chapter 21 Flashcards
which healthcare profession promotes advocacy
nursing
what must nurses learn to advocate
the system in which patient care occurs
- learn the reason for and patient’s expectations for the visit
when does the nursing assessment begin and end
begin at the first interaction with patient
continue through entire patient contacte period
where does the word advocacy come from
the Latin word advocate
meaning “to call to one’s aid”
what does it mean to advocate
come to his or her aid OR give voice to his or her concerns
- protect patient privacy
- ensure that patient has a voice in decision making
- protect patient from unethical and illegal practice
where is advocacy mentioned in nursing
the ANA, Code of Ethics for Nurses with Interpretive Statements (2001)
CNA, Code of Ethics for Registered Nurses (2002)
Who was the earliest nurse ethicist
Myra Levine
what did Myra Levin do
describe every interaction between a nurse and patient as a MORAL INTERACTION
what can the nurse do for a patient
run interference
- educate patient and remove barriers so patient achieves desired goals
who is in control of a hc situation, why
the nurse
- has information the patient does not have
- knows what the patient has to do and where he/she has to go
what two traits do nurses use for moral interactions
respect and competency
who gets the final decision
the patient
what two types of goals are there in helathcare
goals created by hc provider AND patient
goals created by hc provider and not endorsed by patient
what can a nurse do between a hc doctor and patient
facilitate a conversation
how can the nurse conduct research regarding advocacy
library
internet
personal contacts
what does the nurses actions depend on (2)
standard of care
patients wishes and communicating with patient
how does the nurse advocate for a patient
providing patient with necessary information
facilitating decision making y talking with patient
what are the three parts of the therapeutic relationship between nurse and patient
allowing patient to
- speculate
- think out loud
- use nurse as sounding board
what are some ways the nurse can advocate by avoiding preventable harms (at a minimum) (3)
maintaining competence in area of practice
using critical thinking skills
promoting health and safety of patients
what do individual acts of the nurse avoid
iatrogenic illness
- those caused by medical treatment or health care staff
what is advocacy of the patient based on (3)
autonomy
beneficence
non-maleficence
what do many patients, especially elder patients NOT do
question physician authority
describe nurse anchor
- assigned to 73 yr old women with wound on foot
- believes that patient needs pain medication before dressing changes
- Dr.Carney tells patient he will hurry so that wound does not hurt very much, but does not give pain medication
what does advocacy require
analyze situation
decide what actions give patient a voice and advance his/her interests
describe student nurse baker
- with 3 year old boy in playroom
- med. student wants to perform examination on boy even though the playroom is considered a safe place and exam free zone
who coined the phrase doctor nurse game
stein
what is the doctor nurse game
describes deference on behalf of the nurse to the authority of the physician
- the nurse makes it seem like the physician has arrived to the conclusion
- nurses have a “fear” of physicians
What did savage, in 1995 say
that doctor nurse game is effective for patient advocacy
