Nursing 4440A/B Study Guide - Fall 2018, Comprehensive Midterm Notes - Public Health, Nursing, Health Promotion
12 Oct 2018
School
Department
Course
Professor
Nursing 4440A/B
MIDTERM EXAM
STUDY GUIDE
Fall 2018
1
Week 1
The Canadian Healthcare System
Future Directions – course goals
• To explore the Canadian healthcare system and the role of nurses in the future.
• To examine emerging models of service delivery and how nurses can advocate for a
system that is just and equitable.
• To prepare for the transition from student nurse to a Registered Nurse in the
various domains of practice where nurses work.
• To analyze selected issues for healthcare and the profession of nursing from
political, social and economic perspectives.
• To critically examine theories of change and leadership, and the nurse as a leader in
the healthcare system.
• To analyze the barriers and facilitators to policy changes and consider how nurses
can be involved at a policy level.
• To explore the priorities related to continuous quality improvement and the role of
the nurse to influence and produce quality for clients.
• To examine strategic intersectoral partnerships that can be used by nurses to
influence and produce change.
Weekly Schedule
Why should nurses be interested in the Canadian health care system?
• We are a geographically huge and diverse country; but for all the ways the
geography defines us, Canada was not formed by accidents of nature, but by acts of
national will.
• Important to understand the system to help patients navigate the systems
o Helps use fulfil role as advocate
• We need to know how the system is structured, funded, the policies in place that
help to influence how health care is managed, and being an agent of change
find more resources at oneclass.com
find more resources at oneclass.com
2
Significance for Nurses
• Healthcare is inherently political
• Issues eventually impact quality of care
o Patient load
o Mental health
o Short staffed
o Burnout
o Bed shortage
o Hallway medicine
o Underappreciation of the nursing role
Now more than ever the conditions of nurses workplaces, the settings and contexts
of nurses work, and the realities of contemporary society challenge, on a daily basis,
nursing practice and the availability of resources needed to support this practice.
McIntrye & McDonald (2014, p. xi)
Significance for Nurses
• Clear articulation of issues surpasses individual nurses – includes coming together
of many into a large collective
• Staff shortage- cyclical issue for years
o Older population = influx of patients
o Need more funding
o Working conditions
Nursing Practice as Political Action
• Nurses should endeavor as much as possible, individually and collectively, to
advocate for and work toward eliminating social inequities. CNA Code of Ethics for Registered
Nurses
Canada is..
1. A federal state
• A union of partially self-governing states
• Unified by a federal government
• Self-governing state status and the division of
power typically constitutionally entrenched
2. A parliamentary democracy
• A system of democratic governance of a state
in which the executive branch derives
legitimacy from – and is accountable to – the
legislature (parliament).
• Legislative branch- elected officials
• Head of state is normally not the same person
as head of government
3. A constitutional monarchy
• A form of government in which a monarch
acts as head of state – often ceremonially
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Significance for nurses: healthcare is inherently political. Issues eventually impact quality of care: patient load, mental health, short staffed, burnout, bed shortage, hallway medicine, underappreciation of the nursing role. Now more than ever the conditions of nurses(cid:495) workplaces, the settings and contexts of nurses(cid:495) work, and the realities of contemporary society challenge, on a daily basis, nursing practice and the availability of resources needed to support this practice. Significance for nurses: clear articulation of issues surpasses individual nurses includes coming together, staff shortage- cyclical issue for years of many into a large collective, older population = influx of patients, need more funding, working conditions. Nursing practice as political action (cid:498)nurses should endeavor as much as possible, individually and collectively, to advocate for and work toward eliminating social inequities. (cid:499) cna code of ethics for registered. 3: serves within the guidelines of a constitution, sometimes called a parliamentary monarchy.
