BNPR501

Florence Nightingale (1820-1910)

Founder of modern nursing

Sibylla Maude (Nurse Maude)

Founder of district nursing in NZ

Grace Neill

Instrumental in the development of nursing training in NZ

Hester Maclean

Matron-in-chief in WW1

Akenehi Hei

First Maori nurse in NZ

Irihapeti Ramsden

Developed cultural safety in 1992

Legislation Act

Formal written law intended to spell out duties for group that follow it eg. HPCA 2003, HDCA 1994, PA 2020

Code

An organized list of standards and rules

Purpose of HPCAA 2003

Protect the health and safety of public by providing practitioners that are fit and competent to practice

Purpose of HDCA 1994

protect people's rights as set out in the Code of Rights

Purpose of PA 2020

protect individual privacy of information

NCNZ

Registration body that governs the practice of nurses in NZ

NCNZ issues _____ to nurses to continue practice

Annual practicing certificate

Domain 1 Competencies

Professional Responsibility

Domain 2 Competencies

Management of nursing care

Domain 3 Competencies

Interpersonal relationships

Domain 4 Competencies

Interprofessional health care and quality improvement

Professional Responsibility

legal and ethical responsibilities and cultural safety, demonstrate knowledge and being accountable

Management of nursing care

assessment and managing health consumer care, responsive to their needs supported by nursing knowledge

Interpersonal Relationships

therapeutic communication with health consumers and colleagues

Inter-professional health care and quality improvement

evaluate the effectiveness of care

What are the 4 values that underpin Code of Conduct 2012?

Trust, Respect, Integrity, Partnership

How many principles in the code of conduct?

8 principles

Purpose of NCNZ's professional boundaries guideline

for nurses to protect confidentiality of the health consumer and protect own personal integrity

What is the zone of helpfulness

It is the therapeutic relationship, centre of the continuum of professional behaviour. it is where majority of the interactions between nurse and patient should occur.

Is it ever ok for a nurse to have a relationship with a current or former health consumer?

No, unless a therapeutic relationship.

Why is it not appropriate to care a close friend or family member?

It affects making informed decisions, unless it was emergency.

How many rights in code of right 1996?

10 rights

How many rules in Health information privacy code 2020?

13 rules

NZNO

nursing union in NZ, provides professional support and leadership for nurses

Code of Ethics 2019 purpose

guide nursing practice and communicate the nursing profession's ethical values

Rangatiratanga

self-determination and right to make own choices

Manaakitanga

Kindness/respect and hospitality

Tika

importance of truth, justice and fairness

Whanaungatanga

establishing relationships

Wairuatanga

Understanding and believing that there is a spiritual existence.

Kotahitanga

unity, togetherness

Kaitiatanga

guardianship

Autonomy

self-determination, make own chocies

Beneficence

doing good

Non-maleficence

do no harm

Justice

fairness

Confidentiality

privacy of written or spoken conversation

Veracity

truthfulness, honesty

Fidelity

faithfulness, loyalty

Guardianship of the environment and its resources

Responsibility to respect and protect the environment and its resources.

Being professional

The belief that nursing is a profession with a defined purpose

How many principles in code of ethics?

7 Maori and 9 Western

Morality

refers to personal values, character and conduct of individuals or groups within society

Ethics

refers to various ways people think about, understand and examine how best to live a moral life

Cultural Safety

effective nursing practice from another culture and is determined by that person or family. It is not limited to age, gender, religion, sexual orientation, occupation, ethnicity etc.

Primary healthcare

provided in the community by a GP or nurse

Secondary healthcare

found within a hospital system (public or private)

Tertiary healthcare

highly specialised medical care over an extended period that involves advanced or complex procedures or treatments

Direction

Active process of guiding, monitoring and evaluating the nursing practice carried out by another person. The RN must be available for person being directed.

Five rights of delegation

right task right circumstance right person right evaluation right direction

Who works alongside Health NZ as an equal?

Maori health authority

What are some priorities of the current health target?

Covid-19 response, Health and Disability reforms, Improving child wellbeing, Improving mental health, Improving well-being through preventative measures, Creating strong and equitable public health system, Providing better primary health care, Ensuring a financially sustainable health system

What is a sign of over involvement in a Nurse-health consumer relationship?

Close friendship

The time limit for a nurse and former health consumer to commence an intimate relationship is?

No time frame as it is not appropriate at all

What is the 6 P's of social media use?

Professional, Positive, Patient/Person-free, Protect yourself, Privacy, Pause before you post

In a nurse health consumer relationship there is potential for?

Power imbalance

Which inquiry in 1987/1988 exposed the lack of legislation to protect patients rights?

Cartwright Inquiry

What are the 4 co-ethics of the code of ethics 2019?

Beneficence, Autonomy, Non-Maleficence and Justice

What are the 5 principles of The treaty of waitangi?

Tino rangatiratanga, Partnership, Active protection, Option, Equity

Which of the following is a current 2017/2018 health target?

Increased immunisation

Which type of healthcare is highly specialised and delivered over an extended period?

Tertiary care

What is the original document that the NCNZ social media guidelines come from?

The Code of Conduct

Accountability

Being answerable for nursing decisions and care

Delegation

Transfer of nursing responsibility from a RN to EN called?

Components of research article

Abstract, Introduction, Literature review, Method, Results, Discussion, limitation, reference

Quantitative research

studies the phenomena in a controlled setting

Qualitative research

Studies the phenomena in its natural setting

Benefit of research on health consumers

Ensures best possible care, increase patient outcomes

Benefit of research on nurses

Refocus nursing away from habits and traditions, provides way to keep up to date, know the rationale for what you do

What year were men permitted to register as nurses in NZ?

1939

Cultural safety

effective nursing care of a person or family from another culture, and is determined by that person or family

When was cultural safety developed?

1992

Ministry of health responsibilities

improving, promoting and protecting health of all New Zealanders health

What is the Maori health strategy?

He Korowai Oranga

Purpose of He Korowai Oranga

Provide guidance and direction for Maori health development. Overall aim strategy is Pae Ora - healthy futures formaori

Reflection

process of making sense of events and actions in life

Benefits of reflection in nursing

helps nurses manage themselves of caring for others daily, improve clinical skill and communication

Feedback

helps nurses shape practice

What does ISBAR stand for

Introduction, Situation, Background, Assesment, Recommendation

What does SOAP stand for

subjective data, objective data, assessment, plan

Signs of Under involvement

disinterest, neglect

What are impacts of colonisation on healthcare?

• Maori experience discriminatory behaviours from health practitioners

• Maori hospitalised or die from preventable disease

Inductive reasoning, Small sample size, Focus on human experience, result is not generalisable

Qualitative Research

Deductive reasoning, scientific, focus on large sample size and measure variables

Quantitative