Objectives Flashcards

1
Q

Discuss the importance and relevance of the code of conduct, and list the 8 principles and the 4 values they are based on

A
  • set of standards defined by the Council describing the conduct that nurses are expected to uphold; is the overarching document that describes professional conduct
  • Outlines the standards of ethical conduct set by the NCNZ under the HPCA Act (2003) and complements the legal obligations that nurses have
  • Principles:
    1. Respect the dignity and individuality of health consumers
    2. Respect the cultural needs and values of health consumers
    3. Work in partnership with health consumers to promote and protect their wellbeing
    4. Maintain health consumer trust by providing safe and competent care
    5. Respect health consumers’ privacy and confidentiality
    6. Work respectfully with colleagues to best meet health consumers’ needs
    7. Act with integrity to justify health consumers’ trust
    8. Maintain public trust and confidence in the nursing profession
  • Which are based on the following values:
    1. Respect
    2. Trust
    3. Partnership
    4. Integrity
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2
Q

Discuss the importance and relevance of the Guidelines for Cultural Safety

A
  • Culturally safe nursing care involves balancing power relationships in nursing so that every health consumer receives effective treatment and care to meet their needs that is culturally competent and culturally responsive. This is important for patients’ personal and social cultural identity, and for trust to be built in the patient-nurse relationship.
  • Cultural safety is an outcome of nursing education that enables a safe, appropriate and acceptable service that has been defined by those who receive it. It provides consumers of nursing services with the power to comment on practices and contribute to the achievement
    of positive health outcomes and experiences.
  • Four principles:
    1. Cultural safety aims to improve the health status of New Zealanders and applies to all relationships
    2. Cultural safety aims to enhance the delivery of health and disability services through a culturally safe nursing workforce
    3. Cultural safety is broad in its application
    4. Cultural safety has a close focus on: understanding the impact of the nurse as a bearer of his/her own culture, history, attitudes and life experiences; challenging nurses to examine their practice carefully, recognising the power
    relationship; balancing the power relationships; and preparing nurses to resolve any tension between the cultures of nursing and the people using the services
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3
Q

Discuss the importance and relevance of the professional boundaries guidelines

A
  • Developed by NCNZ to provide advice to nurses on maintaining appropriate professional relationships with health consumers. Contains standards of behaviour from the Code of Conduct for nurses.
  • Nurses must be aware of their professional responsibility to maintain appropriate personal, sexual and financial boundaries in relationships with current and former health consumers and their families.
  • Important as it addresses how the power imbalance should be managed in the therapeutic relationship considering the vulnerability of the HC.
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4
Q

Discuss the importance and relevance of the social media guidelines

A
  • Developed by NCNZ to provide advice to nurses on using social media and other forms of electronic communication.
  • Professional, positive, person/patient free, privacy, protect yourself, pause before you post
  • Applies the principles and standards of the Code of Conduct:
    Principle 5: Respect health consumers’ privacy and confidentiality
    Principle 6: Work respectfully with colleagues to best meet health consumers’ needs
    Principle 7: Act with integrity to justify health consumers’ trust.
    Principle 8: Maintain public trust and confidence in the nursing profession.
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5
Q

Discuss the importance and relevance of the competencies for Registered Nurses

A
  • This document ensures there is an ongoing commitment from an RN to apply the knowledge, skills, judgement, attitudes, values and beliefs required to practice ethically and safely in any given situation. Having competency leads to an improved quality of patient care and an increased patient satisfaction with the nurses and helps promote nursing as a profession and improve nursing education and clinical nursing
    Domain 1: Professional responsibility
    Domain 2: Management of nursing care
    Domain 3: Interpersonal relationships
    Domain 4: Interprofessional healthcare and quality improvement
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6
Q

Purpose of the Health Practitioners Competence Assurance Act (2003)

A

Responsible for ensuring that nurses are:

  • educated
  • registered (incl. requirements for registration)
  • maintain their annual practising certificate
  • fit to practice (incl. competence)

Nurses can be disciplined under this Act through the Health Practitioner’s Disciplinary Tribunal

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7
Q

Purpose of the Code of Health and Disability Services Consumers Rights (1996) Act

A

promote and protect the rights of health consumers and disability services consumers, and to facilitate the fair resolution of complaints relating to infringements of those rights

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8
Q

3 legal elements of informed consent

A
  • Must be freely given (not coerced)
  • must be given by the consumer (or any person who is entitled to consent on that consumer’s behalf)
  • must be obtained in accordance w such requirements as prescribed in the code
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9
Q

Purpose of Privacy Act (1993) and the Health Info Privacy Code (1994)

A
  • Privacy act controls how agencies collect, use, disclose, store, and give access to personal info
  • the privacy codes do the same, but they apply to specific areas such as health
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10
Q

Purpose of the Human Rights Act (1993)

A
  • Protects people in NZ from discrimination

- Aims to create equal opportunities and prevent unfair treatment

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11
Q

Purpose of Medicines Act (1981)

A
  • Regulates the use and manufacture of medicines
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12
Q

Describe principle 1 of the code of conduct

A

Principle 1: respect the dignity and individuality of health consumers.
This means that all health consumers should be treated with respect, be listened to, and treated in a way that is culturally safe. It also means that I shouldn’t impose my own believes on my patient

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13
Q

Describe principle 2 of the code of conduct

A

Is about respecting the cultural needs and values of health consumers. This means health consumers have access to appropriate support/representation, any additional health needs are met, and their identity, values and beliefs are respected. It also means using Māori models of health and reflecting on how my values affect my practice

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14
Q

Describe principle 3 of the code of conduct

A

Is about working in partnership with health consumers to promote and protect their well-being. This means explaining information honestly and accurately, involve them in decision making, gaining informed consent appropriately, and advocating for vulnerable health consumers.

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15
Q

Describe principle 4 of the code of conduct

A

Is about maintaining health consumer trust by providing safe and competent care. This means keeping your professional knowledge and skills up to date, working w/in your scope of practice, delivering care base on EBP, and practicing according to the relevant legislation

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16
Q

Describe principle 5 of the code of conduct

A

Is about respecting health consumers’ privacy and confidentiality. This includes protecting their privacy and personal info by following the rules of the Health Information Privacy Code.

17
Q

Describe principle 6 of the code of conduct

A

Is about working respectfully with colleagues to best meet health consumers’ needs. This means communicating clearly and respectfully, behaving appropriately towards colleagues, supporting each other.

18
Q

Describe principle 7 of the code of conduct

A

Is about acting with integrity to justify health consumers’ trust. This includes being open and honest with consumers, protecting vulnerable consumers from exploitation and harm, do not accept gifts/favours or act in ways that means you will gain personal benefit from your nursing position

19
Q

Describe principle 8 of the code of conduct

A

Is about maintain public trust and confidence in the nursing profession. This includes maintaining a high standard of professional and personal behaviour, and reporting/document any person who/environment which threatens the reputation of the profession

20
Q

Importance of the Treaty of Waitangi in nursing practice

A
  • Nurses have a commitment to be responsive to Maori interests, and to ensure that these are protected. This is particularly important in the health sector as Maori comprise a significant proportion of users of the health services and the health status of Maori is recognised as a health priority area. The participation of Maori in the services they receive from nurses is fundamental to increasing the effectiveness of interventions.
  • Partnership, participation, and protection
  • Allows Maori to have self-determination and authority over their own health
21
Q

Importance of Maori Health in Nursing Education and Practice (2011)

A
  • Ensures that nursing care is effective at improving the poor health status which Maori have
  • Nursing has a responsibility to respond to Maori health issues by improving the delivery of nursing services to Maori to ensure that they are responsive to, and acknowledge and respect the diversity of world views that may exist between Maori consumers of health services.
  • Nurses must have an understanding of the historical processes and social, economic and political power relationships that have contributed to the status of Maori health
22
Q

Importance of the Health Act (2012)

A
  • Gives the Ministry of Health the function of improving, promoting and protecting public health. E.g. Air pollution, quarantine
23
Q

Importance of the Health Safety in Employment Act (1992)

A
  • Promotes the prevention of harm to all persons at work, by placing laws and responsibilities on employers and employees
  • Goal is to reduce severe injury, illness and death from work through targeting risk, working together, working smarter and working safer
24
Q

What is nursing informatics?

A
  • The merging of computer science, information science and nursing science, to support all aspects of nursing practice (including direct delivery of care, administration, education and research)
  • Increase efficacy of care and protects nurses actions
25
Q

What is the Conservative position in abortion?

A

Abortion is an absolute moral wrong, permitting abortion diminishes the sanctity of human life

26
Q

What is the Moderate position in abortion?

A

Abortion is a moral wrong, but this may be overridden by stronger moral considerations, so can be justified

27
Q

What is the Liberative position in abortion?

A

Abortion is morally permissible on demand

28
Q

What is socialisation?

A
  • A learned process from students to working with health professionals and peers.
  • Norms of nursing practice become internalised standards
29
Q

Define euthanasia

A

The act of painlessly putting to death peoples suffering from an incurable condition or disease

30
Q

What is different about mercy killing?

A

The patient may or may not have had a say in the matter

31
Q

What is physician assisted suicide?

A

A qualified medical practitioner supplies the patient with the means to take their own life

32
Q

According to NZ law, is it legal or illegal to assist in a suicide or hasten a death?

A

Illegal

33
Q

What are some of the ‘for’ and ‘against’ arguments of euthanasia?

A

For: autonomy, dignity, reduce suffering, demand to be treated fairly
Against: possible recovery, risk of abuse and discrimination, mistakes from irrational thought