important (matriarchy)
-Knowledge was passed down orally
-Interconnected, holistic, not a hierarchy, traditional

89
Q

Western knowledge

A

Individualistic
compartmentalized
hierarchical
objective/scientific

90
Q

Democratic Racism

A

process for disenfranchising
-assigning others as lesser

91
Q

Colonization

A

-democratic racism
-policies + power from one territory take over another
-forced indigenous disconnection from culture (assimilation)
-unequal power relations

92
Q

Indian Act

A

-federal law enforced by indian agents
-restrictive (ask to leave, for meds, took away women’s power)
-introduced reserves + residential schools
-gov’t said they would take care of indigenous but didn’t

93
Q

“Treaties of friendship”

A

-made to equally help each other
-no indication gov would take things away

94
Q

United Nations Declaration on the Rights of Indigenous Peoples

A

-Helps understand indigenous people
-give them rights
-CAN, USA, N Zeland, and AUST initially refused to sign (didn’t want to fix promises)

95
Q

Truth and Reconciliation Commission (TRC)

A

calls for action to help resolve aboriginal conflicts + restore mutual respect
-Discover indigenous stories
-address human rights
(nurses must understand)

96
Q

Status System

A

Refers to registered/treaty Indian under the act
-race + gender-based classification
-not all aboriginal recognized
–some groups too small or gave up status
-weren’t taken care of by gov

97
Q

Aboriginal stats

A

-higher health issues + death rates
-68.1% don’t get a high school diploma
-women are 3.5x more likely to experience violence

98
Q

Indigenous health disparities

A

-more homeless
-more food/H2O insecurity
-higher addiction rates
-more mental health issues
-experience systemic racism
-residential schools +60s scoop

99
Q

5 (Ps) Principals to Engender Cultural Safety and Humility

A
  1. Protocols
  2. Personal knowledge
  3. Partnerships
  4. process
  5. positive purpose
100
Q

Nurses must__

A

-Understand principals
-work on ourselves to learn their trauma
-collaborative practice of indigenous + Western ideas
-learn mutually from each other’s perspectives

101
Q

Planetary Health + sustainability

A
  1. Climate change (proper disposal of trash)
  2. air pollution
  3. food + H2O security
  4. displacement
  5. changing the infectious disease burden
  6. mental health
  7. health equity

NURS 170 (1 decks)

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