Chapter 1 & 2 - Answers
health - Answers a resource for everyday life encompassing social and personal resources as
well as physical capacities
- very individual to every person
4 ways to think about community - Answers - as a client
- as a relational experience
- as a shift away from "blaming the individual"
- as context
community as a client - Answers we assess the community through epidemiology, using
assessment strategies (size, population groups, characteristics, boundaries, history, schools,
resources, SE data)
community as a relational experience - Answers asks the question what are the relational
aspects of community inclusive of the power relations
- how they view their health
- the political elements that define how health is viewed and resources are part of the
assessment and planning
community as a shift away from blaming the individual - Answers to look at how health disparity
is a result of societal issues of poverty, racism, colonial practices, economic and political
decisions, governmentally
community as context - Answers - the environment in which a person lives
- geographic
primary health care - Answers affordable, accessible, appropriate care; equitable access to
health and health services, public participation, appropriate technology, intersectional
collaboration and reorientation of the healthcare system to promotion of health and prevention
of disease
Primary Care - Answers component of primary health care
- first point of care
what were the earliest forms of healthcare in Canada? - Answers indigenous medicine and
healing practices
,- aboriginal peoples provided healthcare and knowledge to European settlers (not acknowledged)
European settlers introduced what to the aboriginal peoples? - Answers epidemics of infectious
disease, wars and the degeneration of aboriginal culture/identity --> led to social, health and
economic disparities that persist today
where and when are the earliest forms of community-oriented nursing from? who was involved?
- Answers New France, 17th century
- the Duchesse d'Aiguillon sisters who established essential healthcare and carried out work in
homes, hospitals and communities
who is considered canada's first nurse? - Answers Jeanne Mance
Who were the Grey Nuns? - Answers Canada's first community nursing order who made
significant contributions to providing access to health services, food, shelter and education for
the most vulnerable
who is Pauline Paul? what does she argue? - Answers a historian who says that religious orders
in the 18th century not only provided care in remote areas, but were also among the first to
establish and operate modern hospitals and contributed to the development of nursing
education
who was Marie Rollet Herbert? - Answers a laywoman who worked closely with aboriginals and
discovered the importance of evergreen trees as a source of vit C
what did religious nursing orders do in the 18th century? - Answers provided access to health
services, food, shelter, and education for the most vulnerable populations (including those
immigrating and settling the western regions of what is now Quebec)
how did the 1867 Constitution Act/British North America (BNA) Act influence healthcare? -
Answers - made only limited provisions for the establishment and maintenance of a healthcare
system
- responsibility of both the federal and provincial governments to ensure availability and funding
of healthcare services
- provincial government responsible for direct healthcare locally, federal government
responsible for taxes and contributing money equally
who was the second half of the 19th century influenced by? - Answers Florence Nightingale
how was the 19th century characterized? - Answers by the development of the nursing
profession
- predominately by nightingale (sanitization, lighting, temp, keeping statistics) and the
commitment of women's groups
, what did nursing orders focus on in the 19th century? - Answers SDOH, community outreach
and advocacy that are a model of contemporary CHN practices
What is health promotion? - Answers the process of enabling people to increase control over,
and to improve, their health
- was present in the earliest forms of community health nursing practice; includes the influence
of nightingale in the use of epidemiology, stats and awareness of environmental factors of
health
what is VON? what did it do for healthcare? - Answers Victorian Order of Nurses
- an organization created by women's groups/individuals that developed community health
services for the rural and poor communities and immigrant women in Canada
why were VON and other woman's organizations created? - Answers lack of access to
healthcare for these vulnerable populations
the later 19th/early 20th century's nursing profession is seen as 3 distinct sectors: - Answers -
hospital nurses
- private duty nurses
- public health and home-visiting nurses
what are some differences between community nurses and other sector nurses? - Answers -
they remained in their community practices longer
- enjoyed greater financial stability and higher salaries
- sense of adventure, independence, courage, humanitarianism --> led to them offering their
services to those living in poor and rural communities
what was special about pioneered CHNs? - Answers they worked to meet the immediate needs
of communities for direct care and midwifery while also providing health education and
prevention to individuals and families
why were volunteerism and leadership important to the practice of CHNs? - Answers CHNs
lobbied local officials, made referrals, raised funds and provided transportation... needed
support
how did red cross help CHNs? - Answers funds for certificate courses at 5 Canadian universities
to increase knowledge and scope of practice
- focus of education was on maternal child programs, communicable diseases, school health
and social welfare issues