Week 3 Flashcards
(22 cards)
What is nursing?
nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups, and communities sick it well in all settings. nursing includes promoting health, preventing illness, and caring for ill, disabled, and dying people. the nursing profession is upheld by practice, research, and theory.
nursing roles and responsibilities
- work with patients or communities
- advocate
- education
- prevent
- promote
- managing work (leadership)
- Building profession ( research, teaching, and policy work)
ontology
“the way of seeing and describing the whole” is the “core of nursing” ontological descriptions explore the defining features or realities of being human; however, this is not to suggest that experience is an immutable state, but rather dynamic and shifting. knowing becomes an embodied experience - it is situated within personal, social, historical, and cultural settings. (a way of thinking, making, and acting). way of being - study or experience of being a nurse.
epistemology
nursing epistemology is the “study of knowledge shared among the members of the discipline, the patterns of knowing and knowledge that develops from them, and the criteria for accepting knowledge claims.” (knowing is a process knowledge is a product). study of nursing knowledge, knowing versus knowledge, nursing practice.
ontology + epistemology =
philosophy = profession
Philosophical thinking
the theory under skills and the critical thinking that takes place before. (e.g., to critically think about psychomotor skills being done)
Nursing Theories
nursing theory has been described as a conceptual framework, a process of inquiry, and a set of concepts, definitions, and models; theories are derived from logical thinking and inductive reasoning.
levels of nursing theory
(top) metaparadigm
grand theories
middle range theories
(bottom) practical level theories
metaparadigm
a set of concepts and propositions that sets forth the phenomena with which a discipline is concerned. clarification of the theoretical focus of nursing, and the development of a number of grand theories lead to nursing, person, environment, and health becoming the central concepts constituting the metaparadigms of nursing.
Relationship of practice to theories
Nursing practices lead to theory development leads to ongoing research lead to practice changes leads to evaluation.
Nursing knowledge and research paradigms: empirical
the science of nursing, which is factual, and descriptive, and helps to develop abstract and theoretical explanations
Nursing knowledge and research paradigms: Phenomenological
offers an approach that helps to elucidate the meaning of interactions between and individual and their environment.
Nursing knowledge and research paradigms: Critical
the ability to analyze, too decide the best option or answer, serves to our most repressed groups.
Nursing knowledge and research paradigms: natural science
has an influential effect on society and other scientific disciplines. influence on nursing epistemology.
implicit bias
conscious or unconscious attitudes towards people or associated stereotypes
professional practice and implicit bias (effects)
- disparities in healthcare
- responsiveness to patients (pain and/or call bells)
- patient assessment/diagnosis
- resource collaboration
strategies to mitigate implicit bias
- mindfulness
- habit replacement
- STOP: (S) stop what you are doing, (T) take some deep, slow breaths, (O) observe thoughts feelings, and assumptions, (P) proceed with patient care
cultural practice
recognize the impacts of nursing knowledge, theories, and practice of colonialism, neocolonialism, and neoliberalism
overarching nursing goals
- theraputic relationship
- patient/family-centered care
- culturally competent care
- individualism
- partnership/ally building
concept-based curriculum
- practice is fluid
- demand is high
- entry level competencies (BCCNM)
principles of curiculum
- health is promoted through the integration of the art and science of nursing.
- nursing practice entails empirical, practica;, ethical, aesthetic, personal, political, and environmental knowledge, in addition to knowledge from other disciplines
- the nurse influences the current reality and future nursing practice
- the nurse is critically reflective, independent and motivated to lifelong learning.
Florence Nightingale
Florence Nightingale (1946/1859) is often cited as the person responsible for formalizing the knowledge and practice of nursing into a profession, popularizing nursing for the modern era. she mobilized nurses to care for British soldiers injured in the Crimean War and subsequently created systems for the education of nurses and the delivery of nursing care