TEST 1 - UNIT A - PP UNPROFESSIONALISM 8/23 Flashcards
Unprofessionalism
Refers to conduct that does not adhere to the standards of practice or the code of ethics.
Misconduct often cited as “conduct unbecoming of a nurse,”
which means to dishonor, disgrace, or harm the standing or reputation of the profession in the eyes of the public
During the Crimean war, Nightingale pioneered (4) things
-correlation infection / unclean conditions
-data collection
-Reported that data to authorities to create change, providing a foundation for current practice in infection control strategies.
-connection of calming fears and instilling hope positive impact upon healing.
Pathways to Registered Nursing Education in the United States
Options:
Two-year associate degree nursing program
Three-year diploma program
Four-year bachelor of science degree program
Nursing Education and Technology
Digital Learning
Online learning
Use of electronic devices
Simulation
Novice to Expert
Benner’s five (5) stages of proficiency
Novice
Advanced beginner
Competent
Proficient
Expert
Nursing Roles
case managers
of leaders,
care providers,
researchers,
educators,
managers, and
change agents
Case Managers
-Are a conduit between clients and the health care system.
-Ensure clients receive the care they need to safely navigate the health care system and to achieve a safe outcome.
-Afford clients the highest level of care through an interdisciplinary care plan.
Other Nursing Competencies:
Advocacy
Counseling
Change management
Communication
Collaboration
Compassion
Honesty
Integrity
Nursing Organizations
-National Academy of Medicine
(formerly called the Institute of Medicine)
-National Student Nurses Association
-American Nurses Association
-National League for Nursing
Ethics
Code of ethics
Values
Morals
Ethical Principles
Autonomy
Beneficence
Veracity
Fidelity
Justice
Ethical Dilemmas
Ethical decision-making
Ethical and Legal Considerations
Altruism
Dignity
Human dignity implies that everyone, regardless of race, religion, sex, gender, or other individual identification, has value and should be respected simply because human beings are all equal.
Integrity
The quality of being honest and having strong moral principles or moral uprightness
Autonomy
The right to self-determination
Sources of Law
-Federal regulations
-Criminal laws
–Misdemeanors
–Felonies
-Civil laws
–Tort
-State law
–Board of Nursing
–Good Samaritan
Good Samaritan Laws
Nurses are not required by law to provide care to clients outside of work.
Deciding whether to act is at the ethical discretion of the nurse, but the nurse cannot be held liable for deciding not to provide care.
If the nurse does decide to act, Good Samaritan Laws protect the nurse from
being held responsible for harm—so long as the nurse is not being willfully negligent and is working within his/her licensure capacity.
Types of torts
Unintentional torts
Quasi-intentional torts
Intentional torts
Implied and Informed Consent
Implied Consent:
Informed Consent:
- Consent that is implied by actions.
-Consent that is expressed in writing.
– Requires providers to educate clients about the risks, benefits, and alternatives to procedures.
–Must be provided for clients to make well-informed decisions about their health care.
Informed consent
Provider -
Nurse witness consent
Client - gives consent
Refusal of treatment
Leave facility
AMA (against medical advice)
Advanced Directives
Living will
Durable power of attorney for health care
Provider’s orders
Whistleblowing
-An act when a person formally reports on illegal, wrongdoing, or unethical practice.
-Can result in punitive actions against the accused, but can also cause stress, fear of reprisal, and retaliation for the whistleblower.
-Fear of reporting is a huge obstacle, and many laws exist to protect whistleblowers.
