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concepts
final
| Term | Definition |
|---|---|
| Prevention | stops error before it occurs |
| error of execution | not completed as intened |
| near-miss event | unplanned event with no injury or damage |
| adverse event | incidence that results in harm |
| SOLER | Sit facing patient Open position Lean toward patient Eye contact Relax |
| 5 rights of delegation | Right task Right circumstance Right person Right direction Right supervision |
| deontology | is this the right thing to do? |
| utilarianism | what will create the greatest good? |
| Ethics of character | what is right based on life experiences |
| ethics of relationship | what is the most caring response |
| autonomy | respect for person |
| beneficence | to do good |
| non-maleficence | to do no harm |
| justice | treating others fair |
| fidelity | loyal, faithfulness, trusting |
| veracity | duty to tell the truth |
| The patient is given the right to make decisions in their own medical care. This is called what? | Autonomy |
| A nurse holding a dying patients had is an example of what? | Beneficenece |
| A nurse perform multiple checks before administering medication to avoid a dangerous medication error. This is an example of what? | Non-maleficence |
| A nurse juggling multiple patients provides better care based on who has the best insurance. This is a lack of what? | Justice |
| a nurse tells their patient they were coming back in 30 minutes to check on their pain and doesn't. This is a lack of what? | Fidelity |
| if a patient was starting chemotherapy and asked about the side effects, the nurse tells her there are none. This nurse is showing a lack of what? | Veracity |
| ethical problem | clear solution |
| ethical dilemma | something wrong must be done in order to do something right |
| latent errors | system defects |
| active errors | medication errors, nursing error |
| sentinel event | should not have happened (ex: patient dropped) |
| mitigation | went wrong but didn't go as bad as it could have |
| error of omission | not doing something that should have been done |
| error of commission | doing something wrong |
| just culture | balance between the need to learn from mistakes and the need for disciplinary actions |
| ancillary system | lab systems: blood banks, PACS |
| intrapersonal communication | self talk |
| intraproffesional communication | communication with same profession (nurse to nurse) |
| interprofessional communication | communication with healthcare team |
| interpersonal communication | communication with others |
| therapeutic communication | words/actions used to achieve good nursing outcomes |
| What can't be delegated by an RN? | pt assessment, planning/evaluating care, development of plan of care, health teaching/counseling |
| QSEN- Quality and Safety education for nurses | patient centered care, teamwork/collaboration, evidence based practice, quality improvement, safety, informatics |
| RN- | continuation of nursing care, med administrations, nursing skills as appropriate |
| LPN | basic tasks, PO/IM/SQ med administrations, observe pt activity and gathering data if already taught by RN |
| NAP | hygiene, toileting, feeding, routine vitals, turning/ambulating, blood sugar measurement |
| Health care law | collection of laws that have a direct impact on the delivery of health care or on the relationships among those in the business' of healthcare or between the providers and recipients of health care |
| Legislation | process of introducing, adopting, changing, or repealing law |
| Federal legislation | HIPPA, Medicare/Medicaid |
| State legislation | Nurse practice act |
| Regulation | process of putting laws into action through the establishment of rules |
| Regulatory agency | CDC, CMS |
| Litigation | process of seeking help through the courts to address a perceived wrong |
| Regulatory law | decisions made by administrative bodies when rules and regs are passed.> State board of nursing |
| Common law | Results from judicial decisions made by courts for individual legal cases > negligence, malpractice |
| Statutory law | Law created by elected legislative bodies > us congress, state legislature |
| Criminal law | relates to crime and prohibits conduct that threatens or harms others or endangers the property or health of individuals |
| Constitutional law | deals with the fundamental principles by which a government exercises its authority |
| Advanced directives | allows person to specify aspects of care they wish to receive if unable to make decisions |
| Two kinds of health care directives | Living will and health care proxy |
| Informed consent | nurses on WITNESS signatures once informed consent is given |
| Negligence | Failure to exercise care that a reasonably prudent person would exercise in like circumstances |
| example of negligence | A driver causing harm to passengers due to carelessness |
| Malpractice definition | type of negligence where license professional fails to pro ide services as per standards set by governing body |
| example of malpractice | A doctor not performing duties in accordance with medical standards resulting in harm being caused to patient |
| Tort law | wrongful and unreasonable action or omission to an individual or entity against a person who suffers harm fro the act or omission |
| Plaintiff | harmed individual |
| intentional torte | assaults or battery |
| Unintentionally torte (negligence) | car accident or slip and fall |
| Strict liability tort | ultrahazardous material or animals |
| Nurse-initiated intervention | independent-actions that nurses initiate |
| Health care provider initiated intervention | requires order from physician or other health care provider |
| Collaborative interventions | interdependent- requires joint knowledge, skills, and expertise of multiple health care professionals |
| standing orders | preprinting document for the conduct of routine therapies |
| Direct care | treatment performed through interactions with patients like medication administrations, inserting iV, counseling during time of grief |
| indirect care | treatments performed away from patient but on behalf of patient or group of patients. for example safety and infection control, documentation, interdisciplinary collaboration. |
| Spirituality | principle, experience, attitudes, and belief regarding God and inner person |
| religion | beliefs, practices, adopted behavior's, or affiliations guided by a community of faith or specific denomination |
| Resense | ability to touch another person both physical and spiritually |
| faith | belief in something that cannot be perceived through 5 senses |
| sacre,ents | last rights |
| hope | beliefs, wishes, or actions taken in situations of uncertainty. linked to faith but tends to have emphasis on fear of the unknown |
| FICA | Faith or beliefs Importance and influence Community Address |
| Culture | pattern of shared attitudes, beliefs, self definitions, normal, roles, and values that occur among those who speak a certain language or live in a defined region. |
| Enculturation | a person learn norms, values, and behavior's of a culture |
| Acculturation | acquing new attitudes roles, customs, or behaivors as a result of contact with another culture |
| example of enculturation | taking language classes or traveling abroad |
| assimilation | person gives up original identity and develops a new cultural identity (NOT A GOOD THING) |
| example od assimilation | colonization with native Americans |
| Biculturalism | having the choice to adapt to new beliefs |
| ethnicity | a common ancestry that leads to shared beliefs and values |
| Health disparities | everyone deserves quality care and access to basic human rights |
| health equity | absence of disparities or avoidable differences among different groups |
| consumer informatics | improvement of consumer decision making and health care outcomes by using electronic information and communication |
| primary evidence | original studies on which secondary literature is created. thress types: Quantitative, Qualitative, Mixed |
| secondary evidence | Evidence summaries, systemic reviews, practice guidlines |
| PICOT | Population of interest Intervention of interest Comparison Outcome-Time-frame |
| Picot is a standardized way to ask what? | research question; Ex- do pediatric patients (p) who play sports (i) compared to those who play music (c) has less absences due to illness (o) during elementary school (t) |
Created by:
Anna91715
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