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49 Cards in this Set

  • Front
  • Back
private policies

placed by hospital boards, administrators, or health care systems

local policies

affects nurses by regulation such as smoking bans

state policies

governs nurses by defining nursing practice, education, and license

federal policies

include regulations for funding from Medicaid and medicare
stakeholders

vested groups who control healthcare resources

AARP


example of consumer group


fastest growing


very powerful group that advocates for older population


nurse individual

sets goals within profession to strengthen workplace

nurse citizen

votes and writes members of congress and legislators

nurse activist

active member of professional organization

nurse politician

runs for political office

workplace advocacy


activities nurses undertake to improve things in workplace


most common type of collective bargaining in nursing


can be committees and pt advocacy


collective bargaining


group bargains with manager for what group wants


may form union if can't get results on own


proper steps for whistle blowing


file secret suit with court


serve copy of complaint to dept of justice w/disclosure of all info


gov't will move fwd if they see fit, and pay for lawsuit


ANA


American nurses association


represents all registered nurses in US


functions of ANA


represents nurses in collective bargaining


advances profession w/standards of practice


lobbies congress on healthcare issues


initiates policies pertaining to healthcare reform


WNA


Wisconsin nurses association




foster high standards of nursing


promote professional development


work for healthcare improvement

4 key points of IOM report


#1 nurses should practice to the full extent of their education and training


#2 nurses should achieve higher levels of education and training through and improved education system that promotes seamless academic progression


#3 nurses should be full partners with physicians and other members in redesigning healthcare in the US


#4 effective workplace planning and policy making require better data collection and an improved information infrastructure


#1
the report offers recommendations for stakeholders, legislators etc. to ensure nurses can practice to the full extent of their education and training
#1 recommendations


remove scope of practice barriers


-expand medicare to cover APRN's


-amend medicare to authorize APRN's to preform more


-extend increase in Medicaid reimbursement rate APRN's


-reform scope of practice regulations

ethics


philosophy the concerns the right from wrong


provides guidelines in determining the right course of action


morality


usually refers to customs or religion


behavior in accordance with custom or tradition


beneficence


do good to others


maintain balance between good and harm


nonmaleficence

provide no harm

justice

fairness

autonomy

respect a person's right to self determination

fidelity

keeping promises

veracity

obligation to tell the truth
values

personal beliefs about truth of ideas, standards, principles
constitution
specifies powers of various segments of gov't

public law

consist of constitutional, criminal, administrative law

constitutional law

state or federal law based on a constitution

criminal law

focuses on actions that can do harm

administrative law


protection and rights of citizen


license of healthcare organizations


ex: HIPPA, OSHA, nurse practice act, compact act


civil law

relates to how individuals relate to each other
contract law

related to transactions between individuals and businesses
tort law

civil wrong for which remedy for damages can be imposed

types of torts


intentional- assault, battery, invasion of privacy, false imprisonment, defamation




unintentional- malpractice, neglect


malpractice


wrongful conduct in the discharge of professional duties


failure to meet standards of care that results I harm to another who entrusted the professionals care


negligence

failure to provide care a reasonable person would in the similar situation

negligence examples


failure to


monitor patient


ensure safety


report significant findings

4 elements to prove negligence or malpractice


an obligation is owed


there was a breach of that duty


harm (physical, emotional, financial)


proof of cause


FLAT charting acronym for RN


F-factual


L-legable


A-accurate


T-timely


assault

threat to someone

battery


touching without consent


the action

leadership


influence or inspires actions and goals of others


do the right thing


do not carry position of authority




part of mgmt., not a substitute for it

management


who get things right


process of coordinating actions and allocating resources to achieve goals


manger resources


financial


human


physical


informational


sources of power


expert- derived from knowledge and experience in nursing role




legitimate power- derived from position RN holds in a group, RN's degree,




referent power- derived from others respect for you


sources of power cont....


connection power- how nurses are connected with others of power




information power- nurses influence others with information *important to be functional healthcare teams*