quality amp leadership in professional nursing rasmussen college
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lOMoAR cPSD| 4407473
Role and Scope Exam 1 1
• Values—ideas or concepts that give meaning to individuals life—derived from societal
norms, religion, family orientation; serve as framework for decision making and taking
action in daily life
• Fidelity—keeping ones promise to the client about care that was offered
• Morals—the fundamental standards of right and wrong that an individual learns and
internalizes; usually in early developmental stages
• Deontology—a system of ethical decision making; based on moral rules and unchanging
principles
• Nonmaleficence—the nurses obligation to avoid causing harm to the client
• Justice—fair tx in matters of physical and psychological care and use of resources
• Ethical dilemma—problems for which more than one choice can be made, and the
choice is influenced by the values and beliefs of the decision makers
• Beneficence—the care that is in the best interest of the client
• Autonomy—The ability of the client to make personal decisions, even when those
decisions may not be in the clients own best interest
• Veracity—the nurses duty to tell the truth
• Utilitarianism (teleology)—the ethical system of utility; the greatest good for the
greatest number and the end justifies the means
• Ethics—discipline dealing w/ what is good and bad and w/ moral duty & obligation
• A position is a group of tasks assigned to one individual.
• A job is a group of positions similar in nature and in skill level that can be carried out by
an individual or a group.
• An occupation is a group of jobs, similar in type of work, usually found throughout an
industry or workplace.
• A professional is one who belongs to and practices a profession.
• BEST PROFESSIONAL NURSES—well educated; minimum of a bachelor’s degree***
• Morally unacceptable—bullying, harassment, intimidation, manipulation, threats or
violence
• Everyone has the right to receive healthcare!!!
• The primary purpose of the National League for Nursing (NLN) is to maintain and
improve the standards of nursing education
o CONTINUING EDUCATION
• Nurses must pass a national licensure examination to demonstrate that they are qualified
to practice nursing; Nursing licensure conducted by the individual state under the
regulations contained in that state's nurse practice act.
o establishes the scope of practice for professional nurses, as well as educational
levels and standards, professional conduct, and reasons for revocation of
licensure.
• American Association of Colleges of Nursing (AACN)—established to help colleges
with schools of nursing work together to improve the standards for higher education for
professional nursing.
, lOMoAR cPSD| 4407473
Role and Scope Exam 1 2
o Developed standards for the accreditation of baccalaureate
• American Nurses Association (ANA)— improving the standards of health and access to
health-care services for everyone; improving and maintaining high standards for nursing
practice; and promoting the professional growth and development of all nurses, including
economic issues, working conditions, and independence of practice
• Advanced Directives
o Client wishes regarding end-of-life care
o PSDA (Patient Self-Determination Act) requires questioning upon admission
o Living will: medical treatment if incapacitated – prolong life (CPR, Ventilation,
feeding).
o Durable power of attorney for health care: designates health care proxy
(surrogate) – authorized to make decision for client.
• The National League for Nursing (NLN) and the American Nurses Association (ANA)—
neither can be considered powerful when compared with other professional
organizations, one reason for their lack of strength is that fewer than 10 percent of all
nurses in the United States are members of any professional organization at the
national level.
• An ethical dilemma problem occurs when something cannot be solved solely by a review
of scientific data; it involves a conflict between two moral imperatives. The answer will
have profound effect on the situation/client. When facing this situation, ethical decision-
making is the process by which a decision is made about an ethical issue.
• The people who belong to the ethics committee vary somewhat from one institution to
another, but they usually include a physician, a member of administration, an RN, a
clergy person, a lawyer, and a person from the community. Members of ethics
committees should not have any personal agenda that they are promoting and should be
able to make decisions without prejudice on the basis of the situation and ethical
principles.
• Code of ethics is not law but if consistently violated can result in reprimands, fines,
suspension of licensure
• Leadership—engaged decision making connected to the actions used in clinical
situations for which no standardized solution exists; Using one's individual traits and
personal influence to interact constructively in resolving problems is a good definition of
nursing leadership.
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