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53 Cards in this Set
- Front
- Back
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Accountability
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individuals being answerable for their actions, you accept the commitment to provide excellent care and the responsibility for the outcomes of the actions in providing that care
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Authority
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legitimate power to give commands and make final decisions specific to a given position
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Autonomy
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freedom of choice and responsibility for the choices, must be consistent with the scope of practice and will maximize effectiveness as a nurse.
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Case management
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a care management approach that coordinates and links health care services to clients and their families while streamlining costs and maintaining quality cost effective outcomes. Case manager coordinates acute care and follows up after discharge. not always providing direct care but overseeing the care given
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Decentralized management
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decision making is moved down to the level of the staff (common within healthcare organizations) Provides greater potential of collaborative care, increased staff competency, increased staff motivation, and greater sense of professional accomplishment
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Primary Nursing
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Model of Care delivery developed to place RNs at the bedside and to improve nursing accountability for client outcomes and the professional relationships among staff members. the primary nurse assumes responsibility for a caseload of clients over time, and assesses client needs, develops care plans, and makes sure that appropriate nursing interventions are delivered.
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Responsibility
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the duties and activities that an individual is employed to perform. typically outlined in the position description. Reflects ownership.
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Shared Governance
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A group that establishes and maintains care standards for nursing practice in their work unit
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Team Nursing
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developed as a care delivery model in response to the severe nursing shortage following WWII. an RN leads a team that is made up of other RNs, LPNs, LVNs, and nurse assistants or technicians. The team members provide direct care under the direction of a team leader. limited by the fact that RN does not spend a large amount of time with clients, and advantage is it encourages each member to help the others.
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Total patient care
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Delivery system originally developed during Florence nightingales time. RN is responsible for all aspects of care for one or more clients. They may delegate aspects of care to other members of health team. Shift focus with high client satisfaction but not cost effective as it requires high number of RNs
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Delegation
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transferring responsibility for the performance of an activity or task while retaining accountability for the outcome. Results in greater efficiency, increased productivity, and development of others
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Beneficence
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taking positive actions to help others. Encourages the urge to do good for others.
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Nonmaleficence
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the avoidance of harm or hurt. Doing not only good, but have a commitment to doing no harm.
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Justice
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fairness
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Fidelity
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the agreement to keep promises.
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Code of Ethics
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a set of guiding principles that all members of the profession accept. A collective statement about the groups expectations and standards of behavior.
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Advocacy within Nursing Code of Ethics
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the support of a cause, Advocate for health, safety and rights of the client.
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Responsibility
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Willingness to respect obligations and to follow through on promises.
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Confidentiality
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HIPAA- mandates the confidential process of clients personal health information.
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Value
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a personal belief about the worth fo a given idea, attitude, custom, or object that sets standards that influence behavior. (reflect cultural, social influences which are varied among people, and develop and change over time.)
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Value Clarification
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am important part of ethical discourse, must consider your own values as well as the clients, and coworkers.
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deontology
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a system of ethics which defines actions as right or wrong based on their "right-making characteristics such as fielity to promises, truthfullness, and justice."
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Consequentialism
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a utilitarian system of eithics in which the value of something is determined by its usefullness, and has a main emphasis on the outcome
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Building consensus
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an act of discovery, where "collective wisdom" guides a group to the best possible decisions. Encourages respect for unusual points of view while striving for agreement between all participants.
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How to solve an ethical dilemma?
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Ask the question, Is this an ethical dilemma?
Gather information relevant to the case. Clarify values. Verbalize the problem. Identify possible courses of action Negotiate a plan. Evaluate plan over time. |
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Futile Care
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something that is "useless; hopless; serving no useful purpose." unlikely to produce benefit that outweighs the risk.
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Statuatory laws
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a law that is determined by legislative bodies. Example: Nurse practice acts
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Nurse Practice Act
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describe and define the legal boundaries of nursing practice within each state
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Regulatory/Administrative law
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reflects decisions made by an administering body such as State Boards of nursing when they pass rules and regulations.
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Common law
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results from judicial decisions made in courts when individual legal cases are decided.
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Criminal Law
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prevent harm to society and provide punishment of crimes.
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Felony
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a crime of a serious nature that has a penalty of imprisonment for greater than 1 year or even death.
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Misdemeanor
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a less serious crime that has a penalty of a fine or imprisonment for less than 1 year.
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Civil laws
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protect the rights of individual persons within our soceity and encourage fair and equitable treatment among people
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Standards of Care
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the legal guidelines for nursing practice and provide the minimum acceptable nursing care.
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Living wills
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represent written documentatios that direct treatment in accordance with the client's wishes in the event of a terminal illness or condition
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Durable Power of Attorney for Health Care (DPAHC)
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a legal document that designates a person or persons of one's choosing to make health care decisions when the cleint is no longer able to make decisions on his/her own behalf
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DNR- Do not resuscitate
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order that mandates treatment be withheld instead of the delivery of treatment.
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Good Samaritan Laws
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encourage health care professionals to assist in emergencies, limits the liability and offers legal immunity fo nurses who help at the scene of an accident.
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Tort
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a civil wrong made against a person or property
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Intentional Tort
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a willful act that violates another's rights, such as assault, battery, and false imprisonment.
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Unintentional tort
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negligence or malpractice
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Assault
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any intentional threat to bring about harmful or offensive contact(intentional tort)
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Battery
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any intentional touching without consent (intentional tort)
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False imprisonment
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unjustified restraint of a person withou legal warrant (intentional tort)
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Quasi-intentional tort
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acts where intent is lacking but volitional action and direct causation occur.
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Invasion of privacy
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a client should be gree form unwanted intrusion into his or her private affairs (quasi-intentional)
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Defamation of Character
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the publication of false staements that result in damage to a person's reputation. Includes malice, slander, and libel
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Negligence
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conduct that falls below a standard of care
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Malpractive
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one type of negligence and often referred to as professional negligence.
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Informed consent
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a person's agreement ot allow something to happen, such as surgery or an invasive diagnositic procedure, based on full disclosure or risks, benefits, alternatives, and consequences of refusal. Cannot be obtained when client under influence of medication (narcotics)
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Risk Management
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a system of ensureing appropriate nursing care that attempts to identify portential hazards and eliminate them before harm occurs
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Incident/occurence report
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a confidential and seperate report from the medial record and includes information on on a problem or incidence in client care.
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