Week 10 - 13 Flashcards

(55 cards)

1
Q

Leadership Definition

A
  • Processing of involving people & gaining trust
  • Energizing participation & achievement of mutual goals
  • Process of influence, change & action
  • Strong professional identity & accountability focused on self-knowledge
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2
Q

Roles of a Leader

A
  • Create vision
  • Create non-toxic environment
  • Make conflict an asset
  • Create change
  • Create leaders (mentoring)
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3
Q

CNO in Nursing Leadership

A
  • Critical thinking, action & advocacy in all domains
  • Shows leadership via best care to public
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4
Q

Indicators of Leadership

A
  • Model profession values, beliefs & attributes
  • Provide direction
  • Collaborate & share knowledge
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5
Q

Intraprofessional Collaboration

A
  • Members of same team working together to deliver quality care
  • Understand scope & breadth of practice
  • Communicate effectively
  • Work collaboratively
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6
Q

Benefits of Intraprofessional Practice

A
  • Improved clinical outcome
  • Decrease length of hospitalization
  • Increased client safety
  • Improved communication
  • Increased respect for other health professionals
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7
Q

Barriers of Intraprofessional Practice

A
  • Lack of understanding roles
  • Lack of communication
  • Lack of preparation of interprofessional teamwork
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8
Q

Teamwork Definition

A
  • Work done by group of people who possess individual expertise
  • Individual decisions holding common purpose
  • Meet together to communicate & share knowledge
  • Future decisions & actions are determined
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9
Q

Attributes of Teamwork

A
  • Mutal respect
  • Shared planning
  • Opne communication
  • Cooperation
  • Shared expertise
  • Common goals
  • Coordination
  • Shared decision making
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10
Q

Communication Components

A
  • Active listening
  • Timeliness
  • Openness
  • Sharing
  • Respect
  • Trust
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11
Q

Global Health

A
  • Transends national boundaries
  • Combination of population- based prevention with individual level clinical care
  • Equity of health worldwide
  • Emphasizes transnational health issues, determinants & multidiscipline solutions
  • Area of research, study, practice priority of improving health
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12
Q

Impacts on Global Health

A
  • Economy
  • Politics
  • Government
  • Social status
  • SDoH
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13
Q

Globalization Definition

A
  • Combination of forces increasing flow of information, goods, capital & people
  • Across political & geographic boundaries
  • Easier transmission of diseases
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14
Q

Ethics of Globalization

A
  • Guide global health
  • Humanity
  • Introspection
  • Solidarity
  • Social justice
  • Technical excellence & political commitment with ethically sound purpose
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15
Q

Politics of Globalization

A
  • Government
  • Finances & economy
  • Wars
  • Policy
  • Infrastructure
  • Communication
  • Education system
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16
Q

Social Aspects of Globalization

A
  • Culture
  • Religion
  • Language
  • Beliefs, values, norms
  • Resources
  • SDoH
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17
Q

Effects of Migration

A
  • Results in nursing staff shortages
  • Move from rural to urban areas
  • Creates barriers of access in rural areas
  • Recession & cuts to healthcare allow less nursing migration
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18
Q

Equity Strategies

A
  • Accessibility
  • Health promotion
  • Integration of cost-effective research findings into practices
  • Respect for diversity
  • Inter-sectoral collaboration
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19
Q

Citizenship

A
  • Global social responsibility
  • Sense of interconnectedness
  • Ethical obligations to each other
  • Informed on issues effecting wellbeing
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20
Q

Strategies of Global Health

A
  • Reflexivity
  • Moral cosmopolitanism
  • Narrative imagination
  • Understanding culture & beliefs of self & others
  • Partnerships
  • Connection between social condition & health
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21
Q

Regulated Health Professional Act 1991

A
  • Hold certificate from regulatory college of chosen profession
  • Required by law to deliver competent, ethical & professional services to public
  • Provisions regarding permitted actions & process
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22
Q

Nursing Act

A
  • Requirements for registration of RN, RPN & NP
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23
Q

Nursing Scope of Practice Statement 1991

A
  • Promotion of health
  • Assessment
  • Provision
  • Care
  • Treatment
  • Preventive, supportive, therapeutic, palliative & rehabilitative means
24
Q

College of Nurses Ontario (CNO)

A
  • Governing body for RN, RPN & NPs
  • Self-regulated profession since 1963
  • Establishes requirements for entry to practice
  • Articulates & promotes standard of practice
  • Administering quality assurance program
  • Enforces standards of practice & conduct
25
Self-Regulation of Nursing
- Understand scope of practice - Determine standards & education required - Required competences to become & remain registered - Practice according to CNA code of ethics - Developing standards, code of ethics & examinations - Entry to practice competencies - Following nursing act (controlled acts)
26
Medical Directives
- Written protocol with specific criteria - Allows nurses with appropriate knowledge, skill & judgement to preform unauthorized actions - NPs work under
27
Controlled Acts
- Actions potentially harmful to patient - Level of risk or invasive - Cannot perform unless authorized by delegation or regulated health professions act
28
Nursing Controlled Acts
- Preforming ordered procedure below dermis/mucous membrane - Administering substance through injection/inhalation - Dispensing medications - Treating through psychotherapy - Managing labour/conducting delivery - Allergy challenge testing
29
Nurse Practitioner Controlled Acts
- Communicating diagnosis - Identifying cause of client symptoms, disease, disorder - Setting/casting fracture/dislocation - Prescribing, dispensing medications in accordance with regulations - Applying/ordering prescribed form of energy
30
Scope of Practice
- Different for RN, RPN - Differences in complexity, predictability, risk of negative outcome - Based on personal knowledge, assessment & communication skills
31
Client Factors Contributing to Scope of Practice
- Less complex/low risk & more predicted outcomes =RPN - Highly complex, high risk & unpredictable = RN - Risk & complexity increased need for RN consultation & collaboration
32
Nurse Factors of Scope of Practice
- Ability to provide safe & ethical care - Leadership, decision making, application of knowledge & critical thinking
33
Environmental Factors of Scope of Practice
- Practice/consultation supports & resources - Stability & predictability
34
Professionalism
- Actions, values, & attributes present in nursing care - Collaborate with patients, colleagues, students & members of care team - Knowledge, accountability, advocacy, ethics, scope & standards of practice
35
Theory
- Suggests direction to view facts & events - Based on concepts & propositions that explain relationship of concepts - Offers descriptions, explanations, predictions about phenomena
36
Tirad
- Interconnected concepts that influence decisions, interventions & evaluations - Basis for nursing knowledge & translation into practice - Involves theory, research & practice
37
Theory in Action
- Focuses on issues important to providing care - Creates knowledge to raise profession status - Tanners’ clinical judgement model (modern theorizing)
38
Theory Purpose
- Provide direction & guidance - Practice, education & research - Structuring profession - Differentiating focus of nursing from other professions
39
Theory Types
- Grand - Middle range - Practice level
40
Grand Theories
- Conceptual models/frameworks - Focus on metaparadigm of nursing - Abstract & difficult to test
41
Middle Range Theories
- Address specific phenomenon - Reflects practice - Less abstract/more concrete
42
Practice Level Theories
- Narrow scope - Developed for nursing specific situations
43
Eras of Knowledge
- Ciirculum1930 - Research 1950 - Graduate education 1959 - Theory 1970
44
Metaparadigm
- Theories to address & specify relationships among major abstract concepts
45
Metaparadigm Components
- Person - Health - Environment - Nursing
46
Theoretical Models
- System theories - Interactive theories - Simultaneity theories
47
Roy Adaption Theory
- Views person as holistic, biopsychosocial being - Person in constant interaction with changing environment - Adaptive mechanisms used to cope - Goal to promote positive adaptive responses
48
Peplau-Interpersonal Relations Theory
- Focus on therapeutic nurse-client relationship - Meeting needs of patient
49
J Watson Human Caring Theory
- Care for physical body not separated from context of unity - Help client find meaning - Intentionality consciously with client in caring moment - Connectedness between & amongst persons/environment
50
C's of Caring
- Compassion - Competence - Confidence - Conscience - Commitment - Comportment - Creativity
51
Compassion
- Awareness of relationship to all living creatures
52
Competence
- Knowledge, skills & expertise - Respond to professional responsibility
53
Conscience
- Moral awareness - Compass directing one’s behavior
54
Confidence
- Coverage between desires & obligations - Choice to act in accordance
55
Compartment
- Professional presentation to behaviors - Attitude & appearance to present accordingly