Professional Caring And Ethical Practice Flashcards
What are the patient characteristics?
Resiliency Vulnerability Stability Complexity Resource Availability Participant in care Participant in decision-making Predictability
How are the patient characteristics measured on?
They are measured on a continuum and described as
- High
- Medium
- Low
Define Resiliency
Capacity to cope with illness and return to previous level of health
Define Vulnerability
Susceptibility to stressors whether it’s real or perceived
Define stability
Constancy or state of equilibrium
Define complexity
Complicated relationship of two or more systems
Define resource availability
Resources the patient and family bring.
Positive outcome is associated with more resources
Define participant in care
Extent to which patient and family are involved in all aspects of care and it’s usually affected by culture
Define participant in decision-making
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
Define predictability
Degree to which a correction forecast of a system can be made
What are nurse characteristics?
Clinical judgment Advocacy/moral agency Caring practices Collaboration Systems thinking Response to diversity Clinical inquiry Facilitation of learning
What are 3 levels of nurse characteristics
Novice
Competent
Expert
Define advocacy/moral agency
Working on behalf of someone else
Best interest
Moral agent
Help with ethical and clinical concerns
Define caring practices
Interventions that create a therapeutic environment
Compassion comfort and healing
Prevent suffering
Define collaboration
Multidisciplinary conference
Working as a team
Define systems thinking
Knowledge and tools that the nurse uses to impact care
Global perspective
Define response to diversity
Ability to recognize and incorporate differences into care
Can also include therapies
Need to recognize each patient as an individual
Define clinical inquiry
Continuum of questioning and evaluating practice
Research utilization
Asking questions
Define facilitation of learning
Ability to facilitate learning for patients, families, healthcare team, and community
Formal and informal learning
What are the three types of outcomes?
- Patient driven - Comfort quality-of-life
- Nurse driven - lack of complications
- System driven - length of stay or reimbursement
What are the ethical guidance?
- Protection, promotion, and restoration of health
- Prevention of illness
- Easing of suffering
Autonomy
The right to make informed decision
Beneficence
Doing good in preventing harm
Health promotion and positive outcomes
Nonmaleficence
Prevent harmful situations
“First, do no harm”
Futility
If care will not improve patient situation or comfort level, it should not be given
Justice
Fair distribution of healthcare resources
Veracity
Obligation to tell the truth
Fidelity
Faithfulness and honoring commitments
Name legal accountabilities
- State nurse practice act
- Guidance for acceptable nursing roles
- Standards of practice established by associations
- Hospitals have standards of care
What are the two professional liabilities?
- Professional negligence
2. Malpractice
Professional negligence
Failure to do what a reasonable prudent nurse would do
Malpractice
Professional misconduct
Failure to meet standard of care
Failure to use professional standard
Failure to anticipate consequences
What is the best preceptor for novice RN
Competent nurse
What is the best preceptor for a competent RN
An expert RN
