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final nur 170 exam' > Ethical and Legal standards and Documentation > Flashcards

Ethical and Legal standards and Documentation Flashcards

1
Q

is all about using one’s expertise and knowledge to assist in gathering information related to professional practice. The data collected is a result of best current practices.

A

EBP evidence- based Pratice

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2
Q

1 Best evidence is from current research
2 Based on nurse’s clinical expertise
3 Should reflect client’s preferences values, needs, interests, and choices

A

Components for EBP Framework

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3
Q 
Clinical decision making
Advocacy
Quality Improvement
Accountability
Professional Behaviors
A

Concepts Related to EBP

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4
Q 
Collaboration with other team members
Client-centered
Guidance for clinical practice
improved quality care
Credibility 
Accountability
Can confirm results or promote change
Increased Knowledge
A

Benefits of EBP

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5
Q 
Work demands/schedule
Cleint conflicts with best practice 
Lack of access to technology
Limited Knowledge/ skills
Lack if experience or confidence
Lack if agency support
Lack of time or access to funding, location, etc.
Attitudes of nurse(s) to be involved 
resistance to change
A

Barriers to EBP

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6
Q

Implementing the scientific process
All information gathered is objective and factual
The overall goal is to improve client care
Careful consideration of funding, participants, ethical/legal issues, and implications for practice

A

Clinical Research

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7
Q

Precision of measurement is used; statistical data collected

More specific

A

Quantitative Research

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8
Q

Focus is on the client’s perspective for a subjective view on a matter. client view what do they need

A

Qualitative research

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9
Q

A group of studies on a given topic are examined, and their results are combined and analyzed as if they were from one large study

A

Meta-analysis

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10
Q

A case study is specific to one individual, issue, or event.

A

Case-study

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11
Q

A longitudinal study follows two groups and measures the outcomes of an exposure group with those of a non-exposure group

A

Cohort Study

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12
Q

This study compares individuals with and without a specific condition to identify predictive variables

A

Case-Control Study

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13
Q

This is the strongest type of study. RCT are designed to illustrate a cause-and effect relationship by using a control group and an experimental group

A

Randomized Control trail (RCT)

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14
Q

1) Provide best evidence for EBP
2) Support nursing as a professional discipline.
3) Define current best practice standards of nursing care

A

Implications for Nursing Practice

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15
Q

4 Steps to Developing EBP

A

1) Develop a clinical question
2) Retrieve the evidence
3) Evaluate the evidence
4) Apply the evidence

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16
Q

PICOT Format

A 
Population 
Issue (problem)
Comparison (of methods used)
Outcomes (desired effect) what are we looking for or fix
Time frame
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17
Q

is a systematic and strict scientific process that tests hypotheses about health-related conditions and the processes of nursing care

A

Nursing research

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18
Q

Nursing clinical research

A

Seeks answers to questions that will ultimately improve client care.

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19
Q

research participants

A

are defined as volunteers for a specific study project that meet all the inclusion criteria, have been informed of all aspects of the study, and have signed informed consent.

20
Q

includes the right to receive this information as well as the right of participants to withdraw from the study at any time. Participants must give informed consent, usually written, before the study begins

A

Informed consent

21
Q

A set of professional principles and standards designed to help guide professional behavior and relationships through specif beliefs and values

A

Nursing Ethics

22
Q

is defined as a system of moral principles or standards governing behaviors and relationships that is based on professional nursing beliefs and values

A

Ethics

23
Q

Morality

A

refers to private, personal standards of what is right and wrong in conduct, character, and attitude.

24
Q

one who expresses and defends the cause of another

A

Advocate

25
Q

personal beliefs about the truth and the worth of thoughts, objects, or behaviors

A

Values

26
Q

Is an interpretation or conclusion that one accepts as true

A

Belief

27
Q

is a concern for the welfare and wellbeing of others

A

Altruism

28
Q

Is the right to self-determination

A

Autonomy

29
Q

Human Dignity

A

refers to the inherent worth and uniqueness of individuals and populations.

30
Q

Integrity

A

is acting in accordance with an appropriate code of ethics and accepted standards of practice

31
Q

Social Justice

A

refers to the upholding of justice, or what is fair, on a social scale.

32
Q

requires that “the actions one takes should promote good”

A

Beneficence

33
Q

Nonmaleficence

A

duty to do no harm

34
Q

justice

A

treating all fairly

35
Q

veracity

A

to be truthful

36
Q

Beneficence
Nonmaleficence
Justice
Veracity

A

4 Ethical Principles

37
Q

Comfort
Teaching & Learning
Communication
Advocacy

A

4 Concepts related to Nursing Ethics

38
Q

Nursing Code of Ethics

A
  • A set of ethical standards and behaviors that are expected in the nursing profession
  • Help guide nurses in the profession
  • The two major codes the nursing profession follows are the ANA and the ICN
39
Q

Charting, recording, or documentation onto a clients chart or clinical record.
The main purpose is for effective communication among healthcare professionals

A

Nursing Documentation

40
Q

Purposes of maintaining client records

A 
Communication
planning client care
Auditing health agencies (The Joint Commission
Research
Education
reimbursement (from insurance/ government)
Legal record (admissible in court)
Healthcare analysis
41
Q

Documentation systems

A

source-oriented, problem-oriented, problems, interventions, evaluation (PIE), Focus charting, Charting by exception (CBE), and Electronic

42
Q

Focus Charting

A

three components

  1. date and time
  2. Focus
  3. Progress notes
43
Q

PROBLEM-ORIENTED MEDICAL RECORD

POMR

A

Advantage
-encourage collaboration among healthcare team and care is organized based on problem list
Disadvantage
-Requires frequent updating
-inefficient due to need to repeat some necessary information

44
Q

PROBLEM INTERVENTIONS EVALUATION

PIE

A 
Advantages
-organized flow sheet of information
-creates an ongoing care plan
Disadvantages
-All notes must be reviewed prior to the nurse giving care (time consuming)
45
Q

Joint Commission

A

An independent, not for profit organization that accredits and certifies more than 15,000 healthcare organizations and programs in the U.S. and, as such, plays a role in certifying those organizations’ compliance with the HIPPA Privacy Rule

final nur 170 exam' (3 decks)

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