Quiz #3 Flashcards
What is Interprofessional and Interdisciplinary Health Care?
- Enhances patient, family and community-centered goals and values
- Optimizes staff participation in clinical decision-making
- Fosters respect for the contributions of all health care providers
What is Interprofessional Education (IPE)?
- Exposing students to IPE can contribute to effective interdisciplinary collaboration
- Establishes competency in communicating between professions and improves teamwork by clarifying the roles and responsibilities of each profession
What are the differences between colleges, associations, and unions?
- colleges (BCCNP) protects the public by ensuring safe care through regulation of nurses
- associations (NNPBC) works in the interest of nurses to advance the profession and influence policy
- unions (BCNU) acts in the interest of the workers with focus on salary, benefits, and working conditions
What are some quality assurance activities that BCCNP require nurses to partake in?
- meeting minimum practice hours
- self assessment of your practice
- seek out feedback from peers
- develop a learning plan
- evaluate your learning and how it affects your practice
What are the four controls on practice?
- Regulation/legislation
- BBCNP limits and conditions
- Employer policies
- Individual nurse competence
What is the criteria that is specific to our four different areas of practice?
- clinical
- education
- administration
- research
What does standard 1: professional responsibility and accountability mean?
Maintains standards of nursing practice and professional conduct determined by BCCNP
What does standard 2: knowledge-based practice mean?
Consistently applies knowledge, skills and judgment in nursing practice
What does standard 3: client focussed provision of service mean?
Provides nursing services and works with others to provide health care services in the best interest of clients
What does standard 3: ethical practice mean?
Understands, upholds and promotes the ethical standards of the nursing profession
What does CRAAP stand for?
Currency, Relevance, Authority, Accuracy, Purpose
Who do nurses teach?
- Persons across the lifespan, diversity in culture, ability/disability, gender identity and sexual orientation
- Individuals, dyads, families, groups
- Other health care professionals
What are the 3 domains of learning?
- Cognitive: Requires thinking, and intellectual behaviours
- Affective: Expression of feelings-Acceptance of attitudes, opinions, value
- Psychomotor: Acquiring skills, requires coordination of mental and muscular activity
Gives example of each domain of learning
Cognitive: Formal instruction on the long term effects of diabetes
Affective: support group for those newly diagnosed with diabetes
Psychomotor: Nurse demonstrates the use of an insulin pen
What are the basic learning principles?
motivation to learn, ability to learn, and learning environment
What is composed of the transtheoretical model of change?
- Precontemplation: unaware of the need for change
- Contemplation: aware of the need for change
- Preparation: altering behaviour in minor ways
- Action: modifies behaviour for sustainable change
- Maintenance: focuses on solidifying new behaviours
What is the social learning theory?
- They are more likely to perform consistently when they believe they can (self efficacy)
- Nursing interventions can enhance perceived self-efficacy and learning success
What are legal liability issues?
Tort:
- A civil wrong committed against a person or property
- Intentional or unintentional
What are the required elements of negligence?
Duty: Owed patient a duty of care
Breach: Standard of care not enacted/nurse did not carry out duty
Harm: Client sustained injury
Causation: harm direct result of nurse failing to meet standard of care
What are some intentional tortes?
- Assault: physical or verbal threat
- Battery: intentional physical contact without consent
- Invasion of privacy: unwanted intrusion into private affairs, release of confidential information
- False imprisonment: loss of individual liberty and basic right
What does it mean to have consent?
Must have the legal and mental capacity to make a treatment decision
- Must be given voluntarily without coercion
- Must understand the risks and benefits of the procedure
- The risk of not having the procedure
- Any available alternatives
Whats the difference between deontology and utilitarianism?
deontology=
-Concerns the presence of principles regardless of outcome
-Actions defined as right/wrong based on the characteristics of fidelity to promises, truthfulness, and justice
utilitarianism=
-Concerns the effect that the act will have
-Greatest good for the greatest number of people
What is bioethics?
Bioethical theory is obligation based, outcome-oriented, and based on reason
What should moral decision making be based on?
- autonomy
- beneficence
- non-maleficence
- justice
How would you define bioethics: autonomy?
Refers to “one’s ability to make choices for oneself that should be based on full understanding, free of controlling influences”
How would you define bioethics: beneficence?
- “doing or promoting good for others”
- Best interest of patient more important then self-interest.
How would you define bioethics: non-maleficence?
- avoidance of harm or hurt
- balance risk & benefit, strive for least amount of harm to individual
- standard of non-maleficence promotes a continuing effort to consider the potential for harm when it may be necessary to promote health
How would you define bioethics: justice?
- Refers to fairness
- Mandates that decisions be fair, and whenever possible unbiased
- Social Justice: concerned with equitable distribution of benefits and burdens of society
Define feminist ethics?
Focussing on inequalities between people
What are the four themes identified with relational ethics?
- Environment-characteristics of healthcare system and how your relationships are impacted by this
- Embodiment-healing occurs when one recognizes that science and compassion are equal and that emotions and feelings are as important as physical signs/symptoms
- Mutuality relationship benefits patient and nurse and harms neither, embracing each others values and ideas, judgement free
- Engagement–connecting with another in an open, trusting responsive manner
What is an ethical dilemma?
conflict between two sets of human values that are believed to be good
-can cause distress and confusion
Define moral distress
Moral distress-occurs when nurses cannot act according to their moral judgement
Define moral integrity
nurses may lose this when they are committed to certain values and beliefs that are not upheld because of situational constraints
Define moral residue
long-standing feelings of guilt, remorse, or inadequacy an individual experiences because of unresolved ethical conflicts or moral distress
