WEEK 9 Flashcards

1
Q

What is advocacy?

A

The act or process of supporting a cause or proposal
* a combination of individual and social actions designed to gain political and community support for a particular goal
* action may be taken by, or on behalf of individuals and groups

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2
Q

What does the RNAO add to advocacy?

A

Taking action WITH individuals who have lived experience of the consequences of the issue is an important element of advocacy to balance power inequities and ensure individuals most impacted by the consequences have a voice

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3
Q

What does advocacy involve?

5

A
  • engaging others
  • exercising voice
  • mobiliziing evidence
  • speaking out against inequity and inequality
  • participating in power and politics to advance policy options
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4
Q

Why should nurses advocate?

4

A
  • High level of credibility with the public
  • Unique perspective and knowledge
  • Successful advocates - look at our history!
  • Respond to changing health policies - have the knowledge and window into direct patient and nursing workforce experience
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5
Q

What is the link between advocacy and ethics?

A
  • Ethical nursing practice involves endeavoring to address broad aspects of social justice associated with health and wellbeing
  • Speaks to the need to see inequities and then address them in our health system through advocacy
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6
Q

What is Paternalism?

A

Intentional overriding of one’s preferences/actions by another person, where that person justifies the action with the sentiment of benefitting or avoiding harm to the person whose will is over written

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7
Q

Name the 5 Social Powers of Nurses

A
  1. Personal power - based on reputation and ability
  2. Expert power - power needed by others if in the position as expert
  3. Position power - result of your position in an organization/group
  4. Perceived power - status as a powerful person
  5. Connection power - association with or links to powerful people
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8
Q

Explain power as situated within a relationship

A
  • Relationships - we enable and are enabled by others; power dynamics always in play within relationships
  • Power is not owned - regarded as a strategy; situational or relational
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9
Q

Explain power as a strategy

A
  • Nurses need to work WITH power rather than against it
  • Recognize that their task is not to overcome others, but to understand how power and its effects operate in order to enhance their sense of empowerment and their practice
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10
Q

Explain how power shapes healthcare for Indigenous people

A
  • Power relationships shape the production of truth
  • Changes in ownership of Indigenous health and wellbeing
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11
Q

What does it mean “to empower”

A

to give official authority of legal power to OR to promote self-actualization of influence

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12
Q

What is empowerment?

A

A process of enhancing feelings of self-efficacy among organizational members through the identification of conditions that foster powerlessness and their removal by both formal organizational practice and informal techniques of providing efficacy information

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13
Q

What is structural empowerment?

A
  • Sharing of power and the eventual transference of decision-making power down the hierarchy
  • Enabling employees to make decisions related to their jobs
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14
Q

What are the 4 Dimensions of Psychological Empowerment?

A
  1. Meaning - fit between job requirements and the individual’s own needs or standards
  2. Competence - individual’s confidence in their ability to do a good job of the work required
  3. Self-determination - sense of control over work
  4. Impact - sense of being able to influence empowerment outcomes at work
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15
Q

What are the 4 Dimensions of Structural Empowerment?

A
  1. Opportunities - advancement or new experiences
  2. Information - knowledge about the organization required to be effective
  3. Resources - equipment, supplies, staffing
  4. Support - from colleagues and superiors as required to complete their work
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16
Q

How is structural empowerment gained?

A
  • Formal power - one’s position in an organization
  • Informal power - network and alliances
17
Q

Presence of structural empowerment leads to…

A
  • Increased job satisfaction
  • Increased retention
18
Q

What is Psychological Empowerment?

A
  • Individual’s perceptions of power - what is my role of power in this relationship?
  • Focus on how employees experience their work
  • More micro in nature compared to structural empowerment
19
Q

What is the connection between Critical Social Theory and Empowerment?

A
  • CST identifies how culture and norms of everyday life constrain and disempower people
  • Strives to remove oppressive barriers
20
Q

What is Whistleblowing?

A

A conscious act of disclosure about organizational or individual practices and behaviours to those who could achieve possible change
* Always a last resort

21
Q

What is a nurses role in Whistleblowing?

A
  • Nurses have the responsibility to speak up and report to their leaders when patients are at risk of harm or when they observe a poor-quality experience due to an inadequate care environment
  • Nurses support a climate of trust that sponsors openness, encouraging the act of questioning the status quo and supports those who set out in good faith to address concerns
  • CNA supports the act of whistleblowing when there are ethical violations
22
Q

What are some challenges with whistle blowing?

A
  • Questioning if organization really supports challenging status quo
  • Fear of backlash, reprimand or harassment
23
Q

What are some ways in which you might overcome challenges to whistleblowing?

A
  • Document everything - collect a paper-trail as you go up the chain of command
  • Advocate for the profession as a collective - may cushion challenges or reprimand or harassment if advocating as a group
  • Speak to a manager/leader that you trust first to bring up the issue through the hierarchy
  • Engage in anonymous avenues for whistleblowing
24
Q

What are some conditions in which nurses may blow the whistle?

A
  • Concerns related to work conditions - inadequate, unsafe staffing
  • Concerns related to nursing practice - policies, procedures, inappropriate delegation, failure to follow standards
  • Concerns related to patient care and patient rights - med errors, unnecessary tests and procedures, incompetence of HCPs
  • Concerns related to specific behaviours - harassment, violence, substance use, fraud
  • Concerns related to management - misuse of funds, concealing wrongdoings
25
Q

What is activism?

A
  • Practice that emphasizes direct vigorous action especially in support of / in opposition to one side of a controvercial issue
  • Directs action toward creating change related to the making of government policy
  • Finding solutions to systems issues - beyond the individual nurse, yet, within the scope of collective profession
26
Q

5 Steps of Preparing an Elevator Speech

A
  1. Share your name and who you are representing
  2. Describe your issue
  3. Tell a story that humanizes your request
  4. Describe your solution
  5. Share your contact info or a fact sheet