Week 1: Nursing Issues and Political Action
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Questions and Answers

Which principle of the Canada Health Act ensures that all medically necessary services are covered?

  • Public Administration
  • Portability
  • Comprehensiveness (correct)
  • Universality
  • What is a significant barrier to the resolution of nursing issues?

  • Universal healthcare policies
  • Power imbalances (correct)
  • Increased funding for healthcare
  • Awareness campaigns
  • Which analysis would focus on the financial implications of a nursing issue?

  • Historical Analysis
  • Sociocultural Analysis
  • Economic Analysis (correct)
  • Political Analysis
  • What does the principle of accessibility in the Canada Health Act emphasize?

    <p>Healthcare services should be accessible without financial barriers (D)</p> Signup and view all the answers

    Which report examined the sustainability of Canada's healthcare system?

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

    What is a key responsibility of provinces under the British North America Act regarding healthcare?

    <p>Delivering healthcare services (A)</p> Signup and view all the answers

    Which type of analysis looks at the gender-related aspects of nursing issues?

    <p>Critical Feminist Analysis (B)</p> Signup and view all the answers

    What is an essential action for nurses to influence healthcare policies?

    <p>Advocacy for patients and the profession (C)</p> Signup and view all the answers

    What is the primary reason for the increased demand on the Canadian healthcare system?

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

    Which of the following best describes the concept of racialization?

    <p>The process of assigning racial identities, leading to discrimination (A)</p> Signup and view all the answers

    What major impact does the Indian Act have on Indigenous peoples?

    <p>Control over many aspects of their lives (B)</p> Signup and view all the answers

    What are significant healthcare consequences for racialized populations?

    <p>Health disparities stemming from systemic racism (D)</p> Signup and view all the answers

    Which factor is NOT a contributor to Indigenous health inequities?

    <p>Increased life expectancy (D)</p> Signup and view all the answers

    How is white privilege best characterized?

    <p>Recognition of systemic advantages for perceived white individuals (C)</p> Signup and view all the answers

    What does allyship involve concerning marginalized groups?

    <p>Active support and advocacy through listening and taking action (C)</p> Signup and view all the answers

    What is the significance of self-regulation in the nursing profession?

    <p>It allows the profession to maintain standards through a governing body (B)</p> Signup and view all the answers

    What is a key ethical responsibility of nurses concerning patients' rights?

    <p>Upholding patients' rights regardless of gender identity or sexual orientation (B)</p> Signup and view all the answers

    Which principle is critical for successful interprofessional collaboration?

    <p>Communication, mutual respect, shared goals (B)</p> Signup and view all the answers

    What does complexity theory emphasize about healthcare systems?

    <p>Leaders must be adaptable and innovative (A)</p> Signup and view all the answers

    In promoting healthy aging, which practice is essential?

    <p>Promoting physical activity, nutrition, and social engagement (B)</p> Signup and view all the answers

    What historical factor significantly influenced the evolution of nursing roles?

    <p>Transitions toward greater diversity and inclusion (B)</p> Signup and view all the answers

    What aspect is central to appreciating diversity in aging and health?

    <p>Recognizing variations in health status, culture, and preferences (C)</p> Signup and view all the answers

    How should nurses approach their role with unregulated care providers?

    <p>By ensuring competence and safety in patient care (A)</p> Signup and view all the answers

    What major factor contributes to power imbalances within healthcare teams?

    <p>Individual professional authority overshadowing collaboration (A)</p> Signup and view all the answers

    What is the primary goal of regulatory colleges and professional associations in nursing?

    <p>To protect the public by ensuring safe and competent nursing care (A)</p> Signup and view all the answers

    Which of the following best describes collective bargaining in nursing?

    <p>A process where unions negotiate with employers to secure fair wages and working conditions (B)</p> Signup and view all the answers

    What is the purpose of the CNO Quality Assurance Program?

    <p>To mandate ongoing competency through self-assessment and professional development (C)</p> Signup and view all the answers

    Which ethical principle emphasizes the promotion of good and acting in the best interest of the patient?

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

    Which level of moral response involves thoughtful consideration of ethical principles and consequences?

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

    What historical factors contributed to the unionization of nurses?

    <p>Poor working conditions and desire for improved patient care (B)</p> Signup and view all the answers

    What is a consequence of climate change that nurses need to address?

    <p>Spread of infectious diseases (B)</p> Signup and view all the answers

    Which of the following concepts refers to the beliefs about right and wrong conduct?

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

    Which step in the Donner-Wheeler Career Planning and Development Model involves defining career aspirations?

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

    What is a bioethical dilemma in healthcare?

    <p>Situations involving conflicting moral principles (C)</p> Signup and view all the answers

    Which strategy is NOT part of effective job interview preparation?

    <p>Ignoring common interview questions (D)</p> Signup and view all the answers

    What is an important factor for ensuring safe indoor environments in healthcare settings?

    <p>Effective ergonomic practices (B)</p> Signup and view all the answers

    What is a critical action that nurses can take in advocating for environmental health?

    <p>Promoting sustainability practices (A)</p> Signup and view all the answers

    What is the primary impact of increased patient acuity and complexity on nurses' workloads?

    <p>Leads to excessive workloads (D)</p> Signup and view all the answers

    Which of the following correctly describes horizontal violence in nursing?

    <p>Undermining behaviors towards peers (D)</p> Signup and view all the answers

    What societal issue is a significant barrier to resolving interpersonal violence against individuals in healthcare?

    <p>Cultural acceptance and normalization of abuse (C)</p> Signup and view all the answers

    What factor contributes to the nursing shortage addressing the aging workforce?

    <p>Insufficient influx of new graduates (A)</p> Signup and view all the answers

    Which of the following is a consequence of workplace violence that nurses frequently face?

    <p>Heightened risk of burnout and stress (B)</p> Signup and view all the answers

    What historical reason explains the higher rates of violence against Indigenous people?

    <p>Systemic factors and historical oppression (A)</p> Signup and view all the answers

    How do stereotypes and biases hinder the advancement of men in nursing?

    <p>They create perceptions of nursing as a feminine profession (C)</p> Signup and view all the answers

    Which factor significantly affects the mental health of healthcare providers dealing with interpersonal violence?

    <p>Emotional toll and secondary trauma (D)</p> Signup and view all the answers

    Flashcards

    Healthcare Issue Analysis

    A framework to understand and address nursing problems by considering history, ethics, law, society, politics, gender, and economics

    Canadian Healthcare System

    A publicly funded system based on five key principles: public administration, comprehensiveness, universality, portability, & accessibility.

    Canada Health Act

    Federal legislation that establishes the five core principles for Canada's healthcare system

    Health Determinants

    Factors affecting people's health (biology, lifestyle, environment, healthcare)

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    Political Action in Nursing

    Nurses advocating for patients & profession through policy changes & influence

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    Lalonde Report

    Report emphasizing health determinants (biology, lifestyle, environment, healthcare) and prevention

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    Romanow Report

    Report examining sustainability of Canadian healthcare system, seeking to improve

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    British North America Act

    Established division of power between federal and provincial governments regarding healthcare

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    Negligence

    Failure to provide the expected level of care, leading to harm.

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    Liability

    Legal responsibility for actions or inactions causing harm.

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    Patient Acuity

    The level of complexity and care needs of a patient.

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    Horizontal Violence

    Workplace bullying between colleagues at the same level.

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    Nursing Shortage

    Inadequate supply of nurses to meet the growing healthcare demands.

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    Interpersonal Violence

    Abuse between individuals, impacting healthcare systems.

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    Abuse of Older Canadians

    Various forms of maltreatment, including physical, emotional, financial, and neglect.

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    Gendered Nature of Nursing

    Nursing's historical association with femininity, impacting roles and opportunities.

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    Regulatory Colleges

    Organizations that protect the public by setting and enforcing standards for nurses' practice and professional conduct.

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    Nursing Legislation

    Laws that define what nurses can and cannot do, and how nursing is regulated. These laws vary by province or territory.

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    Collective Bargaining

    The process where unions negotiate with employers to get fair wages, benefits, and working conditions for nurses.

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    Purpose of Collective Bargaining

    To protect nurses' rights and interests, improve workplace safety, and secure job security and professional development opportunities.

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    Ethics

    The study of moral principles that guide our actions, especially in healthcare.

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    Moral Distress

    The feeling of being unable to act ethically because of constraints or pressures.

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    Beneficence

    Acting in the patient's best interest, aiming to do good for them.

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    Code of Ethics

    A set of guidelines that outlines the expected ethical behavior of nurses in their practice.

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    Racialization

    Assigning racial identities to a group, leading to discrimination and inequality. It's about a social idea, not biology.

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    Barriers for Racialized Students

    Microaggressions, lack of representation, financial hardship, and cultural alienation in education, affecting academic performance and mental health.

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    Indigenous Health Inequities

    Higher rates of chronic diseases, mental health issues, and reduced life expectancy for Indigenous peoples, rooted in historical trauma and socioeconomic disparities.

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    Indian Act

    Legislation controlling aspects of Indigenous peoples' lives, contributing to loss of culture, language, and autonomy.

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    White Privilege

    Unearned advantages experienced by those perceived as white, impacting access to opportunities and resources.

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    Allyship

    Active support and advocacy for marginalized groups through listening and taking action to address inequalities.

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    Self-Regulation (Nursing)

    Nursing's authority to regulate its members, maintaining practice standards, competence, and ethical conduct.

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    Traditional Indigenous Health

    Holistic approach to health (physical, emotional, mental, spiritual), emphasizing community, land connection, and cultural practices.

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    Environmental Health

    The impact of environmental factors on health, including air and water quality, climate change, and exposure to hazardous materials.

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    Sustainability in Healthcare

    Practices that minimize environmental harm, conserve resources, and promote long-term health and well-being.

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    Indoor Environmental Hazards

    Risks within buildings that can affect health, such as poor air quality, hazardous materials, and ergonomic issues.

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    Donner-Wheeler Career Planning Model

    A five-step process for career planning, including self-assessment, visioning, and strategic planning.

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    Job Interview Strategies

    Techniques for successful job interviews, such as researching the company, preparing answers, and showcasing skills.

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    Gender and Sexual Orientation Discrimination

    Unfair treatment based on a person's gender identity or sexual orientation, with historical roots that have impacted healthcare access and experiences.

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    Nursing Roles and Gender Dynamics

    The evolution of nursing roles has been influenced by societal expectations of gender, leading to shifts towards greater diversity and inclusion within the profession.

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    Ethical Responsibilities of Nurses

    Nurses have a duty to advocate for equity, provide culturally competent care, and uphold patients' rights regardless of their gender identity or sexual orientation.

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    Political Influence on Nursing

    Understanding the impact of policies on nursing practice and actively engaging in advocacy and policy development to improve patient care and the nursing profession.

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    Complexity Theory in Healthcare

    Recognizing that healthcare systems are complex and dynamic, requiring adaptable and innovative leadership to navigate challenges and promote collaborative approaches.

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    Nurses' Role with Unregulated Care Providers

    Delegating tasks and ensuring competence and safety when working with unregulated care providers, ensuring optimal patient care.

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    Successful Collaboration in Healthcare

    Interprofessional collaboration thrives on communication, mutual respect, shared goals, and a clear understanding of each profession's unique contributions.

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    Diversity and Cultural Impact on Teams

    Recognizing the impact of cultural diversity on team dynamics and addressing cultural barriers to ensure effective collaboration and inclusive care.

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    Study Notes

    Week 1: Introduction to Nursing Issues and Political Action

    • Framework for Issue Analysis: A structured process to analyze nursing issues.
    • Identify and Articulate the Issue: Clearly define the issue, its relevance to nursing, and who is affected.
    • Analyze the Issue:
      • Historical Analysis: Examine the origin and evolution of the issue.
      • Ethical and Legal Analysis: Apply ethical principles and consider legal implications.
      • Social and Cultural Analysis: Examine societal attitudes and cultural influences.
      • Political Analysis: Identify power structures and stakeholders.
      • Critical Feminist Analysis: Assess gender-related aspects and inequalities.
      • Economic Analysis: Evaluate financial factors and resource allocation.
    • Identify Barriers to Resolution: Obstacles to resolving the issue, including limited resources, lack of awareness, power imbalances, and resistance to change.
    • Develop Strategies for Resolution: Strategies to overcome barriers, including lobbying, advocacy, education, collaboration, and policy development.
    • Political Action in Nursing: Nurses play a key role in influencing healthcare policies, advocating for patients, and understanding the healthcare system.

    Week 2: The Canadian Healthcare System

    • Canada Health Act – Five Principles:
      • Public Administration: Healthcare insurance plans are administered by a public authority.
      • Comprehensiveness: All medically necessary services are covered.
      • Universality: All insured residents have the same healthcare level.
      • Portability: Coverage remains consistent when moving within Canada or abroad.
      • Accessibility: Reasonable access to healthcare without financial barriers.
    • Governance under the British North America Act: Division of responsibilities between federal and provincial governments.
    • Key Reports:
      • Lalonde Report: Introduced the concept of health determinants and emphasized prevention and health promotion.
      • Romanow Report: Examined the Canadian healthcare system's sustainability, and recommended strengthening the public system, primary care, and increased federal funding.
    • Challenges to the Canadian Healthcare System: Issues include an aging population, rising costs, wait times, and the need for improved service integration.

    Week 3: Race, Racialization, and Indigenous Health

    • Concept of Racialization: The process of ascribing racial identities to a group, leading to discrimination and social inequality. Race is a social construct, not biological.
    • Barriers Experienced by Racialized Students:
      • Microaggressions and discrimination in educational settings.
      • Cultural alienation and lack of representation.
      • Financial hardships and limited access to resources.
      • Impact on academic performance and mental health.
    • Healthcare Consequences for Racialized Peoples: Health disparities due to systemic racism, underrepresentation in healthcare professions, and reduced access to culturally competent care.
    • Chapter 5: The Legacy of Colonization: Discusses the Indigenous perspective and historical context, including effects of legislation like the Indian Act and historical trauma.
    • Indigenous Health Inequities: Rates of chronic diseases, mental health concerns, and life expectancy are generally higher for Indigenous peoples, influenced by historical trauma, socioeconomic disparities, and inadequate access to healthcare.
    • White Privilege: Unearned advantages experienced by individuals perceived as white, impacting access to opportunities and resources.
    • Allyship: Active support for marginalized groups, emphasizing listening, learning, and taking action. Includes addressing inequality and providing culturally competent care.

    Week 4: Professional Associations and Regulation

    • Concept of Self-Regulation: Nursing's authority to regulate its members, ensuring standards of practice, competence, and ethics are maintained.
    • Mandate for Regulatory Colleges and Professional Associations: Protect the public by establishing and enforcing standards and providing guidance and support.
    • Nursing Legislation: Laws defining the scope of nursing practice and regulatory frameworks, varying by province/territory.
    • CNO Quality Assurance Program: Continuous learning and competence through self-assessment, reflection, and professional development.

    Week 5: Unions and Workplace Safety

    • Historical Influences Leading to Unionization: Poor working conditions, long hours, low wages, and lack of professional recognition were key factors.
    • Definition of Collective Bargaining: The process by which unions negotiate with employers on behalf of their members, aiming to secure fair wages, benefits, and working conditions.
    • Purpose of Collective Bargaining: Protect nurses' rights, advocate for safe staffing, and enhance job security and professional development.
    • Definitions: Ethics, morality, moral distress, and bioethical dilemmas.
    • Levels of Moral Response: Expressive, pre-reflective, and reflective levels of response to ethical dilemmas.
    • Ethical Principles: Beneficence, Non-maleficence, Justice, and Autonomy.
    • Code of Ethics: Provides a framework for ethical nursing practice.
    • Negligence and Liability: Failure to provide the standard of care (negligence) and legal responsibility (liability) for one's actions or omissions.

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

    • Nurses' Workload: Increased patient acuity and complexity affect nursing work.
    • Staffing Shortages: Lead to excessive workloads, impacting patient safety and quality of care.
    • Workplace Bullying/Horizontal Violence: Includes behaviors like excessive criticism, exclusion, and undermining.

    Week 8: Interpersonal Violence and Abuse

    • Impact on Healthcare System: Increased demand for medical and support services, emotional toll on healthcare providers, and financial costs are issues associated with interpersonal violence and abuse.
    • Barriers to Resolution: Underreporting due to fear, stigma, and lack of resources.
    • Abuse and Neglect of Older Canadians: Includes physical, emotional, financial abuse, and neglect, citing risk factors like isolation, dependency, and caregiver stress.
    • Violence Against Indigenous People: Systemic and historical factors that result in higher rates of violence must be addressed with culturally sensitive approaches.

    Week 9: Gendered Nature of Nursing

    • Gender as Socially Constructed: Roles and expectations based on societal norms affect career progression. Historically, nursing has been viewed as a feminine profession.
    • Identifying Barriers: Stereotypes, biases affecting career advancement, and discrimination based on gender and sexual orientation.
    • Historical Analysis: Evolution of nursing roles and gender dynamics.
    • Ethical Responsibilities of Nurses: Advocate for equity, justice, and culturally competent care, upholding patient rights.

    Week 10: Contemporary Nursing Leadership

    • Introduction: Importance of leadership for advancing the nursing profession and improving healthcare outcomes.

    Week 11: Interprofessional Practice

    • Nurses' Role with Unregulated Care Providers: Delegation and supervision responsibilities, ensuring competence and safety in patient care.
    • Principles and Factors for Successful Collaboration: Communication, mutual respect, shared goals, understanding roles.
    • Social and Cultural Analysis/ Critical Feminist Analysis: Addressing cultural barriers, recognizing diversity, and examining power imbalances within healthcare teams.

    Week 12: Healthcare for an Aging Population

    • Functional Age: Focuses on individual abilities rather than chronological age to support personalized care planning.
    • Appreciating Diversity: Recognizing variations in health, culture, and preferences.
    • Health Issues: Common conditions include chronic diseases, mobility issues, cognitive decline; focusing on prevention, early detection, and management.
    • Healthy Aging: Promoting physical activity, nutrition, social engagement.

    Week 13: Environmental Issues and Career Planning

    • Environmental Factors: Environmental factors significantly impact health, and nurses have a role in advocating for environmental health.
    • Climate Change: Health consequences include heat-related illnesses, respiratory issues, and infectious diseases.
    • Inside Environments: Issues like air quality, hazardous materials, and ergonomic hazards affect health and safety.
    • Career Planning: Utilizing the Donner-Wheeler model, highlighting career planning by reviewing the current environment, self-assessment of strengths and weaknesses, defining goals, and developing a plan to achieve them.

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    Nursing Issue Review PDF

    Description

    This quiz covers critical topics relevant to nursing issues and the political action surrounding them. It explores issue analysis through historical, ethical, social, and economic lenses, enabling students to identify and articulate significant nursing concerns. Understanding barriers to resolution and strategies for change is also emphasized.

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