NUR1 221 > FINAL EXAM > Flashcards

FINAL EXAM Flashcards

(45 cards)

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1
Q

What is the Metaparadigm of Nursing (4 Fundamental concepts)

A

Environment
Health
Nursing
Person

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2
Q

Ways of Knowing in Nursing

A

Empirical
Personnal
Aesthetic ‘‘Art of Nursing’’
Ethical
Emancipatory

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3
Q

Ways of Knowing - Empirical

A

Knowledge from Science

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4
Q

Ways of Knowing -Personal

A

Relational - ability to relate and engage with others
Self awareness

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5
Q

Ways of Knowing - Aesthetic ‘‘Art of Nursing’’

A

Understanding person’s experience w/illness/suffering
Therapeutic relationship

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6
Q

Ways of Knowing - Ethical

A

Adhering to professional and ethical standards
Taking responsibility of one’s actions

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7
Q

Ways of Knowing - Emancipatory

A

Awareness of social problems & social justice issues
Considers social determinants of health

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8
Q

Essential Ingedients of Collaborative Partnership

A

Sharing Power
Open and respectful
Being Non-Judgemental
Living with ambiguity
Being self-aware and reflective

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9
Q

Health Reforms - 1974 A new perspective of health of Canadians

A

Health shifted from a medical approach to a behavioural approach
Led the way to the development of health promotion
Acknowledged internationally

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10
Q

Health Reforms - 1978 - Alma Alta Declaration (WHO)

A

Health is a state of complete physical, mental and social wellbeing, not just the absence of disease
Health is a fundamental human right
Identified primary health care as the key to the attainment of the goal of Health for All by 2000

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11
Q

Health Reforms - 1984 - Canada Health Act

A

Canadians can achieve better wellbeing through improvements of personal lifestyle, prevention of disease and health promotion against the social, environmental and occupational causes of disease

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12
Q

Health Reforms - 1986 - Achieving Health for All

A

Proposed health promotion to complement and strengthen the current health care system

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13
Q

Health Reforms - 1986 Ottawa Charter for Health promotion

A

Identified prerequisites for health - responsibility of health on society

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14
Q

Levels of Care (primary-secondary-tertiary)

A

Primary care (Health care provided by health care professionals, Early detection, routine care, health promotion, prevention)
Secondary care (Usually in a hospital, Healthcare provided by specialists)
Tertiary care
(More complex care and pathologies
Teaching hospitals)

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15
Q

4 pillars of SBNH

A

Empowerment
Family and person-centered care
Relational care
Innate health and healing

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16
Q

8 core values of SBNH (HELPED US)

A

Health and Healing
Embodiment and Holism
Learning, Readiness and Timing
Partnership (Collaborative)
Environment
Determination (Self)

Uniqueness
Subjective Reality & Created Meaning

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17
Q

Essential ingredients in collaborative partnership

A

Sharing power
Open and respectful
Being non-judgmental and accepting
Living with ambiguity
Being self-aware and reflective

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18
Q

3 A’s of therapeutic relationships

A

Attunement and Awareness
Authentic Presence
Attentive Listening

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19
Q

Phases of therapeutic relationship

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A

Pre-interaction phase
Introductory phase
Working phase
Termination phase

20
Q

Phases of therapeutic relationship - pre-interaction phase

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A

reviewing info
planning
dealing w/feelings related to the interaction

21
Q

Phases of therapeutic relationship- introductory phase

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A

get to know patient/family and exploring
developing trust
nurse makes them feel understood and respected

22
Q

Phases of therapeutic relationship - working phase

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A

Exploring and understanding thoughts and feelings
Facilitating taking action - establishing goals and working towards them

23
Q

Phases of therapeutic relationship - termination phase

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A

Saying goodbye may be difficult
Patient/family may experience feelings of loss
Sharing feelings about termination openly and honestly

24
Q

7 step evidence based practice

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A

Step zero: cultivating curiosity
Step one: asking answerable questions
Step two: searching the evidence (to inform clinical practice)
Step three: appraising the evidence (relevant, valid, reliable and applicable)
Step four: integrating evidence into practice (implement EBP interventions)
Step five: evaluating practice change (monitor and evaluate outcomes of interventions)
Step six: disseminating results of evaluation (share experiences with colleagues and other healthcare organizations)

25
Spiraling process of SBNH
Exploring Zeroing-in Working out Reviewing
26
Reporting of preventable incidents and accidents - LEGAL OBLIGATION
Incidents: events that did not reach the patient but could have caused harm Accidents: events that reached the patient whether causing harm or not Primary purpose of reporting: reducing the risk of occurrence of patient safety incidents in the future
27
Québec's Nurses Act (what can we prescribe) Right to prescribe (need to meet certain criteria and work in certain domains)
Wound care Contraception Smoking cessation Certain medications
28
Seven core values according to the Canadian Nursing Association
Honouring the Dignity and autonomy of all people Valuing relationships and humanizing care Maintaining integrity and accountability in nursing care Pursuing truth and reconciliation Promoting social justice Providing competent professional nursing practice Preserving privacy and confidentiality
29
Nursing & Ethics - Four main principles
Autonomy (self-determination): patients have the right to make their own decisions based on their own beliefs and values Beneficence: health care workers have an obligation to refrain from maltreatment, minimize and prevent harm Non-maleficence: patients have a right to no harm Justice: all patients have a right to be treated fair and equally
30
Code of ethics in nursing (Values)
Integrity: honesty and truthfulness Respect: maintaining a relationship of trust, recognizing the patient’s uniqueness, right to privacy and decision-making autonomy Professional autonomy: nurse’s ability to make objective and independent decisions in the patient’s interest and be accountable and responsible for them Professional competence: responsibility of nurses to maintain and update their knowledge and skills and to take account of EBP, ability to recognize and respect their limits Excellence in care: importance accorded to human life, striving to ensure the well-being and security of patients Professional collaboration: importance of acting in partnership with other professionals and individuals involved, to optimize the quality and security of care and services for clients Humanity: generosity, tolerance, solidarity
31
Code of ethics in nursing (Divisions)
Division I - Duties inherent to the practice of the profession Division II - Relationship between the nurse and patient Division III - Quality of care and services Division IV - Relations with persons with whom the nurse interacts in practice Division V - Relations with the order Division VI - Determination and payment of fees Division VII - Conditions and procedures for the exercise of the patient’s rights of access and correction of information Division VIII - Conditions, obligations and prohibitions relating to advertising Division IX - professions, trades, industries, businesses, offices or duties incompatible with the dignity or practice of the profession Division X - symbol of the order
32
CRC 8 Stages
Consider the patient situation collect cues/info process info identify problems establish goals take action evaluate outcomes reflect on process & new learning
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34
Strenghts of Mindset
Mindfullness Humility Open-Mindedness Non-judgemental attitudes
35
Strengths of knowledge and knowing
curiosity self-reflection
36
Strengths of Relationships
Respect and trust Empathy Compassion and loving kindness Emotional intelligence
37
Strengths of advocacy
courage self-efficacy
38
Gibb's reflective model
Description feelings/thoughts Initial evaluation Analysis Conclusion Action plan
39
Types of reflection
- Reflection on action Going over in your mind an event that happened; what went well, what didn’t go well and coming up with more effective actions for the future -Reflection in action Examining behaviour and behaviour of others as the event is occurring -Anticipatory reflection Before the event takes place, involves planning and reviewing possible scenarios
40
10 categories of strengths
wisdom & spiritual emotional character creative relational & nurturing educational cognitive work-related and provider use-of-resources survival instincts
41
three inner senses
Awareness of Internal Bodily sensations Awareness of an Awareness Relational Sensing (Represents our sense of relationship and connection (perceiving non verbal emotional signals))
42
Canada Health Act
1984 Public Administration Comprehensive Universal Portable Accessible
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Essential functions of Public Health
Health Promotion Health Surveillance Population Health Assessment Disease and Injury prevention (Primary: risks are eliminated Secondary: disease process is suspended before symptoms occur Tertiary: impairment is suspended, reduce the negative effects of a disease) Health Protection Emergency preparedness/disaster response (Prevention and Mitigation: risk reduction, policy development and planning Preparedness: ethical practice, communication, education Response : care of community, psychological care Recovery: long-term individual, family and community recovery)
44
Social Justice -broad approach for impacting health equity
Improvement of daily living conditions Tackling inequitable distribution of resources Increase awareness of SDoH
45
8 elements of primary health care (WHO)
Education on health problems and prevention Promotion of food supply and nutrition Adequate supply of safe water and basic sanitation Maternal and child health care Immunization against major infectious diseases Prevention and control of locally endemic diseases Appropriate treatment of common disease and injuries using the PHC principle of appropriate technology Provision of essential drugs
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