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.