Week 8-10 Flashcards
Philosophy
- Though process or belief system
Canadian Healthcare Philosophy
- Everyone receives equal care free of charge
Nursing Philosophy Components
- Type of care provided
- Ethics/morals
- Interaction with patients
- Individual values
Nursing Philosophy Purpose
- Collective statement of shared beliefs
- Congruent with practice setting
- Meaning & direction to practice
Importance of Personal Philosophy
- Influence over decisions
- Care choices
- Personal beliefs
Intersection of Professional & Personal Values
- Individual priorities of care
- Advocacy in healthcare system (changes)
- CNO, CNA practice standards
CNO Standards of Practice
- Accountability
- Continuing competence
- Ethics
- Knowledge
- Knowledge application
- Leadership
- Relationships
Philosophy Components
- Critical thinking path
- Guide actions & decisions
- Deepens understandings
- Explore values & beliefs
- Synthesize knowledge
Philosophy Use of Metaparadigm
- Identify relation of personal values to profession
Metaparadigm Components
- Health
- Person
- Environment
- Nursing
- Social justice
Safety Definition
- Reduction & mitigation of unsafe acts
- Use of best practice
- Lead to optimal patient outcomes
Types of Safety Incidents
- Adverse event
- Harm
- Error
- Near miss
- Patient safety incident
- Critical incident
Causes of Safety Incidents
- Human error
- Busy environments
- Miss communication
- High patient count per nurse
- Attention to detail
- Systems error
Blaming
- Explanations
- Make sense of event
- Attributions
- Severity of outcome
- Personal mental biases
Bias Leading to Blame
- Self- serving biases
- Fundamental attribution error
- Learned intuition
- Hindsight bias
Response to Harm
- Shame, blame, retrain
- Interventions
- Improve individual performance
Enhancing Safety
- Patient safety culture
- Teamwork
- Communication
- Safety, risk, and quality improvement
- Optimize human & system factors
- Recognize, respond, disclose
Culture of Safety
- Commitment to applying knowledge, skills, attitudes
- Organizational culture supporting safety
- Competence, behaviors, attitudes of individuals
Teamwork
- Interprofessional teams
- Collaborative patient-centred care
- Shared objectives
- Clear roles & responsibilities
- Interdependent decision-making
Communication
- Preventing adverse events
- Responding to adverse events
- Legible handwriting
Quality Improvement
- Anticipate, recognize, manage
- Situations placing patients at risk
Human & System Factors
- Relationship between individual & environment
- Characteristics to optimize safety
- Concerns related to human performance/environmental factors
- Ongoing interaction between human & environment
Recognize, Respond, Disclose Safety Incidents
- Recognize occurrence of adverse event/close call
- Responding effectively
- Mitigate harm
- Ensure disclosure & prevent recurrence
- Honest, time effective communication
Adverse Events Response
- Document & report all events
- Including near misses
- Communicate with healthcare team & management
- Communicate with patient & family
Nursing Qualities
- Strength of mindset
- Strengths of knowledge & knowing
- Strengths of relationships
- Strengths of advocacy
Mindset Strengths
- Mindfulness
- Humility
- Open-mindedness
- Non-judgemental attitude
Mindfulness
- Being present & aware
- Decreases distractions
- Increases noticing
- Separate personal needs from client needs
Humility
- Understanding one’s strengths & limitations
- Learn from others
- Share knowledge & expertise
- Fosters collaborative partnerships
Open-Mindedness
- Open to different ideas & opinions
- Accepting of differences
- Prevents immediate judgement/drawing conclusions
Non-Judgemental Attitude
- Tolerance for another’s beliefs, values, behaviours, perspectives
- Respectful of others
- Promote trust in relationship
Knowledge & Knowing Strengths
- Curiosity
- Self-reflection
Curiosity
- Desire for experience & knowledge
- Greater discoveries & understanding of client
Self-Reflection
- Examine personal thoughts, emotions, actions
- Increases self-awareness of limitations & biases
- Make adjustments to care
- Unique care for each situation
- Recognize feelings that may interfere with nurse-client relationship
Strengths of Relationships
- Respect & trust
- Empathy
- Compassion & kindness
Respect & Trust
- Promotes autonomy
- Increases likelihood for client sharing
Empathy
- Fills gap between nurse & patient
- Gain insight of clients strengths/weakness
- Client satisfaction
- Decreased stress & anxiety
Compassion & Kindness
- Fundamental behaviour
- Recognize client as human being not disease
- Soften impact of negative effects
Advocacy Strengths
- Courage
- Self-efficacy
Courage
- Standing up for beliefs & fighting for what is right
- Empowerment & taking charge
Self-Efficacy
- Potential to attain desired goal
- Empowers achievement of goals & change the future
- Can do attitude
Advocacy Types
- Proactive
- Reactive
Advocacy Threats
- Macrosocial
- Microsocial
Macrosocial Threats
- Health disparity
- Hospital environment
Microsocial Threats
- Patient vulnerability
Formal Leadership
- Assigned leader position
Informal Leadership
- Outside scope of formal role
- Accepted by others
- Perceived to have influence
Leadership
- Engaging & influencing others
- Use of personal traits to influence
- Collective efforts to achieve outcomes
Management
- Ensuring job is completed
- Provide resources
- Activities to control human & material resources
- Achieve outcomes with organizations mission
Leader Process
- Sets a direction
- Develops a vision
- Communicates direction & vision to staff
Manager Duties
- Addresses complex issues
- Planning, budgeting
- Setting target goals
Leadership Styles
- Autocratic
- Democratic
- Laissez-faire
Autocratic Leadership
- Centralized decision-making
- Leader makes decisions & holds power of control
- Transactional
Democratic Leadership
- Participatory
- Delegation of authority
- Close personal, influential relationships
- Use of expert power & power base
Lassiez-Faire Leadership
- Passive & permissive
- Leader defers decision-making
Transformational Leadership Theory
- Relationship between leader & follower
- Inspires & empowers individual
- Commitment to organization
Situational Leadership
- Adapt leadership style to manage specific situation
- Flexibility
- Identify performance, competence of others
- Experience & willingness to take responsibilities
Authentic Leadership
- Positive, ethical style
- High levels of self-awareness
- Transparency between actions & values
- Growth & improvement focus
Followership
- Gain experience
- Move between roles
- First step to competent leadership
- Contribute to team
- Reflect on expectations in each situations