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 (C)</p> Signup and view all the answers

What is a crucial element of collaborative practice among RPNs?

<p>Shared values and effective communication (C)</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 (A)</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 (C)</p> Signup and view all the answers

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

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

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

<p>Isolation of roles (C)</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 (B)</p> Signup and view all the answers

What is critical to the therapeutic relationship in nursing?

<p>Professional respect (A)</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. (A)</p> Signup and view all the answers

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

<p>Harmonizer (A)</p> Signup and view all the answers

Which of the following is a dysfunctional group role?

<p>Blocker (A)</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. (B)</p> Signup and view all the answers

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

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

Which development stage involves team members figuring out their roles?

<p>Storming (A)</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 (C)</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. (A)</p> Signup and view all the answers

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

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

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

<p>Identifying healthcare goals (A)</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 (B)</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 (C)</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 (B)</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 (C)</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 (C)</p> Signup and view all the answers

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

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

What primarily differentiates a professional relationship from a social relationship?

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

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

<p>The nurse (D)</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 (D)</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 (B)</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 (D)</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 (C)</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 (B)</p> Signup and view all the answers

What does reporting misconduct help to prevent?

<p>Patients from receiving inadequate care (A)</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 (D)</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 (C)</p> Signup and view all the answers

What definition applies to a nurse's incompetence?

<p>Deficient performance in the care of clients (D)</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 (D)</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 (D)</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 (A)</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 (C)</p> Signup and view all the answers

What organizations are you to join as a nurse?

<p>union (B), CNO (C)</p> Signup and view all the answers

What is autonomy?

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

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

<p>Indigenous (A)</p> Signup and view all the answers

What is the main characteristic of an effective team?

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

Whose mandate is it to protect the public?

<p>CNO (A)</p> Signup and view all the answers

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

<p>1900 (A)</p> Signup and view all the answers

Who is included in the circle of care of patients?

<p>Only the primary physician (A), Nurses and other healthcare providers (B)</p> Signup and view all the answers

What nursing theory was Patricia Benner known for?

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

Who was a grand level nursing theorist?

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

What nursing theory was Florence Nightingale known for?

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

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

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

What are the 4 metaparadigms in nursing?

<p>Person (A), Environment (B), Health (C), Nursing (D)</p> Signup and view all the answers

What is Jean Watson's Nursing Theory known for?

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

What theory was Madeline Leininger known for?

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

Who was Mary Seacole?

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

What summarizes the work of Sister Simone Roach?

<p>Researching nursing ethics (C)</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 (B)</p> Signup and view all the answers

What best describes Ethical knowing?

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

What best describes personal knowing?

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

What best describes empirical knowing?

<p>factual information (A)</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 (A), interactionist theories and system theories (C), simultaneity theories and caries theories (E)</p> Signup and view all the answers

Was is a theory?

<p>explain relationships, answer questions, and solve problems (A), based on underlying philosophies and/or assumptions that address questions like: &quot;how does this happen?&quot; (C)</p> Signup and view all the answers

what is a philosophy?

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

what is a model?

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

What is a nursing concept?

<p>A set of guidelines for nursing practice (A), A framework for understanding patient care (B)</p> Signup and view all the answers

What is a conceptual framework in nursing?

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

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

<p>Liability (A)</p> Signup and view all the answers

What is the regulatory body for nurses in Ontario?

<p>College of Nurses of Ontario (A)</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 (D)</p> Signup and view all the answers

What are nurses' unions?

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

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

<p>CUPE (D)</p> Signup and view all the answers

What are the RPN unions in ontario?

<p>OPSEU (B), ONA (C), CUPE (A)</p> Signup and view all the answers

What are the types of nurses in Ontario?

<p>RPN (B), RN (A)</p> Signup and view all the answers

What does a union do?

<p>Working conditions (B), Workplace violence (D), salary and benefits (A), socioeconomic welfare of members (F)</p> Signup and view all the answers

What do professional organizations do?

<p>resources for advancing education (C), advance professional practice (A), voice for the profession (D), resources for members (F)</p> Signup and view all the answers

What does a regulatory body do?

<p>public safety (B), educational requirements (D), establish standards of practice (A), Entry to practice competencies (F)</p> Signup and view all the answers

What are the CNO practice standards

<p>Authority (B), Competence (D), Context (E)</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. (B)</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. (C)</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. (B)</p> Signup and view all the answers

Who established the first nursing school in Canada?

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

When was the First School of Nursing in London established?

<p>1860 (A)</p> Signup and view all the answers

Who was the first Indigenous nurse in Canada?

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

What were the first practical nurses called in Canada?

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

How many years is an RPN diploma?

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

What is an adverse event?

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

What are the most commone adverse events in long term care

<p>all of the above (E)</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 (B)</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 (A), Breach of duty (B), Harm of patient (C), proof of failure to follow standards (D)</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 (D)</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 (A)</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. (A)</p> Signup and view all the answers

What are beliefs?

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

What are attitudes?

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

What are values?

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

What is behaviour?

<p>Actions demonstrated (A)</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. (B)</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. (B)</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. (D)</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. (D)</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. (C)</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 (D)</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 (B)</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 (B)</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 (B)</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 (B)</p> Signup and view all the answers

What is a key characteristic of collaborative practice among RPNs?

<p>Mutual respect and effective communication (A)</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 (B)</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 (B)</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 (C)</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 (D)</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 (D)</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 (D)</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 (D)</p> Signup and view all the answers

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

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

What role does self-regulation play in nursing professionalism?

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

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

<p>Individual healthcare preferences (C)</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. (B)</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 (D)</p> Signup and view all the answers

What is one effect of legislative changes on nursing practices?

<p>Modification of entry-level competencies (C)</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 (D)</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. (D)</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. (A)</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. (B)</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. (D)</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. (B)</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. (B)</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. (A)</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. (D)</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 (C), Ignoring personal biases in patient care (D)</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 (D)</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 (C)</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 (B)</p> Signup and view all the answers

What is crucial for a nurse when obtaining informed consent?

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

Flashcards

What should a nurse report?

A nurse should report any colleague who poses a serious risk of harm to patients, is suspected of sexually abusing a patient, is incompetent, or is incapacitated.

What is incapacity?

Incapacity in nursing refers to a physical or mental condition that prevents a nurse from practicing safely or requires restrictions on their practice.

What is incompetence?

Incompetence in nursing means a nurse's professional care of clients is inadequate or falls below acceptable standards.

Mandatory Reporting

A legal requirement for nurses to report specific situations to a regulatory body.

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Self-Reporting

A nurse's obligation to inform the nursing regulatory body about certain events or situations involving their practice.

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Consequences of NOT reporting?

Failing to self-report can lead to disciplinary action by the nursing regulatory body.

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Jurisdiction

The specific region or area where a nurse's license is valid and they have the authority to practice.

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Foundational Knowledge

The basic understanding of nursing theory, health sciences, humanities, pharmacology, and ethics that nurses need to provide safe and effective care.

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Collaborative Practice

Working together with other healthcare professionals, clients, and families to provide holistic care.

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Scope of Practice

The legal limits of what a nurse can do, defined by laws and regulations.

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Authority

The legal right to perform specific nursing actions, based on professional standards and regulations.

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Context

Factors that influence nursing practice, such as the practice setting, available resources, and client needs.

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Competence

The skills, knowledge, and judgement required to perform nursing actions safely and effectively.

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Controlled Acts

Certain nursing actions that are regulated by law, such as administering medication or performing procedures.

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Legislated Scope of Practice

The written laws defining the legal limits of nursing practice, including controlled acts.

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Safe Practice

The ability to provide care effectively and without harm, relying on knowledge of pharmacology, medication practices, and health sciences.

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Nursing Theory

A framework guiding understanding of nursing practice, helping to explain the relationship between nursing and the client's health.

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Nursing Diagnoses

Identifiable health problems a nurse observes and diagnoses within their client's care.

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Collaboration in Healthcare

Working with a healthcare team, including clients, to establish their needs and goals effectively.

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Formal Leadership

Structured roles within healthcare settings with responsibilities for guiding and directing others.

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Informal Leadership

Unofficial leadership roles where individuals inspire and support others without formal positions.

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Legal Practice of RPNs

RPNs must adhere to provincial and territorial laws, regulations, professional standards, employer policies, and federal legislation to ensure safe practice.

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Foundations of Practice

RPNs utilize critical thinking, reflection, and evidence integration to assess clients, plan care, implement interventions, and evaluate outcomes.

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What defines a social relationship?

A social relationship is defined by personal choice, not care needs.

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What's the location of a social relationship?

A social relationship can occur anywhere.

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Professional relationship purpose

Professional relationships are directed by the therapeutic needs of the client.

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Social relationship purpose

Social relationships are directed by pleasure or self-interest.

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Professional power balance

Professional relationships have an unequal power balance, with nurses having inherent power due to their position.

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Social power balance

Social relationships have relatively equal power, which can shift.

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Responsibility in professional relationships

Nurses are responsible for establishing and maintaining the therapeutic relationship, including professional boundaries.

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Responsibility in social relationships

Both parties share equal responsibility in social relationships.

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Professional Respect

A fundamental ethical principle of nursing that involves acknowledging the inherent worth and autonomy of clients. Nurses maintain objectivity, respect client choices, and ensure their personal values don't interfere with professional practice.

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Professional Intimacy

The close and personal nature of care that nurses provide, involving interactions that go beyond simple technical procedures. This is inherent to nursing practice.

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Empathy in Nursing

The ability of nurses to understand and share the feelings of their clients, helping them meet their care goals while maintaining a healthy nurse-client relationship.

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Forming Stage (Group Development)

The initial stage of group development where members come together, introduce themselves, and get acquainted. There's often a sense of uncertainty and dependence on the leader.

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Storming Stage (Group Development)

A period of conflict and tension in group development as members assert their opinions and roles, leading to potential disagreements and power struggles.

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Norming Stage (Group Development)

A stage where members establish shared norms, values, and expectations, leading to a sense of belonging and cooperation. Conflicts ease, and roles become clearer.

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Performing Stage (Group Development)

The stage where members are working effectively and efficiently towards the common goal. Collaboration is strong, and roles are clearly defined and accepted.

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Adjourning Stage (Group Development)

This stage marks the completion of the group's task and the transition into a phase where members reflect on achievements, express gratitude, and prepare to move on.

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Task Roles (Group Dynamics)

Positive roles that help a group stay focused and efficient in achieving its goals. These roles maintain momentum, seek information, and clarify details.

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Maintenance Roles (Group Dynamics)

Positive roles in a group that focus on fostering healthy relationships and a positive working environment, encouraging collaboration and support.

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Context of Practice

Nurses need to understand if the setting and resources support safe client care.

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Ethics in Nursing

Nurses must consider how their actions align with ethical principles in every situation.

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What should a nurse self-report?

A nurse must notify the nursing regulatory body if they have been found guilty of, or charged with, an offense related to their professional practice in any jurisdiction.

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Consequences of NOT self-reporting

Failing to self-report to the College can lead to disciplinary action, which could result in restrictions or even the loss of your nursing license.

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What situations require self-reporting?

A finding of professional misconduct, incompetence, incapacity, or any similar finding in relation to the practice of nursing in any jurisdiction should be self-reported to the College.

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When must a nurse self-report?

A nurse must self-report any finding of professional negligence or malpractice to the College.

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Duty to Report

Nurses must uphold a commitment to report any colleague who poses a serious risk to patients, engages in sexual misconduct with patients, or demonstrates incompetence or inability to practice safely.

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Informed Consent

Nurses are obligated to provide clients with clear and accurate information about their care to enable them to make informed decisions. This includes the risks and benefits of the procedure, treatment, or medication.

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Critical Thinking

Nurses use a systematic approach to critically evaluate information, identify relevant evidence, and reflect on their experiences to make sound decisions.

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Evidence-Based Practice

Nurses incorporate research findings, best practices, and current evidence into their care decisions. This ensures the most effective and safe approaches.

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Reflection

Nurses continuously reflect on their actions, practice patterns, and outcomes. This process helps them identify areas for improvement and refine their skills.

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What is incapacity in nursing?

A physical or mental condition that prevents a nurse from practicing safely or requires restrictions on their practice.

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What is incompetence in nursing?

A nurse's professional care of clients is inadequate or falls below acceptable standards.

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What is a professional relationship?

A professional relationship, guided by the client's therapeutic needs.

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What is a social relationship?

A relationship based on personal choice and not directed by care needs.

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What is a professional boundary?

Nurses must maintain a professional boundary to ensure the client's safety and well-being.

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What is empathy in nursing?

The ability to understand and share the feelings of clients without compromising professional boundaries.

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What is a legislated scope of practice?

The written laws defining the legal limits of nursing practice.

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Unfit to Practice

A nurse is considered unfit to practice if they demonstrate a lack of knowledge, skill, or judgment that puts patients at risk.

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Restricted Practice

A nurse's practice may be restricted if their skills or knowledge are inadequate, or they pose a risk to patient safety due to physical or mental limitations.

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Client's Best Interest

Nurses prioritize the well-being and individual needs of their clients when making decisions about their care.

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Professional vs. Social Relationship

Professional relationships between nurses and clients focus on the therapeutic needs of the client, while social relationships are based on personal choice and mutual enjoyment.

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What is the CNO?

The College of Nurses of Ontario (CNO) is the regulatory body responsible for setting standards, ensuring safe practice, and promoting ethical conduct among registered nurses in Ontario.

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What are entry-to-practice competencies?

The CNO establishes the required competencies for newly licensed registered nurses in Ontario to demonstrate entry-level practice. These competencies ensure that new nurses are equipped with the knowledge, skills, and judgment to provide safe and effective care.

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What 5 categories are included in the CNO's entry-to-practice competencies?

The CNO outlines 5 categories that contain 79 specific competencies RNs must demonstrate. These categories encompass: 1. Professional Practice, 2. Health Assessment, 3. Health Promotion, 4. Ethical Practice, and 5. Client-Centered Care.

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What is Self-Regulation?

Self-regulation is a fundamental principle of nursing professionalism. It means that nurses are responsible for maintaining their own competence, ethical conduct, and the highest standards of practice. This involves ongoing learning, self-reflection, and accountability.

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What are professional practice standards for RPNs?

RPNs (Registered Practical Nurses) must adhere to professional practice standards, ensuring safe, competent, ethical, and legal nursing care. This involves demonstrating professional conduct and upholding the values of the profession.

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What is quality assurance for RPNs?

Registered Practical Nurses (RPNs) are accountable for the quality of their practice. They are responsible for continually evaluating their skills, knowledge, and decision-making to maintain safe and effective care.

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What is the CNO's role in the legislative process?

The CNO plays an active role in influencing legislation related to nursing practice in Ontario. They ensure that laws and regulations support safe and ethical nursing care by providing expert opinions and collaborating with policymakers.

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What statistical information does the CNO share about Ontario's nurses?

The CNO provides statistical information about the nursing workforce in Ontario. This data is essential for planning, policy development, and understanding the current state of nursing practice within the province.

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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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