PPR100 final term 1
When can a nurse refuse to provide care?
when its unsafe
Are PN students held to the same professional standards as LPN in BC?
yes
what is the difference between leadership and management?
A shared vision, values, organizational strategy, and relationships vs Competencies required to ensure the day-to-day delivery of nursing care according to available resources and standards of practice
How can a nurse develop critical thinking skills?
-important to learn how to connect knowledge and theory in practice. -Making sense of what you learn in the classroom, from reading, or from dialogue with patients, other students, and health providers and then applying it during patient care can be challenging -Using strategies such as case-based learning, reflective writing, and concept mapping will help you develop and refine your critical thinking skills.
What are the main sections of a research article?
1. Abstract, 2. introduction, 3. literature review, 4. article narrative: purpose statement, methods, results/conclusion, 5. clinical implication
What are the 5 steps in researching the evidence?
1. Ask a well-built question, 2. Acquire evidence, 3. Appraise the evidence, 4. Apply the evidence along with clinical judgment and patient values 5. Assess the results
What are some of the key components of clinical decision making?
1. noticing or grasping the situation; 2. interpreting or developing a sufficient understanding of the situation to respond; 3. responding or deciding on a course of action; and 4. reflecting on or reviewing the actions taken and their outcomes
How many male nurses were there in 2012?
6.4%
Bias
A particular preference or point of view that is personal, rather than scientific.
What is Critical Thinking?
A process and a set of skills; the use of knowledge and reasoning to make accurate clinical judgements and decisions
What is the main motivator behind nursing?
Altruism
Colonialism
Attempt by one country to establish settlements and to impose its political, economic, and cultural principles in another territory.
What is a fundamental/guiding principle of the French Canadian hospital that survived into the 20th century?
Care is accessible to all, regardless of their background, status in life, or ability to pay
what is floating?
based on census load and acuteness of patients' conditions is a strategic approach to optimize staffing resources and ensure that patients receive the level of care they require. nurses are required to "float" from their area to other nursing units
Why is it important that a nurse understands his/her own personal values in dealing with an ethical dilemma?
because they may affect the decision-making process and the quality of care. Personal values are the beliefs and principles that guide one's actions and judgments. They may differ from the values of the patient, the family,
Ethnicity
belonging to a population group made up of people who share a common cultural background or descent
What is the name of the act that was passed in 1997 - that allows RNs who hold an extended certificate provide primary health care ?
Expanded Nursing Services for Patients Act, 1997.
Who is the founder of modern nursing?
Florence Nightingale
What is the main driving force for the modernization of nursing?
Globalization.
Describe health inequities and what does the nurse need to know?
Health inequity refers to unnecessary and unfair differences in health.
Race
Identity with a group of people descended from a common ancestor.
Who was the most influential woman for the advancement of nursing in Canada?
Jeanne Mance.
What is the role of a LPN when a RN delegates to an HCA?
LPNs are responsible to assessing clients, making a nursing diagnosis, planning care and assigning care appropriately to HCAs LPNs are responsible for knowing the HCA's role description. Before assigning care to an HCA, the LPN assesses the client's needs to determine if the activity is within the HCA's job description and any potential risks LPNS may providing training and ongoing support and guidance to HCAs if it is an employer expectation set out in the LPN's job description After an LPN assign care to and HCA, the LPN continues to be responsible for assessing care outcomes
Who conceived the idea of the VON?
Lady Aberdeen
= Medical Assistance in death. This became law in Canada in 2016. Patient must be eligible for publicly funded health care in Canada'
MAID
What are ethics?
Moral principles and values that govern individual behavior
Where did the traditions of good nursing practice in Canada originate?
New France
Can LPNs' delegate?
No, they can only assign tasks to HCA
do no harm
Nonmaleficence
Which province was the first to pass legislation related to nursing registration?
Nova Scotia
What is the name of the CNA nursing portal data base?
NurseOne.
What is a nurse's ethical responsibility?
Nurses have ethical responsibilities to uphold the dignity, rights, health and safety of their patients, as well as their own professional standards and obligation
Where was the first hospital diploma school in Canada?
Ontario
What is PICOT?
P-patient/population I-intervention C-comparison O-outcome T-timing
The first undergraduate degree program in Canada was established in which province?
PEI
What is self care?
Prioritizing and actively maintaining one's well-being.
What is the difference between an abstract and an introduction?
Provides a concise summary of the entire research paper, article, or document. Briefly outlines the research question or objective. Summarizes key methods used in the study. Highlights main results or findings. Concludes with the significance or implications of the work. Sets the stage for the reader, introducing the topic and context of the research. Provides background information on the subject. Defines the research problem or question. States the purpose and objectives of the study. Reviews relevant literature and previous research. Outlines the research gap or rationale for the current study.
What is the area of nursing where prevention is the main focus?
Public health
the ethical principle that describes that a nurse understands her professional responsibilities. (i.e.reports missing narcotics to team leader)
Responsibility
What are the 4 elements of Decision Making?
Responsibility Autonomy Authority Accountability
What are the 4 elements of decision making?
Responsibility Autonomy Authority Accountability
What are Quality improvement initiatives?
Student nurses/practitioners participate in investigations of patient outcomes and nursing care specific to their place of practice, commonly called quality assurance or improvement studies. They are a formal approach to the analysis of practice performance and efforts to improve performance.
Acculturation
The adoption of cultural traits, such as language, by one group under the influence of another.
Enculturation
The social process by which culture is learned and transmitted across generations
What is assignment?
The transfer of rights under a contract occurs when the task falls WITHIN the UCP's role description and training
What is Self Reflection? Why is it important?
Thoughtful contemplation of one's thoughts, feelings, and actions. Enhances self-awareness. Promotes personal growth and development. Facilitates learning from experiences. Improves decision-making and problem-solving. Strengthens emotional intelligence. Fosters a deeper understanding of one's values and goals.
What is the primary purpose of licensure laws for the nursing profession?
To protect the public from unsafe practitioners.
What is evidence informed practice?
a continuous interactive process involving the explicit, conscientious and judicious consideration of the best available evidence to provide care
matrix
a quality check that enable high quality care
What is an ethical dilemma?
a situation in which you have to decide whether to pursue a course of action that may benefit you or your organization but that is unethical or even illegal
being answerable for one's actions/ such as reporting a medication error
accountability
speaking up for patients who cannot speak up for themselves
advocacy
making own decisions
autonomy
an unintended wrongful act
unintentional tort
What is Quantitative research?
can be precisely measured and quantified. (Ex- pain severity, rates of wound healing, and body temp. changes).
Why can assumptions be harmful?
can lead to negative outcomes such as wrong diagnosis, spread of misinformation, prejudice, bias,
What is Qualitative research?
cannot be quantified/measured. Researchers must understand the perspective of the person in the situation. (Expressed in words, used to understand concepts, thoughts or experiences)
protects the rights of individuals.
civil laws
When is PICOT helpful?
clinical decision making
One type of nursing model is an emerging model among intraprofessional nursing teams and other health care providers who are members of the interprofessional team. What is this model called
collaborative practice
what is one of a manager's top challenges
communication
3 examples of management
coordinating innovating staffing
protects society from harm and provides punishment for intentional crimes
criminal laws
Discrimination
unjustifiable negative behavior toward a group and its members
Ethical theory actions are defined as right or wrong on the basis of right basis characteristics such as fidelity
deontological
Respecting a person's right to be treated the same as others despite health challenges
dignity
What is decentralized nursing management?
emphasizes the coordination of health services that links patients and families
Ethical theory is concerned with the greatest good for the most people. (An example is mass immunization program during the covid pandemic.
utilitarian
What is the name of the BCCNM document that outlines the knowledge, skills, judgment and attitude expected of a new LPN graduate?
entry level competency
Ethics is a philosophy that examines women ( often vulnerable woman)
feminist
truthfulness
fidelity
What is Clinical decision making?
focuses on defining patient problems or situations and selecting appropriate interventions.
Nursing management in a facility is considering a nursing care delivery model that involves the division of tasks, with each nurse assuming the responsibility for particular tasks what kind of nursing is this?
functional nursing popular during World War II in a nursing shortage, where nurses focused on tasks instead of assuming responsibilities for a group of patients. Disadvantages of functional nursing are problems w/ continuity of care
Medical treatment that is impossible or unlikely to achieve positive outcome.
futile
How would you help a person who does not speak or understand English? What is the concern if you ask a family member to interpret ?
get an interpreter. The issue with asking a family member to interpret is that info can be left out or misinterpreted
a patient gives permission for a procedure/surgery after the risks and benefits have been explained by the physician.
informed consent
primary nursing
is a model of care in which a registered nurse (RN) is responsible for managing and coordinating the care of a group of patients throughout their entire hospital stay. This includes assessing, planning, implementing, and evaluating the care plan for each patient. The primary nurse is the main point of contact for patients and their families, and they work collaboratively with other healthcare providers to ensure that patients receive high-quality, individualized care.
team nursing
is a model of care in which a team of healthcare providers, including RNs, licensed practical nurses (LPNs), nursing assistants, and other support staff, work together to provide care for a group of patients. Each team member has a specific role and responsibilities, and they work collaboratively to assess, plan, implement, and evaluate the care plan for each patient.
fairness to all
justice
What are the different components of critical thinking?
knowledge base, experience, competencies, attitudes, and standards.
Indigenous peoples
natives of an area who have been conquered or dominated by others who came later
leaving the side rails down on the stretcher and the patient falls.
negligence
Is leadership and management the same thing?
no
What is delegation?
occurs when the task is performed primarily by NURSES and is OUTSIDE the role description and training of the UCP
2 Ethical theories are __________________ theory and ______________________ theory
utilitarian deontological
Quality of life characteristics are value judgements that can
vary
What are institutional practice guidelines? Why is it important to follow them?
policies/procedures/regulations; they are documents that provide recommendations for improving quality of care and reducing variation in clinical practice we need them so we are not held liable for errors/mistakes. they also help nurses make evidence based decisions
Before completing a procedure on a new unit, the nurse should review the
policy and procedures
What is the name of the BCCNM 14 guidelines that provide specific directions for nurses' practice?
practice standards
Predujice
preconceived opinion that is not based on reason or actual experience
a person's right to maintaining privacy of their Health Care information - including secure storage
privacy/confidentiality
What is the BCCNM document that outlines an overall frame work for nursing practice in BC. It sets out the minimum levels of performance that nurses are expected to achieve in their practice.
professional standards
oppression
prolonged cruel or unjust treatment or control
can be considered a form of false imprisonment and require an order
restraints
What is the BCCNM document that outlines the limits and restrictions on a LPN 's practice?
scope of practice
Ethnohistory
the history of peoples and cultures, especially non-Western ones
Assimilation
the social process of absorbing one cultural group into harmony with another
3 examples of leadership
transformational emotionally intelligent relational leaders
What is a main reason for ethical dilemma?
two or more sets of genuine ethical value conflict