Ethical Quiz Med surg

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social justice

upholding moral, legal, and humanistic principles

Certification:

-Certain criteria met, granted recognition in a specified practice area

Accreditation:

-Educational program evaluated as having met standards

Factors that influence decision-making

-Legislative and judicial factors -Science and technological advances -Societal influences -Health care reform Professional values and client values influence what

Licensure

-State determines minimum requirements met to practice nursing

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Principles of Nursing Ethics Fidelity

: Loyal to commitments, being responsible

Healthcare Institution

: Policies and procedures

Law

A standard or rule of conduct established and enforced by the government that is intended to protect the rights of the public

Areas of Potential Liability Standard 1

Assessment-incomplete data base, significant omissions, failure to recognize and report

Principles of Nursing Ethics Nonmaleficence

Avoid doing harm

Areas of Potential Liability Standard 2

Diagnosis-failure to identify priority nursing diagnosis critical to care

Principles of Nursing Ethics Veracity

Duty to be truthful

Plan

Ethical Decision Making o identify options, use ethical reasoning to decide on a course of action

Diagnose

Ethical Decision Making o identify the ethical problem, Does and ethical problem exist?

Implement

Ethical Decision Making o the decision, documenting the steps of the process of implementation

Evaluate

Ethical Decision Making o the results of the implementation process

Assessing

Ethical Decision Making o: the situation, gather the data, define the problem

Areas of Potential Liability Standard 5

Evaluation-no evidence of evaluation of goals

Areas of Potential Liability Standard 4

Implementation-nursing interventions deviate standard of care

Due Process

Legal procedure must be followed, investigation, formal hearing implemented

Board of Nursing:

Licensure, delegation, medication, unprofessional conduct

Areas of Potential Liability Standard 3

Outcome Identification-no indication in the plan of care that nurses were aware of patient priorities

Principles of Nursing Ethics Beneficence

Principle of doing good

Credentialing:

Professional competence ensured

durable power of attorney

a person is named to make healthcare decisions if the patient is unable to do so

integrity

acting in accordance with an appropriate Code of Ethics and Standards

two people

advanced directives muct be witnessed by

altruism

concern for welfare and wellbeing of others

oPatient Abandonment oPatient Abuse oPatient Neglect Diversion of Medications

disciplinary action for what 4 things by State Board of nursing

o Bioethics

ethics that encompass all those perspectives that seek to understand human nature and behavior, the domain of social science, and the natural world

Nursing Ethics

formal study of ethical issues that arise in the practice of nursing and analysis used by nurses to make ethical judgements

Living Will

instructions about medical care if the patient is unable to make and verbalize a decision

Unintentional Torts (3)

o Negligence: Performing or failing to perform and act that a person would or would not do oMalpractice: Acts of negligence as applied to health care professionals oLiability: Four elements to prove malpractice 1. Duty, obligation to use standards of care 2. Breach of duty, failure to meet standards of care 3. Causation, breach causes injury 4. Damages actual harm or injury

Value System

o an organization of values in which each is ranked in order of importance.

Values

o belief about the worth of something, standard to guide one's behavior.

Ethical theories

o guides the decision-making process

Federal Legislation

o: Medicare and Medicaid provisions related to reimbursement for nursing services

Intentional Torts (5)

oAssault: Threat or attempt to make bodily contact with another person without consent oBattery: An assault carried out that includes willful, angry and violent, or negligent touching of a person's body, clothing, or anything attached or held by the person oDefamation of Character: Slander, libel oFalse Imprisonment: Unjustified use of restraints oFraud: Purposeful misrepresentation

Malpractice

oFailure to ensure safety oFailure to monitor and report oImproper treatment/performance oMedication errors/reactions oFailure to follow agency procedure oDocumentation oEquipment use oAdverse incidents oDiscrimination in treatment are examples of what

Principles of Nursing Ethics Justice

oGive fair and equal treatment to all patients

Professional/Legal Regulation of Nursing PracticeOhio's Nurse Practice Acts (5)

oMost important Law affecting Nursing Practice oDefines legal scope of Nursing Practice oHow nursing will be practiced in the locale oEducational preparation required oMethods of discipline

Principles of Nursing Ethics Autonomy

oRespecting the rights of patients to make healthcare decisions

State Legislation

oScope of practice, educational requirements, composition and disciplinary authority of Board of Nursing

Civil Law /Tort Law

oSubject to action in a civil court with damages settled by money oUnintentional or intentional wrong not connected with a contract that injures a person oInjured party may opt to sue for damages

Administrative law

regulations empowered by executive officers

Patient self-determination act of 1990

requires educating patients regarding advanced directive requires patients be given the opportunity to complete an Advanced Directive

human dignity

respect for the worth and uniqueness of the individual

autonomy

right to self determination, respecting patients rights

Criminal law

•concerns state and federal criminal statutes felony, misdemeanor

Statutory law

•enacted by a legislative body

• Common law

•judiciary system reconciles controversies, creates body of common law

Contract law

•regulates certain types of transactions

Civil law

•regulates relationships between individuals and private organizations

Constitutions

•serve as guides to legislative bodies


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