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N110 > N110 Quiz #2 > Flashcards

N110 Quiz #2 Flashcards

1
Q

What is Evidence-Informed Decision Making?

A

Requires nurses to continually use a process involving the explicit, conscientious, judicious consideration of the best available evidence to provide care.

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2
Q

What are the 3 steps for evidence-informed practice? Briefly describe them

A
  1. Research: ask the clinical question. Collect the best evidence. Critique the evidence.
  2. Integrate: Integrate what you have learned into practice.
  3. Evaluate the practice design or change.
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3
Q

How does Keeping Up-to-Date apply in nursing?

A

Nursing has an ethical responsibility to continue developing and using the disciplines evolving theoretical knowledge. Provides the foundation for improving the quality of nursing care and patient outcomes.

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4
Q

What is the Professional Standard 2: Knowledge Based Practice?

A

Consistently applying knowledge, skills and judgement in nursing practice.

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5
Q

How does knowledge-based practice apply in clinical practice? 3 points.

A
  • bases practice on current evidence from nursing science and other sciences and humanities.
  • knows how and where to access information to support the provision of safe, competent and ethical client care.
  • uses critical thinking when collecting and interpreting data, planning, implementing, and evaluating nursing care.
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6
Q

What are two important points about ADPIE- the nursing process.

A

ADPIE provides a decision-making framework for evidence-informed nursing practice.
It fosters critical thinking to meet client health outcomes.

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7
Q

Briefly explain each step in the nursing process (ADPIE):

A

A- collect, organize, validate, document data
D- analyze data and identify health problems to diagnose
P- prioritize problems, formulate goals, select nursing interventions
I- reassess client, implement interventions, supervise, document.
E- collect data about outcomes and draw conclusions/ evaluate.

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8
Q

What are the four types of nursing diagnoses?

A
  1. actual diagnoses
  2. at-risk diagnoses
  3. wellness diagnoses
  4. health promotion
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9
Q

What is Maslow’s Hierarchy of needs and what is the order from top to bottom?

A

Self-actualization- recognition of ones potential
Self-esteem- sense of self-worth
Love and belonging- affection, intimacy
Safety and security- safety from threat and danger
Physiologic needs- oxygen, food etc.

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10
Q

Who sets the professional standards for nursing practice in BC?

A

BCCNP under the Health Professions Act

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11
Q

What are 3 important elements of professional standards?

A
  • Reflect the values of the nursing profession
  • Clarify what is expected of nurses
  • Represents the criteria in which nurses practice in BC
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12
Q

What are the 4 standards?

A

1: Professional responsibility and accountability
2: Knowledge based practice
3: Client focused provision of service
4: Ethical practice

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13
Q

What are some of the factors influencing nursing in history?

A

Urbanization, wars/conflict, industrialization, women’s movement, economic depression and opportunity, technological advancements

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14
Q

Explain some of the historical evolution of nursing in Canada?

A
  • first nation women cared for communities and settlers
  • lay women provided care in their communities as midwives
  • religious orders arrived with a mission to provide care for settlers and native inhabitants
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15
Q

Who is Florence Nightingale?

A
  • founder of modern nursing
  • cared for soldiers during crimean war
  • reduced mortality and morbidity rates with simple nursing care
  • elevated status of nursing
  • first nurse statistician
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16
Q

Explain some of the evolution of nursing education?

A
  • late 1800’s formalization of nursing training, growing immigration, urbanization, new knowledge on transmission of disease
  • apprenticeship model with nurses formally “trained” in hospitals
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17
Q

When was the first nursing school established?

A

1860 by florence

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18
Q

When and where was the first Canadian nursing school?

A

1874 in St. Catherines Ontario

19
Q

What were hospital schools like?

A

Students provided majority of care in hospitals
Financial benefit to hospital
Poor living conditions for students
Questionable education quality

20
Q

When was nursing registration established?

A

between 1910 and 1922 for graduates of hospital-based programs

  • resulted in a standardized educational curricula.
  • only those who completed the program could use title “registered nurse”
21
Q

When was the first university program established at UBC?

A

1919, initially provided non-integrated degree programs

22
Q

What is the Weir Report (1932)?

A

Survey of nursing education in canada

-insufficient classroom instruction and lack of variety in clinical experience

23
Q

What was the significance of the 1965 Royal Commission on Health Services?

A

-instrumental in transition away from hospital training schools

24
Q

Significance in 1960’s and 1970’s for baccalaureate as entry to practice?

A

1960’s- switched to 2-year diploma
1975: Alberta Task Force on Nursing Education recommendation that all new graduates be prepared at the baccalaureate level

25
Q

All provinces except one had bachelors degree by 2010.. which one?

A

Quebec

26
Q

Where/when was the first in Canada: masters in nursing program, doctoral program

A

Masters- 1959 university of western ontario

Doctoral- University of Alberta 1991

27
Q

In canada, few black or asian nurses gained entrance into programs until when?

A

1930’s-70’s

28
Q

Who was the first indigenous woman to graduate from nursing school?

A

Jean Cuthand Goodwill in 1954 in saskatchewan

29
Q

What is a benefit of philosophical thinking in nursing?

A

Nurses can use philosophy to think, to examine assumptions, to analyze concepts and to consider arguments

30
Q

What is the empirical philosophical tradition?

A

single reality exists independently of our knowledge, scientific method, objective

31
Q

What is the post modern philosophical tradition?

A

no single reality, creating meaning from our experiences subjective knowledge

32
Q

Empiricist vs post empiricist philosophical tradition?

A

empiricist- data is collected in controlled situations to confirm or reject hypothesis, valid information is through the sense
post empiricist- takes context into consideration, situation specific theories

33
Q

What is the phenomenological perspective?

A
  • value human experience as it is lived, gain understanding of the meaning of an individuals experience to them
  • how your experiences shape you
34
Q

What are some critical theories?

A

feminism, critical social theory, postcolonial perspectives

-provide us with framework for viewing historical perspectives and current influence

35
Q

What is accountability?

A

Accepting responsibility for ones actions

36
Q

What is central to accountability?

A

Integrity.

  • moral agency (doing what is right)
  • fidelity to promise (keeping ur word)
  • steadfastness (speaking out for what is right)
37
Q

What does fitness to practice include?

A

physical, mental, and emotional. failure to have the capacity to achieve this should mean withdrawing from nursing

38
Q

What is the significance of the health professions act?

A
  • In bc there are 26 regulated health professions
  • regulatory framework for professions
  • appoints a college to allow the profession to be self governed
39
Q

What does BCCNP regulate?

A

-scope of practice, reserved titles, restricted activities for registrants, provide accreditation for nursing education programs, investigate complaints and provide disciplinary action

40
Q

What is NNPBC?

A

Nurses and nurse practitioners of BC.
-formed in sept 2018, provincial association representing NP, RN, LPN, RPN
Mission
-provide support, advocate health policy, acts on behalf of nurses to effect change on decisions that impact the profession

41
Q

What is the BCNU?

A

BC nursing union

  • largest in BC (47000)
  • represents interests of their members, wages, working conditions, rights
42
Q

What is the CNA?

A

Canadian Nurses Association

  • national voice for nurses
  • resources for professional development
  • certifications in specialty areas
  • created code of ethic for nurses in Canada
43
Q

What is the CINA?

A

Canadian Indigenous nurses association

  • improve health of indigenous people
  • support indigenous nurses
  • participate in research and education
44
Q

So basically there are 3 ways to divide it up.. Regulatory college, association, and union, whats the main differences?

A

Regulatory college- protects the public by ensuring safe care through regulation of nurses
Association- works in the interest of nurses to advance the profession and influence policy
Union- acts in the interest of the workers (salary, conditions)

N110 (2 decks)

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