Week 4 Flashcards
(31 cards)
New France
(1600-1759)
- early colonization of Quebec included hospitals and health care.
- french influence on the care of the ill
- attempts to conform to Christianity.
- indigenous influences.
Nursing in New France
- Jesuit relations communicated calls for more nurses
- religious teachings integrated into healthcare delivery
- indigenous practices pre-existed arrival of french
Hotel-Dieu de Quebec
-Selection of Augustinian nuns (Les Augustinian) to establish a hospital in Canada (Marie Guenet, Anne Lecointre, Marie Forestier)
- by 1671, the hospital was independent of France
- Ursuline nuns and madam de la Peltrie to establish a convent school of indigenous children
- nuns learned local indigenous languages
- ongoing recruitment from France
- ongoing challenges with building
- ongoing epidemics
- conflict between Britain and France increased the volume of patients
Marie Rolet
- first European laywoman to care for the sick in her home
- collaborated with indigenous peoples
- known for treating scurvy
Jeanne Mance
- born in France
- life devoted to god
- cousin of priest in Canada
- tasked with building a hospital in Montreal
- Conformation to Christianity
- funding and succession planning
the grey nuns of Montreal
- founded by Marie-Marguerite Dufrost de Lajemmerais in 1976
- Pioneers of home visits and created home of refuge
- ordered to take over the general hospital
Nursing in the 17th and 18th century
- British nursing deteriorated under rule of Henry VIII due to the expulsion of nuns
- Deterioration not noted in Canada
- More equitable healthcare noted in New France compared to other parts of Canada under the British
- Changes in British rule and immigrants
- Grey Nuns travelled to western Canada to deliver healthcare and establish hospitals
Florence Nightingale
_ cited as the “mother of modern nursing”
- creator of the first nursing school. St. Catherines opened in 1874 in Ontario
- religious influence
establishment of nursing organizations
- The recognized need for legislation and professional practice standards
- National Nursing League formed in 1912
- Alumnae Associations
- American Journal of Nursing published in 1900
- International Council of Nurses formed in 1899 in Britain
- Canadian Society of Superintendents of Training Schools of Nurses in 1907
- Canadian National Associated of Trained Nurses (now CNA)
- Canadian Nurses Foundation, 1962
Nursing at war
- nurses provided care to soldiers and wounded
- army nursing corps facilitated responses from nurses
- ongoing presence today
Nursing education (schools/programs)
- St. Catharines, Ontario, 1874
- University of British Columbia, Vancouver, 1919
- University of Toronto, Toronto, 1942
- Diploma versus baccalaureate
- Specialty and graduate-level training
Canadian health care system
- largely publically funded
- universal coverage for necessary healthcare
- upheld by values of fairness and equity
- continues to reform to meet demands
Constitution Act 1867
- Outlines powers of governments of federal, provincial, and territorial agencies
- Provinces were responsible for establishing, maintaining, and managing:
a. Hospitals
b. Asylums
c. Charities
d. Charitable Intuitions - government agencies responsible for
a. marine hospitals
b. quarantine - federal government allowed to tax and borrow without affecting provincial powers
hosptial insurance and diagnostic services act
(1957)
- the first universal delivery occurred in Saskatchewan and was later adopted by the rest of Canada
- it provided uniform terms and conditions that offered to reimburse or cost share between provincial bodies and agencies
Medical Care Act
(1966)
- a universal, provincial medical insurance plan introduced by Saskatchewan that reimbursed or cost-shared half of the medical services provided by a doctor.
- adopted across Canada over a six-year period
Canada Health act
(1984)
- Legislation that replaced federal hospitals and medical insurance acts
- Founded on:
a. Portability
b. Accessibility
c. Universality
d. Comprehensiveness
e. Public Administration - Prohibited extra billing and user fees for insured services
the five Canada health act principles provide for
- public administration
- comprehensiveness
- universality
- accessibility
- portability
Accord on the New Health Care Renewal, 2003
- provided structural reform to support access, quality, and long-term sustainability
- encouraged governments to collaborate
levels of canadain governments
Federal
provincial and territorial
municapal
Role of federal governments
- setting and administrating system principles at the national level under the Canada health act
- financial support to provincial and territorial governments
- health protection and regulation
- consumer safety
- communicable disease surveillance and prevention
- funding for health promotion and research
- health-related tax measures
Who does the federal government provide care to?
- delivering healthcare to
a. indigenous people living on reserve
b. Inuit
c. Members of Canadian armed forces
d. eligible veterans
e. inmates of federal penitentiaries
f. refugee claimants
role of provincial and territorial governments
- administration of their health insurance plans
- planning and funding of care in hospitals and other facilities
- services provided by doctors and other health professionals
- planning and implementation of health promotion and public health initiatives
- negotiation of fee schedules with professionals
role of municipal governments
- endorse community health initiatives
- public policies and programs
- health prevention and promotion
jurisprudence
jurisprudence is a legal term that refers to the study or knowledge of the law. nursing jurisprudence is the law that relates specifically to nursing practice. all nurses should be familiar with the laws and legislation that affects their practice.
