Definition 1 of 31
Unless primary providers, nurses collaborate with the primary provider.
A nurse may witness a patient's signing but is not responsible for explaining the proposed
treatment.
The nurse is not responsible for evaluating whether the physician has truly explained the
significant risks, benefits, and alternative treatments.
The nurse is responsible for determining that the elements for valid consent are in place,
providing feedback if the patient wishes to change consent, and communicating the patient's
need for further information to the primary provider.
Role of Nurse for informed consent
Three Major Conditions of Informed Consent
Phases of nurse/client relationship
Social Media use/guidelines
Definition 2 of 31
describes a moral act if the motives or intentions are good regardless of the outcome. An act
was moral if its motives or intentions were good, regardless of the outcome
Act deontologists determine the right thing to do by gathering all the facts and then making a
decision.
Rule deontologists emphasize that principles guide our actions.
"the thought that counts"
Immanuel Kant (1724-1804)
Decision-making
Elements of Informed Consent to be Legally Valid
Deontology
Battery
,Definition 3 of 31
"The nurse practices with compassion and respect for the inherent dignity, worth, and
uniqueness of every individual, unrestricted by considerations of social or economic status,
personal attributes, or the nature of health problems "
Veracity is defined as telling the truth, or not lying.
Autonomy asserts that individuals have the right to determine their own actions and the
freedom to decisions.
Beneficence is commonly defined as "the doing of good."
(A beneficent act may conflict with other ethical principles, most often autonomy)
Nonmaleficence is defined as the duty to do no harm.
Justice is that equals should be treated the same and that unequals should be treated
differently.
Fidelity refers to faithfulness or honoring one's commitments or promises.
Criminal law
Nursing Practice Act
ANA Code of Ethics for Nurses:
NCSBN Model Nursing Practice Act (2012) urges the inclusion of:
Definition 4 of 31
*review*
(1) Orientation to individual survival
(2) A focus on goodness with recognition of self-sacrifice
(3) The morality of caring and being responsible for others, as well as self
Peplau's theory on therapeutic use of self
Principalism
Kohlberg's Theory of Moral Development
Gillian's Theory on Moral Development
,Definition 5 of 31
a level of care that the majority of nurse would perform.
Standard of Care
Therapeutic communication
Ethical Principles
Stages of adjustment to illness
Definition 6 of 31
most common offense is substance abuse
The state boards of nursing has the power to sanction a nurse for performing professional
functions that are dangerous to the patient or general public.
Probation, Suspension, & Revocation
Nursing Practice Act
Criminal law
Nurse disciplinary issues
ANA Code of Ethics for Nurses:
Definition 7 of 31
the assault carried out; the impermissible, unprivileged touching of one person by another.
Standard of Care
Battery
Decision-making
Ethical Principles
, Definition 8 of 31
1.Consent must be given voluntarily.
2.Consent must be given by an individual with the capacity and competence to understand.
3.The patient must be given enough information.
Elements of Informed Consent to be Legally Valid
Therapeutic communication
Three Major Conditions of Informed Consent
Stages of adjustment to illness
Definition 9 of 31
HIPAA requires all health care providers, including physicians, hospitals, health plans,
pharmacies, public health authorities, insurance companies, billing agencies, information
systems sales and service providers, and others, to ensure the privacy and confidentiality of
patients.
HIPAA regulations require several major patient protections:
Patients are able to see and obtain copies of their medical records, generally within 30 days of
their request, and to request corrections if they detect errors. Providers may charge patients
for the cost of copying and mailing the records.
Providers must give patients written notice describing the provider's information practices and
explaining patients' rights. Patients must be asked to agree to these practices by signing or
initialing the notice.
Limitations are placed on the length of time records can be retrieved, what information can be
shared, where it can be shared, and who can be present when it is shared.
HIPAA
Communication Criterion
Assault
Battery
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