NP Core Competencies
1. Scientific Foundations
2. Leadership
3. Quality
4. Practice Inquiry
5. Technology and Information Literacy
6. Policy
7.
... [Show More] Health Delivery System
8. Ethics
9. Independent Practice
Who developed NP Role?
1965 by Loretta Ford and Henry Silver at the U of Colorado
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When did PMHNP across the lifespan certification begin?
2015
Credentialing
Process used to protect the public by ensuring a minimum level of professional competence
Certification
Determines scope of practice
A credential that provides title protection
Licensure
-Process by which an agency of state government grants permission to persons to engage in the practice of that profession
-Prohibits all others from legally doing protected practice
Scope of Practice
-Defines NP roles and actions
-Varies broadly from state to state
Standards of Practice
-Authoritative statements regarding the quality and type of practice that should be provided
-Can be used to legally describe the standard of care that must be met by a provider
HIPAA - Guarantees clients 4 fundamental rights
1. To be educated about HIPAA privacy protection,
2. To have access to their own medical records,
3. To request amendment of their health information to which they object, and
4. To require their permission for disclosure of their personal information.
Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009
1. Incentive payments for sharing specific electronic health record (EHR) data
2. Meaningful use incentives
3. EHRs can improve both individual and population-based health outcomes.
4. EHRs can improve quality, safety, efficiency, effectiveness and outcomes
Tarasoff Principle
Duty to warn potential victim of imminent danger from homicidal clients
Justice
Doing what is fair; fairness in all aspects of care
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Beneficence
Promoting well-being and doing good
Nonmaleficence
Doing no harm
Fidelity
Being true and loyal
Autonomy
Doing for self
Respect
Treating everyone with equal respect/dignity
Deontological Theory
An action is judged as good or bad based on the act itself regardless of the consequences
Teleological Theory
An action is judged as good or bad based on the consequence or outcome.
Virtue Ethics
Actions are chosen based on the moral virtues (e.g., honesty, courage, compassion, wisdom, gratitude, self-respect) or the character of the person making the decision.
Negligence Elements to Prove Malpractice
1. Duty: The NP had a duty to exercise reasonable care when undertaking and providing treatment to the client.
2. Breach of duty: The NP violated the applicable standard of care in treating the client's condition.
3. Proximate cause: There is a causal relationship between the breach in the standard of care and the client's injuries
4. Damages: The client experiences permanent and substantial damages as a result of the breach in the standard of care.
Competency
Legal, not a medical term.
A determination that a client can make reasonable judgments and decisions regarding treatment and other health concerns
Commitment Criteria
1. Person has a diagnosed psychiatric disorder,
2. Person is harmful to self or others as a consequence of the disorder,
3. Person is unaware or unwilling to accept the nature and severity of the disorder, and
4. Treatment is likely to improve functioning
Phases of Policy-Making
1. Formulation
2. Implementation
3. Evaluation
Risk Assessment
Continuous monitoring for high-risk situations
Assessing persons for nonhealthy behaviors
Risk Management
Activities or systems designed to recognize and intervene to reduce the risk of injury to clients
Advance Directive
1. Durable power of attorney for health care/healthcare proxy. Legally binding
2. Living Will. Prepared while client is mentally competent to designate preferences for care if client becomes incompetent or terminally ill. Not legally binding.
Co-occurring substance use and serious mental illness in homeless population
50%
Schizophrenia in Homeless Population
15-45%
Migrants
Persons who leave their permanent residences to [Show Less]