Intro to Practice Flashcards
legal issues
- standard of care: minus critics for competence proficient, delivery of nursing care
- institutional policies: individualized
- scope of practice: defined by state Nurse practice Act and identify parameters for nursing practice
4 elements of Negligence
- there was a duty to provide care
- the duty was breached
- injury occurred
- the breach of duty caused the injury
common types of negligence
- comunication
- doctor care
- med error
- neg. assessment
- neg intervention
ethical issues
- ethical implications: ethical principles/ moral obligations
- informed consent
ethical principles
- autonomy
- justice
- fidelity
- veracity
- beneficence
- nonmalficence
- all come from paternalism
autonomy
- freedom to choose or decide to submit treatment offered
- provider should neither influence nor judge the decision
justice
- obligation to be fair; treat the patient without malice, bias, or prejudice
- in the workplace, distribute benefits and burdens equitably
fidelity
keeping promises
veracity
- share relevant, accurate, clear, understandable info
- offer facts, tell the truth
beneficence
- maximize the benefits and minimize potential harm
- take active steps to benefit the patient’s welfare
nonmalficience
refrain from harming a patient intentionally
what situations create a divergence between the rights (autonomy) of a pregnant women and the healthcare rights of her fetus?
- maternal- fetal conflict: focus C/S, treatment for substance abuse, treatment to correct a fetal defect
- abortion
- fetal research” intrauterine fetal surgery (therapeutic vs non therapeutic)
- assisted reproductive technology
- embryonic stem cell Research
informed consent
- must be understandable : include risk and benefits, success rate, and alternatives
- must include consequences of receiving no treatment
- patient must be told of right to refuse: does not result in withdrawal of support or care
statistical data
- brith rate
- infant mortality rate
- maternal mortality rate
things that contribute to infant mortality
- preterm birth
- birth defects
- pregnancy complications for mother: anemia to UTI, diabetes to hypertension, mental health to obesity
- SIDS/SUIDS
- accidental injury
Evidence based practice in maternal child nursing
- nursing research: drive our intentions
- clinical pathways: specify essential nursing activities
- nursing care plans: nursing process as organizing framework for care
cultural sensitivity/ compentcy
-skills and knowledge need to a appreciate, understand, and work with individual/families from difference cultures
what does cultural sensitivity do
- improve patient satisfaction
- enhanes communication
- better pain control
- increase seeking and sharing information
- may decrease overall health care expense
impact of religion and spirituality
- diverse meaning fo religion and spirituality
- spiritually sense nursing care in attempt to accommodate family
nursing role in childbirth preparation
-helping the childbearing family:
make decision that are part of pregnancy and birth
-seek pre-conceptual counseling
-select a healthcare provider
-find prenatal classes that meet their needs
-make informed choices
decision making in pregnancy
- choice of care provider
- type of childbirth preparation
- place of birth
- activities during birth
- method of infant feeding
- choices about care of newborn
goals of childbirth education
provide information about
- pregnancy
- childbirth
- coping mechanisms
- choices available for the woman and her support person
