Podcast
Questions and Answers
How do phenomenological approaches influence healthcare policy?
How do phenomenological approaches influence healthcare policy?
- By emphasizing quantitative research models.
- Through understanding individual patient experiences. (correct)
- By focusing solely on economic factors in health.
- Through strict adherence to clinical guidelines.
Which of the following best describes one of the ways of knowing in nursing practice?
Which of the following best describes one of the ways of knowing in nursing practice?
- Solely intuitive knowledge without any clinical backing.
- Knowledge derived only from patient testimonials.
- Empirical knowledge based on clinical evidence. (correct)
- Knowledge gained strictly from textbooks.
What is a significant ethical implication associated with patient confidentiality?
What is a significant ethical implication associated with patient confidentiality?
- Maintaining family involvement over patient wishes.
- Ensuring patient autonomy is respected. (correct)
- Promoting unrestricted access to patient information.
- Encouraging transparency at the cost of privacy.
Which characteristic is a defining aspect of nursing as a profession?
Which characteristic is a defining aspect of nursing as a profession?
Which image of nursing emerged primarily during the period from 1945 to 1965?
Which image of nursing emerged primarily during the period from 1945 to 1965?
Which concept is central to the nursing metaparadigm?
Which concept is central to the nursing metaparadigm?
What does critical social theory contribute to discussions of healthcare inequalities?
What does critical social theory contribute to discussions of healthcare inequalities?
What is a primary focus of the 'Careerist' image of nursing?
What is a primary focus of the 'Careerist' image of nursing?
What does a paradigm shift in nursing primarily entail?
What does a paradigm shift in nursing primarily entail?
Which of the following concepts is NOT part of the nursing metaparadigm?
Which of the following concepts is NOT part of the nursing metaparadigm?
How does the nursing metaparadigm contribute to nursing knowledge?
How does the nursing metaparadigm contribute to nursing knowledge?
What is the significance of recognizing the dynamic nature of health in nursing?
What is the significance of recognizing the dynamic nature of health in nursing?
In the context of nursing, what does the term 'Social Justice' imply?
In the context of nursing, what does the term 'Social Justice' imply?
Which aspect of health does nursing primarily aim to influence?
Which aspect of health does nursing primarily aim to influence?
What characterizes phenomenology in the context of healthcare policy?
What characterizes phenomenology in the context of healthcare policy?
Which of the following statements about nursing throughout history is accurate?
Which of the following statements about nursing throughout history is accurate?
What ethical implications arise regarding patient confidentiality in nursing?
What ethical implications arise regarding patient confidentiality in nursing?
What role does critical social theory play in nursing practice?
What role does critical social theory play in nursing practice?
Which concept best describes Jean Watson's view of nursing as beyond physical boundaries?
Which concept best describes Jean Watson's view of nursing as beyond physical boundaries?
Madeleine Leininger's Sunrise Model focuses on understanding factors that influence which aspect of nursing care?
Madeleine Leininger's Sunrise Model focuses on understanding factors that influence which aspect of nursing care?
Which aspect of nursing does the concept of ethical implications of patient confidentiality primarily pertain to?
Which aspect of nursing does the concept of ethical implications of patient confidentiality primarily pertain to?
In the nursing metaparadigm, which of the following components centers around the understanding of persons?
In the nursing metaparadigm, which of the following components centers around the understanding of persons?
Which concept addresses the historical development of nursing as a profession concerning societal changes?
Which concept addresses the historical development of nursing as a profession concerning societal changes?
What is a key aspect of the Nursing Meta-paradigm that addresses the impact of social determinants on health outcomes?
What is a key aspect of the Nursing Meta-paradigm that addresses the impact of social determinants on health outcomes?
According to Nightingale's theory, which of the following environmental factors is NOT one of the five key requirements for patient recovery?
According to Nightingale's theory, which of the following environmental factors is NOT one of the five key requirements for patient recovery?
In Sister Callista Roy’s Adaptation Model, how does the environment act upon the individual?
In Sister Callista Roy’s Adaptation Model, how does the environment act upon the individual?
Which of the following best describes the ethical implications of patient confidentiality in healthcare?
Which of the following best describes the ethical implications of patient confidentiality in healthcare?
Which nursing concept emphasizes the integration of biological, psychological, and social factors?
Which nursing concept emphasizes the integration of biological, psychological, and social factors?
How does the nursing profession contribute to social justice within healthcare?
How does the nursing profession contribute to social justice within healthcare?
What is a major misconception related to phenomenology in healthcare policy?
What is a major misconception related to phenomenology in healthcare policy?
In what way has the image of nursing evolved throughout history?
In what way has the image of nursing evolved throughout history?
Which aspect of critical social theory is most relevant to nursing practice in addressing healthcare inequalities?
Which aspect of critical social theory is most relevant to nursing practice in addressing healthcare inequalities?
What is an essential part of nursing practice that aligns with the Nursing Meta-paradigm?
What is an essential part of nursing practice that aligns with the Nursing Meta-paradigm?
Flashcards
What are the key attributes of nursing professionalism?
What are the key attributes of nursing professionalism?
Nursing professionalism involves accountability, autonomy, self-regulation, inquiry, collegiality, collaboration, innovation, ethics, and values. These components ensure nurses provide high-quality, ethical, and evidence-based care.
What is the purpose of nursing theory?
What is the purpose of nursing theory?
Nursing theory provides a framework for understanding and explaining nursing practice. It outlines the core concepts, relationships, and principles guiding nurses in their work.
What is evidence-informed practice?
What is evidence-informed practice?
Evidence-informed practice incorporates research findings, best practices, and clinical guidelines to inform decision-making in nursing. It ensures that care is up-to-date and effective.
What are clinical guidelines?
What are clinical guidelines?
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What makes nursing an art?
What makes nursing an art?
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What is a concept in nursing?
What is a concept in nursing?
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What is a paradigm?
What is a paradigm?
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What is a paradigm shift?
What is a paradigm shift?
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What are the four core concepts in the metaparadigm of nursing?
What are the four core concepts in the metaparadigm of nursing?
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How is the 'person' concept defined in the metaparadigm?
How is the 'person' concept defined in the metaparadigm?
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How is the 'health' concept defined in the metaparadigm?
How is the 'health' concept defined in the metaparadigm?
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How is the 'environment' concept defined in the metaparadigm?
How is the 'environment' concept defined in the metaparadigm?
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How is the 'nursing' concept defined in the metaparadigm?
How is the 'nursing' concept defined in the metaparadigm?
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How does social justice play a role in the metaparadigm of nursing?
How does social justice play a role in the metaparadigm of nursing?
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What is Nightingale's Theory of Nursing?
What is Nightingale's Theory of Nursing?
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What is Sister Callista Roy's Adaptation Model?
What is Sister Callista Roy's Adaptation Model?
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What is Jean Watson's Transpersonal Caring Theory?
What is Jean Watson's Transpersonal Caring Theory?
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How does the 'caring occasion' fit into Watson's theory?
How does the 'caring occasion' fit into Watson's theory?
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What is Madeleine Leininger's Transcultural Nursing Theory?
What is Madeleine Leininger's Transcultural Nursing Theory?
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What is culturally congruent care?
What is culturally congruent care?
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What is the Sunrise Model in Leininger's theory?
What is the Sunrise Model in Leininger's theory?
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How was nursing viewed as 'Angel of Mercy'?
How was nursing viewed as 'Angel of Mercy'?
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How did the 'Mother' image influence nursing?
How did the 'Mother' image influence nursing?
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What characterized the 'Sex Symbol' image of nursing?
What characterized the 'Sex Symbol' image of nursing?
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What defines the 'Careerist' image of nursing today?
What defines the 'Careerist' image of nursing today?
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How does science and art interplay in nursing?
How does science and art interplay in nursing?
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Study Notes
Nursing Profession
- Guided by the CNA and provincial/territorial regulatory code of ethics, nursing standards, best practices, research, laws, and regulations.
- Accountable to the public, requiring a registration exam after graduation.
- Attributes of professionalism:
- Accountability
- Autonomy
- Self-regulation
- Inquiry
- Collegiality
- Collaboration
- Innovation
- Ethics
- Values
Theory and Evidence-Informed Practice
- Theory: A set of concepts used to describe, explain, or predict the physical and social world.
- Evidence-informed knowledge: Knowledge gained through research and best practices.
- Clinical guidelines: Developed using evidence-informed knowledge to guide nursing practice.
Nursing as an Art
- Understanding health through the patient's perspective.
- Applying compassion, empathy, and therapeutic communication.
- Based on human interaction and relationships.
- Responding to emotional and psychological needs of the patient.
Concepts
- Concept: Ideas that represent aspects of our experiences and the world.
- Building blocks of theory.
- Concepts can change over time and are influenced by individual perception and experiences.
Paradigm
- Patterns of shared understanding or a worldview.
- Set of beliefs and practices that guide nursing work.
- Paradigm Shift: Fundamental change in underlying principles and practices of the profession.
- Example: Shift in healthcare delivery from disease-focused to health promotion focus.
Metaparadigm of Nursing
- Framework outlining fundamental concepts and principles guiding nursing.
- PHENS:
- Person: Each person is unique with physical, psychosocial, social, spiritual, cultural, and developmental characteristics.
- Health: Goes beyond the absence of disease/injury. It is the ideal state of well-being that all people strive for.
- Environment: The context in which nursing care takes place.
- Nursing: Provides care that is culturally sensitive and inclusive. It encompasses various factors impacting a person's health, including their socioeconomic status, race, and gender.
- Social Justice: Nurses advocate for patient rights and dignity, addressing social determinants of health.
Nursing Theories
-
Nightingale's Theory: Focus on environmental factors influencing health and recovery.
- Key environmental requirements (L-WADS):
- Pure water
- Fresh air
- Efficient drainage
- Sanitation
- Light/direct sunlight
- Key environmental requirements (L-WADS):
-
Sister Callista Roy's Adaptation Model:
- Views the person as a biopsychosocial being in constant interaction with a changing environment.
- Uses an adaptation system to respond to external factors.
- Environment can be positive or negative stimuli that require adaptation.
- Nurses are facilitators of adaptation, assessing and promoting positive adaptation by enhancing environmental interactions.
-
Jean Watson's Transpersonal Caring Theory:
- Nursing as caring between the nurse and another person.
- Emphasis on valuing, caring for, nurturing, understanding, respecting, and assisting human beings.
- Caring occasion: Actions and choices by the nurse and the individual coming together.
- Nursing is a human science of persons, valuing the harmony between mind, body and spirit.
-
Madeleine Leininger's Transcultural Nursing Theory:
- Focuses on providing culturally sensitive nursing care.
- Health is understood as both universal and diverse.
- Environment encompasses learned and shared values and norms within specific living locations.
- Culturally congruent care: Providing effective and respectful care.
- Sunrise Model: Illustrates various factors influencing cultural care, including technological, religious, social, cultural, legal, economic, and educational factors.
Images of Nursing Throughout History
-
Angel of Mercy (mid-1800s to WWI):
- Viewed as noble, moral, religious, virginal, and self-sacrificing.
- Strongly tied to religion and religious imagery.
- Florence Nightingale as the epitome of the angel of mercy.
- Focused on caring for soldiers in war, with less emphasis on knowledge development and research.
-
The Mother (1945-1965):
- Return to "family" values after World War II.
-
The Sex Symbol (Post-mid 1960s):
- Sensual, romantic, irresponsible, promiscuous, with little evidence of intelligence or skill.
- Example: MAS*H.
-
The Careerist (Current):
- Intelligent, logical, progressive, empathetic, sophisticated, and assertive.
- Less emphasis on gender role identity.
Art and Science of Nursing
- Science of nursing: Provides the knowledge base for professional nursing.
- Art of nursing: Applies this knowledge with compassion and understanding to care for the individual patient.
- The person is at the center of the model.
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