Canadian Community Health Nursing Standards and Ethics Review

Flashcards reviewing Canadian Community Health Nursing Standards of Practice and Ethical Principles based on Module 2 lecture notes.

What process is defined under Standard 1: Health Promotion in Canadian Community Health Nursing?

Health Promotion is defined as the process of enabling people to increase control over and to improve their health.

Which four levels comprise the Socio-Ecological Model used by CHNs to integrate prevention and health protection activities?

Individual, Relationship, Community, and Societal.

What is the core focus of Standard 3: Health Maintenance, Restoration & Palliation?

Integrating health maintenance, restoration, and palliation strategies to maintain maximum function, improve health, support life transitions, and link clients to community resources.

How is capacity building defined under Standard 5 of the CCHN Standards of Practice?

Increasing the abilities of individuals and communities to define, assess, analyze, and act on health concerns.

What are the eight Canadian Community Health Nursing Standards of Practice?

1. Health Promotion
2. Prevention and Health Protection
3. Health Maintenance, Restoration and Palliation
4. Professional Relationships
5. Capacity Building
6. Health Equity
7. Evidence Informed Practice
8. Professional Responsibility and Accountability

How is 'ethics' defined in the context of community health nursing practice?

A branch of philosophy that includes both a body of knowledge about the moral life and a process of reflection for determining what persons ought to do or be regarding this life.

What are the four general ethical obligations that members of society share?

1. Not to harm others
2. To respect others
3. To tell the truth
4. To keep promises

In what year was the Canadian Nurses Association (CNA) Code of Ethics developed, and when was it first adopted as the Code of Ethics for Nursing?

It was developed in 1980 and adopted in 1985.

Which four healthcare obligations form the core of Principlism?

Autonomy, Non-maleficence, Beneficence, and Distributive justice.

In nursing ethics, what is the definition of an 'ethical dilemma'?

Puzzling moral problems in which morally justified reasons for both taking and not taking a certain course of action are envisioned.

How are 'ethical issues' defined in community health nursing practice?

Moral challenges facing the nursing profession.

What does Upshur's (2002) Principle of Least Restrictive or Coercive Means require?

It recognizes that a variety of means exist to achieve public health needs, but full authority and coercive power should be used only for exceptional circumstances. Education, facilitation, and discussion should precede any restriction or coercive measures.

According to Upshur (2002), what is the Reciprocity Principle?

The principle that society must be prepared to facilitate individuals and communities in their efforts to discharge their duties.

How is the Transparency Principle defined by Upshur (2002)?

It refers to the manner and context in which decisions are made.

Who formulated the 6-question ethics framework for evaluating public health programs presented in the lecture?

Nancy Kass (2001).

On what principles and considerations are Professional Relationships built according to CCHN Standard 4?

They are built on the principles of connecting and caring, mutual respect, and an understanding of the power inherent to the CHN position.

What key duties are outlined for CHNs under Standard 6: Health Equity?

Identifying and facilitating universal and equitable access to services and resources, engaging in multi-level advocacy, and collaborating across sectors to achieve optimal client outcomes.

Which moral approaches/frameworks are evaluated in Step 5 of the Ethical Decision-Making process?

Utilitarianism, deontology, principlism, virtue ethics, ethic of care, and feminist ethics.

What umbrella functions and roles can Community Health Nurses fulfill under the CHN Practice framework?

Roles include Advocate, Consultant, Clinician or direct care provider, Manager, Leader, Collaborator, Referral agent, Educator, Liaison, Coordinator, Counsellor, Facilitator, Researcher, and Health promoter or change agent.

According to Stamler (Chapter 6), what five considerations must be evaluated to justify public health interventions that restrict liberties?

1. Overall benefit
2. Collective action and efficiency
3. Fairness and distribution of burdens
4. The harm principle
5. Paternalism