Up to Midterm 1 Flashcards

(101 cards)

1
Q

BScN Philosophy

A

Being, Knowing, Doing

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2
Q

Being

A

What makes you a nurse
-Relationship + self is meaningful
-everyone has the right to (respect, dignity, full potential)
-everyone has unique stories/experiences
-create authentic connections

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3
Q

Knowing

A

Having the theoretical knowledge
-knowing there are multiple truths (that change)
-complexity science (sense/decision making)
-Caring Science (uses 4 ways of knowing)
-Deep knowing- learn from others, self critique/critical reflection

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4
Q

Doing

A

Applying nursing skills
-create relationships + safes paces
-authentically, how you want to come across
-engage in interdisciplinary + intersectoral approaches

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5
Q

4 types of truth

A

-Objective
-Subjective
-Normative
-Complex

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6
Q

Objective truth

A

-measurable
-physically observed
(5 senses)

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7
Q

Subjective truth

A

Individuals perspective
-internal/not visible
-not measurable

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8
Q

Normative truth

A

Group agreement
-cultural
-ethnic, gender, religion

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9
Q

Complex truth

A

what truth is best/most useful in a specific situation
-in the best interest

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10
Q

3 knowings

A

-Axiology
-Epistemology
-Ontology

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11
Q

Axiology

A

Ethics
-everyone has different values you may disagree with, but must help
-knowing about yourself

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12
Q

Epistemology

A

Knowledge (Nursing knowledge)
-knowing things to help build connections (empathy)
-Know how to treat symptoms (nurses don’t cure)

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13
Q

Ontology

A

Nature/existence of life
-Experiences, beliefs, feelings

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14
Q

bodymindspirit

A

Holistic view, each part of a humans self is important + valued

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15
Q

Spirituality

A

what gives meaning to life
-expresses who we are
-why we’re unique
- fuel to life

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16
Q

Religion

A

Cultures/communities celebrating spirituality together
- traditions + beliefs

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17
Q

Enhancing spirituality

A

-respect boundaries
-listen authentically
-encourage their story/interests
-explore suffering + joy (growth from them)
-connection
-hope + meaning

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18
Q

Spiritual Cues Include

A

-unspoken words (fine=not fine)
-recognize unseen boundaries (crossed arms)
-familiar objects (bible, cross)
-behavioural cues (no eye contact)

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19
Q

Holistic approach advantages
pt:self

A

Pt: will be more comfortable and engage in their health, trust you
self: be more passionate, have context

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20
Q

Holistic approach challenges

A

-may become emotionally attached
-be a response from those surrounding you
-Pt may not open up/ trust you; they could just ignore

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21
Q

Holistic knowledge you will learn

A

how to kindly deal with difficult pts
be more open to new/different ideas

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22
Q

Profession

A

The act of doing something
-teaching, clinician, researcher

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23
Q

Discipline

A

Knowledge/3 knowing’s
-axiology
-epistemology
-ontology

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24
Q

Professionals criteria

A

-BScN
-specific disciplinary knowledge
-code of ethics
-proof of organization CRNA (permit, discipline, take care of themselves)

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25
Nursing Science
What we want to become/do as nurses -application of theory to practice -discipline of a nurse -experimental research -borrowed, personal knowledge -Cyclical (what you learn in class but alter in life) (FINAL EXAM)
26
Nurses work in ___
Health care system
27
Health Care System
-health is a varying idea -encompasses a greater circle that includes everyone -includes psychology, environment created, planet concerns, people (empathize with their stories)
28
Focuses/interest of nursing
-self knowledge (diff between us and pt) -pt experience (how diseases effect them mentally) -create relationships with pt
29
Canadian Nurses Association
-RNs are self-regulated healthcare professionals -contribute to health care through leadership -coordinate care + support clients -nursing science is our foundation
30
Kintsugi
not seeing others as broken if not perfect -brokeness is an opportunity to give back -empathize with the difficulty to ask for help -create a relationship
31
Nurseology requires
Requires nurse to get through defences + fears pts have that prevent self knowing
32
Nurses first priority
Self, if they are not in their best condition (are burnt out) they can't provide adequate care to pt
33
Healing
well-being, mental state/mindset -is ALWAYS possible
34
Curing
Decreasing/absence of disease (medications/treatments), alleviating symptoms -NOT always possible
35
Healing vs. Curing
-in situations, one can be more important in a specific settings (bleeding out/safety needs fixed first) -can have one without the other
36
Nursing theory is/uses
framework for decision making -blueprint for nurses to follow -uses the 3 knowledge types
37
4 Patterns of Knowing
-Empirics -Personal -Ethics -Aesthetics
38
Empirics
Scientific/factual- has evidence -application of medicine based on data/scientific knowledge -measurable
39
Ethics
Moral/ethical considerations -best interest of patience - ethical dilemmas, Pt rights, moral principles
40
Personal
who you are as a professional + individual cant have professional without personal -all professional experiences have influence
41
Aesthetic
Artistry + creativity in nursing -how we do things - see pt as a whole not just the medical condition - pts experience, emotions, and context
42
Synoptic knowing
Integrative- must be thinking of other ways pf knowing unique courage- ask questions, do they have someone to care for them
43
Unknowing
open to re-learning Curiosity- ask questions Openness- take chances/be open to new opportunities Respect- Others opinions that may be different/don't change their thoughts
44
don't focus on disease; focus on___
taking care of the PEOPLE who have to live with the disease
45
Aspects of the metaparadigm
Nursing Person Health Environment
46
What does the metaparadigm do
The way nurses organize knowledge for this practice -strengthens the profession, models and theories -guides practice
47
Person
how we define someone/what we believe/think about a person ( don't shame decisions, see them as their friends, family, community)
48
Health
Relationships they have money they have - health can improve with social compatibility
49
Environment
Includes holistic views physical conditions they live in (roof over head, enough food, clean H2O0 climate (planetary health)
50
Nursing
managing interactions between person and environment creating a reciprocal relationship, learning happens both ways Before- nurse was more powerful
51
Criticisms of the metaparadigm
lack of consensus not a scientific approach colonial
52
Ethics vs. Morality
Ethics- Something you have to do Morality- don't like/a personal disagreement
53
Emancipatory
How to care for people -Justice, understand who the person is -what people need
54
How to decolonize the metaparadigm
-Constantly evolve -Globalize -allow creativity -Being rather than knowing -work with not on the pt
55
McGill model of nursing
Pts capacity strength-based model
56
Orems model of nursing
degrative/ pt doesn't take part in their health pt is broken + needs help -Puts pt down/feel useless
57
Objective
Measurable based on evidence visual external repeatable
58
Subjective
based off pts feeling internal pain nonvisual
59
Inductive
way to gather facts more generalized don't nessisarily find answers
60
Deductive
Have a thought/hypothesis gather facts to find answers test the theory
61
Sensemaking
Understand: different framing (LGBTQ) multiple insights (colleagues opinions) Intuitive (gut feeling) Collective (listen to pts perspectives) openness (no judgement)
62
Critical thinking
-multiple perspectives -process, is not linear -reflecting, analyzing, thinking, questioning -evaluate and then go back
63
Self regulation
recognize biases
64
interpretation
openmindedness to more then one way to do something
65
inference
what assumption you may be making
66
Maturity
life experiences and a way of doing things
67
systematically
inductive + deductive thinking
68
Nurses are grounded in relationship and need to, ___
Form connections
69
inquisitiveness
curiosity
70
critical reflexivity
aware of own criticism
71
Listening
Skill
72
possibilities
awareness
73
curiosity
staying curious about pt
74
Complex
grey area, change, perspectives, flexible
75
Basic
right + wrong
76
What is the nursing process
A cyclic, collaborative, universally applicable client-centred process where decisions are made.
77
Nursing Diagnosis
-symptomatic observation, collaborative with pt -not a medical observation -lived + current experiences - potential risk of pt
78
Planning
acting on priorities CURE (Critical, Urgent, Routine, Extra) -SMART goals
79
Implementation
the act of doing not a blind decision Maslow's heiarchy of needs
80
Evaluation
Questions you ask after the implementation assess the outcome (did it work what can I do better)
81
Nursing assessment
Gather, sort, analyze the pt bodymindspirit previous/current
82
Nursing process order
assessment-analysis-planning-implementation-evaluation
83
Maslow's hierarchy of needs
1. Physical needs 2. Safety 3. Love 4. Esteem 5. Self-actualization
84
Clinical judgement order
1. Recognize cues (what matters most, objective/subjective) 2. analyze cues (what does it mean) 3. prioritize + hypothesize (where do I start) 4. generate solutions (what can I do) 5. take action (what will I do) 6. evaluate outcomes (did it help)
85
Environmental factors
-setting/situational -client observations -resources -health factors -time pressure -cultural considerations -task complexity -risk assessment
86
Individual factors
-nursing factors -cognitive loads -nursing characteristics
87
Two-eyed seeing
taking into consideration indigenous + Western (nursing) knowledge strengths important to have a blended approach
88
Indigenous view on knowledge
-healing, wellness, general world view -learn from communities, the band (each had different views) -taught by elders, knowledge keepers - viewed women as important (matriarchy) -Knowledge was passed down orally -Interconnected, holistic, not a hierarchy, traditional
89
Western knowledge
Individualistic compartmentalized hierarchical objective/scientific
90
Democratic Racism
process for disenfranchising -assigning others as lesser
91
Colonization
-democratic racism -policies + power from one territory take over another -forced indigenous disconnection from culture (assimilation) -unequal power relations
92
Indian Act
-federal law enforced by indian agents -restrictive (ask to leave, for meds, took away women's power) -introduced reserves + residential schools -gov't said they would take care of indigenous but didn't
93
"Treaties of friendship"
-made to equally help each other -no indication gov would take things away
94
United Nations Declaration on the Rights of Indigenous Peoples
-Helps understand indigenous people -give them rights -CAN, USA, N Zeland, and AUST initially refused to sign (didn't want to fix promises)
95
Truth and Reconciliation Commission (TRC)
calls for action to help resolve aboriginal conflicts + restore mutual respect -Discover indigenous stories -address human rights (nurses must understand)
96
Status System
Refers to registered/treaty Indian under the act -race + gender-based classification -not all aboriginal recognized --some groups too small or gave up status -weren't taken care of by gov
97
Aboriginal stats
-higher health issues + death rates -68.1% don't get a high school diploma -women are 3.5x more likely to experience violence
98
Indigenous health disparities
-more homeless -more food/H2O insecurity -higher addiction rates -more mental health issues -experience systemic racism -residential schools +60s scoop
99
5 (Ps) Principals to Engender Cultural Safety and Humility
1. Protocols 2. Personal knowledge 3. Partnerships 4. process 5. positive purpose
100
Nurses must__
-Understand principals -work on ourselves to learn their trauma -collaborative practice of indigenous + Western ideas -learn mutually from each other's perspectives
101
Planetary Health + sustainability
1. Climate change (proper disposal of trash) 2. air pollution 3. food + H2O security 4. displacement 5. changing the infectious disease burden 6. mental health 7. health equity