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1060 fundamental concepts of nursing > Week 10 - 13 > Flashcards

Week 10 - 13 Flashcards

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1
Q

Leadership Definition

A
  • Processing of involving people & gaining trust
  • Energizing participation & achievement of mutual goals
  • Process of influence, change & action
  • Strong professional identity & accountability focused on self-knowledge
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2
Q

Roles of a Leader

A
  • Create vision
  • Create non-toxic environment
  • Make conflict an asset
  • Create change
  • Create leaders (mentoring)
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3
Q

CNO in Nursing Leadership

A
  • Critical thinking, action & advocacy in all domains
  • Shows leadership via best care to public
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4
Q

Indicators of Leadership

A
  • Model profession values, beliefs & attributes
  • Provide direction
  • Collaborate & share knowledge
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5
Q

Intraprofessional Collaboration

A
  • Members of same team working together to deliver quality care
  • Understand scope & breadth of practice
  • Communicate effectively
  • Work collaboratively
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6
Q

Benefits of Intraprofessional Practice

A
  • Improved clinical outcome
  • Decrease length of hospitalization
  • Increased client safety
  • Improved communication
  • Increased respect for other health professionals
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7
Q

Barriers of Intraprofessional Practice

A
  • Lack of understanding roles
  • Lack of communication
  • Lack of preparation of interprofessional teamwork
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8
Q

Teamwork Definition

A
  • Work done by group of people who possess individual expertise
  • Individual decisions holding common purpose
  • Meet together to communicate & share knowledge
  • Future decisions & actions are determined
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9
Q

Attributes of Teamwork

A
  • Mutal respect
  • Shared planning
  • Opne communication
  • Cooperation
  • Shared expertise
  • Common goals
  • Coordination
  • Shared decision making
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10
Q

Communication Components

A
  • Active listening
  • Timeliness
  • Openness
  • Sharing
  • Respect
  • Trust
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11
Q

Global Health

A
  • Transends national boundaries
  • Combination of population- based prevention with individual level clinical care
  • Equity of health worldwide
  • Emphasizes transnational health issues, determinants & multidiscipline solutions
  • Area of research, study, practice priority of improving health
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12
Q

Impacts on Global Health

A
  • Economy
  • Politics
  • Government
  • Social status
  • SDoH
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13
Q

Globalization Definition

A
  • Combination of forces increasing flow of information, goods, capital & people
  • Across political & geographic boundaries
  • Easier transmission of diseases
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14
Q

Ethics of Globalization

A
  • Guide global health
  • Humanity
  • Introspection
  • Solidarity
  • Social justice
  • Technical excellence & political commitment with ethically sound purpose
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15
Q

Politics of Globalization

A
  • Government
  • Finances & economy
  • Wars
  • Policy
  • Infrastructure
  • Communication
  • Education system
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16
Q

Social Aspects of Globalization

A
  • Culture
  • Religion
  • Language
  • Beliefs, values, norms
  • Resources
  • SDoH
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17
Q

Effects of Migration

A
  • Results in nursing staff shortages
  • Move from rural to urban areas
  • Creates barriers of access in rural areas
  • Recession & cuts to healthcare allow less nursing migration
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18
Q

Equity Strategies

A
  • Accessibility
  • Health promotion
  • Integration of cost-effective research findings into practices
  • Respect for diversity
  • Inter-sectoral collaboration
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19
Q

Citizenship

A
  • Global social responsibility
  • Sense of interconnectedness
  • Ethical obligations to each other
  • Informed on issues effecting wellbeing
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20
Q

Strategies of Global Health

A
  • Reflexivity
  • Moral cosmopolitanism
  • Narrative imagination
  • Understanding culture & beliefs of self & others
  • Partnerships
  • Connection between social condition & health
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21
Q

Regulated Health Professional Act 1991

A
  • Hold certificate from regulatory college of chosen profession
  • Required by law to deliver competent, ethical & professional services to public
  • Provisions regarding permitted actions & process
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22
Q

Nursing Act

A
  • Requirements for registration of RN, RPN & NP
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23
Q

Nursing Scope of Practice Statement 1991

A
  • Promotion of health
  • Assessment
  • Provision
  • Care
  • Treatment
  • Preventive, supportive, therapeutic, palliative & rehabilitative means
24
Q

College of Nurses Ontario (CNO)

A
  • Governing body for RN, RPN & NPs
  • Self-regulated profession since 1963
  • Establishes requirements for entry to practice
  • Articulates & promotes standard of practice
  • Administering quality assurance program
  • Enforces standards of practice & conduct
25
Q

Self-Regulation of Nursing

A
  • Understand scope of practice
  • Determine standards & education required
  • Required competences to become & remain registered
  • Practice according to CNA code of ethics
  • Developing standards, code of ethics & examinations
  • Entry to practice competencies
  • Following nursing act (controlled acts)
26
Q

Medical Directives

A
  • Written protocol with specific criteria
  • Allows nurses with appropriate knowledge, skill & judgement to preform unauthorized actions
  • NPs work under
27
Q

Controlled Acts

A
  • Actions potentially harmful to patient
  • Level of risk or invasive
  • Cannot perform unless authorized by delegation or regulated health professions act
28
Q

Nursing Controlled Acts

A
  • Preforming ordered procedure below dermis/mucous membrane
  • Administering substance through injection/inhalation
  • Dispensing medications
  • Treating through psychotherapy
  • Managing labour/conducting delivery
  • Allergy challenge testing
29
Q

Nurse Practitioner Controlled Acts

A
  • Communicating diagnosis
  • Identifying cause of client symptoms, disease, disorder
  • Setting/casting fracture/dislocation
  • Prescribing, dispensing medications in accordance with regulations
  • Applying/ordering prescribed form of energy
30
Q

Scope of Practice

A
  • Different for RN, RPN
  • Differences in complexity, predictability, risk of negative outcome
  • Based on personal knowledge, assessment & communication skills
31
Q

Client Factors Contributing to Scope of Practice

A
  • Less complex/low risk & more predicted outcomes =RPN
  • Highly complex, high risk & unpredictable = RN
  • Risk & complexity increased need for RN consultation & collaboration
32
Q

Nurse Factors of Scope of Practice

A
  • Ability to provide safe & ethical care
  • Leadership, decision making, application of knowledge & critical thinking
33
Q

Environmental Factors of Scope of Practice

A
  • Practice/consultation supports & resources
  • Stability & predictability
34
Q

Professionalism

A
  • Actions, values, & attributes present in nursing care
  • Collaborate with patients, colleagues, students & members of care team
  • Knowledge, accountability, advocacy, ethics, scope & standards of practice
35
Q

Theory

A
  • Suggests direction to view facts & events
  • Based on concepts & propositions that explain relationship of concepts
  • Offers descriptions, explanations, predictions about phenomena
36
Q

Tirad

A
  • Interconnected concepts that influence decisions, interventions & evaluations
  • Basis for nursing knowledge & translation into practice
  • Involves theory, research & practice
37
Q

Theory in Action

A
  • Focuses on issues important to providing care
  • Creates knowledge to raise profession status
  • Tanners’ clinical judgement model (modern theorizing)
38
Q

Theory Purpose

A
  • Provide direction & guidance
  • Practice, education & research
  • Structuring profession
  • Differentiating focus of nursing from other professions
39
Q

Theory Types

A
  • Grand
  • Middle range
  • Practice level
40
Q

Grand Theories

A
  • Conceptual models/frameworks
  • Focus on metaparadigm of nursing
  • Abstract & difficult to test
41
Q

Middle Range Theories

A
  • Address specific phenomenon
  • Reflects practice
  • Less abstract/more concrete
42
Q

Practice Level Theories

A
  • Narrow scope
  • Developed for nursing specific situations
43
Q

Eras of Knowledge

A
  • Ciirculum1930
  • Research 1950
  • Graduate education 1959
  • Theory 1970
44
Q

Metaparadigm

A
  • Theories to address & specify relationships among major abstract concepts
45
Q

Metaparadigm Components

A
  • Person
  • Health
  • Environment
  • Nursing
46
Q

Theoretical Models

A
  • System theories
  • Interactive theories
  • Simultaneity theories
47
Q

Roy Adaption Theory

A
  • Views person as holistic, biopsychosocial being
  • Person in constant interaction with changing environment
  • Adaptive mechanisms used to cope
  • Goal to promote positive adaptive responses
48
Q

Peplau-Interpersonal Relations Theory

A
  • Focus on therapeutic nurse-client relationship
  • Meeting needs of patient
49
Q

J Watson Human Caring Theory

A
  • Care for physical body not separated from context of unity
  • Help client find meaning
  • Intentionality consciously with client in caring moment
  • Connectedness between & amongst persons/environment
50
Q

C’s of Caring

A
  • Compassion
  • Competence
  • Confidence
  • Conscience
  • Commitment
  • Comportment
  • Creativity
51
Q

Compassion

A
  • Awareness of relationship to all living creatures
52
Q

Competence

A
  • Knowledge, skills & expertise
  • Respond to professional responsibility
53
Q

Conscience

A
  • Moral awareness
  • Compass directing one’s behavior
54
Q

Confidence

A
  • Coverage between desires & obligations
  • Choice to act in accordance
55
Q

Compartment

A
  • Professional presentation to behaviors
  • Attitude & appearance to present accordingly

1060 fundamental concepts of nursing (3 decks)

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