Midterm Flashcards
1
Q
Who is Florence Nightingale
A
Founder of modern day nursing
2
Q
What did Florence Nightingale do
A
root nursing in foundations of empirical science, new image of nursing as a respectable job, global role in evolution of nursing,
3
Q
What did Nightingale believe about men in nursing
A
That they had no place in it unless strength is needed
4
Q
How is nursing relevant to colonization
A
They played a huge role in helping care for those who were diseased
5
Q
What was the first Nursing University program
A
UBC
6
Q
Social Forces in Nursing
A
Women’s rights, Civil Rights, sexual pleasure for men, stereotypes
7
Q
How has Nursing school evolved
A
Went from 1 year of schooling to 4 and more
8
Q
What are the 2 basis nurses rely on
A
Scientific and human
9
Q
What are the 3 remaining pillars
A
research, administration, policy
10
Q
3 steps in nursing research
A
Pose questions, collect data, present results
11
Q
Boyer Model
A
Discovery, integration, application, teaching, and learning
12
Q
Nursing Policy
A
regulatory bodies, professionals association, unions, academy practice policy
13
Q
Nursing Arts and Science 4 fundamental ways of knowing
A
Empirical, personal bias, ethical, aesthetic
14
Q
Empirical
A
Knowledge of Science
15
Q
Personal
A
Authentic knowing of personal biases
16
Q
Ethical
A
What is right and wrong
17
Q
Aesthetic
A
Enacting with wholeness
18
Q
Client relationship must have
A
Trust, respect, professional intimacy, empathy, power
19
Q
Evidence-Based Practice
A
Best evidence from research, clinical expertise, client perception and input
20
Q
A Nurse is
A
Educator, Advocate, Manager, Care Provider
21
Q
Benners 5 Stages of expertise
A
Novice, Advanced beginner, competent practicer, proficient, expert
22
Q
Novice
A
Lack of experience, rules matter, no context cues, Not much of a critical thinker
23
Q
Advanced Beginner
A
Understands cues, develop guidelines for action, identify relevant aspects of situations
24
Q
Competent Practicer
A
sees action in relation to long term goals or plans outline important aspects of situation, conscious planning, organized, expectation, modifies plans
25
The expert
does not rely on rules, but intuition, knowing the requirements
26
5 senses of Nursing Art
1. ability to grasp meaningful client encounters
2. ability to establish a meaningful connection with client
3. ability to skillfully perform nursing activities
4. ability to determine course of action
5. ability to morally conduct ones practice
27
Public interest
The common good or benefit that applies to the group (client)
28
Regulation
Rules governed to establish behaviour
29
Self Regulation
Putting yourself in the best position to regulate members to keep public safe
30
Standard of Practice
The expectable level of professional behaviour
31
Scope of Practice
Legally authorized things you can do
32
Regulatory bodies
Process of monitoring and setting down rules that must be enforced
33
Who is Mary Seattle
A British nurse who is known for helping the sick and wounded during war
34
Canadian Council of Registered Nurse Regulators (CCRNR)
Representatives from Canada's 12 provinces that regulate the practices of RN's
35
Canadian Nursing Students' Association (CASN)
A national voice for Canadian nursing students
36
Regulatory Bodies intervene when
Practice is no longer safe, competent or ethical
37
What is the Saskatchewan Regulatory Body called
Sask Regulatory body
38
Characteristics if Self regulation
Accountable, specialized body of knowledge, code of ethics, service to the public, self regulation
39
Does sask health regulate?
no it hires
40
RN Act 1988
No one can call themselves a nurse if they are incompetent or unethical
41
International Council of nursing
Represent nursing worldwide, advance nursing profession, promote wellbeing of nurses, and advocate for health in all policies. Main focus on Nurses rather then public.
42
Members if ICN
130 national nurses association and 28 million nurses worldwide
43
Mission of ICN
Advance nursing profession and advocate for health and wellbeing of nurses
44
CRNS Sask Regulatory Body purpose
Accountable for ensuring public protection. Sets regulations for Saskatchewan nurses
45
How many members does CRNS have
12 000
46
CNA (Canadian nurses association)
Loads the development of health policy across Canada Represents 13 provinces and territories. The National Voice of nurses.
47
Who are the members of CNA
460 000 RN across Canada
48
What is the CNRS Practice Standards
Clinicians, Professional, Communicators, collaborators, coordinators, leaders, advocators, educators, scholars
49
Standard of Practice
Duty to provide, duty to care, duty to report
50
Skills and abilities to achieve competency
1. cognitive
2. Behavioural
3. Communication
4. Interpersonal
5. Physical
6. Sensory Perceptual
7. Environmental
51
Primary Nursing values
1. provide safe, compassionate, competent and ethical care
2. Promote health and well being
3. promote respect decision making
4. honouring dignity
5. maintain privacy and confidentiality
6. promote justice
7. be accountable
52
Clients right to know
Name, role, questions, complain
53
How to be a professional
risk and client care, duty to report, professional conduct, fit for practice
54
Only reasons not to give care
1. unreasonable burden (threats)
2. personal danger
3. competencies
4. Conscious objection
55
Duty to report
anything we see or do. we are obligated to do this.
56
Negligence claim requirements
these things must be proven:
1. defendant must owe the plaintiff a duty of care
2. defendant must breach standard of care
3. Plaintiff must suffer injury or loss
4. Defendant's conduct must cause injury
57
Examples of breaches of care
Failure to communicate, monitor, maintain records, policy, intervene
58
4 elements of consent
Voluntary, competent, referable to treatment and provider, informed
59
Essential Aspects of Communication
Sender, message, receiver, response, feedback
60
Sender
shares roles with the receiver (encode info)
61
Receiver
listens, observes, decodes and clarifies
62
Message and channel
Several factors as to how to message is received or sent. A channel is the way a message is sent
63
Noise
physiological, psychological, environmental/external, somatic all have influences
64
Feedback
After the receiver interprets the message was sent and understood
65
5 levels of communication
Intrapersonal, transpersonal, interpersonal, small group, public
66
Intrapersonal communication
having our own attitude, opinion, values toward another. Thinking things for yourself
67
Transpersonal
Spirituality, discussing with patients
68
Interpersonal
2 people in communication
69
small group communication
good for support exchanging of ideas and information. This is dynamic.
70
Public communication
chances of miscommunication are higher
71
Non verbal communication
eye contact, gestures, proxemics, intimate space, personal space, public space, Facial expression
72
Conflict Management style
nonconfrontal, interpersonal, cooperative or assertive
73
Nonconfrontal conflict
Avoids conflict at all costs, 4 responses (Lose-lose)
1. placating: Avoid in fear of rejection
2. Distraction: Attempt to avoid tense stessful situations by using humour
3. computing: emotional detach
4. Physically removing selves, walk away (whatever)
74
Interpersonal conflict
Highly aggressive response from family or client
75
Cooperative or Assertiveness
Being able to say what you think or believe in an honest, direct way that respected
76
Assertive strategies
-control emotions
-self aware
-other orientated
-issue not person
-I language
-focus on shared interest
-monitor nonverbal behaviour
-brainstorm for solutions
-apologize
-present yourself as equal
77
Therapeutic relationship
Open ended questions, clarification, probing, paraphrasing, sharing observation, silence
78
Key things to remember when communicating with those who have speaking challenges
introduce yourself and what you are doing, actively listen, paraphrase, provide time for them to respond
79
Key things to remember when communicating with those who are dying
use normal tone, explain procedures, call by name, therapeutic touch, consider culture
80
Key things to remember when communicating with cognitive disability
identify preferred communication style, use aids, a normal tone, gentle questioning, monitor cues, no leader questions
81
Key things to remember when communicating with those who are visually challenged
Be sure they have their contacts or glasses at bedside. speed normally
82
Pre orientation
review charts, how to best communicate, being nonjudgemental
83
Orientation phase
introduce yourself, what you're doing, how long it will take, ask your preferred name, clarify questions, confidentiality, permission
84
working phase
using communication strategies
85
termination
transfer, death, explain needs and care plan, be self aware when coping
86
URETY
S:sit at angle
U: uncross
R: Relax
E: eye contact
T: touch
Y: your intuition
87
Conscious competence model
unconscious incompetence: non-consistent unconscious communication
Conscious incompetency: made aware of failure expectation
unconscious competence: being unaware of the skills you're using
conscious competence: communicates effectively uses ethical and proper behaviour
88
Reflexivity
reflecting on what you have learned
89
values
beliefs or attitudes about worth of a person, object, idea or action
90
Moral values
truth, integrity, honour, commitment, duty
91
Beliefs
What people accept to be true
92
Attitudes
mental feeling/position about a person, object, or idea
93
Value set
Small group of values someone holds
94
Value System
basics of behaviours of how life is lived
95
Professional Values
Nursing code of ethics, clients wellbeing, client, choice, privacy, confidential, respect, fairness, truth, commitment
96
clarifying client values
1. list alternative actions
2. examine possible consequences
3. examine possible consequences
4. feel goof about choice
5. Affirm choice
6. act on choice
7. act consistently
97
Moral integrity
quality of ones character and integrated virtues including honest and truth
98
Moral dilemma
involves ethically conflicting claims
99
Moral Distress
person knows what is ethically right but cannot do it because of barriers
100
Moral Residue
Emotional responce a nurse carries on from ethical situation. A reflection of ethical decision
101
Agency advocating
acting within the agency to advocate for a patient
102
Activism advocacy
working for changes in the system making the patient feel supported
103
6 ethical principles
Autonomy, nonmaleficence, beneficence, justice, fidelity, veracity,
104
Autonomy
Individuals have the right to make their own decisions and we are to respect this
105
Nonmaleficence
duty to do no harm
106
Beneficence
Obligation to do good
107
Justice
fairness to all patients
108
fidelity
Faithful to agreement and process
109
veracity
telling the truth
110
Ethical responsibility
provide safe, compassionate, competent, ethical care, promote health and well being, promote respect informed decision making, honouring dignity, maintain privacy and confidentiality, promote justice, accountability
111
purpose of code of ethics
informs public, show professionalism, outlines major ethics, general guidance, self regulation, guidance in decision making
112
LEARN
L: listen to others
E: explain perception
A: acknowledge and discuss differences
R: Recommend alternatives
N: Negotiate agreement
113
Fit for practice
being sure you are in the right state to give safe, ethical, and competent care. Can be Physical, cognitive, psychological, emotional
114
4 components to fitness of practice
Can be Physical, cognitive, psychological, emotional
115
jurisprudence
refers to knowledge of the laws, regulations, and standards that relate to nursing practice
116
Burn out
an emotional state due to long- term stress, characterized by chronic emotional exhaustion, depleted energy, impaired enthusiasm and motivation to work, diminished work efficiency, adminished sense of personal accomplishment, pessimism, and cynicism
117
Compassion fatigue
another result of stress for many people ( particularly those in the humanitarian field) who hears stories of tragedy and loss.
118
Vicarious Trauma
Shift in how we view the world and our job because of a traumatic event
119
Common effects of Compassion fatigue
helps, hopeless, negative, self doubt, incompetence
120
strategies for stressful situations
-breaks
-realistic expectations
-listen and support team
-maintain healthy habbits
-techniques
-relationships
-ask for help
121
Aspects of self care
physical, emotional, spiritual, professional, social, finical. psychological
