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Nursing 1060 > Weeks 1-4 Midterm > Flashcards

Weeks 1-4 Midterm Flashcards

1
Q

What is Nursing

A

self-regulated, goal is to maintain, restore, and advance the health of individuals, groups, or entire communities

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2
Q

Science of Nursing

A

application of nursing knowledge and the technical aspects of the practice

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3
Q

Art of Nursing

A

establishment of a caring relationship through which the nurse applies nursing knowledge, skills, and judgement in a compassionate manner

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4
Q

Canadian Nurses Association (CNA)

A

title of RN is protected, mandate series of values, play role in scope of practice and continuing competence

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5
Q

College of Nurses of Ontario (CNO)

A

entry level competencies, protect public from nurses, maintain list of all nurses

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6
Q

CNO Code of Conduct

A
  • respect dignity of patients and treats them as individuals
  • work together to promote patient well-being
  • maintain public trust by providing safe and competent care
  • work respectfully with colleagues to best meet patients needs
  • act with integrity to maintain patients trust
  • maintain public confidence in the nursing profession
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7
Q

Registered Nurses Association of Ontario (RNAO)

A

regulate nurses in Ontario, promote healthy public policies and excellence, speak out for nurses and the public, nurses always accountable for their actions

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8
Q

Ontario Nurses Association (ONA)

A

labour union, effects contracts and economic conditions we work in, free education opportunities

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9
Q

International Council of Nurses (ICN)

A

represent nurses internationally, impact global health and SDOH by removing barriers and providing access to health care

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10
Q

Personal Health Information Protection Act (PHIPA)

A

regulates collection, use, and disclosure of personal health information by health information custodians (HIC), consent implied with circle of care

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11
Q

Bill 19 - Health Information Protection Act

A

increasing number of privacy breaches being reported to Information Privacy Commission (IPC), introduced to better protect privacy

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12
Q

What is Knowing

A

a form of knowledge gained by experience and shaped by unique perspective of the individual

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13
Q

Women’s Ways of Knowing

A
  • Silent
  • Received
  • Subjective
  • Procedural
  • Constructed
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14
Q

Silent Knowledge

A

obedience to authority, silence by culture or power of others

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15
Q

Received Knowledge

A

learn by listening to authority, truths based upon received information

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16
Q

Subjective Knowledge

A

rely on own feelings or experience for truth, intuition

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17
Q

Procedural Knowledge

A

attempt to understand authority figures, rely on technical skills for obtaining and communication truth
Connected - understand others by empathizing their perspective
Separate - separate from emotions/feelings, devils advocate

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18
Q

Constructed Knowledge

A

knowledge is contextual, aware of own thoughts and feelings

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19
Q

Perry’s Scheme of Intellectual/Ethical Development

A

Dualism - seeing world in black and white
Multiplicity - gray, want to question authority, challenge
Relativism - appreciate that everything has a context
Commitment - knowledge isn’t isolated, impact on who we are and our moral being

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20
Q

Carper’s Patterns of Knowing

A

all patterns need to be used together, practice involved bringing knowing and doing together

  • Empirics
  • Ethics
  • Personal Knowing
  • Aesthetics
  • Emancipatory Knowing
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21
Q

Empirics

A

science of nursing, based on observation/evaluation, factual, describe, explain and predict phenomenon

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22
Q

Ethics

A

moral competent of nursing, ethics is rules and guidelines, whereas morality is subjective and what you personally think is right or wrong

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23
Q

Personal Knowing

A

therapeutic use of self, focuses on personal relationship between two people, able to identify needs on a holistic level

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24
Q

Aesthetics

A

art of nursing, being able to perceive what need is being expressed by behaviour, requires empathy

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25
Emancipatory Knwoing
action to reduce or eliminate inequality or injustice, relates to SDOH, uses all patterns of knowing
26
Florence Nightingale
regarded as the founder of modern nursing, emphasized the role of nursing as art and science, ability to control environment provides healing spaces for patients
27
Morley and Jackson
nurses overwhelmed by environment which is damaging to patient care, the profession and individual nurses, need to advocate for role of the nurse and for changes in public policy
28
Bickford
Post-Colonial Theory - analyzes power relations, structural factors, and challenging the status quo racial minorities, women, indigenous people, poor people face the most barriers within health care
29
Catholic Nursing Sisters
built network of nurse run hospitals Marie Hebert - confronted notion that indigenous people needed to be saved from the Europeans, extended care to them Jeanna Mance - founded hospital in Montreal, first community health nurse in Canada Grey Nuns - had charities, extended care to the poor
30
Nursing in 1800s
only poor people consented to an autopsy would be admitted, lack of respect for hospitals, lots of infectious disease, nurses evaluated on appearance, considered handmaiden to physicians
31
Meta-paradigm
Nursing, health, environment, person
32
Nursing Post WWI
still no respect for nursing and care provided in hospitals, poor farming conditions in prairie provinces resulting in poverty, introduction for registration, CNA 3 main sections - public health, private duty, nursing education
33
Nursing During Great Depression
increasing unemployment rates, severe shortage of nurses, poor working conditions, no Canada Health Act or unemployment insurance
34
Nursing During WWII
lots of opportunities for nurses, enhance education VS treat the sick, increased need for nurses
35
Nursing Post WWII
nurse shortage due to poor pay and working conditions, opened up equal education, professional and employment opportunities to all nurses, traditional system of gender/racial segregation is abandoned
36
Nursing During 1960s
2 tiered nursing program - BScN for leader and diploma for bedside nursing, Canadian gained universal health insurance system
37
Nursing During 1970/80s
CNA proposed that all all nurses have a BScN, code of Ethics established - caring and respect
38
1990-2000
start thinking holistically about health care model, CNA goes online
39
2000
lots of CNA initiatives
40
Purpose of Nursing Leadership
improve health status of client and family and attitudes of citizens and legislators toward the nursing profession and their expectations of it
41
Hospital Care Early 1900s
advanced stage of TB, poor, consent to autopsy, fee-for-service
42
Canada's Universal Public Health Insurance System
increasing costs for health care, Canada Health Act (Medicare) - 1960s, designed to ensure that all residents have reasonable access to medically necessary hospital and physician services, on a prepaid basis
43
Principles of Medicare
Public Administration - non-profit, no one makes money of the act Comprehensiveness - all medically necessary services are covered Universality - receive care free of discrimination Portability - access to health care in other provinces/territories without cost or penalty Accessibility - reasonable access to care must be available based on need, not the ability to pay
44
Health Care 2012
brief hospital stays, more sick people, due to aging population, shift care to the home when possible
45
Federal Jurisdiction
set and administer Canada Health Act, provide financial assistance to provincial and territorial jurisdictions
46
Provincial/Territorial Jurisdiction
ability to develop and administer own health care plans, role in managing and financing health care
47
Professional Jurisdiction
allows us to self-regulate as health care providers and to manage practice-standards and outline entry to practice competencies, disciplinary action
48
Primary Care
first initial point of treatment
49
Primary Health Care
health promotion, realigns resources to address SDOH Team - health care professionals collaborate with others add use of expertise to help benefit clients Access - to health care resources and information Information - on illness and disease Healthy Living - embrace treatment and prevention of chronic illness, self-care, take SDOH into consideration
50
Levels of Care
- Health promotion - Disease/Injury Prevention - Diagnosis and Treatment - Rehabilitation - Supportive Care
51
Family Nursing
health and illness affect family as a whole, appreciate context, not everyone has the same experiences, focus on family processes and relationships, families can provide valuable information that the individual cannot
52
Health vs Well-being
Health - objective state of well-being | Well-being - subjective feeling
53
Disease vs Illness
Disease - objective state | Illness - subjective experience of loss of health
54
Biomedical Approach to Health
health is absence of disease
55
Behavioural Approach to Health
health is the product of making healthy lifestyle choices
56
Socioenvironmental Approach to Health
health is the product of social determinants of health that provide incentives and barriers to the health of individuals and communities
57
Primary Prevention
reduces impact of existing risk factors for a potential problem, reduce occurrence of disease
58
Secondary Prevention
provides screening, detection, and early treatment
59
Tertiary Prevention
reduces impact of long-term disease and disability
60
Health Promotion Strategies
- Build healthy public policy - Create supportive environments - Strengthen community action - Develop personal skills - Reorient health care
61
Strength Based Nursing Care
understanding individuals as unique, holistic organisms, finding strengthens and recognizing they co-exist with weaknesses, strike a balance between the two
62
Education (Canadian Index of Well-being)
instruction, training, schooling | Indicators - student to teacher ratio, high school completion rate, population with university degree
63
Community Vitality (Canadian Index of Well-being)
communities with strong individual relationships | Indicators - participation in organized activities, crime rate, feeling safe, sense of belonging
64
Democratic Engagement (Canadian Index of Well-being)
advancing democracy within politics, organizations and activates Indicators - voting rates, satisfaction with democracy
65
Environment (Canadian Index of Well-being)
basis on which a society is built | Indicators - freshwater supply, energy production, ecological footprint
66
Healthy Populations (Canadian Index of Well-being)
physical, mental and social well-being of their population | Indicators - chronic disease rates, life expectancy at birth, immunization rates
67
Leisure and Culture (Canadian Index of Well-being)
participation in arts, culture and recreation | Indicators - participation in physical, arts and culture activities
68
Living Standards (Canadian Index of Well-being)
distribution of wealth and income | Indicators - average family income, low income/unemployment rate, housing affordability
69
Time Use (Canadian Index of Well-being)
how time is spent and experienced by individuals | Indicators - volunteering, work hours, children read daily by parents

Nursing 1060 (1 decks)

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