Week 3 - 5 Flashcards
Goal of Nursing
- Restore, maintain & advance health
Science of Nursing
- Application of knowledge towards critical decisions
Art of Nursing
- Application of knowledge towards meaningful relationships
Roles of Nurses
- Clinician
- Educator
- Advocate
- Scholar
- Collaborator
- Communicator
- Leader
- Professional
- Coordinator
Challenges of Nursing
- Hierarchical health care institutions
- Emphasis on biomedical vs holistic ‘relational’ knowledge
- Limited funding & compensation
- Lack of time to complete care & form relationships
Nursing Calls to Action
- Critique & advocacy of problems in healthcare
- Speaking up for profession as skilled expert
- Communicate research in direct creative ways
- Interdisciplinary collaboration
Public Beliefs of Nurses
- Profession of honesty & ethics
- Public seeks self-care, prescriptions, products, interpreting of information
Nursing Framework
- Self-regulated professionals
- Work autonomously & collaboratively
- Achieve optimal levels of health at all stages of life
- Deliver direct healthcare services
- Coordinate care
- Contribute to healthcare system
Personal Health Information Protection Act 2004 (PHIPA)
- Regulates collection, use & disclosure of personal health information
- Implied consent to share patient information within circle of care
Protection Act 2016 (BILL 119)
- Protects privacy
- Individuals breaching privacy will be held accountable
Reasons for Protection Act 2016 (BILL 119)
- Increasing number of privacy breaches being reported
- Easier access to electronic health records
Consequences of Privacy Breaches
- Removal from practice/program
- Investigation legal/university
- Failure of professional course
- Police involvement
Theoretical Foundation of Nursing
- Meaningful to patient rather than a fixed outcome
- Care provided based off importance to patient
- Care & advocacy adapted to realties of different groups/individuals
- Person centered vs clinical care
Meta-Paradigm of Nursing Components
- Health
- Person
- Environment
- Nursing
Ways of Knowing Definition
- Pattern of knowledge gained through experience
Subjective Knowing
- Data collected by other sources
Received Knowing
- Set of absolute truths
- Received by infallible sources
Empirics Knowing
- Scientific form of nursing
- Developing abstract & theoretical explanation
- Informed by theories of biology & pathology
- Classical side of knowledge, can be verified
- Confirm with generalizable testable theory
Ethics Knowing
- Moral dimension of nursing
- Thinking through value conflicts, perspectives & principles
- Not one right answer, most moral choice
- Reflection on best course of action
Personal Knowing
- Therapeutic use of self
- Different version of self for different groups/people
- Self-understanding in relationship to patient
Unknowing
- Using uncertainties as personal benefit
- Recognize & break down assumptions
- Abstain from jumping to conclusions
Aesthetics Knowing
- Unique style of expression
- Notice complexity, context, uniqueness
- Improvise
- Empathic responses
- Art of nursing
- Creative responses
Emancipatory Knowing
- Praxis of nursing
- Equality
- Effects of SDoH
- Power dynamic physician vs patient
- Seek out equality for disadvantages
Patterns of Knowing
- Each connection modifies the whole
- Focus on all lens
- Develop knowledge with consideration of all patterns
Importance of Nursing History
- Explains past meaning & experiences
- Development of profession identity
- Advancing of profession in interest of public
Indigenous Healers
- Caregiving role in community
- Provision of medical knowledge
- Shared experience of childbirth
- Supported Canadian settlers
Catholic Nursing Sisters
- Built network of nurse run hospitals in 1637
- Leaders when no other employment options
- Marie Hubert, Jeanne Mance & Grey Nuns
Late 1800’s Nursing
- Era of apprenticeship
- Evaluated of completion of work
- Appearance considered in evaluation
- Considered handmaiden to physician
Hospital Schools of Nursing
- Ensure higher standard of care
- First school establish in St. Catherine’s in 1874
- Students lacked mentorship & were often exploited
Florence Nightingale
- Established first finically independent school of nursing
- Attached to St. Thomas Hospital in London ON
Post World War 1 Nursing
- Introduction of registration of nursing
- Influenza pandemic
- Rising poverty
CNA in 1920’s
- Developed new operational structure 3 sections
- Public health nursing
- Private duty
- Nursing education
Great Depression Nursing
- No Canadian health act or access to care
- Steady increase in need for hospital care
- Concerns of shortage of nursing & quality of education
- Public health nurses & medical health officers providing care
World War 2 Nursing
- Enhance education & treat the sick
- Need for nurses clarified status of profession
- More tolerance for gender & racial diversity
Post World War 2 Nursing
- Abandoned traditional system of racial & gender segregation
- Equal education, professional & employment opportunities
- Shortage of nurses effected public delivery of health services
- 1st master’s degree program at UWO in 1959
CNA in 1960’s
- Creates fund of continuing education
- Not charitable organization
- Access & establish national funding system
- Support for education & research
1970’s & 1980’s Nursing
- Framework adapted for undergraduate program
- Doctoral-prepared faculty increased
- Comprehensive proposals for healthy cost strategy
1979 Nursing Accomplishment
- CNA code of ethics
- Sister Simone Roach
1982 Nursing Accomplishment
- CNA approved BScN to practice by 2000
1990-2000 in Nursing
- UofA established first funded doctoral program
- Canadian institute of health information & research Is founded
- CNA goes online
- Tele-health is established (MB & NB)
2001 Nursing Accomplishment
- CNA publishes position statement of privacy breach of personal information
2002 Nursing Accomplishment
- CNA publishes new revised edition of code of ethics for RN
2003 Nursing Accomplishment
- Health Canada establishes Canadian patient safety institute
2004 Nursing Accomplishment
- CNA receives 9 million from Health Canada
- Advance primary health care renewal
2007 Nursing Accomplishment
- CNA Publishes framework for practice of RNs
- Frist nurse practitioner lead clinic in Sudbury
2009 Nursing Concern
- CNA projects that nursing shortage will grow 5x over 15 years
Present Nursing
- 2020 CNO entry to competences
- 2020 year of nurse by world health organization
Canadian Nurses Association Location
- Ottawa
CNO Leadership 2002
- Role modeling; professional beliefs, values & attributes
- Collaborating with clients & healthcare team for respectful professional practice
- Providing direction to collaborate sharing knowledge & expertise
Purpose of Nursing Leadership
- Improve health status
- Increase effectiveness & level of satisfaction among colleagues
- Improve attitude & expectations towards nursing profession
History & Modern Day Nursing
- Face calls to action to influence changes
- Use post-colonial lens to highlight health barriers
History Benefits
- Shaped by religion, race, class & gender inclusivity
- Identity as a profession
- Context & meaning of role changes overtime
- Advance profession to better meet public needs
Marie Hubert
- First to provide nursing care in Canadian context
Mary Agnes Snively
- Founded Canadian nurses’ association (CNA)
CNA Founded in
- 1908