NURS 200 Final Flashcards

(162 cards)

1
Q

Types of Theories

A

Grand
Middle-Range
Descriptive
Prescriptive

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2
Q

Grand Theory

A

Insight into abstract phenomena, broad in scope - sometimes called paradigms

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3
Q

Middle-range Theory

A

more limited, less abstract

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4
Q

Descriptive Theory

A

Asks “why” things occur

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5
Q

Prescriptive Theory

A

Helps predict consequences

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6
Q

Nursing Metaparadigm

A

Nursing
Person
health
Environment

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7
Q

Carper’s Way of Knowing

A
  • empirical science (science of nursing)
  • ethical (moral component of nursing)
  • personal (self and other)
  • aesthetic (art of nursing)
  • sociopolitical (praxis of nursing)
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8
Q

Levels of Critical Thinking

A
  1. Basic (based on rules/principles)
  2. Complex (more independent)
  3. Commitment (assume independence/accountability)
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9
Q

Scientific Method Steps

A
  1. identification of the problem
  2. Collection of data
  3. formulation of a question or hypothesis
  4. testing of a question or hypothesis
  5. evaluation of results of the test/study
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10
Q

Standards of Care

A

Legal guidelines for nursing practice

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11
Q

Tort

A

Civil wrong committed against a person/property (intentional or unintentional)

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12
Q

Assault

A

Conduct that creates apprehension or fear or offensive contact in a person (threatening)

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13
Q

Battery

A

Physical contact without the persons consent (following through with threats)

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14
Q

Negligence

A
  1. nurse owed duty of care to patient
  2. didn’t carry out the duty
  3. patient was injured
  4. nurses failure to care and caused injury
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15
Q

Examples of Legal Issues

A
  • abortion
  • drug regulations
  • communicable diseases
  • end-of-life issues
  • advance directives and surrogates
  • organ donation
  • mental health issues
  • public health issues
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16
Q

Evidence-Informed Practice

A
  • from research, theories, clinical experts and opinion leaders
  • from assessments of patient’s history and physical/available resources
  • info about patient preferences and values
  • clinical expertise
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17
Q

Clinical Questions - PICOT

A

P = Patient population of interest
I = Intervention of interest
C = Comparison of interest
O = Outcome: what result
T = Time: what time frame will change occur in?

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18
Q

Nursing Informatics

A

dedicated to optimal use of info and communication technology to promote quality health care

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19
Q

COACH

A

Canadian
Organization for
Advancement of
Computers in
Health

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20
Q

CIHI

A

Canadian
Institute for
Health
Information

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21
Q

SNOMED CT

A

Systemized
NOmenclature of
MEdicine
Clinical
Terms

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22
Q

HI:NC

A

Health Information: Nursing Components

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23
Q

ICN

A

International Council of Nurses

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24
Q

ICNP

A

International Classification for Nursing Practice

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25
IHTSDO
International Health Terminology Standards Development Organization
26
DAD
Discharge Abstract Database
27
PIPEDA
Personal Information Protection and Electronic Documents Act
28
CNIA
Canadian Nursing Informatics Association
29
IMIA - N
International Medical Informatics Association - special interest group in nursing informatics
30
AMIA
American Medical Informatics Association
31
Beyond the Tropes
- battles that nurses have gone through - need to better the imaging of nursing in the media - trying to make martyrs but silence at the same time need to develop a stronger voice for nursing
32
Transforming Student Nurses
Theres a mixed image of the profession from a students view
33
Professional Behaviours New Nurses Need
Importance of communication, self-awareness, change, leadership and conflict
34
Wisdom: A goal of nursing education
- Needed an increase in global perspective - added wisdom by allowing students to think how an experienced nurse would think
35
Nurses and Social Media
ICN believes that social media can be helpful Nurses need to be professional regarding its use
36
CNPS: Legal Risks in Nursing
Canadian Nurses Protective Society - Use regulators to protect the public - Nurses can be penalized for criminal conduct - Grievance is a violation of employee’s rights - Civil action is a lawsuit where the plantiff is seeking liability from the defendant - nurses can be charged for negligence
37
3 discourses of Social Inclusion as a matter of social (in)justice
3 discourses: Recognition, Capabilities and equality, and citizenship
38
Evidence-Informed Decision making and Nursing Practice
- CNA: nurses should collaborate with other health care workers
39
Quality Practice Environments
Maximizing outcomes for clients, nurses and organizations - deliver safe, compassionate, competent and ethical care 1. communication and collaboration 2. Responsibility and accountability 3. Safe and realistic workload 4. Leadership 5. Supports for info and knowledge management 6. Professional development 7. Workplace Culture
40
Evidence-based safe nurse staffing
appropriate base staffing that has a range of competencies
41
2025 Nurses: Technology Trends
EHT’s, wearable tach, data, and increased patient engagement
42
End to Angels
historic view of “virtuous” work - this image belittles the knowledge and skills needed
43
Major Theoretical Models
1. Practice-based 2. Needs Theory 3. Interactionist Theory 4. Systems Theory 5. Simultaneity
44
Overlapping Phases of Peplau’s Theory
1. Orientation 2. Identification 3. Exploitation 4. Resolution
45
Nightingale’s Theory
Environment conducive to healing
46
Peplaus Theory
Nursing as an interpersonal process
47
Henderson’s Theory
Increasing independence of patients (14 basic needs)
48
Travelbee’s Theory
preventing/coping/making meaning of illness
49
Roger’s Theory
Human and environment as energy fields
50
Roy’s Theory
Increase compliance and life expectancy - 5 needs to promote physiological integrity: oxygen, nutrition, elimination, activity and rest, and protection
51
Johnson’s Theory
stability and balance/adaptation to the forces
52
Orem’s Theory
Capacity for self-care
53
Neuman’s Theory
Variables affecting the client’s response to stressors
54
UBC Theory
Person as a behavioural system during critical periods of life cycle
55
Adam’s Theory
Helping Process of Restoring independence by satisfying human needs
56
Parse’s Theory
Humans and environment co-create health
57
McGill’s Theory
Focus on health rather than illness
58
Watson’s Theory
Nursing as caring
59
Relational Ethics - 4 key components
1. Environment 2. Embodiment 3. Mutuality 4. Engagement
60
vicarious liability
legal doctrine where the law holds employer legally responsible for acts of its employees that occur within the SCOPE and COURSE of their employment
61
Social Justice
“upstream approach”, considers SDOH
62
Equality
ensures ALL individuals receive the same amount
63
Equity
Factors in/adjusts distribution to account for individual and/or systemic factors which would put some at a disadvantage
64
Causes of Canadian Sickness
50% - your life 25% - your healthcare 15% - biology 10% - your environment
65
when was the start of nursing
1639
66
1st school of nursing
St. Thomas Hospital (1860) in London
67
1st Diploma
St. Catherine’s Training School (1874)
68
1st University Program
UBC 1919
69
Principles of Regulation
1. public interest 2. flexibility 3. fairness and equity 4. administrative efficiency
70
International Council of Nurses (ICN)
- quality of health - satisfied workforce - represent nurses - influence health policy
71
Canadian Nurses Association (CNA)
- public, nonprofit - promote excellence - advocating - public interest
72
College of SK RN’s
- protect the public - excellence in practice - RN’s and NP’s are partners
73
SK Union of Nurses (SUN)
“Healthy members, healthy union, healthy communities” - achieve safe and healthy practice environments for all SUN members
74
Canadian Nurses Protective Society
Nursing legal system - Canadian Nursing professions own legal system
75
Code of Ethics (2017)
provides guidance when nurses are working through an ethical challenge Responsibility, Accountability and Advocacy
76
Ethical Agent
has capacity to direct their actions
77
Ethical Courage
Stand firm on a point of moral principles
78
Ethical Dilemmas
Choosing one course of action means another is relinquished/let go
79
Ethical Disengagement
When nurses normalize the disregard of their ethical commitments
80
Ethical Distress
When nurses are unable to act accordingly of their moral judgement
81
Ethical Indifference
Failure to assume the ethical responsibilities of the profession - questions integrity of the nurse
82
Ethical Problem
Conflicted between one or more values
83
Accountability
- understand/meet professional standards - competency - maintain fitness of practice - sharing knowledge - advocating
84
Advocacy
Acting on another’s behalf - speaking for those who can’t speak - ensure that all views are heard - eliminate social inequities - protecting a patients right to choose
85
Beneficence
actions should promote the good and well-being of the client (PREVENT HARM)
86
Non-Malificence
DO NO HARM
87
Veracity
concerns telling the truth - patient education - intent to be honest - autonomy
88
Justice
fair and equal treatment
89
Social Determinants of Health
Way in which people are born, grow, live, work and age can impact health (income, social status, social support, education, working conditions, gender, culture, etc.)
90
Social
Individual interactions with environment
91
Determinants
Indicators that have influence
92
Health
Context of physical, spiritual, social, and mental health or wellness
93
Distributive Justice
equal distribution of goods/services
94
Market Justice
Honouring the rights of those who have earned the entitlement to those privileges
95
3 Components of Nursing Advocacy
1. Safe-guarding patient autonomy 2. Acting on behalf of patients 3. Championing social justice
96
Client outcomes in quality workplaces
reduced RN fatigue improves patient safety Increased workload of RN’s has poorer outcomes for patients
97
Nurse outcomes in quality workplaces
Decreased number of nurses burnout Absenteeism is a serious issue Nurses leaving is costly OT and Absenteeism costs up to $2 billion per year Paid and unpaid OT of public-sector healthcare nurses
98
Organizational outcomes in quality workplaces
Identification of the rights Safe workplace = positive environment
99
CNFU definition of workplace violence
violence which includes the threatened, attempted or actual work-related incident of physical force or psychological abuse which can result in physical, emotional and sexual injury, harm or trauma
100
CNFU definition of harassment
a course of vexatious comment or conduct against a worker that is known and seen as unwelcome, especially any hostile and abusive work-related conduct, comment, or gesture that can be perceived to result in a harmful work environment
101
CNFU definition of bullying and lateral violence
inappropriate, offensive, abusive, aggressive, negative, intimidating, or insulting work-related abuse of power
102
Risk of workplace violence influenced by..
- low decision-making autonomy and rigid work routine - inappropriate or inadequate staffing - excessive use of OT - inappropriate admission or transportation of patients - inadequate security/security measures - type of healthcare setting or department - working in isolation
103
ICT
Informational and Communications Technology
104
CNIA mission and vision
Mission: positively impacting health outcomes by advancing nursing informatics leadership Vision: every nurse, every setting, optimizing informatics, and digital health for all
105
CIHI mission
non-profit body that records, analyzes, and disseminates essential data
106
Issues with CIHI
- artificial intelligence - big data/data analytics - virtual care - EHR and virtual care - patient access to data
107
Core Components of EHR
- Patient registry - Provider registry - Diagnostic images - Laboratory results - Drugs dispensed - Clinical reports and immunizations
108
CASN
uses ICT to support info synthesis in accordance with professional and regulatory standards in the delivery of patient care
109
Key Competencies of CASN
1. Information and knowledge management 2. Professional and regulatory accountability 3. Information and communication technologies
110
What is workplace incivility
Sense of disrespect among health workers (bullying)
111
Types of workplace incivility
1. historical: circular issues of workplace dissatisfaction and violence (ex. nurses eat their young) 2. social and cultural: social/cultural process/networks, evolution of the profession, power differentials, fear of exclusion, age consideration 3. Political: who benefits from resolutions? competition, personal benefits, organizations structure, need for power 4. Economic: absenteeism, leave of absence, high turnover, more OT
112
Workplace Culture
Values focus on well-being of clients and nurses. Respect, positive change, evidence-informed practice
113
Role of technology in nursing
identify knowledge gaps, generate evidence, facilitate in knowledge transfer
114
Cultural Safety
effective nursing practice of a person or family from another culture and is determined by the people receiving care
115
Humility
self-reflection to understand personal and systemic biases and to develop and maintain respect processes
116
Awareness
recognizing the differences and similarities exist between cultures
117
Competence
Doesn’t require us to be experts on different cultures - develop knowledge, skills, and attitudes for working effectively and respectfully with diverse people
118
Sensitivity
grows when we start to see the influences of our own culture and acknowledge that we have biases
119
Duty of Care
nurse owed the patient an expected level of care
120
Duty to Report
properly charting
121
Types of laws that govern nursing practice
constitutional law, common law, administrative law, case law
122
Constitutional Law
derived from federal and state constitutions
123
Civil law
protect the rights of individuals and provide for fair and equitable treatment when civil wrongs or violations occur
124
Omnibus Reconciliation Act of 1987
Mandated that skilled nursing facility residents are given rights: greater focus on elderly care, addressed use of restraints (last resort, require an order, close monitoring)
125
HIPAA
Health insurance portability and accountability act - provides rights to patient and protects employees - establishes patients rights regarding privacy of their health care info and records - established patients right to consent to the use/disclosure of protected health info, to amend mistaken or incomplete info; limits who can access records
126
HITECH
Health Information Technology Act - expands on principles under HIPAA, especially with security breach of personal health info
127
Due Process
means the state is required to inform the nurse of allegations and investigation process, including who is being asked to provide info about allegations
128
Informed Consent and Health Care Acts
responsibility of person performing procedure - must be witnessed, not applicable in emergencies
129
Key Elements of informed consent
1. pt receives an explanation of treatment 2. pt receives the names/qualifications of people involved 3. pt receives a description of the risks/harm 4. pt receives an explanation of alternative therapies to treatment and risks of doing nothing 5. pt knows that he/she has the right to refuse 6. pt knows that they may refuse after the treatment has begun
130
Good Samaritan Laws
protect healthcare professionals in emergency situations outside the hospital. Limits liability and give legal immunity, within standards of care. Once you begin care, you must stay with the pt until transferred to EMS or other authority
131
Public Health Laws
protect populations, advocate for the rights of people, regulate health care and financing, and ensure professional accountability for care provided
132
Uniform Determination of Death Act
actual point of death at which a person is legally dead
133
Two Standards for determining death
1. Cardiopulmonary standard: loss of circulatory and respiratory functions 2. Whole-brain standard: loss of all functions of the entire brain (including brain stem)
134
Defamation of character
publication of false statements that result in damage to a person’s reputation
135
Slander
Speaking falsely about another
136
Libel
Written defamation of character
137
1973 Roe vs Wade
1st trimester: could end her pregnancy without state regulation because the risk of natural mortality from abortion is less than with normal child birth 2nd Trimester: state is interested in protecting maternal health, and enforces regulations regarding the person terminating the pregnancy and the agency 3rd Trimester: when the baby is viable, the interest of the state is to protect the baby - prohibits the termination except when necessary to save the mother
138
1989 Webster vs Reproductive Health Services
Narrowed Roe vs Wade
139
When can a nurse refuse assignment
1. lacks the knowledge/skills to provide competent care 2. care exceeding the NPA is expected 3. health of the nurse is threatened 4. orientation to the unit hasn’t been completed and safety is at risk 5. nurse clearly state and documents a conscientious objection on a basis of moral, ethical, or religious grounds 6. nurses clinical judgement is impaired as a result of fatigue, resulting in safety risk
140
Nurse Experts
Testify about the standards of care as applied to the facts of a case; has education/experience r/t alleged complaint of pt and accurately describes the pertinent scope and standards of practice required
141
Three types of ethics
1. Metaethics: focus on universal truths, and where and how ethical principles are developed 2. Normative Ethics: focus on moral standards that regulate behaviours 3. Applied Ethics: focus on specific difficult issues such as euthanasia, capital punishment, abortion and health disparities
142
Kohlberg’s stages of Moral Reasoning
1. Pre-conventional 2. Conventional 3. Post Conventional
143
Pre-Conventional
individual is inattentive to norms of society when responding to moral problems: individual is self-centered, wants/needs over right/wrong
144
Conventional
Responds to prospect of personal reward
145
Post-Conventional
more independent modes of thinking than previous stages - self-interest AND group norms
146
Gilligan’s Stages of Moral Reasoning
Moral person is one who responds to need and demonstrates consideration of care and responsibility in relationships
147
Deontology
doing your duty to honor your obligation
148
Examples of Current Technological Applications
- patient scheduling and transfer - billing and financial mgmt - diagnostic imaging - lab reporting - order-entry applications - pharmacy - pt documentation systems - clinical support tools - resource mgmt applications - Artificial intelligence
149
Role of Informatics and the Canadian Health Care System
- standardizes nursing language - increases visibility of nursing - creation of nursing minimum data set (NMDS) - most important data elemtns - standards
150
HOBIC Project
Health Outcomes for Better Information and Care Project - standardized assessment methods
151
Key competencies of nursing
1. information and knowledge management 2. professional and regulatory accountability 3. information and communication technologies
152
Magnet-Credentialed hospitals
workplaces with better work environments and better nurse and patient outcomes lower mortality rate lower rates of burnout or dissatisfaction at work
153
Enough is Enough Article
about putting a STOP to violence in health care SUN is responsible for implementing strategies to decrease violence and acts of aggression against SK nurses
154
Video from Nova Scotia
Violence is NOT part of the job
155
Levels of Research Evidence
1. Systematic reviews - 3 or more RCT’s (randomized clinical trials) of good quality that have similar results 2. 1 or 2 well-designed RCT’s 3. 1+ controlled trials w/o randomization 4. 1+ control or cohort studies 5. systematic reviews of descriptive/qualitative studies 6. single descriptive or qualitative studies 7. opinions of authorities and/or reports of expert committees
156
Steps of the Research Process
1. Abstract 2. Background/Literature Review 3. Methodology 4. Findings 5. Discussion 6. Limitations 7. References
157
Assessing Strength of the Article
Quality Quantity Consistency
158
Basic steps in planning nursing research
question problem purpose - statement design sample methods analysis results or findings clinical implications conclusion
159
Objectives of nursing research
a way to identify new knowledge, improve professional education/practice and use resources effectively Theories are generated from findings of other research
160
PARiHS Framework
Promoting Action on Research Implementation in Health Services - Evidence: research, clinical and patient experience, local data - Context: culture, leadership, evaluation - Facilitation: purpose, role, skills and attributes
161
Principles of Primary Health Care
1. Accessibility 2. Public Participation 3. Health Promotion 4. Appropriate Technology 5. Intersectional Cooperation
162
Gibbs Reflective Cycle
1. Description (what happened) 2. Description (thoughts/feelings) 3. Evaluation (good/bad parts) 4. Analysis (make sense) 5. Conclusion (what else) 6. Action plan (what will you do if it happens again)