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-study of conduct and character -serve as guidelines when questions arise about correct practice -set of guiding principles -reflect the standards of behavior -accepted by all members of the profession |
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-commitment to include patients in health care decisions -stand up for patients, keep aware of plan of care |
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-commitment to do good -not always what patient wants |
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-"to do no harm" -intentional or not |
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-fairness and equality -for all--who needs first |
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-to be faithful; keeping promises you have made -honest; keep your word |
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-to be truthful -complete honesty-even against family will |
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-treat others with consideration -treat others how you want to be treated |
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-patient is primary -willingness to honor obligations |
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-answering for your actions |
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-HIPAA -keeping information only between you and those who are allowed |
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-Health Insurance Portability and Accountability Act -federal legislation started in 1996 -protects the privacy of all medical info -fines levied on facilities who do not follow the rules -staff usually fired immediately for violations |
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Code of Ethics for Nurses |
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-nine standards -written by the ANA -constantly being revised -new task force currently updating -used to protect nurses when needed |
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-a set of personal beliefs or attitudes -based on cultural, religious, social, and ethical background, continue to change and develop throughout life through exposure to various events -anti/pro abortion -cannot use personal values with patients |
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-creating values -development begins in childhood |
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-learning values and passing between people -affected by the type of childhood experienced -strongly related to family values -new values added as we age and experience life -can be positive or negative |
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-recognize your own personal values -recognize different values of patients -recognize different values of peers -be "value neutral" -do not impose your values on others as "right" -help others recognize value conflicts and assist to resolve them -practice self-care |
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Identifying Personal Values |
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-abortion -right to die -genetic screening -child abuse -domestic abuse -contraception -family presence during resuscitation |
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-may involve multiple health care providers, patient, family, and friends -nurse is often the first to be told about the problem -nurse often become the advocate |
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-nurturing way of relating to a valued other |
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-caring is at the core of nursing |
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-practice of loving-kindness -care for each other, not just patients |
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-facilitates a nurses ability to know the patient, allowing recognition of problems and facilitation of solutions -care for each other, not just patients |
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-essential human need, necessary for health and survival of all individuals |
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Carative Core Factors (Jean Watson) |
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-faith and hope -humanistic system of values -sensitivity toward others -trust -positivity and negativity -problem solving -promotion of learning relationships -supportive style -fulfillment of human needs -transpersonal caring and love -must have one or more to care -nursing is an art and a science -if we care enough, patients can heal faster |
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-conscious practice of demonstrating loving kindness -being authentically "present" (actively involved, listening) -deep spiritual belief that cared for as well as caring -open oneself up to others with compassion and sensitivity (willing to be vulnerable) -developing and sustaining a helping-trusting authentic caring relationship (open yourself up to help them open up) -understanding that both positive and negative feelings help one to feel cared for (telling you for your own good, reprimand) -cherish or give someone or something loving attention (caritas) |
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Transpersonal Caring Relationship |
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-nurses moral commitment in enhancing human dignity -nurse caring for the spiritual person and not just treating the person as an object -nurse has potential to "heal" when a caring consciousness is communicated |
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-attentive listening (actively involved) -honesty (tell the truth) -patience -responsibility (for own actions and care given) -touch (small space, all the time) -sensitivity (think of others' feelings before acting/speaking) -providing necessary information (correct) -respect (treating others how you want to be treated) -comforting (making them feel better/less worried) |
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-Patricia Benner -nurses are powerful because of the various ways we are able to show care to our patients, their care givers, and each other -implies that the caring provided by nurses enables patients to heal faster |
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-permanent lifestyle change -come to terms with chronic disease -changes their thinking |
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-recovering from illness -back into old life; bills, job, house -makes tolerable |
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-patients do not understand health care -make easier (small not big) -help negotiate health care |
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-bad prognosis (terminal disease) accept health care -forms close bond with patient |
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-another nurse gives support and energy for caring -take strength from peers |
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-fix issues -develop observations -notice everything that goes on |
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-nursing and caring (were) synonymous -people become nurses because they want to take "care" of people -competition in health care has decreased actual bedside time -"scripting" -caregiver fatigue |
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-bond with patients -bad news affects greatly |
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-ticked off with work environment -tired/exhausted |
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-cannot cope with unethical and immoral actions |
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-thoughts, communications, actions, customs, beliefs, values, and institutions of religious groups -not related to birth location -how you are raised |
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-a group of human beings whose members feel a kinship to each other on the basis of birthplace, ancestral origin, and genealogy -where you feel like you belong |
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-a group of people that share the same inherited physical traits -hair, shape of eyes, skin color |
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-a group of people who hold less political, spiritual, or financial power and control -the people do not have as much power |
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Ethnic and Minority Health Disparities |
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-income below poverty level -be without medical insurance -be poorly educated -be genetically compromised -poor: carbs (cheap) full of sugars leads to diabetes and obesity (can't afford well-balanced meals) |
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-preconceived ideas about a specific group of people -belief that people in certain groups are the same |
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-assumption that all people who are a part of a cultural group will behave the same way -laid back, hang out: does drugs |
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-belief that a persons ethnic group is superior to any other -better than everyone else -causes huge conflicts (wars) |
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Culturally Congruent Care |
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-care provided by a caring, culturally competent, culturally sensitive nurse -encompasses both Western medicine and traditional homeopathic (natural) therapy -able to take care of any patient regardless of ethnicity, race, culture with no anger, difficulty, or judgment |
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Culturally Competent Assessment |
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-communication -language -eye contact -space and distance -touch -death beliefs -emotional expression -diet -time -spiritual beliefs -illness beliefs |
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Becoming Culturally Competent |
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-do not make assumptions -explain every detail of care -ask about alternate ideas for healing -withhold personal judgments -educate |
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-enacted by legislative groups -does not involve us unless doing major drug dealing out of hospital |
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-enacted by specific administrative groups -state |
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-civil wrongs fought in civil court -malpractice suits |
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-individual boards belong to NCSBN -includes representatives from all levels of nursing (CNA, LPN, RN, BSN, NP) -defines credentialing for all nursing within the state -identifies grounds for disciplinary action (use of drugs/alcohol; stealing drugs) -set the educational requirements for licensure |
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-forcing patient/threatening an unwanted treatment |
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-physically forcing patient to receive an unwanted treatment |
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-forcing to stay in hospital when patient does not want to |
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-HIPAA -revealing unit or name |
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-saying things that are untrue in public |
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-providing less than adequate care -leave side rail down, patient falls -leave work before replacement arrives |
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-requires nurse assigned to take care, standard of care was below normal, patient was injured or killed |
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-signed for general care on admission to facility -accept nursing/doctoral/general care -not allowed in room without it |
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-signed for specific procedures/treatments -done in patients room-MD must get consent -all you do is check for signature |
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-signed for any surgical procedure -surgeon only -cannot do anything that is not on consent |
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-usually signed by parent -under age of 18 unless emancipated |
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-what you want done in the event of illness or accident |
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-only with serious/terminal illness |
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Medical Power of Attorney (MPOA) |
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-in the event of injury the patient has someone in charge of decisions |
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-if you stop breathing, will let you go |
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-process of determining and maintaining nursing competence -at graduation |
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-after NCLEX is passed -carries a specific title that only the holder may use -can be revoked if deemed necessary -active for two years (renewed 10/31 odd years) |
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-title given to all nurses who have completed the requirements to hold the title "Registered Nurse" |
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-voluntary validation of competence in a specialty area |
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-defines a state's sepcific "Standards of Care" for nursing -specific guide for each level of nursing practice -establishes educational requirements for each level of nursing -distinguishes between nursing and medical practice -all nurses are required to know their provisions of practice for their state |
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-all RNs need to learn to delegate -RN is responsible for quality of care -RN is accountable for assignments of other RNs, LPNs, technicians, and student nurses -RN is responsible for knowing what tasks may be delegated and which may not |
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-monitors quality of nursing care -monitors incidents and errors -estimates high risk issues -attempts to prevent never events -audits chart/computer documentation -assists with legal/malpractice issues -tracks equipment/supply faults |
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Who Looks Like an Animated Lizard? |
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-Tracy reminds me a Rango!!!!!!!! Front row. -She just licked her lips like a lizard and LOOKED EXACTLY LIKE HIM!!! |
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Who has the coolest cousin in the world? |
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LAILA LOUBNA HASHEM-TAYLOR Laila TAY LAILA LAILA LAILA TAY khgfu |
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WHO IS GOING TO SEE LION KING 3D?! |
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