1180 Flashcards

(211 cards)

1
Q

-knowlegde about nursing organized for nurses in professional mannor

A

nursing theory

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2
Q

perspective for viewing patients situations a way to organize data and method for analyzing info to render nursing pratice coherent and informed

A

nursing theory

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3
Q

a purposeful set of assumptions or propositions that identify the relationship between concepts

A

theory

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4
Q

provides a systemic view of explaining and prescribing a phenomena

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theory

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5
Q

unique body of knowledge about the pratice of nursing

A

nursing science

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6
Q

a mental formulation of objects or events representing the basic way in which ideas are organized and communicated

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concept

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7
Q

the process of formulating concepts

A

conceptualization

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8
Q

a description of concepts articulated in such a way that they can be applied to decision making in practice; links concepts with other concepts and with theories and often essential properties and distinguishing feature of a concept

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operational definition

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9
Q

a description of concepts or connection of two concepts that are accepted as factual or true; includes “taken for granted” ideas about the nature and purpose of concepts as well as the structure of theory

A
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10
Q

a declarative assertion

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proposition

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11
Q

an aspect of realtiy that can be consciously sensed or experienced; nursing concepts and theories represent a theoretical approach to making sense of aspects of reality of concern to nursing

A

phenomenon

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12
Q

mental representation of how things work. for example an architects plans for a house is not the house itself but rather the set of information necessary to understand how all the building elements will be brought together to create that particular house

A

theoretical model

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13
Q

the theoretical structure that links concepts together for a specific purpose. When its purpose is to show how something works; it can also be described as a theoretical model.They are often referred to as nursing models or nursing theories

A

conceptual framework

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14
Q

patterns of knowledge application in nursing pratice

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ways of knowing

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15
Q

a global conceptual framework that provides insight into abstract phenomenia such as human behaviour or nursing science broad in scope requires further application

A

conceptual framework
grand -theory type

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16
Q

it encompasses a more limited scope and is less abstract. addressed specific phenomena or concept and reflects on pratice. crosses different fields

A

conceptual framework
middle range-theory type

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17
Q

describes phenomena can describe theories explain and relate and predict phenomena of nursing concern in some situations

A

conceptual framework
descriptive- theory type

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18
Q

it addresses nursing interventions and helps predict the consequences of specific intervention. action oreniented

A

conceptual framework
precriptive -therory type

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19
Q

nursing process

A

assesement
dignoses
planning
intervention
evaluation

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20
Q

metaparadigm

A

nursing
health
enviroment
person/client

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21
Q

ways of knowing

A

emperical
aesthetic
personal knowledge
ethical

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22
Q

ways of knowing-emperical

A

the science of nursing -demonstrated empirics through the competent proformacne of activities or skills.what is this how does it work?

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23
Q

ways of knowing- aesthetic

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uses empathy to gain knowledge about clients experience and uses creativity to formualte a response to their situation. understand their needs and information about their personality and previous experiences

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24
Q

ways of knowing- personal knowledge

A

a nurses self awareness and ability to undertsnad their strengths and weaknesses and how personal bias may influence the quality of nurse client relationship

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25
ways of knowing-ethical
it is analyzing the circumstances that guide clinical decision making. it includes motives values character and norms.
26
conceptualization of nursing-nursing theories
pratice theories needs theories interactionist theories systems theories simultaniety theories
27
Models derived directly from the practice setting:  Florence Nightingale  The McGill Model
praticed based theories
28
Theories in which needs, drives, competencies were thought to hold potential for explaining human behaviour  Virginia Henderson  Dorothea Orem
needs based theories
29
Focused on the the relationships between nurses and their patients  Hildegard Peplau  Joyce Travelbee  Evelyn Adam
Interactionist Theories
30
Theories that accounted for the whole of an entity (the system) and its component parts (subsystems), as well as complex interactions between the parts and the whole  Dorothy Johnson  The University of British Columbia Model  Betty Neuman  Sister Callista Roy
Systems Theories
31
Theories that viewed the individual as an entirely irreducible whole, inherently connected with the universal environment  Martha Rogers  Rosemarie Parse  Jean Watson 25
Simultaneity Theories
32
theory model? focused on promoting health. The main feature was a focus on health rather than illness and treatment; Health is approached through lifestyle changes. Individuals are viewed in the context of the family.
mcgill- pratice based theory model
33
theory modle? self-care theory focused on the individual's role in maintaining health. the role of the nurse was to act temporarily for the patient until the patient could resume a more independent role in self-care.
Dorothea Orem-needs based theory model
34
he patient has 14 basic human needs. defined nursing practice as assisting the individual, sick or well, in the performance of activities that contribute to health, recovery, or a peaceful death. Breathe Eat & Drink Eliminate Waste Move & Maintain Posture Body Temperature Clean Dress & Undres Avoid Danger Rest & Sleep Communicate Worship Work Play Learn
Virginia Henderson- needs based theory model
35
Viewed the interpersonal relationship between a nurse and patient as the core of nursing. A nurse was an investigator, prober, interpreter, and reporter, using the rich data she extracts from the patient concerning his life.
Hildegard Peplau-interactionist based theory model
36
viewed the client as including the individual and the individual's family and community. The Nurse assists clients in preventing or coping with the experience of illness and suffering. Attention is focused on the communication between nurses and their clients as a way to find meaning in illness.
Joyce Travelbee- interactionist based theory
37
considered the person a physiological, psychological, sociocultural, developmental, and spiritual being. The role of the nurse is to focus on actual and potential stressors. Neuman's model focused on prevention.
Betty Neuman-system based theory
38
A person is not a behavioural system but rather an adaptive one. Four modes of adaptation: physiological needs, self-concept, role function, and interdependence. The role of the nurse in managing the stimuli that influence the adaptation.
Sister Callista Roy-system based theory model
39
The individual is a behavioural system with seven subsystems, each of which has a goal, a set of behaviours, and a choice. The meaning attributed to each goal and the set of behaviours for achieving goals is highly individual and unique to each patient.
Dorothy Johnson- system based theory model
40
Inspired by Johnson's model The behavioural system is composed of nine basic human needs, shaped by the psychological and sociocultural environment within which it is expressed. The nurse’s role was to foster, protect, sustain, and teach.
The University of British Columbia Model-system based model
41
The individual is an embodied spirit; a transpersonal transcendent evolving consciousness; unity of mind-body, spirit; person-nature-universe as oneness. Nurses deal with more than physical illness: they must attend to their primary function, which is caring. Caring infuses all aspects of a nurse's role/draws attention to nursing acts embodying an aesthetic that facilitates healing and growth.
jean watson-simultaneity base theory model
42
The individual is an indivisible, unpredictable, and ever-changing unitary being. Nurses engage with people in their " becoming " process by applying three core processes referred to as explicating, dwelling with, and moving beyond.
Rosemarie Parse-simultaneity based theory model
43
The client is not just a person but an energy field in constant interaction with the environment, which itself was also an irreducible energy field, coextensive with the universe. The objective of nursing practice; helping clients reach their maximum health potential in the context of constant change and to develop homeodynamic unity within diversity.
Martha Rogers-simulataneity based theory model
44
the nursing process is
systematic and organized approach to practice that uses critical thinking
45
Goals of theoretical knowledge
To stimulate thinking  To create a broad understanding of the science and practice of the nursing discipline  To provide a rationale for nursing actions and decisions  To integrate Indigenous Ways of Knowing into our practice models and education 27
46
two federal legislative acts that address the privacy of personal information
Privacy Act Personal Information Protection and Electronic Documents Act
47
The Conceptual Framework/Map
Diagrammatic representation of a theory Links a cluster of related concepts (ideas) Provides direction for all domains of nursing Describes the relationship between person, environment, health, & nursing
48
is a system used to explain a hierarchy within an organization (i.e. EH, CNS). The organizational structure also determines how information flows between organizational levels and identifies jobs and their functions.Organizational structures are usually illustrated in some chart or diagram, like a pyramid, where the most influential members of the organization sit at the top.
Organizational structure
49
A key component of Canadian social safety net  Provides hospital and medical insurance  Funded by general taxation
medicare
50
weir report
identified widespread insufficant classroom instruction
51
members of an occupation who share the samr values
perfossionalism
52
includes spiruality, culture, family, friends or socioeconimical status
person
53
includes family, social ties the community the healthcare systenm abd geopolitical issues
environment
54
shaped by ones personal beliefs system values and attitudes
health
55
caring behaviours
knowing the client spirutial care family care providing presence(physical presence) give themself and enter clients world comfort(touch) listening
56
complex concept that requires analysis to discover its meaning abscence of disease or illness
health
57
subjective experience -overall well being both physical and mental components
wellness
58
subjective experience of loss of health or living with disease-on continumum
illness
59
objective state of health displayed by pathology
disease
60
the extent to which an individual or group is able to realize aspirations and satisfy needs and to change or cope with the environment.  Health is seen as a resource for everyday living, not the object of living.  Health is a positive concept emphasizing social and personal resources as well as physical capacities.
conceptulization of health
61
Definition of “Health” for the 21st Century
Positive  Comprehensive  Attentive to the mental health dimension  Inclusive of quality of life and spirituality
62
Determinants of Health
Income and income distribution  Education  Unemployment and job security  Employment and working conditions  Early childhood development  Food insecurity  Housing Social exclusion  Social safety network  Health services  Aboriginal status  Gender  Race  Disability
63
conceptulization of health- health as a stability
maintence of norms
64
conceptulization of health- health as actulization
achiving human potential -optimal state
65
concept of health-health as actulization- and stability
incorperates both aspects achiving potential through goal directed behaviours state of physical and social harmony
66
concept of health-health as unity
holisitc approach
67
lalonde report
medical behavioural and socio environmental
68
ottawa charter
build healthy public policies create supportive environments' develope personal skills strengthen community actions reorient health services
69
eep report
reducing inequities increase prevention enhance coping mechanisma
70
strategies for population health
Income and income distribution * Education * Unemployment and job security * Employment and working conditions * Early childhood development * Food insecurity * Housing * Social exclusion * Social safety network * Health services * Indigenous status * Gender * Race * Disability
71
Jakarta Declaration
added four other prerequisites (empowerment of women, social security, respect for human rights, and social relations); and declared poverty to be the greatest threat to health
72
Bangkok Charter for Health Promotion in a Globalized World
affirmed health as a human right and emphasized mental and spiritual well-being as important elements. It identified critical factors that influence health, such as the increasing inequalities within and between countries, global environmental change, and urbanization
73
Toronto Charter
Indigenous status, early life, education, employment and working conditions, food security, gender, health care services, housing, income and its distribution, social safety net, social exclusion, and unemployment and employment security.
74
health promotion-
increase well being and self actulization
75
kirby report
The report urged greater private sector involvement in health care delivery and was seen as a rival to the royal commission report on health care released by
76
rowand report
Medicare requires strong leadership and improved governance to ensure it remains a national asset. The healthcare system should be more responsive, efficient, and accountable to Canadians. The health care system requires short-term strategic investments to address priority concerns, as well as long-term investments to make the system more sustainable.
77
stradigies that infulence health determinates
Health promotion Disease prevention
78
primary disease prevention
immunizations and reduction of risk factors such as smoking and excerise
79
secondary disease prevention
preventive screening pap smear blood pressure glucose testing chronic disease management program
80
teritary disease prevention
cardiac rehab program
81
global health
optimal wellbeing for all
82
4 pillars of primary health care
teams access information healthy living
83
global health governence
Brings together actors across different sectors to deliberate and guide mechanisms toward collaborative resolutions to complex global issues
84
Millennium Development Goals (MDGs) 2000
a reduction in poverty, educational improvements, a reduction in child and maternal mortality, and improvements in lowering the incidence of human immunodeficiency virus (HIV), tuberculosis, and malaria, gaps between and within countries remain, with vulnerable populations the most at risk.
85
Sustainable Development Goals (SDGs) 2015
The SDGs include 17 universal goals (Box 11.1) and 169 targets planned for the next 15 years that address the health and well-being of persons of all ages, including newborns, children, adolescents, and middle-aged and older persons
86
global health indicator
It is important to have access to reliable data.  Global burden of disease (GBD) is a metric that quantifies the health of populations at regional or national levels.  Examples:  Morbidity and mortality  Disability-adjusted life year
87
health equity
absence of systemic disparities in health that are systemically associated with social disadvantages
88
health disparities
differnences in health linked with social econimic and or environmental disadvantages
89
health inequities
unfair or stemming from some form of injustice
90
social and structial deteminates of health
Differences in life trajectories and health outcomes across intersecting social positionalities (such as class, race, ability, gender, etc.) are unjust because they reflect an unfair distribution of the underlying
91
barriers to healthcare
utliization delivery leadership
92
healthcare settings
instutional cumminity
93
5 levels of healthcare
Promotive(health prmotion) Preventive(immunization Curative (diagnosis and treatment) Rehabilitative Supportive (including home care, LTC, and palliative care)
94
global health issues
covid climate change non commical diseases neglected tropical diseases global vilence
95
theoritical presceptive regarding influence of different social characterisitics -race gender class
intersectionality
96
asserts that intersectionalitybased interventions must consider multiple social locations, including gender, race, income, immigration status, and so on, and how these intersect
Structural intersectionality
97
highlights the fact that women and girls are situated within at least two subordinated social locations (e.g., Black and girl) and these groups often pursue conflicting political agendas.
Political intersectionality
98
is concerned with the production of images of Black people across gender lines in a way that ignores the intersectionality interests of Black people.
Representational intersectionality
99
involves the intersecting mechanisms, political ideologies, and systems of power that structure public policy to distribute resources (including health resources), wealth, and power and shape health care delivery
Political economy
100
constellation of processes by which nations, businesses and people are becoming more connected and interdependent via increased economic integration and communication exchange, cultural diffusion (especially of Western culture) and travel”
globilization
101
Plays a role in shaping social connections, mobility, and exchange across borders  An overall net flow of resources from lower to higher income settings concentrate resources, wealth, and power among already well-resourced countries  Contributes to the entrenchment of global health inequities
Transnationalism
102
, an initiative that “recognizes that the health of people is connected to the health of animals
ones health
103
shapes individual and population health around the world.
Neoliberal economic globalization
104
Support nurses’ considerations of the concepts of health equity and inequities, their situatedness in political economy, and its influences on the social and structural determinants of health
Relational Theory and Ethics
105
The achievement of the highest attainable standard of health, wellbeing, and equity worldwide through judicious attention to the human systems—political, economic, and social—that shape the future of humanity and the Earth’s natural systems that define the safe environmental limits within which humanity can flourish
planitary helth
106
Adverse changes in the environment directly impact the health and well-being of the population and the planet
climate change
107
direct influence on health including healthy behaviours
promiximal det of health
108
can be seen as the origin of proximinal social determinates
intermediate det of health
109
have the most influence on health encampass history poloitical and social
distal det of health
110
canadian health infoway
demonstartes standards supporting intrigated patient cenric health records
111
ground rules for data collection and analysis ensuring the research question is valid
research design
112
the investigation of nursing phenomena that can be precisely measured and qualified
quantiative reseacrh
113
poses questions about nursing that cannot be measured
qualitivy research
114
research in canada must follow these 3 princaples
respect for persons concern for welfare justice
115
locate understand and critically evulate empirical liture
research literacy
116
5 steps to researching eviodence
Five steps:  Ask the clinical question.  Collect the best evidence.  Research literacy: critique the evidence.  Integrate the evidence.  Evaluate the practice decision or change
117
PICOT
P: patient population of interest  I: intervention of interest  C: comparison of interest  O: outcome  T: time
118
Research Literacy—Critique the Evidence
Abstract  Introduction  Literature review or background  Manuscript narrative  Purpose statement  Methods or design  Results or conclusions  Clinical implications
119
levels of the critical thinking model
basic complex commitment
120
critical thinking model-basic
based on a set of rules and princaples
121
critical thinking model-complex
begin to analyze and examine choices more independantly look beyond the opinion
122
critical thinking model -commitment
anticapate the needs to make choices without assistance from other professionals
123
components of critical thinking model 5
knowledge experience compentencies attitudes standards
124
critical thinking model-knowledge
includes information and theory from basic science humanities and behavioural sciences
125
critical thinking model- experience
nursing is a pratice disapline and clinical nursing experience are nessecary
126
critical nursing- competencies
cognitive process that a nurse uses to make judgments about critical care
127
critical thinking-attitudes
determine how a sucessful critical thinker approaches a problem or situation
128
critical thinking-standards
intellectual standards-a guidline or princaple for rational thought professional standard- ethical criteria for nursing judgments
129
nursing process-assesement
The deliberate and systematic collection of data from a primary source and secondary sources
130
assesements includes
Nursing health history  Differentiating important data from the total data collected  Cue  Inference  Identifying emerging patterns and potential problems
131
nursing health history includes
Identifying data  Source of history  Reason for health history interview  Current state of health  Developmental variables  Psychological variables Spiritual variables  Sociocultural variables  Physiological variables  History of previous illnesses and injuries  Current medications  Review of systems
132
sources of data for assesement include
Primary  Patient  Secondary sources  Family and significant others  Health care team  Medical records  Tertiary sources  Literature  Nurse’s experience
133
methods of data collection for nursing assesment
Nursing health history  Gathered during initial or early contact  Family history  Genetic illness, family structure, social support  Documentation of history findings
134
data sources-primary
client
135
data sources-secomndary
 Family and significant others  Health care team  Medical records
136
data source-thiricary
Literature  Nurse’s experience
137
A visual representation that shows connections between a patient’s health problems
concept map
138
The identification of a disease condition on the basis of specific evaluation of signs and symptoms
medical dignoses
139
An actual or potential complication that nurses monitor to detect a change in patient status
collaberative problem
140
is a clinical judgement about individual, family, or community responses to actual and potential health problems or life processes that is within the domain of nursing
nursing dignoses
141
dignostic label
name of nursing dignoses approved by nanda
142
Diagnostic label  Related factors  Definition  Risk factors  Support of the diagnostic statement
components of nursing dignoses
143
describes human responses to health conditions or life processes that will possibly develop in a vulnerable individual, family, or community
risk nursing dignoses
144
Clinical judgement of patient’s motivation and desire to increase well-being by readiness to enhance specific health behaviours, such as nutrition and exercise
Health promotion nursing diagnosis
145
Describes levels of wellness in a patient that can be enhanced
Wellness nursing diagnosis
146
3 stages of planning
initial ongoing discharge
147
goals of planning
-patient cenetered long term short term
148
goals should be
smart- specific measurable attainablke realistic timely
149
step of the nursing process is the initiation or completion of planned actions or nursing interventions
implementation
150
implementation step involves
 Nursing intervention  Direct care  Indirect care * Consultation
151
Six factors  Characteristics of nursing diagnosis  Goals and expected outcomes  Evidence base  Feasibility of the intervention  Acceptability to the patient  Nurse’s competence
nursing interventions include
152
s a level of standardization, which enhances communication of nursing care across all health care settings and enables health care providers to compare outcomes
NIC Nursing intervention classification
153
nic include
domain classes interventions
154
nic-domain
highest level broad terms-safety
155
nic classes
30 classes use clinical categories
156
nic-intervention
nanda interventions
157
a statement of orders for the conduct of routine therapies, monitoring guidelines, or diagnostic procedures, or a combination of these, for specific patients with identified clinical problems
medical directives and standing orders
158
clinical pratice guidelines and protocals for -implementation process
RNAO
159
Reassessing the patient  Reviewing and revising the existing nursing care plan  Organizing resources and care delivery  Equipment  Personnel  Environment  Patient Implementation Process  Anticipating and preventing complications  Scientific rationale  Identifying areas of assistance  Implementation skills  Cognitive skills  Interpersonal skills  Psychomotor skills
impliementation
160
Activities of daily living (ADLs) Instrumental activities of daily living Physical care techniques Life-saving measures Counselling Teaching Controlling for adverse reactions Preventive measures
direct care
161
Communicating nursing interventions  Written or oral  Delegating, supervising, and evaluating the work of other staff members
indirect care
162
final step of the nursing process.  Involves two components:  An examination of a condition or situation  A judgement as to whether change has occurred
evulation
163
Interpreting and summarizing findings 1. Examine the outcome criteria to identify the exact desired patient behaviour or response. 2. Assess the patient's actual behaviour or response. 3. Compare the established outcome criteria with the actual behaviour or response. 4. Judge the degree of agreement between outcome criteria and the actual behaviour or response. 5. If the outcome criteria are not in agreement or are in only partial agreement with the actual behaviour or response, what are the barriers to agreement? Why was agreement not
evulation process
164
Statement of the ethical values of nurses and nurses’ commitments to persons with health care needs Intended for nurses in all contexts Provides guidance when nurses are working through an ethical challenge Includes responsibility, accountability, and advocacy 11
code of ethics
165
Implies an ability to distinguish between right and wrong
responsibility
166
A guiding principle of relationships based on loyalty, promise keeping and truth telling
accountibility
167
Acting on behalf of another person, speaking for persons who cannot speak for themselves, or intervening to ensure that views are heard
Advocacy
168
clpnnl
protect the public ethical nursing care
169
unions
provide safe equitable work
170
professional nursing associations
advocate for the profession
171
traditional ethical theory, the system of ethics that is perhaps most familiar to practitioners in health care. Deontology uses rules to distinguish right from wrong.
Deontological Ethics
172
theory, the value of something is determined by its usefulness.
Utilitarian Theories
173
A feminist ethics approach embodies features of being attentive to issues of difference, power dynamics, and context and relatedness.
feminist ethic theory
174
theory, ethical understandings are formed in, and emerge from, a person's relationships with others, whether those others are patients, families, communities, or colleagues.
relational ethics theory
175
he central idea of ------ is that moral decision-making in health care should be guided by four principles: autonomy, beneficence, nonmaleficence, and justice.
bioethics theory
176
CCPNR regulated what?
fitness to practice
177
strong personal belief and ideal that a person thought to be true
value
178
ethics
a study if philososophical idea of right or wrong
179
puts the patients interest above her own
altruism
180
the ability to make choices for onself based on full understanding
atunomy
181
being honest and having strong morals
integrity
182
fairness and straightforwardness
honesty
183
view that everyone deserves equal rights and oppertunities including right to good health
social justice
184
bioethics-autnomy
refers to a persons independance
185
bioethics beneficence-
-benefit others by doing good
186
bioethics- nonmaleficence
not inflicting harm or hurt
187
bioethics-justice-
fair treatment
188
bioethics-fidelity
faithfullness to promises or agreements
189
bio ehtics- veracity
being truthfull and honest
190
proviencal and territorial leglislation grant authority to
nursing reglitory bodies
191
standards of care include
legal guidelines for nurses expectation of nurses to provide safe and appropriate patient care  Nursing practice acts  Provincial/territorial laws regulating health care agencies  Professional and specialty nursing organizations  Written policies and procedures
192
A civil wrong committed against a person or property
Tort
193
Willful act that violates a person’s rights
Intentional tort
194
the consitution of canada
primary source of law divides areas of responisibility between federal and proviencial gov gives proviences autitorty over managemnets of hospitals marriage and cival rights
195
criminal case goes to court decisions are based on statue law and previous rulings
precedent
196
intentional torts
battery assult invasion of privacy false imprisniment
197
unintentional torts
negligence
198
specialty area of nursing pratice dedicated to the optimal use of information and communication technology to support professional nursing pratice and enable optimal patient outcomes
nursing informatics
199
national independant and not for profit body that records analyzes and disseminates essential data and anlysis on canadas healthy system and health of canadians
CIHI- canadian institute for health information
200
abortion is
unregulated by law
201
two acts that control food and drugs and cosmetics
food and drug act controlled drug and substance act
202
unreasonable burden
is a concept raised in relation to duty to provide care and withdrawing from providing or refusing to provide care
203
6 components to EHR's
patient registrary provider registry dignostic images lab results drugs dispenced clinical reports/immunizations
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what is C-HOBIC
canadian health outcomes for better information and care
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what does C-HOBIC do?
leading the collection of standardized clinical outcomes that reflect nursing pratices in canada. enable a longitudinal view of a persons health
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C-HOBIC data set includes terminology in following areas
functional status and continuence syptoms: pain nausea fatigue laboured breathing safety outcomes; falls, pressure ulcers readiness for discharge
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nursing informatics can fall under these 3 catigories
-healthcare promotion adavanced systems worldwide nursing network
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allows information to flow freely between other vendors’ systems and provides the ability for patient information to be communicated along with the patients as they move across all sectors of the regional, provincial, or federal health care delivery system.
Interoperability
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is the national, independent, and not-for-profit body that records, analyzes, and disseminates essential data and analysis on Canada’s health system and the health of Canadians
Canadian Institute for Health Information (CIHI)
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National, independent, not-for-profit body that records, analyzes, and disseminates essential data on Canada’s health system and Canadians’ health  Not initially geared to nursing data, but became more important to several issues directly influencing nursing * Nursing workforce recruitment and retention
Canadian Institute for Health Information (CIHI)
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