PPN 101 Week 5 - 7 (knowt)
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Questions and Answers

How does theory enhance nursing practice according to the provided concepts?

  • By eliminating the need for accountability
  • By enforcing standard procedures for all patients
  • By rendering practice more efficient and effective (correct)
  • By simplifying the complexities of patient care
  • What role does culture play in defining health and illness experiences according to the definitions provided?

  • Culture is a fixed set of beliefs for all individuals
  • Culture is solely based on historical knowledge without social influences
  • Culture acts as a dynamic system of meanings that shapes experiences (correct)
  • Culture has no impact on health definitions
  • What is the ultimate goal for nurses as indicated in the content regarding theory and practice?

  • To strictly adhere to traditional methods of care
  • To focus exclusively on scientific inquiry
  • To create a coherent foundation for integrating diverse ideas and knowledge (correct)
  • To ensure that Indigenous knowledge is excluded from practice
  • In the context of nursing scholarship's evolution, what is emphasized regarding research?

    <p>Research can validate or lead to modification of existing theories</p> Signup and view all the answers

    What does the statement 'culture is constantly in flux' imply for nursing practice?

    <p>Nurses need to adapt their understanding of culture to align with evolving norms</p> Signup and view all the answers

    Which of the following best describes the integration of Indigenous Ways of Knowing into nursing practice?

    <p>It offers a unique perspective that can enrich current models</p> Signup and view all the answers

    What is one of the main objectives of the Calls to Action for health as outlined by the Truth and Reconciliation Commission?

    <p>To improve health-care rights for Aboriginal people</p> Signup and view all the answers

    Which of the following metrics is NOT mentioned as an indicator for closing health outcome gaps between Aboriginal and non-Aboriginal communities?

    <p>Access to technology</p> Signup and view all the answers

    What aspect of Aboriginal health does the Truth and Reconciliation Commission specifically call for recognition and respect?

    <p>Distinct health needs of Métis, Inuit, and off-reserve Aboriginal peoples</p> Signup and view all the answers

    What is intended by the statement to treat problems as practice problems rather than individual problems?

    <p>To view issues as systemic and address them collectively</p> Signup and view all the answers

    What type of support is suggested for Aboriginal healing centres in the Calls to Action?

    <p>Sustainable funding for physical, mental, emotional, and spiritual health</p> Signup and view all the answers

    Which principle underlies the approach to promote practices that are appropriate for marginalized groups?

    <p>Access to information for individuals regardless of literacy level</p> Signup and view all the answers

    What is the primary objective of Jordan's Principle in the context of health care and social services for First Nations children?

    <p>To prioritize the child’s health needs over funding disputes</p> Signup and view all the answers

    Which of the following is NOT a goal related to enhancing the healthcare system for Aboriginal communities?

    <p>Eliminating collaboration with Aboriginal elders</p> Signup and view all the answers

    Which topic should medical and nursing schools include in their curriculum according to the recommendations made?

    <p>The United Nations Declaration on the Rights of Indigenous Peoples</p> Signup and view all the answers

    How does structural racism manifest in the healthcare system as per the information provided?

    <p>Through policies that create chronic substandard health outcomes for Indigenous peoples</p> Signup and view all the answers

    Which of the following skills is emphasized as necessary for healthcare providers working with Aboriginal populations?

    <p>Intercultural competency and conflict resolution</p> Signup and view all the answers

    What is a key aspect of the training expected for healthcare professionals to address Aboriginal health issues?

    <p>Incorporation of anti-racism and human rights education</p> Signup and view all the answers

    What does the call for increased recruitment of Aboriginal professionals in healthcare aim to achieve?

    <p>To ensure representation and improve cultural competency</p> Signup and view all the answers

    In what scenario does Jordan’s Principle apply?

    <p>When there is a dispute over funding responsibilities for a child's services</p> Signup and view all the answers

    What was a primary purpose of the curriculum in residential schools?

    <p>To assimilate children into Euro-Christian culture</p> Signup and view all the answers

    Which of the following describes the conditions in residential schools?

    <p>Overcrowding and inadequate provisions</p> Signup and view all the answers

    What term describes the long-term effects of trauma across generations in Indigenous communities?

    <p>Intergenerational trauma</p> Signup and view all the answers

    What has the Truth and Reconciliation Commission (TRC) highlighted regarding the experiences of Indigenous children?

    <p>Horrific abuses endured within residential schools</p> Signup and view all the answers

    What impact has the legacy of residential schools had on health amongst Indigenous populations?

    <p>Higher rates of chronic diseases and mental health issues</p> Signup and view all the answers

    How has the suppression of Indigenous cultures affected identification among Indigenous peoples?

    <p>It has led to a loss of cultural identity and connection</p> Signup and view all the answers

    What factor has contributed to the distrust of institutions among Indigenous populations?

    <p>Legacy of abuse and neglect in residential schools</p> Signup and view all the answers

    What was a predominant form of abuse reported in the testimonies collected by the TRC?

    <p>Physical, sexual, and emotional abuse</p> Signup and view all the answers

    Which of the following does NOT accurately reflect the nature of residential schools?

    <p>Schools aimed to promote Indigenous languages</p> Signup and view all the answers

    What was one of the major findings of the TRC regarding the impact of the residential school system?

    <p>Long-term trauma affecting generations</p> Signup and view all the answers

    What distinguishes cultural awareness from cultural safety?

    <p>Cultural awareness is the first step towards understanding differences.</p> Signup and view all the answers

    Which principle is NOT a component of cultural humility?

    <p>Rigid adherence to cultural norms</p> Signup and view all the answers

    What is a primary outcome of achieving cultural safety in healthcare?

    <p>Defining safe care as articulated by clients.</p> Signup and view all the answers

    Which of the following illustrates cultural sensitivity?

    <p>Recognizing and respecting cultural differences in communication.</p> Signup and view all the answers

    How can cultural safety impact power relations in healthcare?

    <p>By challenging unequal power dynamics at multiple societal levels.</p> Signup and view all the answers

    In which scenario would cultural competence be insufficient?

    <p>When engaging in cultural humility.</p> Signup and view all the answers

    What quality is most essential for practitioners demonstrating cultural humility?

    <p>Flexibility in understanding cultural nuances.</p> Signup and view all the answers

    Which of the following concepts directly challenges personal biases in healthcare?

    <p>Cultural safety</p> Signup and view all the answers

    What is a significant legacy of the residential school system on Indigenous communities?

    <p>Creation of intergenerational trauma</p> Signup and view all the answers

    Which approach combines Western healthcare knowledge with Indigenous knowledge for better health outcomes?

    <p>Two-Eyed Seeing</p> Signup and view all the answers

    Which element is NOT part of the FIRST approach to enhancing cultural safety?

    <p>Research</p> Signup and view all the answers

    What critical aspect should healthcare providers practice to create a culturally safe environment for Indigenous patients?

    <p>Building trust and respect</p> Signup and view all the answers

    What approach is highlighted for addressing the specific health disparities faced by Indigenous peoples?

    <p>Trauma-Informed Care</p> Signup and view all the answers

    What does the Truth and Reconciliation Commission identify as crucial for providing care to Indigenous peoples?

    <p>Culturally safe care</p> Signup and view all the answers

    Which practice should healthcare providers avoid to enhance the cultural safety of their services?

    <p>Making assumptions about patients' needs</p> Signup and view all the answers

    How does systemic racism affect Indigenous peoples' health as highlighted by the Truth and Reconciliation Commission?

    <p>It contributes significantly to health disparities.</p> Signup and view all the answers

    Which concept addresses the historical context and power imbalances that affect healthcare experiences?

    <p>Cultural safety</p> Signup and view all the answers

    What is the focus of cultural competence in healthcare?

    <p>Developing practitioners' skills and knowledge for working with Indigenous clients</p> Signup and view all the answers

    Which of the following is NOT considered a social determinant of health?

    <p>Personal beliefs</p> Signup and view all the answers

    How do experiences of historical trauma impact the health of specific groups?

    <p>They contribute to inequalities faced by certain populations.</p> Signup and view all the answers

    Which of the following best describes cultural sensitivity?

    <p>An understanding of differences between cultures and their importance</p> Signup and view all the answers

    Which social determinant is related to an individual's ranking in society affecting their health outcomes?

    <p>Income and social status</p> Signup and view all the answers

    What role does education play in social determinants of health?

    <p>It enhances health literacy and access to resources.</p> Signup and view all the answers

    Which of the following is a broader determinant of health that includes social and economic factors?

    <p>Social networks and social supports</p> Signup and view all the answers

    Which assumption highlights the potential for future growth in an individual through caring?

    <p>Caring responses accept a person not only as they are now but as what they may become.</p> Signup and view all the answers

    Which carative factor emphasizes the importance of building trust within the nurse-patient relationship?

    <p>Developing a helping-trust relationship.</p> Signup and view all the answers

    What distinguishes middle-range theory from grand theory in nursing?

    <p>It is less abstract and more focused on specific, testable outcomes.</p> Signup and view all the answers

    Which principle is essential for developing cultural competence in nursing?

    <p>Working within the client's cultural context.</p> Signup and view all the answers

    Which of the following best describes practice theory in the nursing context?

    <p>It is very specific and limited to particular situations.</p> Signup and view all the answers

    Which of the following carative factors involves promoting a supportive environment for the patient?

    <p>Promoting a supportive environment.</p> Signup and view all the answers

    What core idea underlies the concept of cultural safety in nursing?

    <p>Ensuring that healthcare practices are respectful and supportive of diverse cultural needs.</p> Signup and view all the answers

    Which carative factor emphasizes the importance of educating patients about their health?

    <p>Promoting teaching-learning.</p> Signup and view all the answers

    What is the significance of creating space for patients to express their spiritual needs in nursing care for Indigenous patients?

    <p>It respects and acknowledges the cultural importance of spiritual practices.</p> Signup and view all the answers

    Which concept emphasizes the integration of both Indigenous knowledge and Western healthcare practices?

    <p>Two-Eyed Seeing</p> Signup and view all the answers

    What principle underlies the importance of understanding the diversity within Indigenous populations in nursing?

    <p>Recognition of individual differences and cultural richness</p> Signup and view all the answers

    Which of the following principles highlights the need for nurses to reflect on their own biases regarding Indigenous cultures?

    <p>Cultural Competence</p> Signup and view all the answers

    What does the consideration of social determinants of health entail in relation to Indigenous peoples?

    <p>Addressing historical and ongoing effects of colonialism and racism</p> Signup and view all the answers

    Which aspect of Indigenous ways of knowing is essential for effective nursing care?

    <p>Collaboration with Elders and knowledge keepers</p> Signup and view all the answers

    Why is it important for nurses to approach each Indigenous patient as an individual?

    <p>To avoid misunderstandings and address unique health needs</p> Signup and view all the answers

    What does holistic care encompass in the context of Indigenous health?

    <p>Incorporating mental, emotional, and spiritual dimensions alongside physical health</p> Signup and view all the answers

    Which nursing theory emphasizes the interaction between a person and their changing environment?

    <p>Roy Adaptation Model</p> Signup and view all the answers

    Florence Nightingale contributed to nursing by establishing which key principle?

    <p>Utilizing phenomenological focus on health</p> Signup and view all the answers

    Sister Callista Roy's model of adaptation encompasses how many modes of adaptation?

    <p>Four</p> Signup and view all the answers

    Which concept did Madeleine Leininger emphasize when delivering nursing care?

    <p>Cultural sensitivity</p> Signup and view all the answers

    What foundational focus was primarily established by Florence Nightingale's work?

    <p>Environmental factors contributing to health</p> Signup and view all the answers

    What is the primary goal of nursing according to Sister Callista Roy's theory?

    <p>To facilitate adaptation</p> Signup and view all the answers

    In the context of nursing theory, which of the following is a defining characteristic of the metaparadigm of nursing?

    <p>The relationship between person, environment, health, and nursing</p> Signup and view all the answers

    What role does nursing theory play in the overall practice of nursing?

    <p>It helps in organizing thoughts, reflections, and observations.</p> Signup and view all the answers

    What is considered essential for achieving cultural safety in healthcare for Indigenous patients?

    <p>A deep awareness of historical trauma and its effects</p> Signup and view all the answers

    Which of the following addresses the need for Indigenous representation within the healthcare workforce?

    <p>Providing incentives for Indigenous students to pursue healthcare careers</p> Signup and view all the answers

    What is a primary challenge in reconciling Indigenous and non-Indigenous health perspectives?

    <p>Systems that perpetuate inequality and injustice</p> Signup and view all the answers

    What is a significant aspect emphasized in the TRC Calls to Action for Health in relation to Indigenous knowledge?

    <p>To incorporate Indigenous perspectives in healthcare policy-making</p> Signup and view all the answers

    Which key factor is crucial for improving health outcomes among Indigenous populations as per reconciliation efforts?

    <p>Promoting mutual understanding and respect between cultures</p> Signup and view all the answers

    What was the primary aim of the residential school system in Canada concerning Indigenous children?

    <p>To assimilate Indigenous children into Euro-Christian Canadian society</p> Signup and view all the answers

    Which countries opposed the United Nations Declaration on the Rights of Indigenous Peoples when it was adopted in 2007?

    <p>Australia, Canada, New Zealand, and United States</p> Signup and view all the answers

    How has the Truth and Reconciliation Commission characterized the residential school system?

    <p>As cultural genocide</p> Signup and view all the answers

    What was one of the means used by residential schools to achieve their primary goal?

    <p>Forced removal of children from their families and communities</p> Signup and view all the answers

    When did Canada officially endorse the United Nations Declaration on the Rights of Indigenous Peoples?

    <p>2016</p> Signup and view all the answers

    What does UNDRIP aim to elaborate on regarding Indigenous peoples?

    <p>Human rights standards and fundamental freedoms</p> Signup and view all the answers

    What long-term impact has the residential school system had on survivors?

    <p>Profound and lasting harm to communities</p> Signup and view all the answers

    Which factor is closely tied to the distrust of institutions among Indigenous populations?

    <p>The historical trauma from residential schools</p> Signup and view all the answers

    What is a primary function of theory in nursing practice?

    <p>To facilitate the integration of diverse knowledge</p> Signup and view all the answers

    How does culture serve as a framework in healthcare according to the provided concepts?

    <p>Culture shapes how individuals understand health and illness</p> Signup and view all the answers

    What challenge must nurses address regarding Indigenous Ways of Knowing?

    <p>They should integrate these ways of knowing into existing practice models.</p> Signup and view all the answers

    What key aspect should nursing scholarship focus on to enhance theoretical clarity?

    <p>Broadening the understanding of diverse health complexities</p> Signup and view all the answers

    What is the significance of 'culture being constantly in flux' for nursing practice?

    <p>Nurses must adapt to evolving cultural meanings and practices.</p> Signup and view all the answers

    How do theory and practice interplay in nursing scholarship?

    <p>Theory guides practice and informs research methodology.</p> Signup and view all the answers

    What does the integration of diverse ideas and forms of knowledge in nursing practice aim to achieve?

    <p>A more effective response to complex health issues.</p> Signup and view all the answers

    Which statement best reflects the relational nature of culture in healthcare?

    <p>Culture involves continuous interaction between people.</p> Signup and view all the answers

    Which of the following best describes the primary purpose of the Calls to Action for health outlined by the Truth and Reconciliation Commission?

    <p>To recognize and address the health disparities experienced by Aboriginal peoples.</p> Signup and view all the answers

    What is one of the specific health indicators emphasized for addressing the health needs of Aboriginal peoples?

    <p>Life expectancy</p> Signup and view all the answers

    To forward the reconciliation process, which action does the Truth and Reconciliation Commission specifically call for in relation to Aboriginal healing centres?

    <p>To provide sustainable funding for existing and new centres.</p> Signup and view all the answers

    What is the significance of defining problems as practice problems rather than individual problems in healthcare?

    <p>It promotes understanding health issues as systemic and collective challenges.</p> Signup and view all the answers

    Which of the following is NOT a barrier to achieving the Calls to Action for health for Indigenous communities?

    <p>Overfunding of health services in urban areas</p> Signup and view all the answers

    Which statement accurately reflects the Call to Action regarding the health-care rights of Aboriginal people?

    <p>They should be recognized in alignment with international and constitutional law.</p> Signup and view all the answers

    In addressing the health disparities among Indigenous populations, what is a meaningful goal stated in the Truth and Reconciliation Commission's Calls to Action?

    <p>Establish measurable goals to close health outcome gaps.</p> Signup and view all the answers

    Which aspect is emphasized in the Calls to Action regarding the distinct health needs of Aboriginal peoples?

    <p>Acknowledgment of the unique health challenges faced by Métis, Inuit, and off-reserve Aboriginal peoples.</p> Signup and view all the answers

    Study Notes

    Equity, Diversity, and Inclusion (EDI)

    • Promote accommodating and inclusive practices for marginalized individuals, by providing easier to understand information such as signs and brochures tailored for low literacy individuals.
    • Address issues as systemic problems instead of focusing on individual shortcomings, such as referring to “difficult patients”.

    Truth and Reconciliation Commission of Canada (TRC)

    • The TRC calls for action in various areas to address the legacy of residential schools and advance reconciliation in Canada.
    • Calls to Action for Health:
      • Recognize and implement the healthcare rights of Indigenous people as outlined in international and constitutional law, and treaties.
      • Establish measurable goals to close the gap in health outcomes between Indigenous And non-Indigenous communities by addressing:
        • Infant mortality
        • Maternal health
        • Suicide
        • Mental health
        • Addictions
        • Life expectancy
        • Birth rates
        • Infant and child health issues
        • Chronic diseases
        • Illness and injury incidence
        • Availability of appropriate health services
      • Recognize, respect, and address the distinct health needs of Métis, Inuit, and off-reserve Aboriginal peoples.
      • Provide sustainable funding for existing and new Indigenous healing centers.
      • Recognize and integrate Indigenous healing practices into treatment plans.
      • Increase the number of Indigenous healthcare professionals and ensure their retention in Indigenous communities.
      • Provide cultural competency training for all healthcare professionals.
      • Require medical and nursing schools to include a course on Aboriginal health issues, covering:
        • History and legacy of residential schools
        • United Nations Declaration on the Rights of Indigenous Peoples
        • Treaties and Aboriginal rights
        • Indigenous teachings and practices
      • Include skills-based training in intercultural competency, conflict resolution, human rights, and anti-racism.

    Structural Racism

    • A normalized, systematic approach to practices and policies that consistently results in poor outcomes for Indigenous people.
    • Can manifest in healthcare systems through:
      • Funding and delivery of healthcare (Jordan's Principle)
      • Suppression of Indigenous languages and cultures
      • Indoctrination into Euro-Christian culture

    Jordan's Principle

    • A child-first approach to funding and delivering healthcare and social services for First Nations children.
    • Ensures that when there is a disagreement between federal and provincial government, the child's needs are met first, and financial issues are resolved later.
    • Provides culturally appropriate and timely services without delay or disruption.

    The Horrors of Residential Schools

    • The TRC collected over 6,000 testimonies from survivors, revealing extensive physical, sexual, and emotional abuse within residential schools.
    • Appalling conditions, including overcrowding, inadequate food and healthcare, rampant neglect, and a shockingly high death rate contributed to the suffering of children.

    The Legacy of Trauma

    • The trauma inflicted by residential schools continues to affect generations of Indigenous families and communities.
    • Impacts include:
      • Intergenerational Trauma
      • Loss of Identity and Culture
      • Health Disparities
      • Distrust of Institutions

    Theory to Practice

    • Theory guides assessments, nursing diagnoses, and nursing actions, rendering practice more efficient and effective.
    • Provides a common language, articulates nursing practice, enhances professional autonomy and accountability, and guides research.

    Cultural Context of Health and Illness

    • Culture is the context in which groups interpret and define their life experiences.
    • It is a dynamic relational process that continuously evolves and is shaped by history, social factors, politics, economics, physical environment, and language.

    Indigenous People and Health

    • Health is a multi-faceted concept related to quality of life, individual definition, and dynamic interaction with the environment.
    • Individuals, families, groups, communities, and society share responsibility for health.

    Definition of Indigenous

    • People who identify as Indigenous and are recognized and accepted by their community.
    • Demonstrate historical continuity with pre-colonial societies.
    • Have strong links to territories and natural resources.
    • Maintain distinct social, economic, or political systems.
    • Maintain distinct languages, cultures, and beliefs.
    • Form non-dominant groups in society.
    • Resolve to maintain and reproduce their ancestral environments and systems.

    Jean Watson Theory of Human Caring

    • Caring can be demonstrated and practiced interpersonally.
    • Caring includes carative factors that result in the satisfaction of human needs.
    • Effective caring promotes health and individual or family growth.
    • Caring responses accept a person as they are now and what they may become.
    • Nurturing sensitivity to self and others promotes health.
    • Caring is central to the practice of nursing.
    • Caring promotes health better than curing.

    10 Carative Factors:

    • Forming humanistic-altruistic value systems.
    • Instilling faith-hope.
    • Cultivating sensitivity to self and others.
    • Developing a helping-trust relationship.
    • Promoting an expression of feelings.
    • Using problem-solving for decision-making.
    • Promoting teaching-learning.
    • Promoting a supportive environment.
    • Assisting with the gratification of human needs.
    • Allowing for existential-phenomenological forces.

    Types of Theories

    • Grand Theory: Provides a global perspective on nursing practice, education, and research.
    • Middle-range Theory: Less abstract than grand theory, testable, and specific. It links research with practice.
    • Practice Theory: Very specific and limited to specific situations, reflecting the day-to-day experience of nurses.

    Cultural Competence, Cultural Humility, and Cultural Safety

    • Cultural Competence: An ongoing process where nurses strive to work within the client's cultural context.
    • Nurses develop cultural competence over time and do not possess it.
    • Cultural Humility: Key idea that cultural awareness and sensitivity are separate concepts and not interchangeable with cultural safety.
    • Achieving cultural safety is a step-wise progression.
    • Cultural Sensitivity: The recognition that there are differences between cultures, and these are reflected in communication and relationships.
    • Cultural Awareness: A beginning step towards understanding difference, requiring self-assessment and reflection about personal biases and feelings.
    • Cultural Safety: Safe care is defined by those who receive it, and it challenges unequal power relations at different levels.
    • Cultural Humility: The ability to acknowledge your own cultural biases and limitations, and to approach care with humility and respect for the patient's cultural perspective. It involves ongoing self-reflection and learning.

    The Truth and Reconciliation Commission of Canada (TRC)

    • The TRC highlighted the devastating impacts of residential schools on Indigenous communities.
    • Residential schools aimed to assimilate Indigenous children into Euro-Christian Canadian society.
    • This history of trauma and marginalization has significantly impacted the health and well-being of Indigenous peoples.

    How to Practice Cultural Safety

    • Nurses need to adopt a trauma-informed approach that acknowledges the historical and ongoing experiences of Indigenous peoples.
    • Building trust and respect are essential for creating a safe and welcoming environment for Indigenous patients.
    • Active listening and open communication are crucial for understanding the unique needs and perspectives of each individual.
    • Healthcare providers should avoid making assumptions and involve patients in their care decisions.

    The FIRST Approach for Enhancing Cultural Safety

    • Family: Recognize the importance of family in Indigenous cultures.
    • Information: Provide clear and accessible information to patients.
    • Relationship: Build trusting relationships with patients.
    • Safe Space: Create a safe and welcoming environment.
    • Treatment: Ensure that treatment plans are culturally appropriate and responsive to the patient's needs.

    Two-Eyed Seeing

    • Two-Eyed Seeing combines Western healthcare knowledge with Indigenous knowledge.
    • This approach recognizes the strengths of both knowledge systems and aims to find a balance that meets the unique needs of Indigenous patients.

    Understanding the Diversity of Indigenous Cultures

    • Different Indigenous groups have their own interpretations, beliefs, worldviews, and theories of health.
    • Nurses must approach each patient as an individual, avoiding generalizations.

    Working in Balance with Indigenous Ways of Knowing

    • Caring for Indigenous peoples necessitates collaboration and balance with Indigenous ways of knowing.
    • This includes incorporating traditional healing practices, collaborating with Elders and knowledge keepers, and acknowledging the importance of community-based approaches to health and well-being.

    Addressing the Social Determinants of Health

    • Nurses must understand the social determinants of health through an Indigenous lens.
    • Address the historical and ongoing impacts of colonialism and racism, which have resulted in significant health disparities for Indigenous peoples.
    • Advocate for equitable access to healthcare, education, housing, and economic opportunities.

    Fundamental Aspects of Nursing Practice Tailored to Indigenous Peoples

    • Holistic Care: Recognizing that health encompasses physical, mental, emotional, and spiritual dimensions.
    • Cultural Competence: Nurses need to develop an understanding and respect for Indigenous cultures, histories, and traditions.
    • Cultural Awareness: An attitude that includes awareness of the differences between cultures.
    • Cultural Sensitivity: An attitude that recognizes differences between cultures and acknowledges their importance.
    • Cultural Safety: An approach that considers social, historical, and structural contexts and power imbalances that shape health and healthcare experiences.

    Social Determinants of Health

    • Social determinants of health refer to social and economic factors related to an individual's place in society, including income, education, and employment.
    • Discrimination, racism, and historical trauma are important social determinants of health for specific groups like Indigenous Peoples, LGBTQ+ individuals, and Black Canadians.
    • List of social determinants of health:
      • Income and social status.
      • Employment and working conditions.
      • Education and literacy.
      • Childhood experiences.
      • Physical environments.
      • Social supports and coping skills.
      • Healthy behaviors.
      • Access to health services.
      • Biology and genetic endowment.
      • Gender.
      • Culture.

    History & Importance of Nursing Theory Development

    • Nursing theories provide frameworks for nursing practice by organizing thoughts, reflections, and observations.
    • They serve as lenses that shape understanding and guide assessments, diagnoses and nursing actions.
    • Disciplines rely on theories to illuminate their unique perspectives, like the metaparadigm of nursing, ways of knowing, etc.

    Florence Nightingale’s Contribution to Nursing

    • Nightingale’s work paved the way for scientific advancement in Western nursing.
    • She defined nursing as “putting the person in the best condition for nature to act,” emphasizing the human-environment relationship to health.
    • Her “Notes on Nursing” described conditions necessary for health and healing influenced by her Crimean War observations.
    • She was a systematic thinker and pioneered data visualization in statistics, known for her environmental theory.

    Sister Callista Roy's Contribution to Nursing

    • Roy developed the Adaptation Model, building upon Systems Theory.
    • Her model includes four modes of adaptation: physiological needs, self-concept, role function, and interdependence.
    • Roy believed the goal of nursing was to facilitate adaptation.

    Madeleine Leininger’s Contribution to Nursing

    • Leininger developed a culture care theory within transcultural nursing.
    • Her theory emphasizes cultural sensitivity and recognizing patients' values, beliefs, attitudes, and behaviors.
    • Leininger encouraged nurses to acknowledge the significance of culture in care delivery.
    • Her work highlights the intersection of culture and social determinants of health.

    EDI Statement in Student Handbook

    • The EDI statement addresses diversity, equity, and inclusion.
    • It aims to promote an equitable and inclusive learning environment for all students.

    Truth and Reconciliation Commission Calls to Action for Health

    • The TRC seeks to redress the legacy of residential schools and advance reconciliation in Canada.
    • It addresses issues in child welfare, education, language & culture, and justice, including health.
    • The Calls to Action for health aim to recognize and implement Aboriginal peoples’ healthcare rights.
    • They aim to close gaps in health outcomes between Aboriginal and non-Aboriginal communities by focusing on indicators like infant mortality, maternal health, suicide, etc.
    • The Calls to Action acknowledge the distinct health needs of Métis, Inuit, and off-reserve Aboriginal peoples.
    • They emphasize the need for sustainable funding to address the harms caused by residential schools.

    The United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP)

    • UNDRIP provides a framework for the survival, dignity, and well-being of indigenous peoples globally.
    • It expands on existing human rights standards for indigenous peoples.
    • Canada initially opposed UNDRIP in 2007 but officially endorsed it in 2016.

    Understanding the History of Residential Schools

    • Residential schools in Canada represent a dark chapter in the nation's history.
    • They aimed to assimilate Indigenous children into Euro-Christian Canadian society, causing significant harm to Indigenous communities.
    • The TRC described the system as "cultural genocide."
    • The main goal of residential schools was to sever ties between Indigenous children and their families and cultures.
    • Children were forcefully removed from their homes and placed in schools often far from their families.
    • The TRC issued Calls to Action to address the legacy of residential schools and promote reconciliation.

    Cultural Safety in Healthcare

    • Understanding the history and legacy of residential schools is crucial for delivering culturally safe care to Indigenous patients.
    • Healthcare providers should approach Indigenous patients with sensitivity, respect, and awareness of the historical trauma.
    • The TRC's Calls to Action for Health highlight the need for cultural competency training, increasing Indigenous healthcare professionals, and recognizing Indigenous health practices.

    Reconciliation

    • Reconciliation involves acknowledging the past, addressing the impacts of colonization and racism, and working towards a future of mutual respect and understanding.
    • It requires Canadians to engage in dismantling systems that perpetuate inequality and injustice.

    Theory to Practice

    • Nursing theory guides assessments, nursing diagnoses, and nursing actions.
    • It enhances efficiency, effectiveness, and facilitates common language.
    • It enhances professional autonomy and accountability.
    • It guides research by helping nurses formulate research questions, and validate or modify existing theories

    Cultural Context of Health and Illness

    • Culture provides a context for groups of people to interpret and define their life experiences.
    • It is a system of meaning that helps people understand their experiences.
    • Culture is a dynamic process, shaped by history, social, political, economic, physical, and linguistic structures.
    • Culture is relational, meaning we continuously participate in and create it while it evolves.

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