Ways of Knowing in Nursing
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Questions and Answers

What is the main purpose of mandatory reporting in nursing?

  • To notify colleges about a nurse's failure to complete training
  • To identify nurses who have received professional awards
  • To alert colleges about potential safety issues in nursing practice (correct)
  • To allow nurses to report their colleagues for personal reasons
  • What can be a consequence of failing to self-report as required?

  • Potential disciplinary action (correct)
  • Opportunities for professional development
  • Increased job opportunities for nurses
  • Public recognition for nursing excellence
  • Under what circumstance must a nurse self-report to the college?

  • If they have been found guilty of any offense in any jurisdiction (correct)
  • If they have been recognized for their volunteer work
  • If they want to transfer to a different college
  • If they received a complaint about their bedside manner
  • What is included in foundational knowledge for nursing?

    <p>Nursing theory and humanities</p> Signup and view all the answers

    What is a crucial element of collaborative practice among RPNs?

    <p>Shared values and effective communication</p> Signup and view all the answers

    Which of the following must nurses understand regarding their practice?

    <p>Legislated scope of practice and controlled acts</p> Signup and view all the answers

    In determining the context of their practice, nurses should consider which factors?

    <p>Resources available to support safe client care</p> Signup and view all the answers

    What is essential for a nurse to perform an activity safely?

    <p>Individual knowledge, skills, and judgment</p> Signup and view all the answers

    What does the term 'competence' refer to in nursing practice?

    <p>Individual knowledge and skills required for performance</p> Signup and view all the answers

    Which aspect is NOT typically associated with collaborative practice among nurses?

    <p>Isolation of roles</p> Signup and view all the answers

    What ensures the safe delivery of client care in nursing practice?

    <p>The practice environment's support and available resources</p> Signup and view all the answers

    What is critical to the therapeutic relationship in nursing?

    <p>Professional respect</p> Signup and view all the answers

    How does professional intimacy differ from social intimacy in nursing care?

    <p>Professional intimacy is inherent in the type of care provided.</p> Signup and view all the answers

    Which role is NOT considered a task role in group development?

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

    Which of the following is a dysfunctional group role?

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

    Which statement best reflects the importance of empathy in a nurse-client relationship?

    <p>It is necessary to help clients achieve their care goals.</p> Signup and view all the answers

    What is the primary focus of maintenance roles within a team?

    <p>Enhance team effectiveness and relationships</p> Signup and view all the answers

    Which development stage involves team members figuring out their roles?

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

    What is the role of a gatekeeper in a team setting?

    <p>To ensure everyone's ideas are heard</p> Signup and view all the answers

    Which of the following best characterizes the nature of respect in professional practice?

    <p>It is essential for maintaining objectivity.</p> Signup and view all the answers

    Which aspect of empathy can greatly impact the nurse-client relationship?

    <p>Understanding client's perspective</p> Signup and view all the answers

    Which responsibility involves working collaboratively with clients to determine healthcare needs?

    <p>Identifying healthcare goals</p> Signup and view all the answers

    What is a crucial aspect of safe nursing practice for RPNs?

    <p>Understanding relevant laws and legal boundaries</p> Signup and view all the answers

    Which method is primarily used by RPNs to assess clients and plan care?

    <p>Critical thinking and reflection</p> Signup and view all the answers

    What role does practice regulation play in RPNs' professional development?

    <p>It enhances competence and promotes safe practice</p> Signup and view all the answers

    Which of the following best describes the use of evidence in nursing practice?

    <p>It is critical for assessing client outcomes</p> Signup and view all the answers

    In what area do RPNs need to maintain knowledge to uphold proper practice?

    <p>Legal and professional standards</p> Signup and view all the answers

    Which aspect of nursing practice emphasizes the integration of various skills?

    <p>Critical thinking and evidence integration</p> Signup and view all the answers

    What is the significance of understanding employer policies for RPNs?

    <p>They guide practice in a specific organizational context</p> Signup and view all the answers

    What primarily differentiates a professional relationship from a social relationship?

    <p>The purpose of the relationship</p> Signup and view all the answers

    In a professional relationship, who is primarily responsible for establishing the therapeutic relationship?

    <p>The nurse</p> Signup and view all the answers

    Which of the following scenarios requires a nurse to report misconduct?

    <p>A nurse suspected of abusing a patient</p> Signup and view all the answers

    What is required to establish a nurse's incapacity?

    <p>The nurse must have a physical or mental condition preventing safe practice</p> Signup and view all the answers

    How is power generally perceived in social relationships compared to professional relationships?

    <p>Professional relationships typically have unequal power</p> Signup and view all the answers

    Which of the following best describes incompetence in nursing?

    <p>The nurse's inadequate professional care of clients</p> Signup and view all the answers

    Which statement is true regarding remuneration in professional and social relationships?

    <p>Professional relationships can be paid or unpaid, while social relationships are typically unpaid</p> Signup and view all the answers

    What does reporting misconduct help to prevent?

    <p>Patients from receiving inadequate care</p> Signup and view all the answers

    What is the primary purpose of a professional relationship in healthcare?

    <p>To meet the therapeutic needs of the client</p> Signup and view all the answers

    Which of the following is not a reason to report a nurse?

    <p>The nurse shows poor teamwork</p> Signup and view all the answers

    What definition applies to a nurse's incompetence?

    <p>Deficient performance in the care of clients</p> Signup and view all the answers

    What aspect is NOT a defining characteristic of a social relationship?

    <p>It has a clear professional boundary</p> Signup and view all the answers

    In which situation would incapacity be a relevant concern?

    <p>A nurse facing a personal crisis impacting their mental health</p> Signup and view all the answers

    Which of the following best describes the nature of social relationships?

    <p>Relatively casual with a focus on personal interests</p> Signup and view all the answers

    What is the primary focus when determining if a nurse should be reported?

    <p>The risk they pose to patient safety</p> Signup and view all the answers

    What organizations are you to join as a nurse?

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

    What is autonomy?

    <p>The ability to make one's own decisions independently</p> Signup and view all the answers

    Who were the first group of people to provide nursing care in Canada?

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

    What is the main characteristic of an effective team?

    <p>Working environment is informal</p> Signup and view all the answers

    Whose mandate is it to protect the public?

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

    In what period of time were nursing students taking care of patients?

    <p>1900</p> Signup and view all the answers

    Who is included in the circle of care of patients?

    <p>Only the primary physician</p> Signup and view all the answers

    What nursing theory was Patricia Benner known for?

    <p>promoted socialization of nurse and skill acquisition</p> Signup and view all the answers

    Who was a grand level nursing theorist?

    <p>Jean Watson</p> Signup and view all the answers

    What nursing theory was Florence Nightingale known for?

    <p>Sanitation Theory</p> Signup and view all the answers

    What nursing theorist was also known as the Lady of the Lamp?

    <p>Nightingale Florence</p> Signup and view all the answers

    What are the 4 metaparadigms in nursing?

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

    What is Jean Watson's Nursing Theory known for?

    <p>Caring Science</p> Signup and view all the answers

    What theory was Madeline Leininger known for?

    <p>Theory of Cultural Care Diversity and Universality</p> Signup and view all the answers

    Who was Mary Seacole?

    <p>A famous nurse during the Crimean War</p> Signup and view all the answers

    What is an act of omission?

    <p>A failure to act when there is a duty to do so</p> Signup and view all the answers

    What summarizes the work of Sister Simone Roach?

    <p>Researching nursing ethics</p> Signup and view all the answers

    What best describes Aesthetic knowing?

    <p>The Art of Nursing - Something that only a nurse would understand the importance of</p> Signup and view all the answers

    What best describes Ethical knowing?

    <p>right vs. wrong</p> Signup and view all the answers

    What best describes personal knowing?

    <p>when you reflect on how you feel</p> Signup and view all the answers

    What best describes empirical knowing?

    <p>factual information</p> Signup and view all the answers

    What are the different types of nursing theories? (Select all that apply)

    <p>Practice-based theories and needs theories</p> Signup and view all the answers

    Was is a theory?

    <p>explain relationships, answer questions, and solve problems</p> Signup and view all the answers

    what is a philosophy?

    <p>Beliefs of what is assumed to be true about the world</p> Signup and view all the answers

    what is a model?

    <p>words pictures diagrams or visual representations that demonstrate relationships</p> Signup and view all the answers

    What is a nursing concept?

    <p>A set of guidelines for nursing practice</p> Signup and view all the answers

    What is a conceptual framework in nursing?

    <p>A structured way to address patient needs and outcomes</p> Signup and view all the answers

    What is the only insurance that weRPN does not provide to students?

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

    What is the regulatory body for nurses in Ontario?

    <p>College of Nurses of Ontario</p> Signup and view all the answers

    What is the professional association for practical nurses in Ontario?

    <p>weRPN - Registered Practical Nurses Association of Ontario</p> Signup and view all the answers

    What are nurses' unions?

    <p>Organizations that protect nurses' rights and interests</p> Signup and view all the answers

    What is the largest Registered Practical Nurse (RPN) union in Ontario?

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

    What are the RPN unions in ontario?

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

    What are the types of nurses in Ontario?

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

    What does a union do?

    <p>Working conditions</p> Signup and view all the answers

    What do professional organizations do?

    <p>resources for advancing education</p> Signup and view all the answers

    What does a regulatory body do?

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

    What are the CNO practice standards

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

    What is authority in the CNOs scope of practice?

    <p>Nurses must know their legislated scope of practice, including controlled acts, and authorizing mechanisms.</p> Signup and view all the answers

    What is context in the scope of practice?

    <p>Nurses must determine if their practice environment or setting supports the performance of an activity and has the available resources to support safe client care.</p> Signup and view all the answers

    What is competence in the scope of practice?

    <p>Nurses must ensure they have the individual knowledge, skill and judgment to perform an activity.</p> Signup and view all the answers

    Who established the first nursing school in Canada?

    <p>Florence Nightingale</p> Signup and view all the answers

    When was the First School of Nursing in London established?

    <p>1860</p> Signup and view all the answers

    Who was the first Indigenous nurse in Canada?

    <p>Edith Monture</p> Signup and view all the answers

    What were the first practical nurses called in Canada?

    <p>Nursing Aides/orderlies</p> Signup and view all the answers

    How many years is an RPN diploma?

    <p>2 years</p> Signup and view all the answers

    What is an adverse event?

    <p>Results in unintended harm to the patient</p> Signup and view all the answers

    What are the most commone adverse events in long term care

    <p>all of the above</p> Signup and view all the answers

    What is negligence?

    <p>The failure to take the care that a reasonable nurse in similar circumstances would have taken</p> Signup and view all the answers

    What are the elements that must be present in a negligence lawsuit against a nurse? (Select all that apply)

    <p>Duty of care</p> Signup and view all the answers

    What is fitness to practice in nursing?

    <p>The capacity to deliver safe and competent care with the individuals health and wellness</p> Signup and view all the answers

    What is duty of care in nursing?

    <p>The obligation to provide care to patients or refrain from causing harm</p> Signup and view all the answers

    What is privacy and confidentiality in nursing?

    <p>The right of patients to keep their health information private and only share it with authorized individuals.</p> Signup and view all the answers

    What are beliefs?

    <p>Ideas and assumptions; do not have to be based on facts</p> Signup and view all the answers

    What are attitudes?

    <p>cognitive opinions and emotional feelings about certain things</p> Signup and view all the answers

    What are values?

    <p>Ideals, beliefs, customs, modes of conduct, qualities, or goals</p> Signup and view all the answers

    What is behaviour?

    <p>Actions demonstrated</p> Signup and view all the answers

    What is a potential consequence for a nurse if they neglect to self-report their professional misconduct?

    <p>They might incur disciplinary measures.</p> Signup and view all the answers

    Which scenario necessitates a nurse's obligation to self-report to the college?

    <p>Being found guilty of professional negligence.</p> Signup and view all the answers

    Which of the following actions would NOT require self-reporting by a nurse?

    <p>Being registered in a continuing education course.</p> Signup and view all the answers

    What does mandatory reporting ultimately aim to achieve in the nursing profession?

    <p>It seeks to protect patient safety and the public.</p> Signup and view all the answers

    Which of the following describes a situation where a finding of malpractice would not necessitate self-reporting?

    <p>A nurse is cleared of all charges related to malpractice.</p> Signup and view all the answers

    What must a nurse demonstrate in order to be deemed unfit to practice?

    <p>Lack of knowledge, skill, or judgement</p> Signup and view all the answers

    Which of the following is essential for nurses to maintain public confidence in the nursing profession?

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

    In professional nursing, how does the length of the relationship with clients typically function?

    <p>It is related to clients' needs for nursing care and time-limited</p> Signup and view all the answers

    What governs the nurse's responsibility to act in the client's best interest?

    <p>Professional accountability and integrity</p> Signup and view all the answers

    Which of the following roles do nurses fulfill when working with healthcare teams?

    <p>To respect and collaborate with team members</p> Signup and view all the answers

    What is a key characteristic of collaborative practice among RPNs?

    <p>Mutual respect and effective communication</p> Signup and view all the answers

    Which factor should nurses assess to ensure safe client care?

    <p>The resources available in their practice environment</p> Signup and view all the answers

    What does the term 'competence' in nursing primarily relate to?

    <p>Possessing the capability to perform specific tasks safely</p> Signup and view all the answers

    What is the primary responsibility of the CNO in relation to RPNs?

    <p>Administering the quality assurance program</p> Signup and view all the answers

    Which statement best captures the essence of a nurse's scope of practice?

    <p>It requires knowledge of legislated controlled acts</p> Signup and view all the answers

    Which of the following categories does NOT fall under the 79 competencies outlined for RPNs?

    <p>Crisis Management</p> Signup and view all the answers

    What is a necessary consideration for nurses when determining their practice context?

    <p>The presence of resources to support client care activities</p> Signup and view all the answers

    Which aspect is essential for RPNs to maintain while working collaboratively with clients?

    <p>Engaging in mutual respect and shared accountability</p> Signup and view all the answers

    What type of information does the CNO actively share regarding nursing?

    <p>Entry to practice competencies</p> Signup and view all the answers

    What role does self-regulation play in nursing professionalism?

    <p>It fosters accountability and ethical standards.</p> Signup and view all the answers

    What is a common misconception about the authority of nurses?

    <p>Nurses can operate outside their defined competencies without consequences</p> Signup and view all the answers

    Which of the following is NOT a component of foundational knowledge in nursing?

    <p>Individual healthcare preferences</p> Signup and view all the answers

    Which of the following statements best reflects the CNO's involvement in public interest?

    <p>It participates in legislative processes concerning public health.</p> Signup and view all the answers

    How does the CNO enforce standards of practice and conduct among nurses?

    <p>By conducting regular assessments and audits</p> Signup and view all the answers

    What is one effect of legislative changes on nursing practices?

    <p>Modification of entry-level competencies</p> Signup and view all the answers

    What is emphasized in the professional practice category for RPNs?

    <p>Adherence to practice standards and ethical conduct</p> Signup and view all the answers

    What is one of the conditions that would classify a nurse as incapacitated?

    <p>The nurse must have a mental condition that warrants practice restrictions.</p> Signup and view all the answers

    Which scenario best exemplifies incompetence in a nurse's practice?

    <p>A nurse provides care without following proper protocols.</p> Signup and view all the answers

    What type of behavior must be reported by a nurse in cases of professional misconduct?

    <p>A nurse suspected of being under the influence while on duty.</p> Signup and view all the answers

    What is the primary factor that must be considered to determine a nurse's competence?

    <p>The nurse's skill in providing professional care to clients.</p> Signup and view all the answers

    What action qualifies as a serious risk posed by a nurse to patients?

    <p>A nurse providing treatment without proper consent.</p> Signup and view all the answers

    In the context of nursing, what does the term 'client care' specifically encompass?

    <p>Understanding and implementing therapeutic practices for all client needs.</p> Signup and view all the answers

    What kind of investigation could lead to professional misconduct findings against a nurse?

    <p>Evidence of inappropriate relationships with patients.</p> Signup and view all the answers

    Which condition would NOT lead to a nurse's incapacitation?

    <p>The completion of advanced training in an unrelated field.</p> Signup and view all the answers

    Which action demonstrates a nurse's adherence to ethical standards in practice?

    <p>Reporting a colleague's unethical behavior</p> Signup and view all the answers

    What is a critical component of developing a care plan in nursing?

    <p>Using critical thinking and evidence</p> Signup and view all the answers

    Which best explains the role of self-reflection in nursing practice?

    <p>It aids in understanding how beliefs affect care</p> Signup and view all the answers

    Which of the following is NOT a responsibility of nurses regarding client dignity?

    <p>Discouraging independent decision-making</p> Signup and view all the answers

    What is crucial for a nurse when obtaining informed consent?

    <p>Providing sufficient information for understanding</p> Signup and view all the answers

    Which practice best illustrates the application of foundational knowledge in nursing?

    <p>Integrating theory and evidence in interventions</p> Signup and view all the answers

    Which statement correctly reflects the nurse's legal obligations?

    <p>Nurses must adhere to local legislation and employer rules</p> Signup and view all the answers

    What is a primary benefit of using evidence-based practices in nursing?

    <p>Improving patient outcomes through informed interventions</p> Signup and view all the answers

    Study Notes

    Ways of Knowing in Nursing

    • Empirical: Provable facts, repeatable findings from studies
    • Aesthetic: Unique to each nurse, how they respond in situations, reflection of personality and creativity
    • Personal: Self-awareness, understanding own responses, strengths, weaknesses, and how biases influence the nurse-patient relationship
    • Ethical: Decisions nurses make daily, includes studying human rights, codes of ethics, exploring values, critiquing power structures, and participating in ethical decisions

    Scholarly Articles

    • Expert authors
    • Peer-reviewed journals
    • References
    • Formal writing style
    • Industry-specific language
    • CINAHL database

    Decision Making

    • Evidence-informed: Gathering and translating all knowledge forms to make the best informed decisions in healthcare
    • Evidence-based vs. Evidence-informed: Integration of best research evidence with clinical expertise and patient values and circumstances in making decisions about their care

    Nursing Act 1991

    • Regulated Health Professions Act 1991 (Ontario)
    • CNO = College of Nurses of Ontario
    • Only members of the CNO can use the title "Nurse"

    Social Media Use

    • 6Ps of Social Media Use
      • Professional
      • Positive
      • Patient/person free
      • Protect yourself
      • Privacy
      • Pause before posting

    Regulatory Body

    • Self-regulation is essential to nursing professionalism
    • Establish professional standards of practice, educational requirements, scopes of practice
    • Affected by changes in legislation, models of practice, and nurse involvement
    • CNO is the regulatory body for all registered nurses in Ontario

    What is the CNO?

    • Establishes requirements for entry to practice
    • Articulates and promotes practice standards.
    • Administers its quality assurance program
    • Enforces standards of practice and conduct for nurses in the public interest.
    • Participates in the legislative process
    • Shares statistical information about Ontario's nurses

    Entry to Practice Competencies

    • ETPC outlines expectations for practice
    • 5 categories that 79 competencies fall under:
      • Professional practice (safe, competent and ethical nursing practice, demonstrating professional conduct)
      • Ethical Practice (using ethical frameworks, critical thinking, critical inquiry, self-reflection in decision-making)
      • Legal Practice (adhering to legislation and regulations, promoting safe practice and competency)
      • Foundations of Practice (critical thinking, reflection, assessing clients, planning and implementing care, evaluating outcomes, using nursing theory, health sciences, humanities, pharmacology and ethics in practice
      • Collaborative Practice (collaboration with clients and other healthcare professionals, shared values, accountability, common care purpose, effective communication)

    ETPC: Professional Practice

    • Adhere to practice standards (safe, competent, and ethical)
    • Demonstrate professional conduct
    • Use knowledge, critical thinking, critical inquiry and research to build evidence-based practice

    ETPC: Ethical Practice

    • Use ethical frameworks when making professional judgments and practice decisions
    • Engage in critical thinking and critical inquiry
    • Use self-reflection to understand personal values and beliefs
    • Adhere to applicable provincial/territorial/federal legislation and regulations, professional standards, and employer policies.
    • Engage in professional regulation by enhancing competence and promoting safe practice
    • Incorporate knowledge of relevant laws and legal boundaries.

    ETPC: Foundations of Practice

    • Use critical thinking and reflection to assess clients, plan care, implement interventions, and evaluate outcomes and processes
    • Foundational knowledge includes nursing theory, health sciences, humanities, pharmacology, and ethics

    ETPC: Collaborative Practice

    • Collaborate with clients and other healthcare members
    • Guided by shared values, accountability, a common care purpose, and effective communication

    Scope of Practice

    • Nurses must know their legislated scope of practice
    • Including controlled acts
    • Authorization mechanisms
    • Nurses must determine if their practice environment supports safe client care
    • Ensure they possess the individual knowledge, skills, and judgment to perform activities.

    Standards & Guidelines

    • Outline expectations for nurses
    • Contribute to public protection
    • Nurses and the public are informed of accountabilities and expectations
    • Apply to all nurses regardless of role, job description or area of practice

    Self-Reporting

    • Mandatory reporting is important for regulating
    • Reports alert to unsafe situations
    • Allows the college to protect the public
    • Failure to self-report can result in discipline
    • A nurse must self-report if:
      • Found guilty of charges
      • Professional negligence or malpractice
      • Professional misconduct, incompetence, or incapacity

    Reporting Guide: What Would a Nurse Report?

    • A nurse who poses a serious risk of harm to patients
    • A nurse suspected of sexual abuse
    • A nurse who is incompetent/incapacitated

    Reporting Guide: What is Incapacity?

    • A physical or mental condition that prevents a nurse from practicing safely

    Reporting Guide: What is Incompetence?

    • Lack of knowledge, skill, or judgment in professional care of clients.

    Code of Conduct

    • Respect clients' dignity.
    • Provide inclusive and culturally safe care.
    • Provide safe and competent care.
    • Work respectfully with the healthcare team to meet clients' needs.
    • Act with integrity in clients' best interest.
    • Maintain public confidence in the nursing profession.

    Professional vs. Personal Caring

    • Professional: Time-limited, client needs, defined by care needs
    • Social: Personal choices, not defined by care needs
    • Purpose: Professional- meet therapeutic needs, Social- directed by pleasure of self-interest
    • Power Balance: Professional- unequal power inherent to position within the healthcare team, Social- relatively equal power which may shift
    • Responsibility: Professional- Nurse responsible for establishing the therapeutic relationship, Social- Equal responsibility and remuneration, based on personal values and considerations.

    Professional Intimacy and Empathy

    • Professional Intimacy: Inherent in type of care and services nurses provide. May not be present in a social relationship
    • Empathy: Required to help clients meet care goals and maintain the nurse-client relationship. May or may not be present socially. Empathy in this context is focused more towards maintaining a caring professional relationship

    Stages of Group Development

    • Forming
    • Storming
    • Norming
    • Performing
    • Adjourning

    Group Roles

    • Task Roles: Positive, keep group on track
    • Maintenance Roles: Positive, promote working relationships
    • Dysfunctional Roles: Negative, hinder team success

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    Description

    This quiz explores the various ways of knowing in nursing, including empirical, aesthetic, personal, and ethical dimensions. It emphasizes the importance of integrating these knowledge types into decision-making processes for effective patient care. Participants will gain insights into how these aspects influence nursing practice and patient relationships.

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