Care Coordination
a process connecting both services and resources involving patient, providers and families with the goals of optimal patient
... [Show More] outcomes
Classification of safety events
Never miss event-error that could have caused harm but didn't
Adverse event-error that results in moderate to sever harm (medication administration)
Sentinel event- serious error that results in patient death
Fidelity
Act in ways that are loyal
keeping promises doing what is expected of you performing your duties and being trustworthy
Justice
treating people equitably fairly and appropriately
Beneficence
obligation to do good by acting in ways the promote the welfare and best interest of others
Nonmaleficence
Act to avoid harm to others inflicting the least harm possible to reach a beneficial outcome.
Respect for person's
treat with respect dignity and value, always tell the truth
Leadership
interactive process that provides necessary guidance and direction
three attributes are leader follower and situation
Attributes of a leader
vision-statement of desired goal
communication-function to be effective on going conversation
decision making-critical feature of a good leader
social power-influence over another
collaboration-teamwork
ethical-right vs wrong
Forms of Leaders
autocratic-makes all decisions wants to accomplish goal
democratic-involve their followers in decisions
Laissez faire- do not interfere with followers
transactional-focus on daily operations of organization
authentic-helps followers adjust to follow new roles
shared- followers share leadership responsibilities
Code of Ethics
concepts of right and wrong foundation for morality and moral behavior
Influenced by families, beliefs,values and ideas
Ethical Principals
respect for persons nonmaleficence beneficence justice and fidelity
Clinical Judgement
a conclusion or interpretation about a patients need, concerns,or problems and the response taken to modify the issue
RN decides what data is to be collected, makes interpretation of data, arrives at a nursing diagnosis and identifies appropriate nursing actions
Health Care Quality
those who want healthcare should have access to healthcare
Attributes- safe, effective, timely,patient centered, efficient, and equitable
Professional Identity
sense of self influenced by characteristics, norms, and values of the nursing discipline that result in individual thinking acting and feeling like a RN
Attributes of professional identity
doing, being, acting ethically, flourishing, changing identifies
Prioritization
to decide which patient needs or problems require immediate attention and what can be delayed
3 levels of priority ABC's, VS, mental status, other health problems
4 P's of delegation
purpose for the care
picture of the patients current condition
plan or envision outcomes of care
Part played by each team member
Delegation
Transferring a selected nursing task to a competent individual that falls within their scope of practice. The RN retains accountability for delegation of the task and care provided
RN obligated to delegate based on prioritization of clinical situation, pt situation, personnel available and must provide ongoing assessment
Negligence
Failure to use reasonable prudent care in the smart to similar circumstances
ties in with healthcare law or tort law
Elements that must occur to establish liability of negligence
Duty-professional duty of reasonable care to pt that a reasonable prudent nurse would perform in same circumstance
Breach of Duty-falling below standard of care causing injury
Causation-breach of care causing direct harm
Injury/harm- may be physical or combination of physical mental emotional or financial
Nurse Practice Act
Permits individual to obtain licensure to perform professional duties based on demonstrated qualifications and competency to perform actions which are illegal without a license
Scope of Practice
Range of permissible activity defined by law or defines what a RN can or cannot do
Ex- Ohio board of nursing writes scope of practice for nurses in Ohio
Tort Law
Most common basis for liability of nurses, physicians, and other health care providers
Civil tort is an action or omission that results in harm to a person
Unintentional- negligence
Intentional-intentionally harming or violating rights
Healthcare Law
collection of laws having direct impact on delivery of healthcare or between deliverers and recipients of healthcare
EX HIPAA 1996
Development
complex process of physical, psychological, cognitive and developmental changes through life from birth to death
Culture
pattern of shared attributes or beliefs
self definitions, norms, roles and values that can occur among those who speak a particular language or live in a defined geographical region
Spirituality
A belief, principle, experience or attitude
Nurse should assess and integrate in care by communication and listening skills
Involves recognizing honoring beliefs and practices of others
Communication
Process of interaction using symbols to create, exchange and interpret messages
Learned skin develops overtime
Complementary exchange-a sender transmitting a message to a receiver
Collaboration
development of partnerships to achieve best possible outcomes that reflects the particular needs of a patient [Show Less]