Midterm Flashcards

1
Q

Nation building and nightingale era, first half of century characteristics

A

poverty, poor health/self care, created by industrial capitalism, immigration, urbanizaiton

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2
Q

Nation building and nightingale era, second half of century characteristics

A

First nursing school
Health promotion
Creation of the VON

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3
Q

Early 20th century nursing

A

3 sectors emerge (hospital, private, public)

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4
Q

Priorities for CHN in early 20th cent

A

TB and school nursing, midwifery and health education, reducing infant mortality

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5
Q

when was CHN pioneered

A

early 20th cent

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6
Q

Mid 20th century emphasis

A

From child health/immunizations/communicable diseases to reducing morbidity/mortality from chronic disease

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7
Q

what demand was placed on CHN in mid 20th century

A

postpartum home visits

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8
Q

what happened to CHN in 1980s (mid 20th cent)

A

Recession l/t loss of nursing positions in healthcare, esp hospitals

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9
Q

What pandemics occured in mid 20th cent

A

HIV, AIDS

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10
Q

late 20th cent

A

WHO adopted primary health care as a vision for health acheivement
CHN provide leadership to enhance PHC

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11
Q

Early 21st cent

A

Romanow commission to inc emphasis on homecare
Chronic disease prevention
Global health equity

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12
Q

Public health

A

organized efforts of society to keep people healthy, prevent injury/illness/death in populations

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13
Q

public health care

A

focus on individuals to limit impacts of disease and disability

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14
Q

primary prevention

A

promotes health using upstream approach to identify potential risk factors, do not want injury to occur

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15
Q

Secondary prevention

A

promotes health through early disease identification

Focus is to halt an illness

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16
Q

Tertiary prevention

A

initiated when individual is symptomatic.

Focus is on prevention of further disability

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17
Q

political advocacy

A

advocation for political changei n regards to status of immigrants

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18
Q

Health equity

A

All people are able to reach their full potential and are not disadvantaged d/t any circumstance
Fair distribution of health resources

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19
Q

emancipatory knowing

A

capacity of CHN to recognize social/political problems and that things could be different, piece together experience to promote change. req understanding equity

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20
Q

Sociopolitical Knowing

A

asks nurses to find intersections between health related interests of nursing and the public
Multiple layers and influences on health include social context of individual + fam

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21
Q

critical social theoery

A

considers that multiple social and economic factors result in power differentials in societ

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22
Q

Feminist theory

A

Focus on role of sexism and oppression in creation of inequity

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23
Q

Complexity Science Theory

A

View that in any given situation a combination of diverse parts creates a new situation, no single appraoch

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24
Q

core concepts of complexity science theory

A

interconnectedness, non linearity, self organization, co evaluation

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25
Intersectionality theory
considers multiple oppressive forces at play
26
Postcolonial theory
considers role of race and history in creation of equity
27
Critical caring theory theory
Health promoting process reflect cores of PHN, while encompassing community and populations.
28
Concepts in critical caring theory
teaching-learning, creation of supportive + sustainable environments, social justice, building capacity, honouring local beliefs
29
Strengths based theory
Incorporates thinking about positives, what works well, what holds potential. finds balance between focusing on client strengths and dealing with problems
30
5 prinicipals of PHC
``` accessibility Public participation HP Appropriate technology Intersectional collab ```
31
Accessability
healthcare is universally accessible to all people regardless of geography
32
What is important about accessability
healthcare that stigmatizes vulnerable groups is not deemed accessible
33
Public participation
Population is encouraged to participate in
34
Social justice
fair distribution of society's benefits, responsibilities and consequences
35
Focus of social justice
relative position of one group in relationship to others in society
36
Some of the ten defining attributes for social justice
``` equity human rights Democracy and civil rights capacity building just institution enabling environments ```
37
professional power
influence stemming from professional position we hold | ABility to impact persons state of being
38
Everyday ethics
how nurses attend to ethics in carrying out their daily interactions, including how they appraoch practice and reflect
39
Empowerment
Process by which people gain control over the factors decisions that shape hteir lives
40
Advocacy
Takes a standards for practice, aims and reforms that are in line with moral goals of public health
41
Capacity building
Being where individuals and communities help identify relevant health issues and
42
4 Ethical principals
Transparency Least restrictive or coercive means Reciprocity Harm principal
43
Transparency
Refers to how decisions are made | Anybody relevant should participate in decision making in accountable and equal fashion PREVENTING political interface
44
Least restrictive coercive means
stipulates that the full force of governmental authority and power should not be used if less coercion is possible
45
reciprocity
if public action is warranted, social entities such as Ph, are obligated to assist individuals in meeting ethical responsibility
46
Harm principal
Justification for restricting the liberty of people in a democratic society
47
Mortality rate
deaths per 1000 people annually
48
Crude mortality rate
Compare number of deaths from a specific cause within a population
49
Specific mortality rate
Compares number of deaths from a specific cause in a particular subgroup within the whole group
50
Proportional mortality
Number of deaths from a spec cause in a given population over a certain time period COMPARED against total # deaths in same tim period
51
temporal relationship
person does not get the disease until aafter they have been exposed to the cause
52
Strength of association
exposure to a specific stressor or cause that is most likely to bring on the disease
53
Dose response
persons who are most exposed . are most ill
54
Specificity
cause is linked to a specific disease
55
Consistency
everyone who eats contaminated food gets the illness, and if another food is contaminated with the same bacteria, they get the illness too
56
Biologic plausibility
consistent with current biomed knowledge
57
Experimental replication
Several studies done by different people in different places that produce the same results
58
Casual relationship
Occur where there is a definite, statistical cause and effect relationsihp between a particular stimulus/occurnece
59
odds ratio
measure of association between an exposure and an outcome. represents the odds that an outcome will occur given a particular exposure, compared to the odds of the outcome occurring in the absence of that exposure.
60
what does odds ratio represent
represents the odds that an outcome will occur given a particular exposure, compared to the odds of the outcome occurring in the absence of that exposure.
61
Target population
population for whom nursing intervention is intended for
62
Surveillance
constant watching or monitoring of disease to assess patterns quickly + identify events that do not fit in pattern
63
Prevalane
spec disease process in population at a point in time
64
Relative risk
Calculated by incidence rate of disease in exposed popluation / incidence of disease in unexposed population
65
fx of relative risk
determine if certain populations are at inc risk compared to others