Notes for nurs 124 WINTER 2023 What is a nursing process? o It’s the model used by nurses to identify, diagnose and treat client health issues What is cognition? o It is all the processes involved in forming a human thought How would you define the bandura learning theory? o It is when you learn through social context and observation and putting that into practice. What is an example of the bandura learning theory? o Reading What are the stages of group development? o Forming, storming, norming and performing What is forming? o Establishing a relationship by getting to know one another What is storming? o Stating expectations and identifying differences What is norming? o Resolving the differences What is performing? o Doing the activities the group needs to do What are some professional characteristics of nurses? o Altruistic (selfless) service o They are self-regulated and obliged to the public o Adhere to a code of ethic o Advanced specialized body knowledge, based on high level of education that is continually developed o Has autonomy over a specific jurisdiction and mandate What is the role of CARNA? o They protect the interest of the public What is the role of UNA? o It’s the union in Alberta that protects working nurses and nursing rights What is the job of health professions? o To lay out the scopes of practice for types of health practices What is the function of CAN? o Act as international council of nurses Why are theory important? o They provide a systemic view for explaining, predicting and prescribing phenomena (relating concepts and providing an explanation) Why are nursing theory important? o Conceptualization of some aspect of nursing, communicating the purpose of describing, explaining, predicting or prescribing nursing care. What is a phenomenon? o An aspect of reality What are the steps of nursing process? o Assessment, diagnosis, planning, intervention and evaluation What is a grand theory? o Based on broad, abstract and complex concepts o They provide the general framework for nursing ideas pertaining to components such as people and health What is a middle-range theory? o They are more narrow in scope than grand theories and deal with some part of a discipline’s concerns related to particular topics. Why are descriptive theory important? o They claim to describe how things really are as opposed to how they should be What is a prescriptive theory? o A theory that says how people or thigs should function as opposed to how they actually do o It is the opposite of descriptive theory Why are practice-based theories important? o They observe nursing practice o Florence nightingale observed the importance of creating healthy environments rather than diagnosis and treatment, like opening windows for fresh air, focusing on strengths, involving families How do needs theories work? o Identifies basic needs and self-care, coming about when nursing role was seen as not just making the person well while still allowing them to be independent What is an interactionist theories? o Interpersonal relationships (nurse/client) What are systems theories? o When people are involved within other systems such as community and family Why are simultaneity theories important? o Doesn’t allow for breaking theories into parts, needs to keep it as holistic as possible o Use different language to include as much as possible it is client focused What is the way of knowing? (Carper) o Empirics, ethics, esthetics and personal What is empiric? o The evidence presented is objective/scientific What are ethics? o Looking at things using a sense of moral duty What is esthetics? o Interpreting the patient’s behaviour by looking at their relationship in the moment What is personal? o Having a knowledge of self and an awareness of others in relationships explicit and tacit Lesson 2 What is the definition of health? o The overall wellbeing of someone What is the definition of disease? o An objective state of ill health What is the definition of illness? o How a patient feels why is the medical approach important? o It determine physiological risk factors How is the behavioural approach (Lalonde study) important? o It allowed a shift from a medical approach to a more behavioral approach to change one’s behaviour What are some cons of the behavioural approach? o Fails into take in how an individual fits into their environment, too much focus on behaviours which leads to blaming Why is the socio-environmental approach important? o It provide a different approach to health and brings in the social structures such as poverty and unhealthy home environment and how it affect one’s health. What is health determinants defined as? o Lifestyle, environment, human biology and the organisation of health care Why are health determinants important? o They can help predict someone’s health outcome Which health determinant is the greatest threat to someone’s health? o Poverty because it affects all aspect of someone’s life starting at birth Why is health promotion important? o Uses health determinants to direct someone towards self-actualization and well being What is the Ottawa charter? o It is the process of enabling people to increase empowerment and improve their health, emphasises health promotion and socio-environmental health aspects. What is the prerequisites for health? o Ottawa charter What is the purpose of disease prevention? o To avoid illness How does primary prevention work? o It acts before someone gets the disease/disorder to protects against a disease before signs and symptoms occur. o Family doctors are in charge of this What are some examples of primary prevention? o Vaccines, contraception How does secondary prevention work? o Promotes early detection of disease o Done by referred specialists What are some examples of secondary prevention? o Pap smear How does tertiary prevention work? o Tries to prevent the progression of the illness o Done in the hospital or physiotherapy What are some examples of tertiary prevention? o Surgery, rehabilitation and drugs