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Intro to Prof
Mod 4 - 8
| Question | Answer |
|---|---|
| Flexner Report on Professionals author and year | Abraham Flexner 1915 |
| Individual Attitudes to Atrophy author year | Richard Hall 1968 |
| Stages of Nursing proficiency | Patricia Benner |
| any occupation w set attitudes of behaviors | profession |
| Carnegie foundation papers about prof schools | Flexner Report |
| Prof definitions major similarities | sense of calling/duty/responsibility to public knowledge of theory and skills autonomy and ethics |
| Suggested core competencies in 2003 | Institute of Medicine |
| Barriers to nursing | education, gender, historical, external, internal |
| pledge presented by Lystra Eggert Gretter to Farrand Training Schol of Nurses | Florence Nightingale pledge |
| milieu | environment |
| prof boundaries | space between nurses power and clients vulnerability |
| staris decisis | let decision stand |
| res judicata | the thing decided (double jeopardy) |
| Anthony Case | pregnant fatal appendicitus |
| purpose of law | ensure order, protect person, resolve disputes, promote |
| HIPAA | Health Insurance Portability and Accountability Act |
| Patient Self Determination Act | Advanced Directives |
| Americans with disabilities act | 1990 |
| EMTALA | Emergency Medical Treatment and Active Labor Law |
| Nurse Practice Act | Parameters for nursing Practice |
| First registry | Florence nightingale |
| Nursing State Board powers | Enforcement, Licensure, Accredit, discipline |
| will discipline license for | unprofessional conduct, unsafe practice, unethical practice, criminal convictions, alcohol and substance abuse, case examples |
| due process | 14th amendment |
| Types of Board actions | dismiss charges, reprimand license, probation, suspension, revocation (all have judicial appeal) |
| 4 proofs for malpractice | duty, breach of duty, causation, injury or damages |
| respondeat superior | let the master answer |
| res ipsa loquitur | the thing speaks for itself |
| gross negligence | reckless act reflecting conscious disregard for welfare |
| 5 cs of documentation | clear, concise, comprehensive, complete, correct |
| Occurrence policy | covers anything during time covered regardless when charges brought |
| Claims Made policy | claims must be made during policy period (can purchase tail insurance) |
| intentional torts | assault, batter, breach of confidentiality, defamation (libel or slander), invasion of privacy, false imprisonment, intentional infliction of emotional distress |
| defamation of character | 3rd person sees published |
| common law | judge made |
| statutory | legislative branch |
| civil law | rights of individuals |
| criminal | behavior that threatens society |
| Elements of a nurse practice act | 1. defines nursing 2. sets min ed qualifications 3. acceptable titles and abbreviations 4. discipline |
| Elements of ANA Model Practice Act | 1. Clear diff between advanced and general 2. authority of boards to regulate ANP - including meds 3. authority of board to oversee unlicensed assistants 4. clarify nurse responsibility for delegation/supervision 5. Support mandatory license |
| Nursing disciplinary diversion act | ANA 2006 for nurses with drug problems |
| Licensure by endorsement | state to ANY state |
| CAT | Computer adaptive testing - 1994 |
| NCSBN Mutual recognition model | Nurse Licensure Compact |
| 1st states to join nurse licensure compact | utah, Texas, wisconsin - Jan 1, 2000 |
| Malpractice | unintentional tort of negligence as a professional |
| standard of care | what a reasonable or prudent nurse would do |
| standard of care decided by | jury through expert witness, document, national standards, nursing practice, pt record, other evidence |
| Captain of ship doctrine | MD ultimately in charge of care |
| 6 major negligence | 1. Fail to follow standards of care 2. fail use equipment responsibly 3. fail communicate 4. fail document 5. fail assess/monitor 6. fail to act as pt advocate |
| NCSBN 1995 rights of delegation | 1. Right task 2. Right Circumstance 3. right person 4. right direction/comm 5. right supervision/evaluation |
| assault | intentional tort attempt or threat bodily contact |
| battery | assault carried out |
| Informed consent must be | 1. voluntary 2. capacity/competence to understand 3. enough info for decision |
| Medical Malpractice | state standards for filing and process of medical malpractice claims |
| Criminal Law degrees | Misdemeanor vs Felony |
| Civil Law degrees | intentional vs unintentional tort |
| first state to require mandatory licensing | New York |
| Intentional Infliction of Emotional Distress | Person's private affairs, including health history and status are made public without consent |
| false imprisonment | unlawful restraint or detention of another person against his or her wishes |
| Interrogatories | written questions that are asked about the nurses background during discovery phase of lawsuit |
| affidavit | written document that contains a reduced form of deposition summary |
| abandonment | unilateral severance of pt relationship without notice while requirement for care still exists |
| perjury | false testimony under oath |
| Invasion of Privacy | violation of ones right to unreasonable and unwarranted interference with personal life - pt confidentiality |
| normative ethics | attempt to prescribe right or wrong behaviors |
| descriptive ethics | scientific ethical inquiry |
| values | personal beliefs as guides behavior influenced by church school and peers |
| value clarification | reconcile personal and professional value conflicts |
| deontology | study of duty |
| utalitarianism | good determined by greatest good for greatest # |
| ethical principles | common ground/guidelines - good start for discussion |
| autonomy | self rule inspires advanced directives/informed consent/pt self determination act |
| beneficience | promote goodness |
| veracity | tell the truth |
| fidelity | faithfulness |
| justice | fairness/treating equally |
| confidentiality | maintaining confidentiality - need to know |
| ethical dilemma | moral grounds for both choices |
| moral suffering | disquieting feeling with duty |
| unavoidable trust | pt have no option but to trust healthcare provider |
| lateral/horizontal violence | nurse to nurse |
| analysis of ethic components | 1. medical indications 2. pt preferences 3. quality of life 4. contextual features |
| virtue ethics | developed through training, come from natural tendencies - plato,aristotle, christians |
| autonomy criteria | 1. individual values 2. adequate info 3. freedom from coercion 4. reason and deliberation |
| Justice by Jameton 1984 | 1. to each equally 2. according to merit 3. according to resources 4. according to need |
| morals | specific beliefs, behaviors and ways of being derived from doing ethics |
| unethical | a persons character or behavior is contrary to admirable traits or the code of conduct that has been endorsed by one's society, community, profession. |
| Ethical Inquiry - reflects normative ethics | 1. How should humans behave 2. what ought to be done in certain situations? 3. what type of character? |
| nurse ethical obligation | 1. protect vulnerable population 2. relationship between actions and pt well-being 3. public trust |
| purpose of ethical principles | 1. establish common ground for decisions 2. consistent 3. analytical framework |
| misericordia | giving based on urgent need without prejudice |
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