Module 8 Vocab
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| Autonomy | decide for self; independent and ability to self direct
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| Beneficence | doing good
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| Non-maleficence | not doing bad/non-action
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| Justice | fairness; doing the right thing
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| Fidelity | be truthful/ faith to commitment
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| Ethics | principles or standards that govern proper conduct
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| Code of ethics | formal statement that delineates a profession's guidelines for ethical behavior. A code of ethics sets standards or expectations for the professional to achieve.
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| Advocacy | process whereby a nurse objectively provides patients with the information they need to make decisions and supports the patients in whatever decisions they make
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| Responsibility | Carrying out duties associated with a particular role
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| Accountability | State of being answerable for one's actions; keeping promises --a nurse answers to himself or herself, the patient, the profession, the employing institution such as a hospital, and society for the effectiveness of nursing care performed
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| Value | Personal belief about the worth of a given idea or behavior
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| Deontology | Traditional theory of ethics that proposes to define actions as right or wrong based on the characteristics of fidelity to promises, truthfulness, and justice. The conventional use of ethical terms such as justice, autonomy, beneficence, etc.
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| Utilitarianism | Ethic that proposes that the value of something is determined by its usefulness. The greatest good for the greatest number of people constitutes the guiding principle for action in a utilitarian model of ethics.
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| Ethics of Care | Delivery of health care based on ethical principles and standards of care.
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| Statutory Law | Of or related to laws enacted by a legislative branch of government
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| Nurse Practice Acts | Statutes enacted by the legislature of any of the states or the appropriate officers of the districts or possessions that describe and define the scope of nursing practice
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| Regulatory Law or (Administrative Law) | Reflects decisions made by administrative bodies such as State Boards of Nursing when they pass rules and regulations
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| Common Law | One source for law that is created by judicial decisions as opposed to those created by legislative bodies (statutory law)
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| Civil Law | Injury against a person/property
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| Criminal Law | Concerned with acts that threaten society but may involve only an individual; offense against the public
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| Misdemeanor | Lesser crime than a felony; the penalty is usually a fine or imprisonment for less than 1 year
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| Standards of Care | Legal requirements for nursing practice that describe minimum acceptable nursing care.
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| The Joint Commission | Requires accredited hospitals to have written nursing policies and procedures. Federal government regulators/license to operate. (independent, non profit organization), improve health care for public
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| Advanced Directives | Include living wills, health care proxies, and durable powers of attorney for health care. They are based on values of informed consent, patient autonomy over end-of life decisions, truth telling, and control over the dying process.
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| Living Will | AKA: adancce directive. Patient's explicit written instructions re:medical treatment to be administered when patient is terminally or permanently unconscious
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| Durable Power of Attorney for Health Care (DPAHC) | A legal document that designates a person or persons of one's choosing to make health care decisions when the patient is no longer able to make decisions on his or her own behalf.
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| DNR | Do not resuscitate or no code; legal written order to respect the wishes of a patient to not undergo CPR or ACLS if they were to cod
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| CPR | Cardiopulmonary resuscitation is an emergency treatment provided without patient consent.
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| HIPPA | This law provides rights to patients and protects employees
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| Privacy | The right of patient to keep personal information from being disclosed
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| Confidentiality | Protects private patient information once it has been disclosed in health care settings.
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| Licensure | A State Board of Nursing licenses all registered nurses in the state in which they practice
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| Uniform Anatomical Gift Act | An individual who is at least 18 years of age has the right to make an organ donation.
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| Good Samaritan Law | Law/act to protect those who choose to tend to others who are injured, ill, or in peril from liability for their actions
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| Tort | Act that causes injury for which the injured party can bring civil action
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| Assault | Any action that places a person in apprehension of a harmful or offensive contact without consent; crime which involves physical contact with another person
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| Battery | Any intentional touching without consent; unlawful offensive physical contact with another person
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| Defamation of Character | The publication of false statements that result in damage to a person's reputation
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| Slander | Occurs when one speaks falsely about another
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| Negligence | Failure to use reasonable care. Failure to exercise the care that a reasonably prudent person would do under like circumstances
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| Malpractice | Negligence or misconduct by a professional. Failure to meet standard of care/conduct for that profession
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| Informed Consent | Process of obtaining permission from a patient to perform a specific test or procedure after describing all risks, side effects, and benefits.
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| Risk Management | An organization's system of ensuring appropriate nursing care by identifying potential hazards and eliminating them before harm occurs
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| Occurrence Report | Confidential document that describes any patient accident while the person i on the premises of a health care agency.
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| Abuse | Maltreatment, to threat in a harmful way
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| FDA | Consumer protection agency; monitors manufacture, import, transport, storage, and sale of goods
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| Medicare | Health Insurance Program (federal)
People age 65 or older
People under age 65/certain disabilities
People of all ages with end-stage renal disease
Administered by CMS
Not based on income/assets
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| Medicaid | Medical Assistance Program (federal/state)
Health coverage for people with low incomes
Aged/disabled with costs nursing facility/expenses
Improve health of those who might go without care
Different in every state
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| Name 2 health insurance plans. | HMO (MCO) & PPO
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| Health Maintenance Organizations (HMO) | (insurance company & provider)
Managed care health insurance
Have contracts w.doctors and other health care providers
Directly involved in the medical treatment of their customers
Cheapest, most restrictive, a deductible, but NO CO-INSURANCE REQUIREME
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| Preferred Provider Organization (PPO) | (employer & provider)
Contracts with a network of "preferred" providers; type of managed care plan that limits an enrollee's choice to a list of "preferred" hospitals, physicians, etc. Enrollee pays more out-of-pocket expenses for those not on list
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| Several issues to be aware of. | Rising healthcare costs, evidence-based practice, nursing and biomedical research, nursing shortage.
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| Future healthcare provider responsibilities. | Practice safe nursing care. Stay fiscally sound. Serve on new products committee.
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| Nursing Shortage | Affects nearly every state in the US. Crisis in several states.
Time management skills.
Planning for nursing care (time management, communication, client education)
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| Affordable Care Act | Health insurance reforms: expand coverage, companies accountable, lower health care costs, more choice, enhance quality of care.
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| Nurse Practice Act | State Boards of Nursing, regulate scope of practice, protect public health/safety/welfare, specify training/practitioners/APN
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| Florida Nurse Practice Act | Nurse meets minimum requirements/safety. Fall below intent/present danger-->don't practice. The sole legislature purpose is enacting this to ensure that every nurse practicing in this state meets minimum requirement.
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| Professional Nursing Organizations | Serve a variety of purposes. Important part of continued healthcare education. (Standards of practice)
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| American Nurses Association | Strengthens the voice of nursing.
Concerned with: legal aspects of nursing, public recognition of the significance of nursing practice to health care, and implications for nursing practice generated by trends in health care.
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| The ANA advances the nursing profession.. | Fosters high standards of nursing practice.
Promotes rights of nurses in the workplace.
Projecting positive and realistic view of nursing.
Lobbies the Congress and regulatory agencies.
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| ANA Mission Statement | Nurses advancing our profession to improve health for all
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| The Organization's Goal | To improve the health and well-being of all individuals, communities, and populations through the significant and visible contributions of registered nursing using standards-based practice.
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| ANA Standards of Nursing Practice | Assessment, Diagnosis, Outcomes Identification, Planning, Implementation, Evaluation
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| Diagnosis | The registered nurse analyzes the assessment
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| Ethical Principles | Autonomy, Beneficence, Non-maleficence, Justice, Fidelity
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| Ethical Dilemma | Differing option (what is right/what should be done), Gather information, analyze facts
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| Standards of Care | Embedded in the nursing process. Guide the care you render to your clients.
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| The ANA has also identified _ standards of professional performance. | 9 standards
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| These 9 standards serve as objective ___________ for nurses to follow. | guidelines
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| Standards of Professions Performance (9) | Quality of practice, Collegiality, Research, Education, Collaboration, Resource Utilization, Professional Practice Evaluation, Ethics, Leadership
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| National League for Nurses (NLN) | Dedication to excellence in nursing education; preferred membership organization for nurse faculty
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| NLN Mission | Promote excellence in nursing education, build a strong and diverse nursing workforce, & advance the nation's health.
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| restorative care | Health care settings and services in which patients who are recovering from illness or disability receive rehabilitation and supportive care.
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| home care | Health service provided in the patient's place of residence to promote, maintain, or restore health or minimize the effects of illness and disability
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| rehabilitation | Restoration of an individual to normal or near-normal function after a physical or mental illness, injury, or chemical addiction
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| extended care facility | Institution devoted to providing medical, nursing, or custodial care for an individual over a prolonged period such as during the course of a chronic disease or the rehabilitation phase after an acute illness.
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| skilled nursing facility | Institution or part of an institution that meets criteria for accreditation established by the sections of the Social Security Act that determine the basis for Medicaid and Medicare reimbursement for skilled nursing care, including rehabilitation etc
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| Continuing care | Describes a variety of health, persona, and social services provided over a prolonged period.
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| Methods of data collection: As a nurse you use ________________, ____, _______, and ______ tests to collect data for a patient's assessment database. | patient-centered interviews, the nursing health history, physical examination, and results of laboratory and diagnostic tests
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| Public Health Laws | Protection of public health, advocating for the rights of people, regulating health care and health care financing, and ensuring professional accountability for care provided.
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| Patient Record | A valuable source of data for all members of the health care team; It's purposes include communication, legal documentation, financial billing, education, research, and auditing/monitoring.
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| Consultation | Process in which the help of a specialist is sought to identify ways to handle problems in patient management or in planning and implementing programs.
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| Accreditation | Process whereby a professional association or nongovernmental agency grants recognition to a school or institution for demonstrated ability to meet predetermined criteria.
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| Physiological Needs | Include the need for sufficient oxygen, nutrition, and optimum temperature, influence a person's safety.
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| Risk factors posing threats to safety.. | Include lifestyle, impaired mobility, sensory or communication impairment, and the lack of safety awareness.
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| Lifestyle | Some lifestyle choices increase safety risks.
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| Impaired Mobility | Muscle weakness, paralysis, and poor coordination or balance; immobilization predisposes patients to additional physiological and emotional hazards.
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| Sensory or Communication Impairment | Cognitive impairments associated with delirium, dementia, and depression place patients at greater risk for injury; more likely to have falls and burns
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| Lack of Safety Awareness | Some patients are unaware of safety precautions as keeping medicine or poisons away from children or reading the expiration date on food products.
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| Durable Power of Attorney for Health Care (DPAHC) | Is active when the patient is incapacitated or cognitively impaired
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| relationships | The foundation of ethics of care is its attention to ___________, as distinguished from other more principal based philosophies.
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| solve differences, not simply to express opinion. | The real goal in processing ethical dilemmas is to...?
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| Voting | ________ about an outcome implies that participants simply express an opinion without regard for negotiating differences.
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| Nursing Code od Ethics | Is the philosophical ideals of right and wrong that define the principles you will use to provide care to your patient.
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