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61 Cards in this Set

  • Front
  • Back

Nursing Practice Acts

Describe and define the legal boundaries of nursing practice in each state

Americans with Disabilities Act (1990)

Protects the rights of individuals who are disabled

Standards of care

The legal requirments for nurse practice that describe minimal acceptable nursing care

American Nurses Association

Develops standards for nursing practice, policy statements and similar resolutions

The Joint Commission

Requires accredited hospitals to have written nursing policies and procedures

EMTALA

Stabilizing emergency patients beforw transport

Mental Health Parity Act

Prohibits placing lifetime or annual limits on mental healthcare

National Organ Transplant Act

Prohibits the sell of organs

Empirics

Science of nursing

Esthetics

Art of nursing

Personal knowledge

Gained exerience

Ethics

Morals

Nursing research

Systematic inquiry that utilizes discipline methods to answer questions, solve problems.

Ultimate goal of Nursing Research

Develop, refine, expand body of knowledge to benefit the profession and patients

Theories

Build common terminology, offer a framework for generating knowledge to help establish quality to improve nursing care

Qualitative

Observe over a long period of time

Quantitative

Numbers

Experimental

Researches introduce new ideas

Non-experimental

Observations without interventions

CMS

Require the reporting of 8 different things annually

Leader for high standards of safety and quality

Joint Commission

Donnabedian Model

Most common utilized framework for determining quality managed cost containment

Healthcare Quality

Expectations: providers, managers, patients, patient-centered- care, excellent services, comprehensive communication, competent care, interprofessional teamwork, cultural care

Results less systematic, random

Research

Considers all research, more systematic, integrative,clinical expertise, values

EBP

5 steps

Develop topic, look at triggers, form a team, research, evaluate

Scope of evidence

Bi-directional

Bench research

Client care and advances in patient care depend on bench research

QSEN

Knowledge, skills, attitude

Six Sigma

Process improvement

TQI

Continuous high quality for customers

Baldridge

Excellence in performance

IOM

To err is human...

A

Strongly recommends- beneficial to others

B

Recommends - moderate

C

None

D

Recommends against- risks outweigh the benefits

I

Not enough evidence to recommend or to not recommend

Evidence Based Practice

Problem solving approach tp clinical practice that integrates the conscientious of best evidence in combination with a clinician's expertise and patient preferences in values in making decisions about patient care

Evaluation

Form of quantitative research that determines how well a program or policy is working

Gold Standard of Research

Randomized control group- 2 groups, randomize them, double-blind, 0 bias, do not influence results

Tort

Civil wrong against a person or their property

Intentional tort

Assault, battery, false imprisonment

Unintentional tort

Negligence, malpractice

Quasi- Intentional tort

Hurting feelings, defimation of character, invasion of privacy

Assault

Threat

Battery

Unlawful touching

Defamation of character

Publication of false statements

Slander

Spoken

Libel

Written

Negligence

Conduct that falls below the conduct of care

Organized system of ensuring appropriate nursing care by identifying potential hazards and eliminating them before harm occurs

Risk management

Particiative governing

Voting, running for office, attending legislative sessions

Patients without healthcare

Use emergency departments, more expensive to provide care

State laws

Regulate practice

Agenda setting

A health-related issue is identified

HIPPA

Patient privacy

Federal Nursing Home Reform Act

Patients free from restraints

Good Samaritan

Assist in emergemcies within scope, do not leave the scene

Uniform Determination of Death

Cardiopulmonary, or "whole brain" to determine death

Nurses assisting with PAS (Physician assisted suicide)

Violates the code of ethics for nurses (Death with Dignity Act)