Accountability Concept
Choosing, prizing, acting
What ways do we come to understand our own values?
Clinical nurse leader
A certified nurse generalist with a master's degree in nursing and a special background in clinical leadership, educated to help patients navigate the complex health care system.
Utilitarianism
A form of teleologic and is the greatest good for the greatest number.
Pay for performance
A health insurance model that reimburses health care provider groups, hospitals, and health care agencies for either meeting or exceeding metrics that demonstrate that both the care and treatments rendered are both cost-efficient and of best quality.
Moral dilemmas
A situation in which a clear conflict exists between one or more moral principles.
Accountability
An obligation or willingness to accept responsibility for one's own actions.
No
Are we born with values?
Core measures
Benchmark standards of best practices used to gauge how well a hospital gives care to its patients who are admitted to seek treatment for a specific disease (e.g., heart failure) or who need a specific treatment (e.g., an immunization)
Meta ethics
Delving more deeply into the concept of informed consent would be this kind of ethics...
Critical thinking indicators
Evidence-based descriptions of behaviors that demonstrate the knowledge, characteristics, and skills promote critical thinking.
Laissez-faire
Hands off. Example - no intervention by parents.
Environment, family, culture
How do we acquire values throughout our life?
100,000
How many people die annually from preventable errors in hospitals?
1
How many years of education does a practical/vocational nurse receive.
Nurse practice act
Laws in each state that includes information about the boundaries of the scope of nursing practice, types of nursing licenses, licensure requirements, and grounds for disciplinary action and revocation as well as a definition of nursing.
Advanced directives
Living wills are a type of these, which are limited to hospitals and long term care.
Nonnegotiable
Nursing ethics are this, meaning that you can not get out of a violation if you break one of the ethics.
Moral distress
Occurs when one knows the ethically correct action to take but feels powerless to take that action.
Patients bill of rights
Promotes the interest and well-being of patients with in any healthcare facility while protecting their civil and religious liberties.
Safe, effective, patient centered, timely, efficient, equitable
What were the IOMs 6 patient care aims for improvement in the 21st century?
Humility
Self-effacement is another name for....
Moral dilemma
Situation in which there is no clear-cut answer regarding the morally right thing to do.
ANA code of ethics
The nine ethical standards put forth by this comprise the "ethical obligations" are "non-negotiable" and reflective of "nursing's own understanding of its commitment to society"
Morality
The adherence to informal personal values.
Nursing process
The approach to ethical decision making can follow the steps of the....
Beneficence
The ethical tenet that the health care provider has a responsibility to act in the patient's best interest.
Ethics
The formal, systematic study of moral beliefs.
Quality and safety education for nurses
The goal of this is to meet the challenge of preparing future nurses who will have the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the quality and safety of the health care systems within which they work.
Applied ethics
The manner in which principles of ethics are incorporated into professional conduct.
Patient's bill of rights
These are 24 rights and responsibilities of the patient while receiving care in a health care facility.
Standards of nursing practice
These are developed by the ANA and are implemented by the nursing profession.
Nurse practice act
These are laws that define the legal scope of nursing practice, enforce disciplinary action, define activities and requirements for nurses and establish criteria for nursing education.
Standards of nursing practice
These guidelines serve as protection for the nurse, the patient and the healthcare institute.
Ethical conduct, professional values
What two things are professional standards based on?
Bill of rights for RNs
This addresses adequate staffing and helps maintain nursing satisfaction as well as good, safe patient care. Enforced by the ANA
ANA Scope and Standards of Nursing Care
This defines appropriate nurse practice and behavior, protects public and profession, and holds up your actions legally against their standards.
Catholic social teaching
This goes handing in hand with the nursing code of ethics and is a conceptual framework for social justice in nursing.
Value
This is a belief about the worth of something, about what matters, that acts as a standard to guide behavior.
Joint commission
This is a nonprofit organization that accredits hospitals and health care organizations.
Integrity
This is a professional value that includes acting in a code of ethics, providing honest information to patients, being accountable and documenting honestly.
Altruism
This is a professional value that is concern for the well being and welfare of others.
Social justice
This is a professional value that is includes upholding legal and humanistic principles, supporting fairness and nondiscrimination, promoting universal health care access, and supporting laws that support nursing and health care.
Human dignity
This is a professional value that is respect for all individuals.
Autonomy
This is a professional value that is the rights of the patient to have a decision and honoring of their rights and informing them so they can make their own decision.
Nursing code of ethics
This is a succinct statement of ethical obligations and duties of every nurse
Case management
This is a system of coordinating health care services to ensure cost-effectiveness, accountability, and quality care.
Principles of catholic social teaching
This is the framework of social justice
ANA Code of Ethics
This is to hold nurses accountable to ethical standards of health care
ANA Scope and Standards of Nursing Care
This is what drives yearly evaluations at your job...
Nurse practice act
This mandates fines to nurses who are late with their license renewal...
Justice
This means acting fairly
Advocacy
This means protection and support of another's rights
Nonmaleficence
This means to do no harm
Fidelity
This means to keep your promises and to never abandon a patient.
Veracity
This means to tell the truth
Modeling
This mode of value transmission is what others are doing and reenacting
Rewarding and punishing
This mode of value transmission is what some parents do with their children
Moralizing
This mode of value transmission is what we do, due to the influence of culture, religion, family and formal institutions.
Responsible choice
This mode of value transmission is where parents encourage children to explore their own values, but offer guidance along the way
Care coordination failure
This occurs when a patient is readmitted to the hospital shortly after discharge with the same condition for which he or she had been originally hospitalized.
Nurse practice act
This requires continuing education for nurses in order for their license to be valid...
Advocacy in nursing practice
This requires courage, self determination, promotes patient dignity and well being, incorporates nursing ethics and standards of nursing practice.
deontologic
This theory argues that ethical standards or principles exist independently of the ends or consequences. The end does not justify the means.
Teleologic
This theory focuses on the ends of consequences of actions.
Competency, knowledgeable, contracts, patient education
What are some legal safeguards for nurses?
Autonomy, nonmaleficence, beneficence, justice, fidelity
What are some principles of bioethics?
Altruism, autonomy, human dignity, integrity, social justice
What are some professional values?
Quality, safety, attitude
What are the areas of nursing accountability to the employer?
Competence, attitude, collaboration, professionalism
What are the areas of nursing accountability to the profession?
Profession, employer, ourselves, patients
What are the four areas nurses are accountable to?
Identify goal of thinking, assess knowledge, assess potential problems, consult resources, critique decision
What are the steps in critical thinking?
Associate, degree, BSN
What degrees does a RN receive?
Justice and equality to all
What does Catholic social teaching advocate for?
Nursing process
What does the ANA scope and standards of nursing care promote?
Patient participation, care refusal, freedom from maltreatment, confidentiality, freedom from restraints
What does the patient's bill of rights protect for the patient?
MSN, PhD or DNP
What graduate degrees can a nurse receive?
Patient centered care, quality improvement, team work, evidenced based practice, safety, informatics
What is involved in QSEN?
Defined body of knowledge, service orientation, recognized by a professional group, code of ethics, an organization that sets standards, ongoing research, autonomy
What is the criteria for a profession?
Advance nursing prescriptions, Nurse license and education requirements, reciprocity, background checks, alcohol and drug abuse issues
What is the nurse practice act in charge of doing?
Law
What kind of document is the MN Nurse Practice Act?
Law
What kind of document is the patient's bill of rights?
Moral problems
When there may be competing moral claims, but one claim is clearly dominant
Moral uncertainty
a situation that exists when the individual is unsure which moral principles or values apply in a given situation and feel that something is not right
Critical reasoning
a specific term—usually refers to ways of thinking about patient care issues (determining, preventing, and managing patient problems). For reasoning about other clinical issues (e.g., teamwork, collaboration, and streamlining work flow), nurses usually use critical thinking.
Critical thinking
a systematic way to form and shape one's thinking. It functions purposefully and exactingly
Evidence-based practice
clinical decision-making that integrates the best available research with clinical expertise and patient characteristics and preferences
Critical judgment
refers to the result (outcome) of critical thinking or clinical reasoning—the conclusion, decision, or opinion you make.