Ch 6.2 Evidence-Informed Practice

Question 1

Moral distress

Answer 1

nurses are unable to act according to their moral judgments

Question 2

Moral integrity

Answer 2

doing the right thing when no one else is watching

Question 3

Moral residue

Answer 3

moral values have been violating, you have a moral wound, you had to work against your values.

Question 4

Precedent

Answer 4

if a ruling has previously been made, it must be followed

Question 5

Statute law

Answer 5

Federal, provincial, and territorial statutes

Created by elective legislative bodies (Parliament, provincial/territorial legislatures)

Question 6

Standards of Care

Answer 6

Legal guidelines for nursing practice

Establish an expectation of nurses to provide safe and appropriate patient care

Question 7

Professional Regulation

Answer 7

Provincial/territorial legislation grants authority to a nursing regulatory body
Regulatory body is accountable to the public for ensuring safe, competent, and ethical nursing care

Question 8

Tort

Answer 8

A civil wrong committed against a person or property

Question 9

Intentional torts

Answer 9

Willful acts that violate a person’s rights

Question 10

Assault

Answer 10

physical or verbal threat

Question 11

Battery

Answer 11

intentional physical contact without consent

Question 12

Invasion of privacy

Answer 12

unwanted intrusion into private affairs, release of confidential information, computers and confidentiality, social media

Question 13

False imprisonment

Answer 13

loss of individual liberty and basic rights

Question 14

Negligence

Answer 14

• Unintentional torts
• Not using aspectic techniques, counting erros, spilling hot liquid to creat burns, not notifying a doc of significant things, not reporting plebitits,
• Preventing negligence with communication and documentation
• may have criminal liability

Question 15

Informed Consent

Answer 15

• The person must have the legal and mental capacity to make a treatment decision.
• The consent must be given voluntarily without coercion.
• The person must understand the risks and benefits of the procedure or treatment, the risks of not undergoing the procedure or treatment, and any available alternatives.

Question 16

Malpractice insurance

Answer 16

• may be carried by facility
• Not applicable to employee working outside normal scope of employment
• Provides a defence when a nurse is in a lawsuit involving negligence or malpractice insurance

Question 17

Short staffing:

Answer 17

Can cause legal problems to occur because of inadequate number of nurses to provide care:

Question 18

Abandonment

Answer 18

if you walk out you are seen as abandoning care.

If you fill out heavy workload form and something happens on the shift it puts the onus on the facility

Question 19

Floating:

Answer 19

Based on census load and acuteness of patients’ conditions

Question 20

Physician’s orders

Answer 20

Must be followed unless nurse believes an order is in error, violates agency policy, or is harmful to patients

Question 21

Abortion

Answer 21

Before 1988 a women needed to get consent by hospital committee. Right now abortion is unregulated by law.

Problems with accessibility

Question 22

Unreasonable burden

Answer 22

whenever your ability to provide safe care is compromised (lack of resources, etc)

Question 23

Death in Manitoba

Answer 23

Irreversible cessation of all brain function

Question 24

Euthanasia

Answer 24

administering the substances that causes death

Question 25

Assisted suicide

Answer 25

prescribing the substance that causes death but they take it themselves

Question 26

Advance directive

Answer 26

a mechanism enabling a mentally competent person to plan for a time when mental capacity is lost

Question 27

Risk Management

Answer 27

A system of ensuring appropriate nursing care by identifying potential hazards and preventing harm from occurring