Nursing Issues and Canadian Healthcare System

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Questions and Answers

What element is NOT part of the historical analysis when analyzing a nursing issue?

Ethical considerations

Origin and evolution

Social dynamics

Personal beliefs (correct)

Which of the following best describes the principle of Comprehensiveness under the Canada Health Act?

Ability to transfer coverage across provinces

Inclusion of all medically required services (correct)

No financial barriers to access services

Coverage for all residents without condition

What is a common barrier to resolution when addressing nursing issues?

Effective communication

Strong community support

High levels of awareness

Limited resources (correct)

Which component of the Canada Health Act ensures that healthcare is maintained when moving within Canada?

Portability Signup and view all the answers

Which of the following is an action associated with political advocacy in nursing?

Lobbying for policy change Signup and view all the answers

What aspect does NOT fall under the critical feminist analysis of nursing issues?

Cultural traditions in healthcare Signup and view all the answers

The Romanow Report primarily focused on which aspect of the Canadian healthcare system?

Sustainability of healthcare delivery Signup and view all the answers

Which of the following strategies is NOT typically employed to resolve nursing issues?

Resistance to policy change Signup and view all the answers

What is a major consequence of systemic racism for racialized peoples within healthcare?

Health disparities and inequities Signup and view all the answers

How does the Indian Act impact Indigenous health?

It controls various aspects of Indigenous lives, affecting health Signup and view all the answers

Which of the following best describes allyship within the context of marginalized groups?

Active support and advocacy for marginalized populations Signup and view all the answers

What does the concept of racialization primarily refer to?

The social assignment of racial identities leading to discrimination Signup and view all the answers

What is a common barrier faced by racialized students in educational settings?

Reduced curriculum relevance to their cultures Signup and view all the answers

Which aspect is NOT a contributing factor to Indigenous health inequities?

Increased cultural practices Signup and view all the answers

What role do provincial and territorial professional associations play in nursing?

Regulate the nursing profession and maintain standards Signup and view all the answers

Which of the following reflects the holistic approach of traditional Indigenous health belief systems?

Integrating physical, emotional, mental, and spiritual wellbeing Signup and view all the answers

What is one of the health consequences attributed to climate change?

Increased respiratory issues Signup and view all the answers

Which of the following is NOT a step in the Donner-Wheeler Career Planning and Development Model?

Implementation Signup and view all the answers

What is emphasized as a vital component of ensuring safe indoor environments?

Addressing air quality Signup and view all the answers

Which strategy is most effective for preparing for a job interview in healthcare?

Highlighting relevant experiences and skills Signup and view all the answers

What action can nurses take to advocate for environmental health?

Promote sustainable practices in healthcare Signup and view all the answers

What is one primary purpose of the nursing legislation in Canada?

To define the scope of nursing practice. Signup and view all the answers

Which of the following best describes collective bargaining?

The process by which unions negotiate with employers on behalf of their members. Signup and view all the answers

Which ethical principle emphasizes doing no harm to patients?

Non-maleficence Signup and view all the answers

What role do regulatory colleges play in nursing practice?

They protect the public by ensuring safe and competent nursing care. Signup and view all the answers

Which level of moral response involves immediate emotional reactions without reflection?

Expressive Level Signup and view all the answers

What factor contributed significantly to the historical influences leading to unionization for nurses?

Poor working conditions and long hours. Signup and view all the answers

What is the focus of the CNO Quality Assurance Program?

Ensuring continuous learning and competence for nurses. Signup and view all the answers

Which of the following is NOT one of the ethical principles guiding nursing practice?

Fidelity Signup and view all the answers

What is the primary consequence of increased patient acuity and staffing shortages on nurses' workload?

Excessive workloads leading to harm Signup and view all the answers

Which of the following is NOT a characteristic of workplace bullying in nursing?

Collaborative teamwork Signup and view all the answers

What factor contributes to the nursing shortage as highlighted in the historical analysis?

Aging workforce and insufficient new graduates Signup and view all the answers

Which of these is considered a barrier to resolving interpersonal violence in healthcare settings?

Fear and stigma surrounding abuse Signup and view all the answers

What is a key risk factor for abuse and neglect of older Canadians?

Isolation and dependency Signup and view all the answers

How does the gendered nature of nursing impact professional identity?

Leads to stereotypes affecting career advancement Signup and view all the answers

What contributes to the higher rates of violence against Indigenous people in healthcare?

Historical and systemic factors unique to Indigenous populations Signup and view all the answers

What is the primary ethical responsibility of nurses regarding patient rights and access to care?

Advocate for patients' rights regardless of gender identity or sexual orientation Signup and view all the answers

In the context of liability in nursing, which statement is most accurate?

Liability signifies legal responsibility for actions or omissions Signup and view all the answers

Which principle is essential for effective collaboration among healthcare professionals?

Mutual respect and shared goals Signup and view all the answers

What does the concept of functional age emphasize in healthcare for the aging population?

An individual's abilities rather than their chronological age Signup and view all the answers

In the context of complexity theory within healthcare systems, which trait is crucial for leaders?

Adaptability and innovation Signup and view all the answers

Which factor is commonly recognized as impacting team dynamics in interprofessional practice?

Cultural barriers and diversity Signup and view all the answers

What is a critical consideration when addressing power imbalances within healthcare teams?

Advocating for equitable participation and leadership opportunities Signup and view all the answers

What approach fosters greater diversity and inclusion in nursing roles?

Encouraging representation from various backgrounds Signup and view all the answers

What is one common health issue faced by the aging population that emphasizes the need for proactive care?

Chronic diseases and mobility issues Signup and view all the answers

Study Notes

Week 1: Introduction to Nursing Issues and Political Action

Nursing issues require a framework for analysis
Issue identification involves clearly defining the issue and its relevance to nursing, including who is affected and why it matters
Issue analysis includes historical, ethical, social, cultural, political, critical feminist, and economic analyses
Potential barriers to issue resolution include limited resources, lack of awareness, power imbalances, and resistance to change
Strategies for resolution include lobbying, advocacy, education, collaboration with stakeholders, and policy development
Nurses play a crucial role in influencing healthcare policies
Nursing advocacy for patients and the profession is a form of political action
Understanding the healthcare system is essential

Week 2: The Canadian Healthcare System

Healthcare insurance plans must be administered by a public authority (Canada Health Act - Five Principles)
All medically necessary services must be covered (Comprehensiveness)
All insured residents are entitled to the same level of healthcare (Universality)
Healthcare coverage must be maintained when moving within Canada or traveling abroad (Portability)
Reasonable access to healthcare without financial barriers (Accessibility)
Responsibilities for delivering healthcare are divided between federal and provincial governments (Governance)
Key reports include the Lalonde Report and Romanow Report, assessing healthcare system sustainability and determinants of health

Week 3: Race, Racialization, and Indigenous Health

Racialization is the process of ascribing racial identities to a group, leading to discrimination and social inequalities
Race is a social construct, not a biological fact
Barriers for racialized students in education include microaggressions, discrimination, cultural alienation, financial hardships, and limited access to resources
Impact of racism on healthcare includes disparities due to systemic racism, underrepresentation in healthcare professions, and reduced access to culturally competent care
The Indian Act has controlled many aspects of Indigenous peoples' lives, contributing to loss of culture, language, and autonomy
Indigenous health inequities include high rates of chronic diseases, mental health issues, and reduced life expectancy, stemming from historical trauma, socioeconomic disparities, and inadequate healthcare access
White privilege refers to unearned advantages experienced by individuals perceived as white
Allyship involves active support and advocacy for marginalized groups, listening, learning, and taking action to address inequalities.

Week 4: Professional Associations and Regulation

Nursing professions have authority to regulate its members through a governing body (Concept of Self-Regulation)
Regulatory colleges and professional associations ensure safe and competent nursing care, enforce standards of practice, provide guidance, and support nurses
Nursing legislation defines scope of practice and regulatory framework, varying by province/territory
The CNO Quality Assurance Program ensures continuous learning, self-assessment, and professional development.

Week 5: Unions and Workplace Safety

Poor working conditions, long hours, low wages, and lack of professional recognition were historical influences leading to unionization
Nurses desired to improve patient care and professional autonomy, which led to collective bargaining
Collective bargaining is the process of negotiation between unions and employers on behalf of their members to achieve fair wages, benefits, and working conditions
Collective bargaining aims to protect nurses' rights, advocate for safe staffing levels, and enhance job security and professional development

Week 6: Ethical and Legal Issues in Nursing

Ethics is the study of moral principles guiding behavior; morality involves beliefs about right vs. wrong; moral distress arises when nurses know the ethically appropriate action but cannot act due to constraints; bioethical dilemmas involve conflicting moral principles
Levels of moral response include expressive (emotional reactions), pre-reflective (societal norms), and reflective (ethical principles and consequences)
Ethical principles like beneficence (promote good), nonmaleficence (do no harm), justice (fair treatment), and autonomy (respect for patient decisions)
Codes of ethics provide frameworks for practice and decision-making
Negligence is failure to meet the standard of care, and liability is legal responsibility for actions or omissions

Week 7: Issues Arising from Nurses' Work and Work Environments

Increased patient acuity and complexity increase workload for nurses.
Staffing shortages lead to excessive workloads, impacting patient safety, and quality of care.
Work Place Bullying, including excessive criticism, exclusion, and undermining are factors impacting job satisfaction.
Nursing shortage occurs from fluctuations due to economic conditions, budget cuts and policy changes.
Inadequate working conditions, lack of support, and burnout contribute to nursing shortage

Week 8: Interpersonal Violence and Abuse

Increased demand for medical and support services; emotional toll on providers; and financial costs contribute to societal needs for healthcare improvement
Healthcare systems need to address factors like underreporting, societal norms that might minimize abuse, and the issues of abuse and neglect for older Canadians and Indigenous people.

Week 9: Gendered Nature of Nursing

Gender is a social construct, and nursing roles/expectations are determined by societal norms
Historically, nursing was a feminine profession, and this continues to impact professional identity and opportunities
Stereotypes, biases, and underrepresentation of men in nursing are also barriers
Ethical responsibilities include advocating for equity and justice, providing culturally competent care, and upholding patients' rights regardless of gender identity/sexual orientation

###Week 10: Contemporary Nursing Leadership

Nursing leadership is essential for advancing the nursing profession and improving healthcare outcomes.
Nurses at all levels can demonstrate leadership qualities.

Week 11: Interprofessional Practice

Interprofessional practice must address issues like delegation and supervision, competence, and safety in the context of healthcare teams.
Nurses need to communicate, share mutual respect, and contribute toward collaborative and shared goals
Understanding diverse backgrounds and tackling cultural barriers contribute to successful collaboration among teams.
Power imbalances and inequitable participation need to be addressed in healthcare teams

Week 12: Healthcare for an Aging Population

Healthcare must focus on individuals' abilities rather than chronological age for personalized care planning and appreciating diversity in aging
Ageism, or stereotyping, needs to be avoided.

Week 13: Environmental Issues and Career Planning

Environmental factors have a significant impact on health
Environmental issues include climate change and global warming and their health consequences
Nurses are involved in advocating for environmental health
Important to ensure safe and healthy indoor environments to address issues like air quality, hazardous materials, and ergonomics
Career planning models include stages like scanning, self-assessment, visioning, and planning

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Description

This quiz covers key concepts related to nursing issues, political action, and the Canadian healthcare system. It explores the importance of advocacy, the analysis of healthcare issues, and the role nurses play in influencing policies. Test your knowledge on the framework for understanding these critical topics in nursing.