Week 8-12 Flashcards

1
Q

Relational Inquiry Definition

A
  • Approach to practice
  • Paying attention to contexts & people
  • Understanding relating to others
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2
Q

Relational Orientation

A
  • Detail oriented
  • Between & among people
  • Within individual contexts
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3
Q

Inquiring Action

A
  • Deepen understanding of situation
  • Determine significant factors
  • Identify needed knowledge
  • Continually asking questions
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4
Q

Contexts

A
  • Shaping lived experiences
  • Patient/family & healthcare situations
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5
Q

Service Provision Model (1989)

A
  • People with health problems require outsiders to meet needs
  • Becomes habitual
  • Healthcare systems based on service proposition
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6
Q

Reference Points

A
  • Formed habits that become a default
  • Fall back point
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7
Q

Nursing Capacities

A
  • Compassion
  • Curious
  • Committed
  • Competent
  • Correspond
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8
Q

Morals

A
  • Individualized principles
  • Regarding right/wrong
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9
Q

Ethics

A
  • Nature & justification of principles
  • Applied to moral problems
  • Branch of philosophy concerned with moral good
  • Standards, beliefs, values, ideals, morals
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10
Q

CNA Code of Ethics Purpose

A
  • Expectations, obligations, standards
  • Assess nurse conduct
  • Nurses accountable to public
  • Public trust for nurses
  • Ethical issues inherent in nursing
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11
Q

Ethical Principles

A
  • Autonomy
  • Beneficence
  • Nonmaleficence
  • Fidelity
  • Justice
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12
Q

Nursing Values & Ethical Responsibilities

A
  • Safe, compassionate, competent care
  • Promoting health & well-being
  • Promote/respect informed decision making
  • Preserving dignity
  • Privacy & confidentiality
  • Accountability
  • Promoting justice
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13
Q

CNO Ethical Framework

A
  • Client well-being
  • Client choices
  • Privacy & confidentiality
  • Respect for life
  • Maintaining commitments
  • Truthfulness
  • Fairness
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14
Q

Ethical Uncertainty

A
  • Indecision/lack of clarity
  • Unable to identify problem
  • Feeling uneasy/uncomfortable
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15
Q

Ethical Dilemma

A
  • Conflicting courses of action
  • Underlying values conflict
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16
Q

Ethical Distress

A
  • Constrained from acting on ethical proper belief
  • Can’t prevent harm/perform action
  • Effects integrity as moral agents
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17
Q

Ethical Residue

A
  • Moral distress compromises personal integrity
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18
Q

Ethical Decision-Making

A
  • Reflection
  • Knowing & acknowledging personal beliefs
  • Ethical theory & principles
  • CNA & CNO values
  • Practice standards
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19
Q

Boundary Benefits

A
  • Security & order
  • Constraints
  • Containment
  • Limits
  • Delineates edge of appropriate behaviours
20
Q

Boundary Crossing

A
  • Crossing lines in a professional relationship
21
Q

Boundary Violation

A
  • Preceded by boundary drifts
  • Progress to crossing & potentially violations
  • Harmful to patient, professional, treatment
22
Q

Boundary Verification

A
  • Was it too helpful
  • Was it not helpful enough
  • What facilitates healthy independence
  • What enables unhealthy dependency
23
Q

Slippery Slope

A
  • Preceded by boundary drifts
  • Progressing to violations/crossings
  • Violation that causes harm
24
Q

Protecting Clients from Abuse

A
  • Intervene & report behaviours
  • Disrespect, violence, threat, romance, sexual abuse
  • Therapeutic relationships don’t include friendship, romantic, sexual
25
Q

Gift Giving

A
  • Client understands nurse doesn’t expect anything in return
  • No change to dynamic of therapeutic relationship
  • No potential for negative feelings among others
  • Only accept as group of nurses
26
Q

Healthy Workplace Importance

A
  • Practice setting
  • Health & well-being of nurses
  • Quality of client outcomes
  • Organizational performance
27
Q

Competencies of Client-Centred Collaborative Practice

A
  • Patient, client, family, community centered
  • Interprofessional communication
  • Clarifying roles
  • Team functioning
  • Collaborative leadership
  • Interprofessional conflict resolution
28
Q

New Nurse Experience

A
  • Adopting passive role
  • Establishing credibility
  • Building trust
  • Engaging in active role
29
Q

Shared Language/Communication

A
  • Enabler or inhibitor of collaboration
  • Medical jargon can keep knowledge within a group
30
Q

Role Clarifying

A
  • Gaining better understanding of everyone’s roles
  • Value knowledge & contribution
  • Patient/family considered as participating team members
31
Q

Power Sharing

A
  • Balance between provider & patient
  • Shared decision-making
  • Referral/inviting other professionals to team
32
Q

Power

A
  • Source of conflicts/negative behaviors
  • Exercised rather than possessed
  • Spread throughout society
33
Q

Sources of Power

A
  • Legitimate
  • Reward
  • Coercive
  • Expert
  • Information
  • Referent
34
Q

Nurse Power

A
  • Requisite workplace structures to promote empowerment
  • Belief in self ability
  • Understanding power in relationships
35
Q

Horizontal Conflict

A
  • Individuals involved same level of role
36
Q

Vertical Conflict

A
  • Individuals involved in different levels of roles
37
Q

Cause of Conflict in Healthcare

A
  • Decreased work satisfaction
  • High staff turnover
  • Generational difference/views
  • Stress
  • Physical/emotional exhaustion
  • Lack of autonomy
  • Lack of managerial support
38
Q

Workplace Bullying Types

A
  • Work-related
  • Person-related
  • Physically intimidating
39
Q

Consequences of Workplace Bullying (Nurse)

A
  • Increase PTSD symptoms
  • Decrease physical/mental health
  • Increase job stress
  • Increase burnout
40
Q

Consequences of Workplace Bullying (Patient)

A
  • Increase errors & adverse events
  • Decrease perceptions of patient safety
41
Q

Consequences of Workplace Bullying (Organization)

A
  • Increase job turnover
  • Decrease productivity
42
Q

Conflict Prevention

A
  • Understand meaning of behavior
  • Avoid arguing, criticizing, judging
  • Reflect on personal attitudes, values
  • Recognize impact of personal stress
  • Learn from conflict
43
Q

DESC Resolution

A
  • Describe
  • Express
  • Suggest
  • Consequences
44
Q

Aggressive Approach

A
  • Dominate
  • Lead to alienation/emotional distance
  • Loneliness & frustration
45
Q

Assertive Approach

A
  • Ability to stand up for rights of others & self
  • Learned behavior
  • Requires practice
46
Q

Conflict Management Styles

A
  • Force
  • Avoidance
  • Compromise
  • Accommodation
  • Collaboration