Lecture Summary and Ethical Frameworks
primary prevention - ✔✔prevent occurrence of new cases - example: stress mgmt. classes
types:
universal - examples: childhood immunizations, seat belt laws, healthcare access
selective - aimed at those at risk of developing a psych condition, example: soldiers coming back
from war
indicated - aimed at those with early symptoms and early tx may prevent illness or magnitude
of illness
secondary prevention - ✔✔screening to ID early and treatment - example: phone hotlines
tertiary prevention - ✔✔prevent recurrence, prevent disability - example: rehab, social skills
training
maturational crisis - ✔✔normal occurring events in life related to one's continual growth and
development
adventitious crisis - ✔✔social crisis, disaster scenarios (hurricanes, war)
situational crisis - ✔✔unexpected events that disturb ones psychological well being
(unexpected death, employment loss)
Board of Nursing (BON) - ✔✔state regs, scope of practice, prescriptive authority, Nurse
Practice Act
, NLNAC (National League for Nursing Accrediting Commission) - ✔✔nursing program
accreditation
CCNE (Commission on Collegiate Nursing Education) - ✔✔accredits nursing programs with
focus on nursing standards
Joint Commission - ✔✔a not-for-profit organization that evaluates and accredits different
types of healthcare facilities
HIPAA exceptions - ✔✔law enforcement, employers, life insurers, workers comp, schools, state
agencies
ANA (American Nurses Association) - ✔✔code of ethics and standards of practice
ANCC (American Nurses Credentialing Center) - ✔✔certifies standards in our profession
Quality Improvement - Plan-Do-Study-Act - ✔✔Plan: identify goal, form theory, define what
successful metrics look like
Do: implement
Study: monitor for successful outcomes
Act: adjust the methods to achieve future desired results
Root Cause Analysis (RCA) - ✔✔method utilized to eval adverse events
goal is ID underlying issue that cause error and analyze why error occurred to prevent future
harm
Chochrane Library - ✔✔gold standard for systematic reviews in healthcare