NUR 205 Q2 (CHAPTER 6 & 10) – Flashcards

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Term or label that describes a phenomenon
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Concept
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The phenomenon described by a concept can be either be _____ and _________
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Empirical Abstract
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Observed/experienced through the senses
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Empirical
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Not observable e.g. hope/caring
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Abstract
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Set of concepts and statements that integrate the concepts into a meaningful configuration
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Conceptual model
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Statements that describe relationships among events, situations or actions
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Propositions
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Describe concepts or connect two concepts and represent values, beliefs, or goals
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Assumptions
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Determines how the world is viewed by members of a discipline and guides the members as they propose questions and make observations relevant to the discipline
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Frame of reference
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"Is an organized, coherent, and systematic articulation of a set of statements related to significant questions in a discipline that are communicated in a meaningful whole"
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Theory
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What is the primary difference between a conceptual model and a theory?
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Level of abstraction and specificity. Conceptual model is highly abstract Theory is more specific
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Most global perspective of a discipline and "acts as an encapsulating unit, or framework, within which the more restricted...structures develop"
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Metaparadigm
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The four central concepts of the metaparadigm of nursing are:
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Person Environment Health Nursing
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Theoretical works in nursing are generally categorized either as:
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philosophies, conceptual models, theories, or middle-range theories
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Set forth the general meaning of nursing and nursing phenomena through reasoning and logical presentation of ideas
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Philosophies
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Are broad and address the general ideas about nursing
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Philosophies
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Contribute to the discipline of nursing by providing direction, clarifying values, and forming a foundation for theory development
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Philosophies
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Theory? Focuses primarily on the patient and the environment with the nurse manipulating the environment to enhance patient recovery
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Nightingale's Environmental Theory
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Nightingale's philosophy includes the four metaparadigm concepts of nursing
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What are the metaparadigm concepts as defined in Nightingale's model?
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Person
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Recipient of nursing care
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Environment
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External (temperature, bedding, ventilation) Internal (food, water, and medications)
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Health
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Health is "not only to be well, but to be able to use well every power we have to use"
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Nursing
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Alter or manage the environment to implement the natural laws of health
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Nursing interventions using Nightingale's philosophy are centered on her 13 Canons:
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Ventilation and warming Health of houses Petty management Noise Variety Taking food What food? Bed and bedding Light Cleanliness of rooms and walls Personal cleanliness Chattering hopes and advices Observation of the sick
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The interventions subsumed in this canon include keeping the patient and the patient's room warm and keeping the patient's room well ventilated and free of odors. Specific instructions include "keep the air within as pure as the air without"
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Ventilation and warming
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This canon includes the five essentials of pure air, pure water, efficient drainage cleanliness, and light
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Health of houses
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Continuity of care for the patient when the nurse is absent in the essence of this cannon.
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Petty management
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Instructions for this cannon include the avoidance of sudden noises that startle or awaken the patients and keeping the noise in general to a minimum
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Noise
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This canon refers to an attempt to variety in the patient's room to avoid boredom and depression
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Variety
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Interventions for this canon include the documentation of the amount of food and liquids that the patient ingests
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Taking food
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Instructions for this canon include trying to include patient food preferences
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What food?
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The interventions in this canon include comfort measures related to keeping the bed dry and wrinkle free
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Bed and bedding
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The instructions in this canon relate to adequate light in the patient's room
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Light
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This canon focuses on keeping the environment clean
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Cleanliness of rooms and walls
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This canon includes measures such as keeping the patient clean and dry
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Personal cleanliness
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Instructions in this canon include the avoidance of talking without reason or giving advice that is without fact
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Chattering hopes and advices
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This canon includes instructions related to making observations and documenting observations
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Observation of the sick
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Best known for her definition of nursing
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Virginia Henderson
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Henderson identified 14 Basic Needs on which nursing cared is based
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...
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14 Components of Basic Nursing Care
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Breath normally Eat and drink adequately Eliminate bodily wastes Move and maintain desirable postures Sleep and rest Select suitable clothes; dress; and undress Maintain body temperature within normal range by adjusting clothing and modifying the environment Keep the body clean and well groomed and protect the integument Avoid dangers in the environment, and avoid injuring others Communicate with others in expressing emotions, needs, fears, or opinions Worship according to one's faith Work in such a way that there is sense of accomplishment Play or participate in various forms of recreation Learn, discover, or satisfy the curiosity that leads to normal development and health and use the available health facilities `
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Metaparadigm Concepts as Defined in Henderson's Philosophy and Art of Nursing
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...
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Person
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Recipient of nursing care who is composed of biological, psychological, sociological, and spiritual components
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Environment
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External environment (temperature, dangers in environment); Impact of community on the individual and family
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Health
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Based upon the patients ability to function independently
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Nursing
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Assist the person, sick or well, in performance of activities and help the person gain independence rapidly as possible
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Theory? Goal of nursing is to help persons attain a higher level of harmony within the mind-body-spirit; attainment of that goal can potentiate healing and health; This goal is pursued through trans personal caring guided by carative factors adand corresponding caristas processes
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Jean Watson's Philosophy and Science of Caring
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Watson's theory for nursing is based on 10 Carative Factors into what she termed Clinical Caritas Processes
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...
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To cherish, to appreciate, and to give special attention. It conveys the concept of love
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Caritas
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Watson refers to the ___ as the "core" of nursing, which is grounded in the philosophy, science, and art of caring
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Clinical caritas `process
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The _____ describe by Watson provide guidelines for nurse-patient interactions
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Carative factors
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Metaparadigm Concepts as Defined in Watson's Philosophy and Science of Caring
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...
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Person
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"Unity of mind-body-spirit/nature"; embodied spirit
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Healing space and Environment
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A nonphysical energetic environment; a vibrational; field integral with the person where the nurse is not only in the environment but "the nurse IS the environment"
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Health
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Harmony, wholeness, and comfort
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Nursing
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Reciprocal transpersonal relationship in caring moments guided by carative factors and caritas processes
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Focused on the understanding of perceptual acuity, clinical judgement, skilled know-how, ethical comportment, and ongoing experiential learning
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Patricia Benner
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Most important in Benner's philosophy is
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the understanding of ethical comportment
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composed of abstract and general concepts that provide a frame of reference for members of a discipline
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conceptual model
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The ____ and _____ of nursing represent various paradigms (models) derived from the ______ of the discipline of nursing
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The conceptual models and theories of nursing represent various paradigms derived from the metaparadigm of the discipline of nursing.
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_____ guide nursing practice and assist to organize, understand, analyze patient data and make nursing care decisions
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theoretical frameworks
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Provide a systematic and knowledgeable approach to nursing practice
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theoretical frameworks
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tool to assist critical thinking and provides a paradigm to view nursing process and patient care scenario
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theoretical frameworks
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How will theory affect your nursing practice? Using a ______ to guide your nursing practice assists you as you organize patient data, understand and analyze patient data, make decisions related to nursing interventions, plan patient care, predict outcomes of care, and evaluate patient outcomes
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Theoretical framework
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To apply the nursing theory
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One must have knowledge on theoretical works
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Metaparadigm Concepts as Defined in Brenner's Philosophy
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Person
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Embodied person living in the world who is a "self-interpreting being, that is, the person does doesn't come into the world pre-defined but gets defined in the course of living a life
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Environment
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A social environment with social definition and meaningfulness
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Health
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The human experience of health or wholeness
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Nursing
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A caring relationship that includes the care and study of the lived experience of health, illness, and disease
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____ provide a comprehensive view and guide for nursing practice. They are organizing frameworks that guide the reasoning process in professional nursing practice
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conceptual models
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Theory? Asserts that human beings are dynamic energy fields that are integrated with environmental energy fields so that the person and his or her environment form a single unit
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Roger's Science of Unitary Human Beings
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Your own personal view or way of thinking
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Philosophy
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Truth corresponds with reality, reality is achieved through our perceptions of the world in which we live
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Classical philosophers
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Truth found in natural world - sensory experiences
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Aristotle & Heraclitus
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Truth found in natural world - rational intellect
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Plato & Parmenides
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Truth found when one knows self
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Socrates
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Truth not of this world
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Plotinus
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Truth based in experience and relating to experiences
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Empiricists (Bacon, Locke, Hume, Mill)
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All things are knowable by man's deductive reasoning
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Rationalists (Descartes, Spinoza)
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Truth exists only in the mind
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Idealists
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Truth is science and the facts that science discovers
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Positivists
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Truth is found through man's faith in his existence as it relates to God
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early existentialists
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Truth relative and practical - if it works, then it's truthful
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pragmatists
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truth always dependent on the knower and the knower's context
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relativists
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truth is human consciousness
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phenomenologists
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if truth can be found, it can be found only through man's search for self
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existentialists
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truth is not singular and is always historical
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poststructuralists/postmodernists
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Abandoned mythological thought and sought out reasoning to answer questions
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Greeks
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FIRST famous philosopher- Belief in the mortal soul
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Socrates
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Belief that "the soul's the vehicle to return to its intelligible roots"
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NEOPLATONISM AGE
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Belief in a higher power
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CHRITIANITY AND WESTERN PHILOSOPHY`
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The lens though which you see the world Philosophical foundations that support our approach to research
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Paradigm
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What we value and view as important We can apply this to each of the concepts of ... Person Health Environment Nursing
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BELIEF
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The world is static Seeing is believing The social world is a given Reality is physical and independent Logical thinking is superior
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Realism
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The world is evolving There is more than meets the eye The social world is created Reality is a conception perceived in the mind Thinking is dynamic and constructive
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Idealism
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refer to what the normative standard should be, not necessarily to how things actually are
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values
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are the principles and ideals that give meaning and direction to our social, personal and professional lives
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values
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The AACN (American Association of Colleges of Nursing) defines several values important to nursing education....
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altruism, autonomy, human dignity, integrity, and social justice.
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Process of valuing involves three steps:
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Choosing values prizing values acting on values
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This is when we choose a new value
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VALUE ACQUISITION
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This is when we let go of a value because we not longer see its importance
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VALUE ABANDONMENT
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This is when society changes a value
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VALUE REDISTRIBUTION
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The process of _____ can occur in a group or individually helps us understand who we are and what is important to us
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values clarification
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the building blocks of philosophy
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attitudes beliefs values
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overall purpose of personal philosophy is
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to define how one finds truth
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