NURS 151 EXAM 3

1. ask

2. gather info relevant to case

3. identify ethical elements

4. name the problem

5. identify possible courses of action

6. create and implement action plan

7. evaluate action plan

decision making

patient's best interest when making decisions

-promoting good

-maximizing good

-promoting positive outcome

healthcare provider will cause no harm when taking action

health care providers will make fair decisions

patients should be treated with respect and honor

faithfulness or agreement to keep promises

often defined as an awareness of one's inner self and a sense of connection to a higher being, nature, or some purpose greater than oneself

associated with the "state of doing" or a specific system of practices associated with a particular denomination, sect, or form of worship

false

true

true

sense of authentically connecting to one's inner self

being intrapersonally connected within oneself, others and the environment, God, or unseen higher power

F: what is your FAITH or beliefs

I: is it IMPORTANT in your life?

C: are you apart of a spiritual or faith COMMUNITY

A: how would you like me to ADDRESS issues in your healthcare

• do you belong to a faith community?

• do you follow special diet bc of spiritual beliefs?

• are any members of faith community able to assist you at home?

H: sources of HOPE where patient finds relief

O: ORGANIZED religion

P: PERSONALIZED beliefs

E: EFFECT of spiritual belief on medical decisions

open-ended questions ask relevant q's summarize confrontation self-disclosure

-what are your thoughts about the new diagnosis?

false

it facilitates measuring the impact of nursing interventions on patient outcomes

• described the extent of medical errors

• revealed significant issues in quality of care in hospitals

framework for improved patient care and quality

• beginning of informatics in healthcare

addressed nursing workforce

stablished provisions to promote meaningful use of health info technology

an individuals LIFETIME computerized record

record for an INDIVIDUAL healthcare visit

• facilitates nursing activities and sharing info

• nursing model (nursing process) and critical pathway

aids and supports clinical decision making

draw a line through the wrong text and initial beside the error

reducing the need for decision-making through use of algorithms

funded incentives for meaningful use of electronic health records

1. patient centered care

2. teamwork and collaboration

3. evidence-based practice

4. quality improvement

5. safety

6. informatics

meet the challenge of preparing future notions of KSA's

K: Knowledge

• understand, describe, examine, explore, demonstrate

  S: Skills

• asses, recognize, participate, provide, elicit

  A: Attitudes

• value, respect, recognize, appreciate

ADPIE

• assessment

• diagnosis

• planning

• implementing

• evaluating

collect comprehensive data pertinent to the situation

analysis of data and determination of a nursing diagnosis

develop a plan of nursing care to achieve the expected outcomes

• coordination of care

• education

• health promotion

• what progress has been made?

• were goals achieved?

self-talk

one-on-one interaction

family meetings

audience, classroom

technology, patient portals

the incentive or motivation for communication to occur between one person and another

one who encodes the message

one who decodes the message

content of communication

means of conveying and receiving messages

response to message

factors within both the sender and receiver that influence communication

• vocabulary

• denotative and connotative meaning

• pacing

• tone

• clarity and brevity

• timing and relevance

• personal appearance

• posture

• facial expressions

• gestures

• sounds

• personal space

all factors that influence communication

S - sit at angle facing patient

U - uncross arms and legs

R - relax

E - eye contact

T - touch

Y - your intuition

verbal, emotional, or physical abuse of a RN toward another staff member

• workplace bullying

occurs when a nurse knows the ethically correct action to take but is constrained from taking it

preserving someones life

• patient's judgment

• do not offer a reasonable hope of benefit

• entail an excessive burden

• imposed excessive expense on family or community

professional negligence that causes injury or harm to patient

unreasonable conduct under a given set of circumstances

can't transfer patient to another facility without screening and stab

right of the patient to confidentiality; protects patients and employees

protects right of people with physical or mental disability

insurance companies must provide coverage for mental health and substance use treatment disorders

• consumer rights and protections

• affordable health care coverage

• increased access to care

• care that meets the needs of patients

assessment of their spiritual and religious beliefs, especially as they relate to illness, injury, or disability

• a disruption occurs when there is a conflict in benefits with others

• can lead to people questioning their beliefs

using more of your mind to sense what's going on in and around you

• the process of taking steps to and engagement in activities to establish and maintain health

• needing permission

• the experience of self-care and self-compassion in nursing

• a constructivist grounded theory study

• international journal of nursing study

• the ability turn compassion inwards and to kind to the self

• to acknowledge our humanity, imperfect and fragility

loss of satisfaction from providing good patient care

• avoidance or dread of working with certain patients

• reduced ability to feel empathy towards patients and families

• frequent use of sick days

• lack of joyfulness

• headaches

• digestive problems, diarrhea, constipation, upset stomach

• muscle tension

• sleep disturbances

• fatigue

• cardiac symptoms (chest pain/pressure, palpitations, etc.)

• emotional

(2005 - 2007)

defined 6 competencies

(2007 - 2009)

pilot schools integrated the competencies in their nursing programs

(2009 - 2012)

RWJF provided funding to UNC SON and AACN to continue the project

recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient's preferences, values, needs

EX:

• involve family and friends in care

• function effectively within nursing and inter-professional teams

• fostering open communication, mutual respect, and shared decision-making to achieve quality patient care

  EX:

• discuss effective strategies for communicating and resolving conflict

integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care

EX:

• demonstrates knowledge of basic scientific bases for practice

use data to monitor outcomes of care processes and improvement methods to design and test changes to continuously improve the quality and safety of healthcare system

EX:

• tools such as flow charts and diagrams to make process of care explicit

minimize risk of harm to patients and providers through both system effectiveness and individual performance

EX:

• value own role in preventing errors

use information and technology to communicate, manage knowledge, mitigate error, and support decision making

EX:

• navigate electronic health record

keep illness or injury from occurring

detect and treat existing disease

reduce the extent and severity of a health problem to its lowest possible level to minimize disability and restore or preserve function

avoids development of disease

• immunization programs

• healthy nutrition programs

• smoking cessation programs

focus on early disease detection, protecting progression of disease

• colonoscopies

• mammograms

• hearing and vision screening

reduces the impact of an already established disease by minimizing disease-related complications

• cardiac rehab

• physical rehab programs

established through executive branch of government

EX:

regulation of nursing profession by state boards of nursing

prosecuted through civil court system, can be a criminal offense

EX:

lawsuits brought against nurses by patients

originates from federal and state constitutions

EX:

rights and privileges inherent to Bill of Rights

established from legislative branch of government

EX:

HIPAA and ACA