Professional Caring And Ethical Practice Flashcards

1
Q

What are the patient characteristics?

A
Resiliency 
Vulnerability
Stability 
Complexity 
Resource Availability
Participant in care
Participant in decision-making
Predictability
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2
Q

How are the patient characteristics measured on?

A

They are measured on a continuum and described as

  1. High
  2. Medium
  3. Low
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3
Q

Define Resiliency

A

Capacity to cope with illness and return to previous level of health

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4
Q

Define Vulnerability

A

Susceptibility to stressors whether it’s real or perceived

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5
Q

Define stability

A

Constancy or state of equilibrium

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6
Q

Define complexity

A

Complicated relationship of two or more systems

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7
Q

Define resource availability

A

Resources the patient and family bring.

Positive outcome is associated with more resources

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8
Q

Define participant in care

A

Extent to which patient and family are involved in all aspects of care and it’s usually affected by culture

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9
Q

Define participant in decision-making

A

Extent to which patient and family are involved in decision-making.
Need to assess capacity to make a decision when unable needs to sign a surrogate

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10
Q

Define predictability

A

Degree to which a correction forecast of a system can be made

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11
Q

What are nurse characteristics?

A
Clinical judgment
Advocacy/moral agency
Caring practices
Collaboration
Systems thinking
Response to diversity
Clinical inquiry
Facilitation of learning
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12
Q

What are 3 levels of nurse characteristics

A

Novice
Competent
Expert

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13
Q

Define advocacy/moral agency

A

Working on behalf of someone else
Best interest
Moral agent
Help with ethical and clinical concerns

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13
Q

Define caring practices

A

Interventions that create a therapeutic environment
Compassion comfort and healing
Prevent suffering

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14
Q

Define collaboration

A

Multidisciplinary conference

Working as a team

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15
Q

Define systems thinking

A

Knowledge and tools that the nurse uses to impact care

Global perspective

16
Q

Define response to diversity

A

Ability to recognize and incorporate differences into care
Can also include therapies
Need to recognize each patient as an individual

17
Q

Define clinical inquiry

A

Continuum of questioning and evaluating practice
Research utilization
Asking questions

18
Q

Define facilitation of learning

A

Ability to facilitate learning for patients, families, healthcare team, and community
Formal and informal learning

19
Q

What are the three types of outcomes?

A
  1. Patient driven - Comfort quality-of-life
  2. Nurse driven - lack of complications
  3. System driven - length of stay or reimbursement
20
Q

What are the ethical guidance?

A
  1. Protection, promotion, and restoration of health
  2. Prevention of illness
  3. Easing of suffering
21
Q

Autonomy

A

The right to make informed decision

22
Q

Beneficence

A

Doing good in preventing harm

Health promotion and positive outcomes

23
Q

Nonmaleficence

A

Prevent harmful situations

“First, do no harm”

24
Futility
If care will not improve patient situation or comfort level, it should not be given
25
Justice
Fair distribution of healthcare resources
26
Veracity
Obligation to tell the truth
27
Fidelity
Faithfulness and honoring commitments
28
Name legal accountabilities
1. State nurse practice act 2. Guidance for acceptable nursing roles 3. Standards of practice established by associations 4. Hospitals have standards of care
29
What are the two professional liabilities?
1. Professional negligence | 2. Malpractice
30
Professional negligence
Failure to do what a reasonable prudent nurse would do
31
Malpractice
Professional misconduct Failure to meet standard of care Failure to use professional standard Failure to anticipate consequences
32
What is the best preceptor for novice RN
Competent nurse
33
What is the best preceptor for a competent RN
An expert RN