Final Flashcards
caring
Competent nursing practice values & embraces caring practices & expert knowledge
Engaging patients in a caring & compassionate manner contributes to a nurse’s clinical judgment & health and well-being of patients
Compassion creates an openness with patients who will then share more allowing the nurse to make better clinical judgments and decisions about what patient needs.
summary of theoretical views
caring is rational
relationship is mutual give and take
caring isinvisible when their is a mutual level of respect, concern, and support
ethics of care
Caring- an interaction between nurse & patient in an atmosphere of mutual respect & trust
Creates a collaborative environment where the nurse provides encouragement, hope, support & compassion to help achieve a desired outcome
Caring science- provides disciplinary foundation from which the nurse delivers patient-centered care
Ethic- refers to ideals of right & wrong so nurses need to know what is ethically appropriate when caring for patients
So how do nurses show they care to their patients?
precesne, touch, listening, knowing the patient, providing spiritual care, reveiving and suffering symptoms, and family care
Spirituality
Is an awareness of one’s inner self and a sense of connection to a higher being, nature, or some purpose greater than oneself
Has a positive impact on ability to cope with anxiety, stress, and depression
Scientific & Nursing Knowledge Base
Relationship between spirituality & healing not completely understood
Individual’s intrinsic spirit seems to be an important factor in healing
Spirituality has positive impact on ability to cope with anxiety, stress, & depression in situations
A person’s inner beliefs & convictions are powerful resources for healing
Nursing research shows association between spirituality & healing
5 concepts of spirituality
self transcendence
connectedness
faith and hope
inner strength and peace
meaning and purpose in life
factors that influence spirituality
acute illness
chronic illness
terminal illness
near death experience
critical thinking
Involves applying knowledge and interpersonal skills that enable nurses to enhance patients’ spiritual well-being and health
Uses nursing knowledge about spirituality concepts to anticipate patients’ personal issues and the resulting effect on spiritual well-being
what will the next decade look like?
more diversified nursing effect
promoting health and well being among nurses
address inequalities that have yet to be fixed
nursing challenges
Global shortage of nurses that is predicted to worsen
Nurse migration causing some nations to have fewer nurses
Workplace violence escalating
key messages
1-Permanantely remove nurse practice barriers
2-Value nurses’ contributions
3-Prepare nurses to tackle and understand health equity
4-Fully support nurses
Unconscious vs Implicit Bias
Unconscious bias- bias we are unaware of and that happens outside our control, which is influenced by our personal background, cultural environment, and personal experiences
Implicit bias- aware of, responsible to address and recognize
Cultural Congruent Care
Another name transcultural care
Emphasizes the need to provide care based on individual’s cultural beliefs, practices, and values
To accomplish this:
need to address own implicit bias
Be respectful and responsive to individual patient preferences, needs & values,
Ensure that patient values guide all clinical care decisions.
Cultural Competence
Professional health must be culturally sensitive, culturally appropriate, and culturally competent to meet the multifaceted health care needs of each person, family & community
Process is ongoing
HCPs must be open to learning/delivering culturally competent care to range of populations
Intercultural Encounters Involve
Emic world view-insider perspective
Etic world view-outsider perspective
Stereotype- assumed belief about a particular group.
Trouble arises when provider interpret behaviors based on their own view
Cultural Competence- 5 Interrelated Concepts
cultural…
- desire, awareness, encounters, skills, and knowledge
health dispairties
Age Transportation resources
Race Religion
Ethnicity Sexual orientation
Socioeconomic status Level of education
Access nutritious food Literacy level
Geographic location Disability (physical, cognitive)
Health care access and quality Physical and social environment
Populations who are poor and uninsured experience greatest disparities
Marginalized groups more likely to experience poor health outcomes
LGBTQ
People of color
People with disabilities
People without college education
intersectionality
Describes forces, power structures that influence life
One intersection: privilege and oppression; oppression is system of advantages vs disadvantages linked to social groups, reinforced by social norms, biases, beliefs
People of oppressed groups have limited access to health care, housing, education, employment
core measures of cultural health
Accountable care organizations, primary care
Behavioral Health
Cardiology
Gastroenterology
HIV and hepatitis C
Medical oncology
Neurology
Obstetrics and gynecology
Orthopedics
Pediatrics
vulnerable population
Those at risk for poor physical, psychological or social health
Notion is a public health concept that refers to vulnerability by virtue of status
Are at greater than average risk for developing health problems by virtue of:
Marginalized sociocultural status
Limited access to physical or economic resources
Personal characteristics such as age and gender
what is praxis of nursing
applying knowledge in nursing practice to advance emancipatory goals
Healing environment-
enhances or improves a patient healing.
Value of nature:
sunlight, airy, big spaces, not overcrowded, windows.
