Purpose of code of ethics
The values and ethics are the heart of the code of ethics that
constitutes nursing as a profession; the code acts as a general guide
primarily to the members of the profession but also informs other
professional groups and society as a whole.
Outcome of tuskegee study
the irb boards lack of trust by african american community
Ethical dilemma in health care what's true about them
Ethical dilemmas in health care
-Two or more choices are available
-Difficult to determine which choice is best
-Available alternatives cannot solve the needs of all those involved
-Each alternative in the dilemma may have both favorable and unfavorable features
-Ethical dilemmas in healthcare involve issues surrounding professional actions and
patient care decisions
Principles of ethics (beneficent, justice, etc)
Principles of ethics (beneficent, justice, etc)- Beneficence, Nonmaleficence, Autonomy,
Justice, Distributive Justice, Veracity, Fidelity, Privacy, Confidentiality
Fraud
wrongful or criminal deceptions intended to result in financial or personal gain
Negligence-
an unintentional conduct that falls below a standard of care established for the
protection of others against unreasonable risk of harm
Malpractice
Improper, illegal, or negligent professional activity or treatment, especially by a medical
practitioner, lawyer, or public official
autonomy
ability to make independent decisions
Accountability
to be answerable to oneself and others for one's own actions
Veracity
Health professional should be honest and give full disclosure to the patient
Assault
Threatening a patient if they do not comply
Slander
Lie that is spoken that discredits a person's character and
reputation
Liability
Nurse is responsible for their patient and they can be found legally liable if he or see is
found to have acted negligently
Which of following of a tort know examples-
Tort Law is a civil wrong that unfairly causes someone else to suffer loss or harm result
in legal liability for the person who commits the
, tortious acts.
Ex. Assault, battery, invasion of privacy and defamation of character
Good Samaritan laws
Laws enacted by a state that protect healthcare providers and other
rescuers from liability if they render aid in an emergency. The healthcare provider must
use reasonable judgment based on education, training, and skill level.
Nurses role in suspected child abuse
Required to report it Mandated continued education when you renew your license.
What should a nurse do if they are questioning a med that they are told to give
out-
Patient- must give it
Doctor- if you disagree on medical not moral aspect report to nurse
manager and discuss with doctor
Purposes of documentation-
In- case of a mistake, lawsuit, etc. Supports care coordination and continuity of care
What states euthanasia is legal in
Washington DC, California, Colorado, Oregon, Vermont, Washington,Montana (Via
Court Ruling)
Difference between annual limit, deductible and copay
Deductibles- a specified amount of money that the insured must pay before an
insurance company will pay a claim
Copays- out of pocket paid for medical care
Annual limits- are the total benefits an insurance company will pay in a year while an
individual is enrolled in a particular health insurance plan
Role of lobbyist
A person who takes part in an organized attempt to influence legislators
The ANA lobbies for all nurses.
Aim of AHC act (aka obama care american health care act)
- Aim- Returns control of health care from Washington back to the states and restores
control to patients and physicians so Americans can access quality, affordable health
care options that are tailored to their needs.
Professional health care models-
Frameworks for the organization of care delivery to patients. Several
models involve more than nurses. No model is better than another.
Holistic Model-Focuses on healing whole person
Team Nursing Model- Focuses on patient-centered care/ effective use of available
personnel
Functional Nursing Model- Focuses on getting the job done
Total care Nursing Model- Focuses on RN being able to be perform patient care freely
Primary Nursing Model- Focuses on RN is at the bedside planning and giving expert
care
Case Management- Focuses on coordinating all aspects of the care of individual
patients
IOM patient centered care
IOM has a competency to address quality improvement
Nurses and nursing play major roles in ensuring quality care and reaching of outcomes