Nursing History in Canada

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Questions and Answers

What is one of the main reasons nursing history is considered important for informed decision-making?

It suggests that nursing practices should remain unchanged.

It focuses exclusively on past nursing practices.

It emphasizes the importance of modern technology over historical methods.

It provides historical context necessary for current health dilemmas. (correct)

According to the Canadian Nurses Association, what is essential for advancing the nursing profession?

Ignoring historical context in practice.

Focusing solely on the advancement of technology.

Learning lessons from nursing history. (correct)

Conforming to outdated nursing practices.

What aspect of nursing does the Canadian Association of Schools of Nursing stress as essential in nursing education?

Incorporating knowledge of nursing history. (correct)

Ignoring the history of nursing.

Focusing only on current nursing theories.

Emphasizing competitive skills only.

What does an understanding of nursing history provide in relation to nursing experiences?

An insight into the evolution driven by societal needs. Signup and view all the answers

What can result from lacking historical context in nursing practice?

Dangerous implications for contemporary decision-making. Signup and view all the answers

How does nursing history influence the profession's response to health care needs?

It helps understand past influences on current practices. Signup and view all the answers

What role does nursing history play in reflecting societal changes?

It serves as a baseline for understanding various meanings of nursing. Signup and view all the answers

What does the conceptual framework provided by nursing history enable for future nursing practice?

It guides understanding of past to inform future practice. Signup and view all the answers

What year did the Order of Nursing Sisters first arrive in Canada?

1639 Signup and view all the answers

What is one of the primary responsibilities of nurses concerning accountability?

Taking responsibility for decisions and actions Signup and view all the answers

Which of the following missions did the Sisters of Charity of Montreal (Grey Nuns) NOT engage in?

Established missions in Eastern Canada Signup and view all the answers

In what scenario do RPNs demonstrate the greatest autonomy?

When caring for clients with less-complex conditions in a stable environment Signup and view all the answers

What was a significant issue with 'Indian Hospitals' in Canada?

They were chronically underfunded and overcrowded. Signup and view all the answers

What is the current name of the Registered Nurses of Canadian Indian Ancestry (RNCIA)?

Canadian Indigenous Nurses Association Signup and view all the answers

What is needed for nurses to perform procedures in the Controlled Acts authorized to nursing?

A valid certificate of registration from CNO Signup and view all the answers

Which statement reflects an accurate understanding of autonomous practice for RPNs?

Their autonomy increases as the client's complexity decreases. Signup and view all the answers

What was the primary mission of the Order of Nursing Sisters when they established hospitals?

To provide care for 'bodies and souls' Signup and view all the answers

In what century did the Nun Orders begin establishing hospitals in Canada?

The 18th century Signup and view all the answers

Why is role clarity between RPNs and RNs important?

To avoid any confusion regarding their responsibilities. Signup and view all the answers

What significant awareness did Indigenous nurses have regarding colonial health systems?

They recognized the failures and limitations. Signup and view all the answers

Which area was NOT mentioned as a location where Grey Nuns established missions?

Eastern Canada Signup and view all the answers

What is one of the essential understandings nursing students need to develop?

The social determinants of health Signup and view all the answers

What trend significant in the late 1940s and early 1950s influenced the practical nursing profession?

Increased demand due to political and economic pressures Signup and view all the answers

What organization monitors standards for nursing education in Canada?

Canadian Association of Schools of Nursing (CASN) Signup and view all the answers

When did practical nursing officially become recognized as a distinct profession requiring formal education?

1970s Signup and view all the answers

Which regulatory exam must all applicants pass to become a Registered Practical Nurse in Canada?

Regulatory Exam – Practical Nursing (REX-PN) Signup and view all the answers

What important body was formed in 2004 to govern practical nursing regulations?

Canadian Council for Practical Nurse Regulators (CCPNR) Signup and view all the answers

What title was used for the first practical nurses in the 1920s?

Aide or orderly Signup and view all the answers

What must a Registered Practical Nurse in Ontario maintain to practice annually?

Good standing with the College of Nurses of Ontario Signup and view all the answers

What is the primary role of the College of Nurses of Ontario (CNO)?

To protect the public by regulating nursing standards. Signup and view all the answers

Which class of nurses has no limitations or restrictions on their practice?

General Signup and view all the answers

What is required for nurses to practice legally in Canada?

They must be registered and hold a current valid license. Signup and view all the answers

How often must nursing registration be renewed according to Canadian law?

Annually Signup and view all the answers

Which class of nursing registration is designed for recent graduates who have not yet completed their registration exam requirements?

Temporary Signup and view all the answers

What class of nurses might a nurse with additional education and certification beyond the General Class belong to?

Extended Signup and view all the answers

What does the term ‘registration’ mean in the context of nursing in Canada?

The listing of an individual's name on an official roster. Signup and view all the answers

What type of registration is time-limited and associated with a specific assignment in an Ontario facility?

Special assignment Signup and view all the answers

Study Notes

Nursing History

History of Nursing provides context for the current profession
The "Order of Nursing Sisters" (Nuns) were the first trained nurses who came to Canada in 1639 and founded the Hotel-Dieu in Quebec City; 3 years later one was founded in Montreal.
Hotel-Dieu institutions were religious houses, run by religious orders
The mission of The Order of Nursing Sisters was to provide care for "bodies and souls"
The “Grey Nuns” also provided nursing services in peoples' homes and established the first hospitals in Canada.
The Grey Nuns also visited the sick at home during epidemics and spread out from Montreal toward the West, establishing missions in Manitoba, Saskatchewan, and the Northwest Territories.

Colonial Health Care in Canada

The history of “Indian Hospitals” reveals that health care services in Canada were unequal due to racial segregation and colonial practices
There was a separate and underfunded healthcare system for Indigenous peoples from the one available to the non-Indigenous population
Indigenous nurses have a long history of working for better health care for Indigenous peoples within the failed colonial health system

Nursing Education

Nursing education in Canada has evolved to meet the changing needs of society and health care needs
There are provincial regulators and associations who monitor nursing education standards to ensure that educational programs are of appropriate quality
Anyone applying to practice as a Registered Practical Nurse in Canada must pass the REX-PN licensing exam and maintain good standing with the College of Nurses of Ontario.

History & Evolution of Practical Nursing

Practical nursing became a profession in the late 1930s but was not recognized as a distinct profession requiring formal education until the 1970s.
By the 1980s, most provinces had developed regulations to govern practical nursing.
The Canadian Council for Practical Nurse Regulators (CCPNR) was formed in 2004.

Accountability and Autonomous Practice

Nurses are expected to take responsibility for their decisions and actions
Nurses are expected to ensure their practice is safe and consistent with professional standards, best practices, guidelines, and regulations.
Registered Practical Nurses have greatest autonomy when caring for clients with less-complex conditions in a stable environment, but the need for consultation with RNs increases as client complexity increases or the environment becomes unstable.

The College of Nurses of Ontario

The College of Nurses of Ontario (CNO) is the regulatory body for all nurses in Ontario
The CNO outlines the Standard of Practice for Nurses to uphold and ensure nurses are accountable for their actions
The CNO protects the public.

Nursing Registration

Nurses in Canada must be registered and hold a current valid registration (CNO license)
Nursing registration must be renewed annually

Nursing Class & Title Protection

There are various “classes” that nurses can be registered in Ontario
Each class refers to the scope of practice of a particular nurse
Nurses must meet specific requirements for each nursing class to maintain registration

Key Nursing Classes

General: nurses working in Ontario with no limitations or restrictions
Non-practicing: nurses who are not currently practicing nursing in Ontario but want to remain registered with CNO
Extended: nurses with additional education and certification beyond general class requirements (NPs)
Temporary: recent graduates who have met all requirements to register in the General Class but have not yet completed education and registration exam requirements (subject to specific terms, conditions, and limitations).
Special assignment– time limited registration for nurses who have an assignment with an approved Ontario facility.

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Description

Explore the rich history of nursing in Canada, from the arrival of the Order of Nursing Sisters in 1639 to the contributions of the Grey Nuns. Understand how colonial practices shaped healthcare services and the disparities faced by Indigenous peoples. This quiz highlights the significant impact of nursing on Canadian healthcare.