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Chapter 2 Legal and Ethical Aspects of Nursing


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Mikayla Delenia


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[Front]


Accountability
[Back]


Being responsible for one's own actions

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Chapter 2 Legal and Ethical Aspects of Nursing - Detalles

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Preguntas:

48 preguntas
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Accountability
Being responsible for one's own actions
Advocate
One who defends/pleads a cause/issue on behalf of another
Deposition
Witnesses undergoing questioning by attorneys
Doctrine of Informed Consent
Full disclosure of facts needed by the patient to make an informed decision prior to any invasive treatment/procedure
Ethical Dilemmas
No clear right/wrong answer
Ethics
Values that influence a person's behavior and their feelings/beliefs about what is right/wrong
Euthanasia
Withholding lifesaving treatment Letting a person die A form of passive neglect
Laws
Sanction acceptable behavior Prohibit unacceptable behavior
Liability
Legal responsibility
Liable
Legally responsible
Malpractice
Professional neglect
Non-maleficence
To do no harm
Standards of Care
Define acts whose performance is required/permitted/prohibited
Value Clarification
Process of self-evaluation gain insights into personal beliefs/values
Values
Personal beliefs about the worth of an object/idea/custom/attitude
Verdict
Decision based on evidence/testimony/credibility of witness/laws pertaining to the issue
Criminal Law
Offensive/detrimental to society in general Involves public offenses Purpose of laws=punish for the crime and prevent further crimes
Civil Law
Violates an individuals rights detrimental to that individual purpose of laws=make the aggrieved person whole again
Negligence
Absence of due care
4 key elements for the concept of malpractice
1. Duty: relationship between patient/nurse 2. Breach: failure to perform duty 3. Harm has occurred 4. Proximate cause is breach of duty
Abandonment of Care
Wrongful termination of providing patient care
Assault
Intentional threat to cause bodily harm
Battery
Unlawful touching without consent
Competency
Legal presumption that at the age of majority, the person can make their own decisions (unless proved otherwise)
Defamation
Malicious and intentional statements that may injure one's reputation
Harm
Injury to person/property that gives rise to basis of legal action
Libel
Malicious/untrue writing about another person
Lander
Malicious/untrue spoken words
Tort
A type of civil law that involves wrongs against a person/property
Most common areas of litigation against nurses Performance failures in:
Standard of care Use of equipment Documentation Patient advocacy
Preventable Omissions in Nursing Failures to:
Collaborate with other team members Clarify interdisciplinary orders Ask for/offer assistance Utilize evidence based performance Communicate info to patients/families Limit overtime Adequate staff with appropriate credentialed staff
Standards of care paired with the scope of nursing practice does what?
Define the obligations of the nurse, including those activities that are obligatory and those that are prohibited
The Patient Self-Determination Act
Requires that institutions maintain written policies and procedures regarding advance directives, the right to accept or refuse treatment and to fully participate in health care related decisions
What is the goal of the American Hospital Association (AHA)
To promote the public's understanding of their rights and responsibilities as consumers of health care
Health care institutions are obligated to uphold the patient's rights to_____
1. Access to health care without any prejudice 2. Treatment with respect and dignity at all times 3. Privacy and confidentiality 4. Personal safety 5. Complete info about one's own condition and treatment
Patients' responsibilities to health care institution
1. Providing accurate info about themselves 2. Giving info regarding their known conditions 3. Participating in decision making regarding treatment and care
Consent for treatment does not_______
Waive the right to privacy
How to avoid a lawsuit
WORK WITHIN YOUR SCOPE OF PRACTICE
Claims-made policy
Provides protection when claim for nursing/negligence is made while policy is in force
Occurrence-basis policy
Protects against claims made about events that occurred during the policy period/extended coverage period
Tail agreement
Extended coverage for nurse
Advance directives
Signed and witnessed documents that provide specific instructions for health care treatment if a person is unable to make these decisions personally at the time they are needed.
Living will
Written document that directs treatment in accordance with a patient's wishes in the event of a terminal illness or condition
Durable power of attorney
An agent, surrogate, or proxy to make health care decisions on the patient's behalf based on patient's wishes
To clarify values, you do what?
1. Select the belief or behavior and examine it 2. Decide it's value 3. Incorporate value into daily responses
Respect for people
To view all human life as sacred, with each individual having inherent worth as a person
Autonomy
Freedom of personal choice A right to be independent and make decisions freely
Beneficence
Doing/acting for someone's good