Realities of Canadian Nursing: Professional, Practice, and Power Issues

by McIntyre RN PhD, Marjorie

• ISBN13: 9780781789813
• ISBN10: 0781789818
• Edition: 3rd
• Format: Nonspecific Binding
• Copyright: 2009-01-01
• Publisher: Lippincott Williams & Wilkins

Summary

The updated Third Edition of this successful Canadian text includes the latest and most vital professional, legal, ethical, political, social, economic, and environmental issues affecting Canadian nurses. Chapters by the most influential leaders in Canadian nursing explore a broad range of current issues including the Canadian health care system, the nursing shortage, professional organizations, nursing research, nursing education, workplace realities, and societal challenges such as nursing in First Nations communities. Emphasis is on the process of articulating issues and devising strategies for resolution. The third edition includes the inclusion of coverage of evidence-based nursing, and updates to current legislation and policies.

Table of Contents

Nurses, Nursing, and the Healthcare System	p. 1
Nursing Issues: A Call to Political Action	p. 3
Significance for Nurses	p. 5
Significance for the Profession	p. 5
Nursing Practice as Political Action	p. 6
Framing the Topic	p. 7
Analyzing the Issue	p. 8
Barriers to Resolution	p. 10
Devising Strategies for Resolution	p. 10
Summary	p. 14
Rural Nursing in Canada	p. 17
Situating the Topic: Framing the Issue	p. 18
Understanding the Issues	p. 19
Resolution: Constraints and Possibilities	p. 26
Summary	p. 28
Canadian Healthcare System	p. 34
The Importance of Understanding Canada's Healthcare System	p. 35
The Canada Health Act	p. 35
So What does this Mean?	p. 47
What Lies Ahead?	p. 49
Nurses Leading to Influence Change	p. 50
Summary	p. 51
Issues in Contemporary Nursing Leadership	p. 56
Situating the Topic: The Nature of the Issue	p. 57
Historical Analysis	p. 60
Social Analysis	p. 60
Economic Analysis	p. 61
Ethical Analysis	p. 61
Political Analysis	p. 61
Barriers to Resolving the Issue	p. 62
Strategies to Resolving the Issue	p. 62
Summary	p. 66
Health and Nursing Policy: A Matter of Politics, Power, and Professionalism	p. 68
Policy, Politics, Power, and Professionalism	p. 69
History and Background: Perspectives on Policy	p. 72
Conceptualizing the Policy Design Process	p. 81
Impact on Nursing: The Relevance of a Nursing Perspective	p. 84
Future Implications: Challenges and Strategies	p. 85
Summary	p. 87
Policy: The Essential Link in Successful Transformations	p. 91
The Challenge: Avoiding Critical Situations	p. 93
High-Quality Evidence	p. 95
Effective Research-Policy Linkages	p. 96
Planned Change: Why does it Happen...Or Not?	p. 97
Policy Cycle	p. 99
Political Acumen: The Drive Behind Policymaking	p. 104
Overcoming Barriers: Lessons from those Who have Walked Before	p. 106
Overcoming Barriers and Initiating Action	p. 108
Summary	p. 109
Regulatory Power	p. 115
The Canadian Nurses Association and the International Council of Nurses	p. 117
The Canadian Nurses Association: The National Voice of Nurses in Canada since 1908	p. 118
CNA's Strategic Responses to Priorities and Challenges Confronting Canadian Nursing in the 21st Century	p. 123
The International Council of Nurses: A Historical Perspective	p. 135
The ICN in the 21st Century	p. 142
Summary	p. 143
Canadian Provincial and Territorial Professional Associations and Colleges	p. 147
Regulation	p. 148
Regulation of Nursing	p. 149
Issues in Regulation	p. 152
Summary	p. 163
The NP Movement: Recurring Issues	p. 166
Situating the Topic: The Nature of the Issue	p. 167
Articulating the Topic as an Issue	p. 167
Analyzing the Issue: Ways of Understanding	p. 167
Barriers to Resolution	p. 173
Strategies	p. 175
Summary	p. 176
Glossary of Terms	p. 177
Nursing Knowledge: How We Come to Know What We Know	p. 181
Challenges and Change in Undergraduate Nursing Education	p. 183
Roots and Wings: Issues in Undergraduate Nursing Education	p. 185
Prepared to Care?	p. 187
Constructing Bodies: Who Becomes a Nurse?	p. 187
Active Education: Connecting the Global and the Local	p. 190
Advocating for Nursing: Change is Political	p. 191
Workplace Blues	p. 192
Looking Forward; Looking Back	p. 194
Historical Issues in Undergraduate Nursing Education	p. 195
The Future: New Old Issues?	p. 198
Summary	p. 199
Graduate Education	p. 203
History of Graduate Nursing Education in Canada	p. 204
Practice Realities and Challenges for Graduate-Prepared Nurses	p. 208
Issues and Controversies in Graduate Education	p. 210
Challenges for Graduate-Prepared Nurses	p. 214
Strategies for Advancing Graduate Education	p. 215
Summary	p. 218
The Challenges of Holistic Nursing Practice	p. 223
What is Holistic Nursing?	p. 224
Holism in Nursing: 20th Century Developments	p. 225
Modern Holistic Nursing: A Three Country Comparison	p. 229
Practicing Holistic Nursing Today: Issues and Challenges	p. 232
Summary	p. 234
Nursing, Technology and Informatics: Understanding the Past and Embracing the Future	p. 238
Relationship between Nursing and Technology	p. 240
Nursing Informatics	p. 241
Applications of Nursing Informatics and Technology in Practice	p. 242
Issues in the Application of Biomedical Technology and Nursing Practice	p. 246
Issues in the Allocation of Technology in Education	p. 247
Issues in Adopting Technology in Nursing Education	p. 250
Future of Technology in Education and Practice	p. 252
Summary	p. 254
The Realities of Canadian Nursing Research	p. 259
The Evolution of Nursing Research in Canada	p. 260
Influence of Research on Nursing Practice and Education	p. 268
Contribution of Nursing Research to the Health and Healthcare of Canadians	p. 273
Issues Facing Nursing Research	p. 274
The Future of Nursing Research	p. 276
Summary	p. 277
Workplace Realities	p. 281
Issues Arising From the Nature of Nurses' Work and Workplaces	p. 283
The Nature of Nurses' Work	p. 284
The Nature of Nurses' Workplaces	p. 284
The Significance of Nurses' Work Issues	p. 285
Issues Arising in Nurses' Work and Workplaces	p. 286
Barriers to Resolving Work and Workplace Issues	p. 296
Strategies for Resolving Work and Workplace Issues	p. 297
Summary	p. 300
The Nursing Shortage: Assumptions and Realities	p. 303
Nature of the Nursing Shortage	p. 304
Framing and Analyzing the Issue	p. 304
Historical Analysis of the Nursing Shortage	p. 305
Social and Cultural Analysis of the Nursing Shortage	p. 307
Economic Analysis of the Nursing Shortage	p. 309
Political Analysis of the Nursing Shortage	p. 310
Critical Feminist Analysis of the Nursing Shortage	p. 311
Status of Nursing Knowledge	p. 311
Status of Nurses' Work	p. 312
Identifying Barriers to Resolution of the Nursing Shortage	p. 312
Devising Strategies to Resolve Selected Issues	p. 313
Summary	p. 314
Taking Power: Making Change and Nurses' Unions in Canada	p. 316
Historical Influences	p. 317
Organizing Practices of Professional Nurses	p. 319
Emergence of Union Practices	p. 320
Transformations in Healthcare	p. 320
Transformations in Unions	p. 321
CNA Influences on the Move to Unionization	p. 322
Changes in Nurses' Thinking about Collective Bargaining	p. 324
The Gendered Nature of Issues Surrounding Collective Bargaining	p. 324
Nurses' Workplaces	p. 326
Collective Bargaining	p. 329
Moving Ahead	p. 330
Unions Today and Tomorrow	p. 331
Summary	p. 333
Ethical and Legal Issues in Nursing	p. 337
Story: The Winnipeg Nurses	p. 338
What is Ethics? What is Bioethics?	p. 339
Recognizing Ethical Issues	p. 339
Identifying and Articulating Ethical Issues	p. 340
Ethical or Legal Issue? Alike but Different	p. 343
Issues of Moral Integrity	p. 345
Barriers to Resolving Ethical and Legal Issues	p. 349
Strategies for Resolution of Ethical and Legal Issues	p. 351
Summary	p. 352
Issues of Gender and Power: The Significance Attributed to Nurses' Work	p. 355
Gender and Power: Articulating the Issue for Nursing	p. 356
The Effects of Gender in Nurses' Lives	p. 361
Barriers to and Strategies for Issue Resolution	p. 365
Summary	p. 366
When Difference Matters: The Politics of Privilege and Marginality	p. 369
A Philosophical Approach to Understanding Difference	p. 370
The Challenge of Difference	p. 373
Theorizing Difference	p. 374
Difference as Deviance: A Case of Biologic Determinism in Practice	p. 376
Difference as Relationship	p. 379
The Distinct Realities of Others	p. 382
Summary	p. 384
Orientating to Difference: Beyond Heteronormative Sexualities	p. 387
Beyond Heteronormative Sexualities: Articulating the Topic for Nursing	p. 388
Articulating the Topic as an Issue	p. 390
Analyzing the Issue: Ways of Understanding	p. 391
Barriers to Resolution	p. 395
Strategies for Resolution	p. 396
Summary	p. 396
Environmental Health and Nursing	p. 400
Historical Links between Environment and Health	p. 402
Environmental Health Hazards	p. 403
Barriers and Strategies	p. 409
Summary	p. 410
Interpersonal Violence and Abuse: Ending the Silence	p. 414
The Many Forms of Interpersonal Violence	p. 416
Historical Perspectives on Violence and Abuse	p. 418
Statistics in the Canadian Context	p. 419
Understanding Violence: Theoretical Perspectives	p. 424
Impact on Health and the Healthcare System	p. 425
Issues for Nurses and the Nursing Profession	p. 426
Barriers to Resolution	p. 427
Strategies for Resolution	p. 428
Summary	p. 429
Challenges for the New Millennium: Nursing in First Nations	p. 435
Diversity of the First Peoples	p. 436
European Relationship with First Nations	p. 437
Cultural Resurgence of First Nations and Community Development	p. 439
Miyupimaatissiium: Being Alive Well	p. 440
Healthcare in Northern and Isolated Communities	p. 442
Climate for Change: Nursing in First Nations Communities	p. 444
Summary	p. 451
Opening Conversations: Dilemmas and Possibilities of Spirituality and Spiritual Care	p. 455
Introduction to the Topic: Opening the Conversation about Spirituality	p. 456
Situating the Topic: Personal and Professional Assumptions	p. 457
Situating the Topic: Understanding Spiritual Practices Historically	p. 457
Significance of the Topic for Nursing: Embracing the Tensions	p. 458
Articulating the Topic as an Issue: Practice Dilemmas	p. 459
Identifying Barriers: Furthering Our Understanding	p. 467
Generating Strategies: Future Possibilities	p. 467
Summary	p. 467
Looking Back, Moving Forward: Taking Nursing toward 2020	p. 470
Studying the Future	p. 471
Summary	p. 479
Index	p. 483
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