NURS 1001 Flashcards

uhm midterm study que cards (92 cards)

1
Q

What is the importance of the British North America Act of 1867?

A

The constitution was created
Canada was seen as self governed
Federal government claimed responsibility to indigenous people
Public-Health is provincial and Public Policy is federal

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2
Q

How did the Victoria Order Nurse come together? in 1897

A

Lady Aberdeen had the idea after she saw the poor environments women were giving birth in with no assistance. This program was created to improve legislation and educational standards.

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3
Q

Tell me about the ICN, what it stands for, why it was created?

A

International Council of Nurses
Sought to improve women’s societal positions. First joiners were the allies and Germany but if you didn’t have national nursing organization you couldn’t join Michelle Acorn was appointed chief nurse

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4
Q

The Weir Report what was it and what did it do??

A

The weir report called for attention for insuffiecnt classrooms and lack of variety in the clinical experience. and in the 60’s there was a call for an education reform after another report Call to life came out explaining the 2 tierd education program

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5
Q

Medicare, tell me about it

A

Key to Canada’s social safety net is the provision of hospital and medical insurance, known as Medicare, which is funded by general taxation. Although it is called a “national” program, Medicare is, in fact, an interlocking set of 10 provincial and 3 territorial insurance schemes providing a core palette of medically essential hospital and physician services to individuals registered in their respective province or territory (Marchildon etal., 2020). Medicare is a source of national pride and solidarity as a commitment to the well-being of Canadians. It is also a source of national debate regarding costs, effectiveness, and sustainability.

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6
Q

What was the Municipality Act of 1916??

A

As urbanization continued, rural communities experienced difficulty attracting and paying physicians. The federal Municipality Act, 1916 allowed communities to levy taxes to pay for physicians. But with the onset of the Great Depression, many people could no longer pay their medical bills and hospital stays caused financial ruin. With increasing needs, many provinces did not have the tax base to fund and ensure parallel services across the country. ( tax revenue to pay physicians)

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7
Q

What did Tommy Douglas do?

A

He was the premier of Saskatchewan. Gave rise to universal healthcare in 1916 there was a tax to pay doctors and in 47’ tommy sai nuh uh and started mediciare. It started as half-funding and MD’s went on strike cause they wanted to be paid

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8
Q

Medical Care Act, what did it do

A

established a framework for universal health insurance to cover physician services outside of hospitals. It encouraged provinces and territories to provide comprehensive, portable, and universally accessible physician services by having the federal government cost-share the programs. It was a huge stepping stone to universal health care in CND

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9
Q

What is the importance of the Canada Health Act?

A

Promote, protect and restore the mental wellbeing of residents in CND and faciliatate reasonable access to health services or other barriers . It legally protects public healthcare for all of us.

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10
Q

What are the 5 Principels of the Canada Health Act

and what is trying to be added?

A

Public Adminstration: Operate on a non profit basis through public authority

Comprehensivness: Cover medically necessary services

Universitality: Free of discrimination

Portability: Coverage across CND for insured Residence

Accessibility: Reasonable access regardless of ability to pay

Sustainability is trying to be added

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11
Q

Portability meaning

A

Enables insured residents’ access to health care services in another province or territory without cost or penalty.
Provide continuous coverage for 3 months upon relocation within Canada

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12
Q

Health Care Challenges

A

Aging population
Chronic diseases
Wait times
Climate change
Sustaniability

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13
Q

Why are we concerned with Privatization?

A

Less access
Harder to regulate Healthcare professionals
People with more funds will do better
Two tier system created which is smth we want to avoid
Health inequites

PROS
Shorter wait times, acknowledgement of the system

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14
Q

What are the 3 Areas of Care?

A

Primary
Secondary
Teritarty

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15
Q

What is Primary Care about

A

Health Promotion and disease prevention model for improving health supporrs essential health services

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16
Q

5 Areas of Care…

A

Prevention
Promotion
Diagnosis of Treatment
Rehab
Support

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17
Q

Of Canadas population how many are indeginous

A

4.9

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18
Q

What are the main Indigenous views?

A

Connection to the land: land is sacred and more then just a resources
Collective Culture: Family and Community
Matriarchal: Inheritance from mothers and fathers
Everything is connected
Holistic view of health

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19
Q

What was the act called where the goverment promised to provide medicine to indigenous people and give access to medical care

A

Medicine Chest Clause Treaty 6\

…and the Indian Health Policy was meant to be in collab with community development but implementation has been reaally bad

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20
Q

Tell me about self-governance and self determination

A

working in partnership towards this goal and advance indeginous self determination which is a fundemtnal indeginous right and law

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21
Q

Structual racism in Canada

A

Residential schools
Delays in servie for on reserve First Nations children
Assult of indeinous women
Child Welfare and 60’s scoop
Indeginous child poverty

all relates to cultural genocide

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22
Q

TRC

A

94 calls to action
FInancial settlements for those who had suffered abuse or negelct

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23
Q

who was Joyce Echanquan?

and

Brain Sinclair

A

had a known cardiac issue and was restrained to her bed. Stall called her names and she recorded her whole experience until her death

Brain was really unwell waited 30 hours for help in ER and died in the waiting room

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24
Q

what is smudging?

A

he smoke is believed to cleanse negative energy and help center the mind, body, and spirit. This ancient spiritual tradition is used to foster a connection to the spiritual world and can also be a way to ground oneself and prepare for an event

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25
Where was the first hospital and where did we learn from?
New France in the 1600's religion was used as a set belief also converting IND people to Christianity
26
Who was Marie Hebert?
she was the first informal nurse and provided care to early settlers
27
What did Jeanne Mance do?
founded first hospital in Quebec
28
Who were the first nurses?
male attendants and Jesuit priests
29
what did Marguerite d'Youvile do
formed sisters of charity ( grey nuns): first visiting nurses
30
Tell me about the first hospital?
it was Hotel Dieu, which was operated y nuns and nursing sisters. Provided women a role of leadership and importance, Jeance Mance was the 1st nurse here
31
Tell me about the Grey Nuns
first organized nursing group in CND. banked off of the sisters of charity by Marguerite d'Youvile. It gained respect for nurses and spread from MTL to the west. Estabilished missions everywhere.
32
Tell me about Florence Nightangle
sponsered cleanileness. Enviormental health. Founder of modern nursing Lady with the lamp. reduced mortality rates with nursing care and theory. We had the Nightanlgle school of nursing too which was used as a model for nursing school. There were no formlal lectures and ethics were questioned because stuents did all the work and there was an unpaid placment
33
Mary Secole!!
Hey Mary Hey she was from Jamica and tried joining Florecne during the crimean war but was rejected. She set up her OWNNN facility to help others and officers. she got a statue amen amen
34
How did IND people decolonize health care in CND?
they came together in the 70's and created the Regestered Nurses of Canadian Indian Ancestry. ( RNCIA). they advocated for IND healthcare control and health services. Primary aim was to expand the partcipation of IND nurses and improve health in IND communites
35
what did the miliary do for nurses?
helped legitimatize nursing
36
Tell me about the first Canadian nursing schools there are 2.
We had 1. Hospital schools were students provided nursing care in exchnage for education and living arrangments. Finacial benefit, poor living conditions and provided questionable education quality/ 2. Diploma schools:
37
Talk to me abt Diploma schools. who founded it> how many were there across CND what was the role of nurses
They were founded in 1874 the first was St. Cathrines Training School 330 schools by 1930 Students role was to report faithfully to doctor and observe patients.. dont speak up
38
Who was Mary Agnes Snivel?
Created the ICN and CNA establishes proper living condition's for students, a curriculm, and criteria for clincial and educational time
39
Why was the ICN created? How could your country become a member? Who created it? When did CND join?
the coucnil was concered about the welfare of nurses, interst of women and improvement of the peoples health Only if you already had a national organization of nursing Mary Agnes Snivel 1909
40
What does the CNA Canadian Nurses Association do>
It sets the scope of practice for nurses and protects their title. The develplement of the CNA led to the code of ethics
41
What is the ONA? what does it stand for what does it do for nurses
Ontario Nurses Associaiton, approves collective bargaining. First independent nursing union cause then the Candian Federation of Nurses union was created in the 80's
42
CNO vs RNAO
CNO does our lisecening and RNAO carries liability insurance
43
What are the 9 Frameworks of the CNO? 4C's ALSEP
Clinician Professional Educator Collaborator Communicator Scholar Leader Advocate Coordinator
44
Who was Bernice Redman and who was Edith Anderson Monture
FIrst Black Nurse First IND nurse
45
Why was the first university program introduced? and where was the 1st Uni in CND
UBC was the 1st one in 1919 and it was influenced by the consequences from the WW and influenza epidemic
46
What happend on these following dates but i dont think dates are important 1930 1919 1959 1991
330 nursing schools across CND 1st Undergraduate UBC 1st Masters at UWO 1st PHD at UOA
47
What is a theory?
Purposeful set of assumptions or propositions focused on identifying relalashinships between and among concepts
48
What does it meant to have a conceptual framework?
These conceptual frameworks were “mental maps” whose purpose was to make sense of the information and decisional processes that nurses needed in order to apply knowledge to nursing practice
49
Nursing theory is supported by 4 interrelated concepts that make up the nursing metaparadigm. They help shape nursing patient relationship. What are they?
Person: the recipient of nursing care Nursing: the actions of the person administering care Environment: conditions surrounding the patient Health: patients level of wellness or well-being
50
What are the 5 consecutive steps of nursing practice ADPIE
Assesment Diagnosis Planning Implementation Evaluation
51
what are 5 different theoretical models?
Practice Based: what is nursing all about like Nightingale Needs theory: nursing is all about hitting peoples basic needsOrem Interactionist nurse patient relashinship and how they communicate : Adams Systems: health is maintained when all systems like psych and physical are balanced Neuman Simultaneity : the person and the enviromnet are wholeRogers
52
Who was Jean Watson ( caring)
Watson's theory promotes a holistic approach to care, seeing the individual as a whole person with a mind, body, and spirit that are interconnected. This concept emphasizes the unique connection between a nurse and patient. It suggests that a genuine, human-to-human relationship is formed, where both individuals are fully present and affected by each other.
53
Rozzano locsin Theory is a systems model that focuses on the whole person's response to stress
saying that nurses are technologically competent
54
Betty Newman's system theory
is a systems model that focuses on the whole person's response to stress
55
what is the theory application to practice?
Nursing theory---nursing practice----nursing policy----nursing Research
56
What is a value?
a strong personal belief, it influences behavior and reflects social and cultural stuff Varies amoung people and changes over time
57
just a note
Value formation is the fact that we grow our values through our childhood and family experience. We all go through it and it is a personal development
58
What are ethics?
examination of morality through different approaches. What is right to do our professional obligation
59
what are different scopes of ethics
societal organizational Bioethics/clinical research Professional Personal
60
what are the 3 codes of nursing ethics
Responsibility: implies ability to know right from wrong Accountability: fidelity being loyal and( truth telling veracity) Advocacy
61
what does veracity mean?
to tell the truth
62
What are the 7 CNA values in the code of ethics. IDK how important this one is
1. Providing safe, compassionate, competent, and ethical care 2. Promote health and well being 3. Promoting and respecting informed decisions 4. Honoring dignity 5. Mainiting confedentiality 6. Promote justice 7. Being accoutable
63
CNO code of conduct 6 principles
1. dignity 2. provide inclusive and cultuarally safe care 3. Nurses provide safe and competent care 4. work respectfully with healthcare team 5. act within the clinet best interest 6. maintain public confidence
64
IMPORTANT what are the 5 principles of ethics
Autonomy Beneficence Non-Maleficence Justice Fidelity/veracity
65
Autonomy
patient has free will with body, patient choice supported ex DNR
66
Veracity meaning frfr
duty to tell TRUTH
67
Non-Maleficence
do no harm
68
Fidelity
loyal and being faithfull. Keeping promises
69
Justice
treat everyone equally
70
Bioethics tell me abt it
example: DNR and its a new to the concept of nursing Cancer therapy,
71
consent..consent...consent flip over
we are requited to recieve consent b4 care, no minimal age for obtaining consent can be withdrawn at any time Informed and voluntary!
72
HealthCare consent act, what did it do? it p
it provided rules with respect to consent to treatment for persons oveer the age of 16 yo faciliate treatent , admission to care allow persons to go to tribunal to review funding
73
What is the consent and capacity board
provides fair findings of consent when issues come up. finds fair problems with capacity, civil detention and consent. bassically it keeps us safe very important
74
who are leggaly appointed SDM's
guardians attorney for personal care Representative appointed by yhe consent and capacity board
75
what is the SDM of last resort?
Public guardian and Trustee
76
what does SDM stand for>
Substitute decision maker
77
Purpose of the Entry-to-Practice Competencies there are 5
define the expectations for new nurses Guide nursing expectation programs Inform legislation to see if a new grad nurse is eligible to work in Ontario support professional accountability Ensure public protection
78
what are the 4 types of theory in nursing?
Descriptive: describe phenomenon and relationships Prespective: Guide nursing action what is happening and why? like ericksons psychological theory Middle Range: Connect theory and practice Grand: provides broad conceptual framework for nursing
79
what is secondary care all about?
Diagnosis and acute treatment plans. As well as comforting patients
80
Tertiary Care what is it all about
more intensive diagnosis and care. ICU nurses caring for a cardiac patient
81
Regulated Professions Act, what is it all about hint...regulation lol
it focuses on being making sure that qualified individuals — including internationally educated professionals — are not unfairly prevented from entering their professions in Ontario.
82
What are the 4 pillars of nursing
Regulator: serve and protect the public Professional: advance the profession and improve health Educational: Advance education and represent Union: support the nurse and strengthen working conditions
83
what is a fiduciary relationships
a legal or ethical relationship of trust. The nurse provides services that the patient trusts are of specialized knowledge and integrity
84
Legal limits of nursing
trust and confidence Responsibility Transparency: we must provide necessary info Boundaries: we must avoid conflicts Legal and ethical;we are governed by laws and standards
85
what did the constitution act
the constitution divides responsibilities between federal and provincial law
86
Canada has 2 systems for private law what are they
civil law and common law
87
just for knowledge what does a regulatory body do?
protect public and ensure ethical nursing care Grant, support, or revoke registration develop codes of ethics and set practice standards
88
what is a tort
legal liability, its a civil wrong committed against person or poverty. can be intentional or unintentional
89
is negligence ( medication error or IV reactions) a intentional or unintentional tort
its unintentional
90
how can you avoid negligence
DOCUMENT EVERYTHING! follow standards provide competent care Insist on appropriate orientation
91
valid consent criteria
define risks and benefits of procedure risks of not doing the procedure available alternative
92
what are the 4 steps of identifying risk management
1. Identifying possible risks 2. Analyze risks 3. Act to reduce risks 4. Evaluate actions taken