final Flashcards

(48 cards)

1
Q

what is caring

A

foundation to nurse-pt relationship and nursing practice

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2
Q

benner

A

states levels of nursing knowledge from novice all the way to proficient

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3
Q

leininger

A

transcultural care
stated that nurses need better knowledge regarding their pt’s culture in order to provide better care

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4
Q

watson

A

theory of human caring

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5
Q

swanson

A

theory of caring and healing
knowing, being with, doing for, enabling, and maintaining belief

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6
Q

caring is an

A

interaction between nurse and patient in atmosphere of mutual respect and trust

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7
Q

ethic of care

A

concerned with relationship between people and with a nurse’s characteristics and attitude towards others

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8
Q

ethics of care places the nurse as

A

the patient’s advocate, influences the nurse’s clinical judgement and helps guide clinical decision making regarding ethical dilemmas by attending to relationships and giving priority to each patient’s unique personhood

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9
Q

how do nurses show care

A

providing presence
touch
listening
knowing the patient
providing spiritual care
relieving symptoms and suffering
family care

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10
Q

presence

A

person to person encounter converying a closeness and sense of caring where nurse is available and responsive to pt needs

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11
Q

touch

A

a comforting approach that reaches out to pts to communicate concern and support
can be task oriented, caring, protective, or therapuetic

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12
Q

listening

A

necessary for meaningful interaction with patients where listener needs to be present and engaged with patient in nonjudgmental and accepting manner

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13
Q

knowing the patient

A

the core of clinical decision making and patient-centered care
helps you develop and understanding that helps you to better know the patient as unique individual which helps better analyze cues, identify, main problems, and provide individualized, EBC

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14
Q

relieving symptoms and suffering

A

requires patient-centered actions that give a patient comfort, dignity, respect and peace and provides comfort and support measure ot family and friends

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15
Q

spirituality

A

an awareness of one’s inner self and a sense of connection to a higher being, nature, or some purpose greater than oneself, has positive impact on ability to cope with anxiety, stress, and depression

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16
Q

scientific and nursing knowledge base

A
  • relationship between spirituality and 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, and depression in situations
  • a persons inner beliefs and convictions are powerful resources for healing
  • nursing research shows association between spirituality and healing
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17
Q

five concepts of spirituality

A
  • self-transcendence
  • connectedness
  • faith and hope
  • inner strength and peace
  • meaning and purpose in life
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18
Q

factors impacting spirituality

A
  • acute illness
  • chronic illness
  • terminal illness
  • near death experience
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19
Q

critical thinking

A

involves applying knowledge and interpersonal skills that enable nurses to enhance pas spiritual well being and health

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20
Q

assessment of spirituality

A
  • through pt eyes
  • environmental factors
  • experience with illness or disbailiity
  • assessment tools : spiritual well being scale (SWB)
  • FICA (faith, importance, community, address)
21
Q

pt outcomes

A

mutually agreed on plan of care that are relastic and align with pt beliefs, practice and culture

22
Q

setting priorities

A

pt identifies what is most important to them

23
Q

teamwork and collaboration

A

involve members of organized religion into plan of care when appropriate and with pt’s permission

24
Q

health promotion

A

establishing presence
supporting a healing relationship

25
acute care
support systems diet therapies supporting rituals
26
restorative and continuing care
prayer meditation supporting grief work
27
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
28
implicit bias
aware of, responsible to address and recognize
29
what is patient centered care
approach to planning, delivery, and evaluation of health care that is grounded in mutually beneficial parternships among health care providers, patients, and families
30
patient centered care
redefines the relationship in health care by placing an emphasis on collaborating with people of all ages at all levles of care and in all health care settings
31
cultural congruent care
another name transcultural care emphasizes the need to provide care based on individuals cultural beliefs, practices, and values
32
how to accomplish cultural congruent care
- need to address own implicit bias - be respectful and responsive to individual patient preferences, needs and values - ensure that patient values guide all clinical descions
33
cultural competence
professional health must be cultuarlly sensitive, appropriate, and competent to meet the multifaceted health care needs of each person, family, and community
34
intercultural encounters involve
- emic world view insider perspective - emic world view - outsider perspective - sterotype-assumed belief aout a particular group - trouble arises when provider interpret behaviors based on their own view
35
how to develop cultural competence
begins with a self exam and gaining awareness of own racial, ethnic, and cultural identity allows understanding of cultural factors that shape patients life experiences, home health care porblems and behavior and how they might perceive those problems with building a positive nurse-pt relationship develops/evolves over time, ongoing process
36
capinha-bacote's model of cultural competence
1. cultural desire 2.cultural awareness 3. cultural encounters 4. cultural skill 5. cultural knowledge
37
cultural awareness and cultural knowledge
awareness-self examines the dynamics of personal biases stereotypes, values, and beliefs related to others different form ones own heritage
38
awareness leads to
knowledge
39
knowledge
process which a HCP seeks and obtains a sound educational base about culturally diverse groups with focus on health-related beliefs and cultural values, disease incidence and prevalence, and treatment efficacy
40
cultural skill
ability to conduct a cultural assessment of a patient to collect relevant cultural data about a patient's based physical assessment
41
development of cultural skills takes
time and practice, collection of culturally based nursing history, conducting of cultural based physical assessment
42
language
use plain language when speaking to clients and avoid medical jargon
43
language interventions
- provide language assistant resources - inform of availability of resources in preferred language - ensure competence of those providing language assistance serices - provide easy to understand printed materials in native languages
44
cultural desire
your desire to engage with patient who have cultural differences that evokes the process of cultural competence and understand them from their cultural perspectivec
45
cultural desire requires
understanding of pt's world view so you can develop caring relationship with your client
46
health people 2020
- poor health status - disease risk factors - limited access to health care - poor health outcomes
47
social determinants are
widely responsible for health disaprities
48
health disparities
populations who are poor and uninsured experience greatest disparities marginalized groups more likely to experience poor health outcomes (lgbtq, people fo color, people with disabilities, people without college education)