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Foundations of nursing practice > Important concepts for N1200 Final > Flashcards

Important concepts for N1200 Final Flashcards

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1
Q

Provincial organization that is not involved in student related practice issues. Not an educatioal body. Required to be a member to practice in Ontario.
Legislative authority to regulate practice.
Responsibility to the public.
Monitors continual pracitce and education requirements.

A

CNO

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2
Q

Provincial organization, publishes BPGs.

A

RNAO

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3
Q

Provincial labour representatives

A

ONA

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4
Q

•National organization; being a member here makes you a member of ICN
We are members since we are students

A

CNA

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5
Q

International nurse organization; white heart symbol; international code of ethics published by them

A

ICN

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6
Q

Necessary to have strenghts of mindset.

A

Self-awarness

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7
Q

engage in introspection/reflection, understand own values, recognize the right of others to make choices consistent with their values

A

self-awareness

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8
Q

What are the different strengths of mindset?

A

Mindfulness, humility, open-mindedness, non judgmental attitude

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9
Q

What are the different strengths of knowledge and knowing?

A

Curiosity, self-reflection

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10
Q

What are the different strengths of relationship?

A

Respect and trust, empathy, compassion and kindness

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11
Q

What are the different strengths of advocacy?

A

Courage, self-efficacy

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12
Q

Courage to do what is right, even in the face of adversity.

A

Moral courage

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13
Q

Courage to be with someone during hard times.

A

Vital courage

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14
Q

Courage to help others even if this places you in danger

A

physical courage

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15
Q

Reflection requires these two.

A

Self-awareness and critical thinkking

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16
Q

the things that really matter to you – influence the way we think, behave and the choices we make

A

values

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17
Q

convictions that a person thinks is true – underpin and guide behaviour and actions

A

beliefs

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18
Q

: judgements comprised of affective, behavioural and cognitive aspects

A

Attitudes

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19
Q

provide care by asking a person about their stories, asking about their culture and confirming, rather than generalizing.

A

cultural sensitivity

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20
Q

ensuring that people feel safe to share their culture without feeling alienated

A

cultural safety

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21
Q

what you can gain/learn, how we express what we know

A

knowledge

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22
Q

– process – way of perceiving and understanding yourself and the world

A

knowing

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23
Q

study of the way of being. Relational quality of being present with another – art of nursing

A

ontology

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24
Q

study of the origins of nursing knowledge, its structure and methods, patterns of knowing, etc.

A

epistemology

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25
What are the components of Carper's patterns of knowing?
empirical, esthetic, personal knowledge, ethics
26
situations with ambiguity or uncertainty in which the consequences are difficult to predict
moral dilemmas
27
aptitude to acknowledge social and political injustice or inequity, to realize things could be different, and to piece together complex elements of experience and context to change a situation to improve people’s lives
emancipatory knowing
28
condition of openness to other possibilities, interpretations, etc. Suspension of biases and values so that you can learn what the patient is experiencing.
unknowing
29
study of the philosophical ideals of right and wrong behaviour on what you think ought, or ought not, to do
ethics
30
study of ethical issues emerging from advances in biology and medicine.
bioethics
31
doing or promoting good for others
Beneficence
32
avoiding or minimizing harm or hurt onto others
non-maleficience
33
related to concern for equitable distribution of benefits and burdens of society – broad social change necessary to address SDoH
Social justice
34
situates ethical action explicitly in relationship
relational ethics
35
placing the values of one ethnicity over another
ethnocentrism
36
generalizing towards a whole population, from the actions of few – can be on the basis of race, age, gender, etc.
stereotyping
37
idea or opinion that is not based on fact, knowledge or experience
prejudice
38
when you act on these prejudices = unjust or prejudicial treatment of diferent categoires of people based on race, age, sex, etc.
discrimination
39
antagonism directed against someone of a different race based on thoughts of racial superiority
racism
40
when you know what should be going on but the institute or facility that you are in makes it impossible for you to do the right thing.
moral distress
41
being accountable and responsible for the judgements, decisions and actions you take
moral integrity
42
long-lasting powerfully integrated morality integrated into one’s thoughts about themselves – keeps eating at you
moral residue
43
unintended injuries or complications that result in death, disbality or longer stays
adverse events
44
reporting of malpractice issues in the workplace
whistle blowing
45
focus on the illness and lacks appreciation of patient context.
DBC
46
* Regulates scope of practice for 28 health professions * List controlled acts for regulated health professionals (13) * Allowed self-regulation * Procedural code – outlines responsibilities of each of the colleges
RHPA - 1991
47
prescribed procedure below dermis or mucous membrane; administering a substance by injection or inhalation, basically putting an instrument or finger in any opening, dispensing a drug (cannot delegate
controlled acts
48
Controlled acts for nursing are under what?
Nursing act - 1991
49
• Entry to practice, title protection, controlled acts authorized to nursing, QA, professional misconduct regulations
Nursing act - 1991
50
What are the 3 places to have liability insurance or protection?
Canadian nurse protective society RNAO ONA
51
required – testing nurse knowledge about and understanding of laws, practice standards and guidelines
jurisprudence
52
easier to change the condition that led to the error than to change the behaviour; ask why something fails, not who caused it to fail
systems approach
53
resulted in harm to patient
harmful incident
54
incident did not reach the patient, so no harm resulted
near miss
55
reached patient, but no discernible harm resulted
no harm incident
56
– rules and procedures in place, but violated – e.g. failure to wash hands – related to person
routine violation
57
allowing someone unqualified to do a task to same time – related to person
optimizing violation
58
important steps are skipped – linked to organizational failure
necessary violation
59
What are the phases of the therapeutic NC relationship?
Pre-interaction phase orientation/introductory phase working phase closing/termination phase
60
What is the acronym SOLER?
* S – sitting at a comfortable angle and distance * O – open posture * L – leaning forward, looking interested, listening attentively * E – eye contact without staring * R – relaxed
61
What are the stages of the interview process?
Preparation intitiation/introduction exploration/wokring state termination
62
thinking the medical professional is always correct, takes away person’s ability to make decisions.
paternalistic approach
63
empowerment for both nurse and client – talk about willingness to try new things.
self efficacy
64
reasoning by novices; slow process based on standardized approaches
analytic
65
reasoning based on pattern recognition – pick up patterns form previous experiences
intuitive
66
reasoning based on understanding of client’s story – finding out the meaning of the illness for the client taking into account their context, beliefs and values
narrative
67
How does Tanner's CJ model link with the nursing process model?
nursing assessment (noticing)  nursing diagnosis (interpreting)  planning  intervention (responding)  evaluation (reflection)
68
What are the fives sides of the house for the situated clinical decision making framework?
``` Knowing the profession knowing the self Knowing the case knowing the patient knowing hte person ```
69
Theory that views person as multi-dimensioanl being – whole is greater than the sum of its parts
systems theory
70
Theory of process of growth and maturation that is directional and has an orderly purpose
Developmental theories
71
Goal would be finding an intervention technique to promote optimal socialization between nurse and client
interactive theory
72
most complex and broad; non-specific and abstract; lacks operational definitions
Grand theory
73
– target specific phenomena, limited in scope – deal with concrete concepts that operationally defined, amenable to empirical testing
middle range theory
74
Theory that aims to describe a phenomenon
descriptive theory
75
Theory used to used to control or manage a desired phenomenon
Prescriptive theory
76
Components of nursing paradigm
Person, environment, health nursing
77
5 principles of Canada health act (1948)?
``` Public administration comprehensiveness universality portability accessibility ```
78
What is our system called? What does it protect us from? | What is the major limitation?
* Medicare – protects against user fees and extra billing | * Major limitation is that it is only related to hospital care or physician services in the community
79
Who is the Federal minister of health? | Provincial?
Ginette Taylor | Dr. Eric Hoskins
80
favoured continuation of medicare system  primary health is the single most important basis for which we should renew healthcare – direction we took
Romeno report
81
favoured increasing private sector involvement in healthcare
Kirby report
82
What are the five levels of care?
Health promotion, disease and injury prevention, diagnosis and treatment, rehabilitation, supportive care
83
Doesn't require power differentials to be present
incivility
84
displaced violence directed against one's peers rather than adversaries.
lateral violence
85
What are the conflict management styles?
* Force – I win, you lose * Avoidance – I lose, you lose * Compromise – I win some, you win some * Accommodation – I lose, you win * Collaboration – I win, you win
86
What is OBEFA?
* O – opening statement – indicate there is something you want to discuss * B – behaviour – focus on behaviour, not person * E – effect or consequence of behaviour * F – feelings – how it makes you feel * A – action – indicating how you want to work on this together
87
What are the three outcomes of healthy work environments?
Patient safety, job satisfaction, nurse retention
88
dominant influences that maintain the status quo.
Hegemony

Foundations of nursing practice (1 decks)

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