NUR 243 Exam 2 - Questions and Answers Professional nursing nurses are affected by a variety of policies that establish regulate and change their roles
... [Show More] within the healthcare systems of the United States -result from professional actions that define nursing roles, establish legal nursing authority over practice, and compel nurses to speak out and act on behalf of their patients and professions Policy day to day life - School policies - Can’t go into store with no shirts - HIPPA - Allocate health resources - education on healthcare rights Scope and standards of professional nursing practice licensing, regulation of health professionals is responsibility of state governments -tasked with implementation and administration of nurse practice acts (licensing) -regulatory boards have authority delegated by state to make rules and these rules have force of law -advisory bodies (Institute of medicine gives advice) -Regulatory bodies fine suspend/decreased/ remove services if not performing according to policy) -OSHA/ODH/CDC/joint commission Negligence and malpractice actions of the nurse are judged as substandard to what is expected in reasonable and prudent standard of practice and that result in harm to others Engagement and advocacy Nurses can influence health policy by engaging in the political process and becoming "street level workers"(deal with policy issues daily while ensuring confidentiality of patient information, allocating healthcare resources through staffing assignments or teaching patients their healthcare rights) -nurses advocate for patients -clinical expertise can influence -engaged through everyday practice Eight Recommendations from the Future of Nursing Report: provides roadmap for nurses to become active in health policy -remove scope of practice barriers -expand opportunities for nurses to lead and diffuse collaborative improvement errors -implement nurse residency programs -increase proportion of nurses with bachelors degrees -double number of nurses with doctorate -ensure nurses engage in life long learning -prepare and enable nurses to lead change to advance health -build and infrastructure to collect and analyze health care workforce data Patient self-determination act requires healthcare facilities to provide patients with information related to their preferences for end of life care -facility to should inform patients of right to make own decisions about end of life care and facilities policies respecting those decisions -advance directives Emergency medical treatment and labor act of 1986 prevents denial of emergency services to patients chiefly because they are uninsured and unable to pay -prevents patient dumping Health information technology for economic and clinical health act of 2009 establish a nationwide health information technology infrastructure -developments if IT standards -interoperability and certification -reports on quality '-reimbursement incentives to improve quality of health care -HIPPA RULES address privacy concerns associated with electronic transmission -changing password -turning computer off or logging off 2012 Supreme Court ruling on mandated health coverage and expansion of Medicaid Independent business vs Sibelius -upheld constitutionality of mandate health coverage but ruled expansion of Medicaid eligibility outlined in the affordable care act was unconstitutional -rewrote regulations to accommodate the ruling that Medicaid expansion cannot be required by states Scope of practice and licensing for nurses [Show Less]