CNO Competencies & Ways of Knowing
Nurses draw upon their own experiences of loss, empathy, and resilience to connect and support families in their grief journey.
what is personal knowing
What are the 5 stages of grief in Kubler-Ross’ grief cycle?
denial, anger, depression, bargaining, and acceptance
a person's personal response to loss.
What is grief?
What are the four petals in the Flower (Em)power to help support family through expected and unexpected life events?
1) Assess family need; 2) sustain a caring environment; 3) identify resources and support; 4) educate and provide information
______ knowing encourages nurses to recognize that the grieving process is a multifaceted, unique, and personal experience. Understanding the grieving process differs from person to person.
what is aesthetic knowing
The stage of grief in which individuals commonly blame others around them (i.e., family, friends, healthcare team)
what is anger
grief experienced before a loss.
what is anticipatory grief
simply encouraging ______ may be a helpful in maintaining therapeutic communication with individuals/families experiencing grief.
silence
Nurse John determines his own professional and interprofessional role within the team by considering the roles, responsibilities, and the scope of practice of others. Which CNO competency is Nurse John demonstrating?
Collaborator
Name 5 common signs/issues that may be observed from someone in the depression stage of grief.
e.g., fatigue, sleep disturbances, anhedonia, loss of appetite, social isolation, helplessness, lack of motivation
What is a factor that may increase the risk for prolonged grief?
traumatic circumstances; vulnerable people
The RNAO Practice Recommendation that involves examining a family's structure, strengths, and current supports.
what is Assessing Need
Nurse John draws on what he has learned from the Kubler-Ross Grief Cycle and his knowledge of the physiological/psychological responses to grief and applies it to his care. Which way of knowing is Nurse John utilizing?
empirical knowing
The stage of Kubler-Ross’ grief cycle where guilt is commonly presented in.
what is bargaining
a type of complicated grief where the individual is unaware of behaviours disrupting normal functioning due to a loss.
what is masked grief
Creating opportunities for families to become more competent and independent, and strengthening families by building on their strengths are examples of _____ ______ care.
family-centered
this CNO entry-to-practice competency indicates nurses use the best evidence to make informed decisions, engage in self-reflection, and create a culturally safe environment.
what is scholar
What is the purpose of the initial denial stage of grief?
Denial is a common defense mechanism that helps the grieving individual cope with significant life changes that may be overwhelming at first (helps minimize overwhelming pain and loss)
Identify 2 pathophysiological responses that may result from intense grief.
e.g., myocardial infarction; increase in stress hormones, catecholamine release, increased SNS stimulation; increased BP/HR, arrythmmias, increase platelet activity and aggregation, release of proinflammatory cytokines, increased release of endothelin, production of fibrinogen
this partnership involves respect, trust, open communication, listening, and mutual informing throughout care.
what is The Nurse-Family Partnership