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quiz #1 Flashcards

1
Q

nursing has a long & detailed history, but modern nursing with a professional context is linked to whom?

A

Florence Nightingale

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2
Q

when did nursing science begin to develop its own unique body of knowledge?

A

after word war 2

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3
Q

historically, how did nursing knowledge look?

A

historically nursing often applied the knowledge of other disciplines which stalled the development of its own unique knowledge

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4
Q

in the 1960s what did nursing educators begin to explore?

A
  • the unique nature of nursing

- sought to remove education from an apprenticeship model that included lectures from doctors

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5
Q

what became the key focus in the 60’s?

A

nursing knowledge

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6
Q

what did the exploration of nursing knowledge include?

A
  • what is the focus and scope of nursing?
  • how is nursing different than other healthcare professionals?
  • what knowledge is appropriate disciplinary knowledge for nursing?
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7
Q

Is nursing a profession or a discipline?

A

nursing is both

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8
Q

what is nursing as a profession?

A
  • the art of nursing
  • persons who have received specialized education in the discipline which is based upon regulated, defined, and monitored standards
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9
Q

why has profession of nursing detoured from its original disciplinary foundation in recent years?

A
  • economic considerations
  • technologies
  • medicalization
  • hospital-based practices and policies
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10
Q

what is nursing as a discipline?

A
  • the science of nursing
  • goal is to expand knowledge about human experiences
  • knowledge, framework, and theories
  • community of scholars
  • qualitative and quantitative research
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11
Q

the knowledge in the discipline of nursing is the _______ guide to living the art of nursing

A

the scientific guide

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12
Q

what happens if there is no disciplinary orientation and foundation?

A

nothing to guide the development of the profession, nursing will lose its way

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13
Q

positivist research

A

scientifically verified studies to reveal the nature of things
-quantitative

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14
Q

cognition

A

mental action or process of acquiring knowledge and understanding through experience and senses

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15
Q

informatics

A

science of processing data for storage and retrieval

study of the structure, behaviour, and interactions of systems

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16
Q

research methodology

A

specific procedure or techniques to identify, select, and process information about a topic

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17
Q

quantitative VS. qualitative research

A

quantitative= tests hypothesis and research questions
OBJECTIVE, structured data.
qualitative= discovers ideas, unstructured data, SUBJECTIVE.

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18
Q

what are the foundation for discipline specific knowledge?

A

theories and philosophies of science

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19
Q

are profession and discipline the same?

A

NO, the discipline of nursing is different but intersecting. with the evolution of the profession of nursing.

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20
Q

the medical technical view of human experiences in health in different is ______ to nursings unitary disciplinary worldview

A

CONTRARY, nursings unitary disciplinary worldview is a committed worldview based on timeless values and whole person health

21
Q

what are some qualities of the DISCIPLINE of nursing

A
  • holds timeless values
  • holds and honours ontology of whole person, unity of mind body and spirit
  • expands conventional western science
  • critiques what counts as knowledge
  • adheres to nursings philosophical orientation toward humanity
22
Q

what has nursing recently been defined by?

A

its hospital technical industrial nursing practices and sick care
BUT, it is much more than confining to hospital controls

23
Q

nursing will not exist without what 3 components?

A

1) identity
2) disciplinary clarity
3) commitment to support and promote substantive nursing knowledge development

24
Q

when will your ability to think critically increase?

A

as you gain experience and progress from novice to expert nurse

25
why is critical thinking central to professional nursing practice?
- allows you to test and refine nursing approaches - learn from successes and failures - apply nursing research findings - ensure holistic patient-centered care
26
what is critical thinking defined as?
process and set of skills, emphasis on the importance to using knowledge and reasoning with clinical decisions
27
what attitudes and skills are required to being a critical thinking?
- purposeful and reflective reasoning to examine ideas, assumptions, conclusions, actions - cognitive skills (interpretation, analysis, inference, evaluation, explanation, self regulation) - habit to ask questions - be well informed and honest in personal biases - willing to reconsider and think different - truth seeking, open-mindedness, analyticity, self-confidence, maturity
28
when it comes to critical thinking, as you gain experience in nursing, what should you avoid from happening?
letting your thinking become routine or standardized
29
a nurse should look beyond the obvious in any situation and explore the patients..?
unique responses and recognize what actions are needed to benefit the patient
30
clinical judgment
interpretation or conclusion of the patients needs, concerns, or health problems and/or decision to take action -recognize the salient aspects of a clinical situation, interpret their meanings, respond appropriately
31
clinical reasoning
processes by which the nurses MAKE their judgements. - includes the process of generating alternative, weighing them against evidence, choosing most appropriate reasoning. - collecting cues, processing info, coming to understand patient problem or situation, planning, evaluating, reflecting
32
what does clinical judgement rest on (to some degree)?
knowing the patterns of the patients typical response as well as engagement with their concerns
33
what are clinical judgements influenced by?
context of the situation ad the culture of the nursing unit
34
clinical judgement often triggers what?
reflection on action, which is critical for the development of clinical knowledge and improving clinical reasoning
35
clinical knowledge
nurses must possess a sound knowledge base to think critically, formulate accurate clinical judgements and make decisions, and improve clinical practice -sound knowledge base demands that you develop strong information literacy skills
36
clinical experience
- necessary to acquire clinical-decision making skills - learn from observing, sensing, talking, reflecting - safe adaptions and revisions
37
what is the "laboratory for evaluating nursing knowledge?
clinical experience. | -you begin to understand clinical situations, recognize cues, and interpret cues as relevant or irrelevant
38
the nursing process is?
a blueprint or plan for care | -involving the patient in each step ensures patient-centered care
39
thinking like a nurse is?
engaged moral reasoning | -NEVER should be merely objective with patients concerns as a side bar
40
what are the 4 parts of tanners model of clincal judgement?
1) noticing 2) interpreting 3) responding 3) reflecting
41
noticing in tanners model=
context/background/relationship, expectations | -perceptual grasp of the situation
42
interpreting in tanners model=
reasoning patterns, analytic, intuitive, narrative | -developing and understanding of the situation
43
responding in tanners model=
action, outcomes (reflection in action) | -deciding on a course of action
44
reflecting in tanners model=
reflection on action and critical thinking | -attending to a patients response
45
brief background to boyers scholarship?
colleges and universities are striving to meet the challenges of rapidly changing education systems -reconsidering the role of the faculty
46
what did boyer challenge
all discipline to embrace the full scope of academic work, moving beyond an exclusive focus & narrowly defined research
47
boyer proposed the scholarship has 4 areas that are critical to academic work, what are they?
1) discovery- new and unique knowledge is generated 2) teaching- teacher creatively builds bridges between their own understanding and the students learning 3) application- use of new knowledge 4) integration- new relationships among disciplines are discovered
48
why are the four aspects of the boyer model salient to nursing?
-each specified area supports the values of a profession committed to both social relevance and academic achievement
49
definition of scholarship in nursing?
defined as those activities that systemically advance the teaching, research, and rigorous inquiry that is 1) significant 2) creative 3) can be documented 4) can be replicated or elaborated 5) can be peer-reviewed

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