S3 M3 Professionalism Flashcards
Boundaries of practice are defined in the
Nursing Practice Act for each state
Negligence
Error or omission
doing something unreasonable or not doing something reasonable
Malpractice
failure to act in a reasonable manner
aka professional negligence
Elements of malpractice
all must be present for a law suit
A set standard of care
Breath of that standard
Foreseeability of the harm
Failure to meet standard IS what caused the injury
Injury
How to avoid malpractice
Follow Nursing Practice Act Follow agency policy EBP Put PT first Know relevant law Practice within area of competence Attain further education and certification
ADPIE
Assessment Diagnosis Planning Implementation Evaluation
Assessment
Collecting data
Diagnosis
Determine problem or issue based on assessment
Planning
Create a plan of actions with attainable and measurable outcomes
Implementation
Implementing the plan
Evaluation
Evaluate progress toward goal
keep or change plan
Fidelity
Keeping promises and commitments
Justice
Distribution of benefits and costs fairly
Utilitarianism
Right or wrong depends on consequence
Deontology
Right or wrong depends of intent
Virtue
Cultivated disposition that enables the doing of good
3 values of QSEN
Knowledge
Attitude
Skill
Altruism
Concern for others
Value clarification
Understanding own values
3 parts of value clarification
Choosing
Prizing (treasuring)
Acting
4 competencies of the nursing knowledge base
Cognitive - use reasoning
Technical - use equipment
Interpersonal - professionalism
Ethical/legal - accountability
Critical thinking
Thought that is disciplined, comprehensive, intellectual and as a result well-reasoned
How to do critical thinking
ID goal Assess your own knowledge Address potential problems Consult resources Make judgement/decision
Thoughtful practice
using Clinical Reasoning and Reflective Practice to guide patient-centered care
Affective commitment
Attachment to profession
Identifying with profession
Normative commtiment
Feeling of obligation
Result of having positive experiences
Continuance Commitment
Awareness of costs to remain in profession
Exploratory stage
Positive orientation to profession
Excitement about entering profession
Testing stage
Discovering negative elements of profession
Recognizing sacrifices needed to continue
Passionate stage
Synthesizing positive and negative aspects
Commitment to profession
Willingness to get involved
Quiet and bored stage
Settle into routines of nursing
Occurs during middle/late time or program
Become comfortable in role and feel less anxiety
Acculturation and socialization
Role modeling
Who do you see as a role model
Steps in developing commitment
Belief in profession
Willingness to exert personal effort
Desire to maintain membership
Professionalism Definition by ANA
Assimilation of skills and knowledge with dignity and respect
Incorporating values of profession while maintaining accountability