SlideShare a Scribd company logo
ETHICS DEFINED Ethics is a study of good conduct, character, & motives & is concerned with determining what is good or valuable for all people.  It goes beyond personal preferences to establish norms & standards upon which individuals, professions & societies agree.
NURSING ETHICS Within nursing, specific values & moral requirements are necessary to maintain the integrity of the profession.  An ethical nurse will act & treat others in specific ways that are consistent with nursing norms & will be guided by more than personal preferences or values.
NURSING ETHICS (cont’d) To become mature professionals who are able to participate effectively in the ethical dimensions of their practice, nurses must continue to develop a strong sense of their moral identity, seek support from professional resources & expand their knowledge and skill in the area of ethics.
NURSING ETHICS (cont’d) A nurse assumes responsibility and accountability for nursing care provided.
RESPONSIBILITY Refers to the execution of duties associated with the nurse’s particular role.  A nurse who acts in a responsible manner gains the trust of clients & other professionals.  A responsible nurse remains competent in knowledge & skills & demonstrates a willingness to perform within the ethical guidelines of the profession.
RESPONSIBILITY  (example) When administering medications, the nurse is responsible for assessing clients’ need for the drugs, giving them safely & correctly, and evaluating the responses.
ACCOUNTABILITY Being answerable for one’s own actions.  A nurse is accountable to self, the client, the profession, the employer, and society
ACCOUNTABILITY (example) If a wrong dose of medication is given, the nurse is accountable to the client who received it, the physician who ordered it, the nursing service that set standards of expected performance, & society which demands professional excellence.
ACCOUNTABILITY (example cont’d) Thus, when an error is made, the nurse reports it and initiates care to prevent further injury.  Accountability calls for an evaluation of a nurse’s effectiveness in practice.
ACCOUNTABILITY PURPOSE 1. To evaluate new professional practices & reassess existing ones. 2. To maintain standards of health care. 3. To facilitate personal reflection, ethical thought, & personal growth on the part of health care professionals. 4. To provide a basis for ethical decision making.
VARIABLES AFFECTING ETHICAL DECISIONS Because ethical problems occur in situations involving people who have different approaches to “moral reasoning”, it is helpful if the nurse can sort through the various factors that influence a persons’ thinking.
VARIABLES (cont’d) Emotions Legal considerations Cultural diversity Religious/Spiritual convictions Education level Past life experiences Developmental level
VARIABLES (cont’d) Societal changes Race Gender Class Economic level Sexuality orientation Current state of “health”
ETHICAL DECISION MAKING METHODS Each ethical situation or dilemma will be different, but the nurse in any setting can use the following guidelines for ethical processing and decision making.
METHODOLOGY (cont’d) Presume good will Identify all important persons Gather relevant information Identify important ethical principles Propose alternative courses of action Take action
SENSITIVE ETHICAL SITUATIONS Bio-technology Surrogate Pregnancy Contracts Adoption Abortion Substance Abuse AIDS/HIV Death & Dying Living Wills/Health Care Surrogates Organ Donations
NAPNES CODE OF ETHICS (LPN) Refer to the printed sheets
STANDARD OF PRACTICE (LPN) Refer to printed sheets
PATIENT BILL OF RIGHTS Considerate & respectful care Relevant, current, understandable information Part of decision in plan of care Advanced Directives Privacy Confidential communication Review records
PATIENT BILL OF RIGHTS (cont’d) Appropriate/modern care Conflicting relationships Consent/Decline research participation Reasonable continuity of care Informed of hospital policies, procedures & mission statement
NURSE PRACTICE ACT In all states in the US, nurse practice acts regulate the licensure & practice of nurses.  Each state defines for itself the scope of nursing practice.
LEGAL TERMS DEFINED A  TORT  is a civil wrong made against a property.  Torts may be classified as unintentional or intentional.  An example of an unintentional tort is  NEGLIGENCE  or  MALPRACTICE.  Intentional torts are willful acts that violate another’s rights (assault, battery, defamation, and invasion of privacy).
LEGAL DEFINITIONS (cont’d) NEGLIGENCE: Conduct that falls below a standard of care. MALPRACTICE: Results when nursing care is below that required for safe nursing practice.
LEGAL DEFINITIONS (cont’d) No intent is needed for negligence to occur.  It is established by law for the protection of others against reasonable risk of harm.  It is characterized chiefly by inadvertence, thoughtlessness, carelessness, or inattention.
NEGLIGENCE & MALPRACTICE (cont’d) If a nurse performs a procedure for which they have not been trained and do it carefully, but still harm the patient, a claim of negligence or malpractice could be made.
NEGLIGENCE & MALPRACTICE (cont’d) If nurses give care that does not meet appropriate standards, they may be held negligent.  Because these actions are performed by a professional, the negligence of the nurse is termed malpractice.
NEGLIGENCE & MALPRACTICE RISKS IV therapy errors resulting in infiltration of phlebitis Burns from improperly monitored heat therapy Falls resulting in injury Failure to use aseptic technique Errors in sponge, instrument, or needle counts in surgical cases
NEGLIGENCE & MALPRACTICE (cont’d) Nurses must perform all procedures correctly.  They must also use professional judgment as they carry out MD orders as well as independent nursing therapies for which they have authority.
NEGLIGENCE & MALPRACTICE (cont’d) The following actions must take place for Nursing Negligence to occur: Nurse owed a duty to patient Nurse did not carry out duty Patient was injured Patient’s injuries were result of the nurse’s failure to carry out the duty
STUDENT NURSE ROLE Student nurses must also practice nursing in a reasonably safe manner. They should never be assigned to tasks for which they are unprepared & should be carefully supervised by instructors/staff as they learn new procedures.
STUDENT ROLE (cont’d) Student nurses are expected to perform as professional nurses would in providing safe patient care. Student nurses must be accountable for informing staff of their current safe level of practice.
STAYING LEGAL Nurses can reduce their chances of being named in lawsuits by following standards of care, giving competent health care, & developing an empathetic rapport with patients.  In addition, careful, complete, & objective documentation serves as evidence of the standard of nursing care provided.
NATIONAL LEAGUE FOR NURSING NLN Membership:  Anyone interested in the future of nursing. Objective: Improvement of care & education, workshops, conferences, eval svcs, politics. Publish:  Nursing & Health Care.
AMERICAN NURSES ASSOCIATION ANA Membership:  RN & SN’s only Objective: Improvement of care & education, workshops, conferences, eval svs, a very strong political force Publish:  The American Journal of Nursing
NATIONAL FEDERATION OF LICENSED PRACTICAL NURSES NFLPN Membership: LPN & SPN’s only Objective: Improvement of care & education, workshops, conferences, eval sys, politics Publish:  The Journal of Nursing Care
NAT’L ASSC OF PRACTICAL NURSES FOR EDUC & SERVICE NAPNES Membership: Anyone interested in Practical Nursing (BTC) Objective: Improvement of care & education, workshops, conferences, eval sys, politics (focus on the LPN role) Publish:  Journal of Practical Nursing
BEGIN PVR #3
CONCEPTUAL FRAMEWORKS Conceptual Framework is the structure, scaffolding, or skeleton used to determine human behaviors, learning styles, and learning capabilities. The development of nursing science, conceptual models & theory is a scholarly activity.
NURSING THEORY Theories, which are composed of concepts & propositions, focus more specifically on the events & phenomena of the nursing discipline. Theory contributes to a sound basis of nursing practice. Nurses now & in the future need to have models of care from which their practice is based.
NURSING THEORY As nursing continues to evolve, nurses theorize about the nature of nursing practice, the principles on which practice is based, & the proper goals & functions of nursing in society.
NURSING THEORY Conceptual and theoretical nursing models are used to provide knowledge to improve practice, guide research and curricula, and identify the domain and goals of nursing practice.
HEALTH CARE THEORISTS Nightingale (1860) To aid “the body’s reparative processes” by manipulating the environment Peplau (1952) Interaction btwn nurse & client Henderson (1955) Work interdependently with other health care workers to help client regain independence quickly
HEALTH CARE THEORISTS (cont’d) Abdellah (1960) Provide service to individuals, families, society. To be kind, caring & intelligent. Orlando (1961) Respond to pt’s behavior in terms of immediacy. Hall (1962) Provide care/comfort during disease processes.
HEALTH CARE THEORISTS (cont’d) Wiedenbach (1964) Overcoming obstacles that interfere with ability to meet demands/needs. Levine (1966) Use of conservation acts to optimize client’s resources. Johnson (1968) Reduce stress to speed up the recovery process. Rogers (1970) “Humanistic Science of Nursing” to promote health & prevent illness & to rehabilitate.
HEALTH CARE THEORISTS (cont’d) Orem (1971) Bates Model King (1971) Communication use Travelbee (l971) Assist patients thru interpersonal processes. Neuman (1972) Stress reduction. Patterson & Zderad (1976) Patient awareness of “uniqueness” & “commonality”.
HEALTH CARE THEORISTS (cont’d) Leininger (1978) Transcultural Roy (1979) Psysiological, psychological, sociological & dependence-independence Watson (1979) Philosophy & science of caring Parse (1981) Man’s interaction with environment & health
OREM’S THEORY Dorothea Orem (1971) developed a definition of nursing that emphasizes the client’s self-care needs. “Nursing has a special concern for man’s needs for self-care action & the provision & management of it on a continuous basis in order to sustain life & health, recover from disease or injury, & cope with their effects.”
OREM’S THEORY (cont’d) “Self-care is a requirement of every person – man, woman & child.  When self-care is not maintained, illness, disease, or death will occur.  Nurses sometimes manage & maintain required self-care continually for persons who are totally incapacitated.”
OREM’S THEORY (cont’d) “In other instances, nurses help persons to maintain required self-care by performing some but not all care measures, by supervising others who assist patients, and by instructing and guiding individuals as they gradually move toward self-care.”
OREM’S GOAL To help the client perform self-care.  Nursing care is necessary when the client is unable to fulfill biological, psychological, developmental, or social needs.  The nurse determines why a client is unable to meet them, & how much self-care the client is able to perform.  The goal of nursing is to increase the client’s ability to independently meet these needs.
OREM’S APPLICATION Man: Individuals who use self-care to sustain life & health, recover from disease or injury, or cope with its effects. Health: The result of practices that individuals have learned to carry out on their own behalf to maintain life & well-being.
OREM’S APPLICATION (cont’d) Environment: External elements with which man interacts in his struggle to maintain self-care. Nursing: A human service that assists individuals to progressively maximize their self-care potential.
OREM’S APPLICATION (cont’d) Synopsis of Theory: Individuals learn behaviors that they perform on their own behalf to maintain life, health & well-being. Application to Nursing Practice: Nurses assist patients with self-care to improve or maintain health.
SELF-CARE REQUISITES UNIVERSAL SELF-CARE: Needs that support life processes & structural & functional integrity common to all (air, food, H2O, elimination, activity, sleep, etc) DEVELOPMENT SELF-CARE: Needs that promote development at each period of the life cycle (Infancy thru gerontology & special pregnant nds)
SELF-CARE REQUISITES (cont’d) HEALTH DEVIATION SELF-CARE: Needs for prevention or control of genetic or constitutional defects.  Needs are met by seeking out medical assistance, carrying out treatments, understanding & learning to live with the deficit.
SELF-CARE DEFICITS Self-Care deficits are not having the capacity to meet self-care demands.  Nursing approaches & care are aimed at those pts with actual or potential deficits.  Nurses use the “Nursing Process” to pinpoint self-care deficits & plan for ways to help the patient overcome them.
BTC SCHOOL OF NURSING CONCEPTUAL FRAMEWORK Based on Orem’s Theory of self-care.  It complies with the Bates Technical College’s Mission statement and all state quidelines/requirements for accreditation in the State of Washington.
BTC: WHY USE A FRAMEWORK Conceptual Frameworks enhance the reliability and validity of the material presented, it establishes “norms” of student practice, encourages/fosters steady upward & progressive nursing growth, and increases integrity among the student nurses.
BTC: WHY (cont’d) Appropriate use of conceptual frameworks also provide an avenue to accurately measure student outcomes.  Proven & predictable self-care models place the student nurse on the path to efficacy.

More Related Content

What's hot

Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid
Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid
Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid
Haroon Rashid
 
Interpersonal relations in nursing
Interpersonal relations in nursingInterpersonal relations in nursing
Interpersonal relations in nursing
Nursing Hi Nursing
 
Effective Communication in nursing
Effective Communication in nursing Effective Communication in nursing
Effective Communication in nursing
Royal Medical Services
 
Introduction to nursing ethics converted
Introduction to nursing ethics convertedIntroduction to nursing ethics converted
Introduction to nursing ethics converted
PIR BUX JOKHIO
 
Pre and intra operative phase
Pre and intra operative phasePre and intra operative phase
Pre and intra operative phase
mariselluna
 
Ethical and legal issues in nursing
Ethical and legal issues in nursingEthical and legal issues in nursing
Ethical and legal issues in nursing
Jays George
 
Intravenous cannulation
Intravenous cannulationIntravenous cannulation
Intravenous cannulation
AYM NAZIM
 
Extended role of nursing
Extended role of nursing Extended role of nursing
Extended role of nursing
ishamagar
 
Ethical issues
Ethical issuesEthical issues
Ethical issues
Sara Aljanabi
 
Nurse’s Bill of Rights
Nurse’s Bill of RightsNurse’s Bill of Rights
Nurse’s Bill of Rights
Kin Yuri
 
UNIT- 03- Ethical principles and theories.pptx
UNIT- 03- Ethical principles and theories.pptxUNIT- 03- Ethical principles and theories.pptx
UNIT- 03- Ethical principles and theories.pptx
SadiqAliChandio
 
Role of nurses in infection control dr.rs 07 04-2016
Role of nurses in infection control dr.rs 07 04-2016Role of nurses in infection control dr.rs 07 04-2016
Role of nurses in infection control dr.rs 07 04-2016
SOMESHWARAN R
 
international patient safety goals
international patient safety goals international patient safety goals
international patient safety goals
Mouad Hourani
 
Nursing competencies
Nursing competenciesNursing competencies
Nursing competencies
Ahmad Thanin
 
Nursings fundamental patterns of knowing
Nursings fundamental patterns of knowingNursings fundamental patterns of knowing
Nursings fundamental patterns of knowing
Eileen Ziegler
 
Legal aspects of nursing
Legal aspects of nursingLegal aspects of nursing
Legal aspects of nursing
xtrm nurse
 
History medical surgical nursing
History medical surgical nursingHistory medical surgical nursing
History medical surgical nursing
ramanlal patidar
 
Intravenous therapy
Intravenous therapy Intravenous therapy
Intravenous therapy
chrissie argana
 
Ipsg patient safety
Ipsg  patient safetyIpsg  patient safety
Ipsg patient safety
Surbhi Raghunath
 
Legal issues in nursing in india
Legal issues in nursing in indiaLegal issues in nursing in india
Legal issues in nursing in india
Amrita Roy (Ex Capt.) (MSN,MBA-HCS,BSN)
 

What's hot (20)

Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid
Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid
Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid
 
Interpersonal relations in nursing
Interpersonal relations in nursingInterpersonal relations in nursing
Interpersonal relations in nursing
 
Effective Communication in nursing
Effective Communication in nursing Effective Communication in nursing
Effective Communication in nursing
 
Introduction to nursing ethics converted
Introduction to nursing ethics convertedIntroduction to nursing ethics converted
Introduction to nursing ethics converted
 
Pre and intra operative phase
Pre and intra operative phasePre and intra operative phase
Pre and intra operative phase
 
Ethical and legal issues in nursing
Ethical and legal issues in nursingEthical and legal issues in nursing
Ethical and legal issues in nursing
 
Intravenous cannulation
Intravenous cannulationIntravenous cannulation
Intravenous cannulation
 
Extended role of nursing
Extended role of nursing Extended role of nursing
Extended role of nursing
 
Ethical issues
Ethical issuesEthical issues
Ethical issues
 
Nurse’s Bill of Rights
Nurse’s Bill of RightsNurse’s Bill of Rights
Nurse’s Bill of Rights
 
UNIT- 03- Ethical principles and theories.pptx
UNIT- 03- Ethical principles and theories.pptxUNIT- 03- Ethical principles and theories.pptx
UNIT- 03- Ethical principles and theories.pptx
 
Role of nurses in infection control dr.rs 07 04-2016
Role of nurses in infection control dr.rs 07 04-2016Role of nurses in infection control dr.rs 07 04-2016
Role of nurses in infection control dr.rs 07 04-2016
 
international patient safety goals
international patient safety goals international patient safety goals
international patient safety goals
 
Nursing competencies
Nursing competenciesNursing competencies
Nursing competencies
 
Nursings fundamental patterns of knowing
Nursings fundamental patterns of knowingNursings fundamental patterns of knowing
Nursings fundamental patterns of knowing
 
Legal aspects of nursing
Legal aspects of nursingLegal aspects of nursing
Legal aspects of nursing
 
History medical surgical nursing
History medical surgical nursingHistory medical surgical nursing
History medical surgical nursing
 
Intravenous therapy
Intravenous therapy Intravenous therapy
Intravenous therapy
 
Ipsg patient safety
Ipsg  patient safetyIpsg  patient safety
Ipsg patient safety
 
Legal issues in nursing in india
Legal issues in nursing in indiaLegal issues in nursing in india
Legal issues in nursing in india
 

Viewers also liked

Administration and management
Administration and managementAdministration and management
Administration and management
Anand Saran
 
Pneumonia
Pneumonia Pneumonia
Pneumonia
Mukhtar Alam
 
Pneumonia in Long Term Care
Pneumonia in Long Term CarePneumonia in Long Term Care
Pneumonia in Long Term Care
Shirley Gutkowski
 
Legal aspects of nursing 2014
Legal aspects of nursing 2014Legal aspects of nursing 2014
Legal aspects of nursing 2014
Nhelia Santos Perez
 
Aldactone (Spironolactone Tablets)
Aldactone (Spironolactone Tablets)Aldactone (Spironolactone Tablets)
Aldactone (Spironolactone Tablets)
Clearsky Pharmacy
 
NurseReview.Org - Bronchodilators Updates (ati pharmacology topic descriptors)
NurseReview.Org - Bronchodilators Updates (ati pharmacology topic descriptors)NurseReview.Org - Bronchodilators Updates (ati pharmacology topic descriptors)
NurseReview.Org - Bronchodilators Updates (ati pharmacology topic descriptors)
jben501
 
Pneumonia
PneumoniaPneumonia
Pneumonia
sdanilso
 
New born calf diseases prof dr. hamed attia
New born calf diseases prof dr. hamed attiaNew born calf diseases prof dr. hamed attia
New born calf diseases prof dr. hamed attia
hamed attia
 
evaluation of dyspnoea
evaluation of dyspnoeaevaluation of dyspnoea
evaluation of dyspnoea
prapulla chandra
 
Shortness Of Breath
Shortness Of BreathShortness Of Breath
Shortness Of Breath
Akmal Shah
 
Organizational Structure and roles
Organizational Structure and rolesOrganizational Structure and roles
Organizational Structure and roles
jayesh.8486
 
Organisation Developement and change managemnt
Organisation Developement and change managemntOrganisation Developement and change managemnt
Organisation Developement and change managemnt
M S Ramaiah Institute of Management
 
Organisation
OrganisationOrganisation
Organisation
kevindias
 
Dyspnea
DyspneaDyspnea
Dyspnea
cairo1957
 
Principles of Documentation
Principles of  DocumentationPrinciples of  Documentation
Principles of Documentation
JEENA AEJY
 
Dyspnea
DyspneaDyspnea
Dyspnea
Fatima Awadh
 
Emt dyspnea
Emt dyspneaEmt dyspnea
Emt dyspnea
Dang Thanh Tuan
 
Good documentation practice
Good documentation practiceGood documentation practice
Good documentation practice
Pharmaceutical
 
Vital signs and observation of patient
Vital signs and observation of patientVital signs and observation of patient
Vital signs and observation of patient
SusanEducation
 
Dyspnea and Pulmonary Edema
Dyspnea and Pulmonary EdemaDyspnea and Pulmonary Edema
Dyspnea and Pulmonary Edema
bajah423
 

Viewers also liked (20)

Administration and management
Administration and managementAdministration and management
Administration and management
 
Pneumonia
Pneumonia Pneumonia
Pneumonia
 
Pneumonia in Long Term Care
Pneumonia in Long Term CarePneumonia in Long Term Care
Pneumonia in Long Term Care
 
Legal aspects of nursing 2014
Legal aspects of nursing 2014Legal aspects of nursing 2014
Legal aspects of nursing 2014
 
Aldactone (Spironolactone Tablets)
Aldactone (Spironolactone Tablets)Aldactone (Spironolactone Tablets)
Aldactone (Spironolactone Tablets)
 
NurseReview.Org - Bronchodilators Updates (ati pharmacology topic descriptors)
NurseReview.Org - Bronchodilators Updates (ati pharmacology topic descriptors)NurseReview.Org - Bronchodilators Updates (ati pharmacology topic descriptors)
NurseReview.Org - Bronchodilators Updates (ati pharmacology topic descriptors)
 
Pneumonia
PneumoniaPneumonia
Pneumonia
 
New born calf diseases prof dr. hamed attia
New born calf diseases prof dr. hamed attiaNew born calf diseases prof dr. hamed attia
New born calf diseases prof dr. hamed attia
 
evaluation of dyspnoea
evaluation of dyspnoeaevaluation of dyspnoea
evaluation of dyspnoea
 
Shortness Of Breath
Shortness Of BreathShortness Of Breath
Shortness Of Breath
 
Organizational Structure and roles
Organizational Structure and rolesOrganizational Structure and roles
Organizational Structure and roles
 
Organisation Developement and change managemnt
Organisation Developement and change managemntOrganisation Developement and change managemnt
Organisation Developement and change managemnt
 
Organisation
OrganisationOrganisation
Organisation
 
Dyspnea
DyspneaDyspnea
Dyspnea
 
Principles of Documentation
Principles of  DocumentationPrinciples of  Documentation
Principles of Documentation
 
Dyspnea
DyspneaDyspnea
Dyspnea
 
Emt dyspnea
Emt dyspneaEmt dyspnea
Emt dyspnea
 
Good documentation practice
Good documentation practiceGood documentation practice
Good documentation practice
 
Vital signs and observation of patient
Vital signs and observation of patientVital signs and observation of patient
Vital signs and observation of patient
 
Dyspnea and Pulmonary Edema
Dyspnea and Pulmonary EdemaDyspnea and Pulmonary Edema
Dyspnea and Pulmonary Edema
 

Similar to PVR Modules 2 and 3

Code of ethics ppt
Code of ethics pptCode of ethics ppt
Code of ethics ppt
SheelamannilJohn
 
Code of ethics
Code of ethicsCode of ethics
Code of ethics
NEHA DAGAR
 
12 legal & ethical issues
12 legal & ethical issues 12 legal & ethical issues
12 legal & ethical issues
NaveenJyothi
 
NURSING AS A PROFESSION (FUNDAMENTALS OF NURSING)
NURSING AS A PROFESSION (FUNDAMENTALS OF NURSING)NURSING AS A PROFESSION (FUNDAMENTALS OF NURSING)
NURSING AS A PROFESSION (FUNDAMENTALS OF NURSING)
HaraLakambini
 
NURSING AS A PROFESSION - FUNDAMENTALS OF NURSING.pdf
NURSING AS A PROFESSION - FUNDAMENTALS OF NURSING.pdfNURSING AS A PROFESSION - FUNDAMENTALS OF NURSING.pdf
NURSING AS A PROFESSION - FUNDAMENTALS OF NURSING.pdf
HaraLakambini
 
The ethico – legal aspects of iv therapy
The ethico – legal aspects of iv therapyThe ethico – legal aspects of iv therapy
The ethico – legal aspects of iv therapy
williard acenas
 
ASVINI. M - CODE OF ETHICS ASS.pptx
ASVINI. M - CODE OF ETHICS ASS.pptxASVINI. M - CODE OF ETHICS ASS.pptx
ASVINI. M - CODE OF ETHICS ASS.pptx
DeepikaLingam2
 
Innovations in nursing
Innovations in nursingInnovations in nursing
Innovations in nursing
Jalpa Patel
 
Professionalism in nursing
Professionalism in nursingProfessionalism in nursing
Professionalism in nursing
RelebohileMatete
 
Nursing ethics (2)
Nursing ethics (2)Nursing ethics (2)
Nursing ethics (2)
Maputi24
 
Code of ethics in Nursing
Code of ethics in NursingCode of ethics in Nursing
Code of ethics
Code of ethicsCode of ethics
Ethical Committee, Code of ethics and Professional conduct In Nursing
Ethical Committee, Code of ethics and Professional conduct In NursingEthical Committee, Code of ethics and Professional conduct In Nursing
Ethical Committee, Code of ethics and Professional conduct In Nursing
Sujata Mohapatra
 
Innovations in nursing
Innovations in nursingInnovations in nursing
Innovations in nursing
DR .PALLAVI PATHANIA
 
01 nursing as a profession
01 nursing as a profession01 nursing as a profession
01 nursing as a profession
Eko Priyanto
 
Icncode english
Icncode englishIcncode english
Code of Ethics, Code of professional conduct, Legal aspects in Nursing .pptx
Code of Ethics, Code of professional conduct, Legal aspects in Nursing .pptxCode of Ethics, Code of professional conduct, Legal aspects in Nursing .pptx
Code of Ethics, Code of professional conduct, Legal aspects in Nursing .pptx
Renjini R
 
Position Statement competency standards for the registered nurse.docx
Position Statement competency standards for the registered nurse.docxPosition Statement competency standards for the registered nurse.docx
Position Statement competency standards for the registered nurse.docx
write5
 
Code of ethics for nurses
Code of ethics for nursesCode of ethics for nurses
Code of ethics for nurses
DEEPARANI ALAGARSAMY
 
Juris1
Juris1Juris1
Juris1
xtrm nurse
 

Similar to PVR Modules 2 and 3 (20)

Code of ethics ppt
Code of ethics pptCode of ethics ppt
Code of ethics ppt
 
Code of ethics
Code of ethicsCode of ethics
Code of ethics
 
12 legal & ethical issues
12 legal & ethical issues 12 legal & ethical issues
12 legal & ethical issues
 
NURSING AS A PROFESSION (FUNDAMENTALS OF NURSING)
NURSING AS A PROFESSION (FUNDAMENTALS OF NURSING)NURSING AS A PROFESSION (FUNDAMENTALS OF NURSING)
NURSING AS A PROFESSION (FUNDAMENTALS OF NURSING)
 
NURSING AS A PROFESSION - FUNDAMENTALS OF NURSING.pdf
NURSING AS A PROFESSION - FUNDAMENTALS OF NURSING.pdfNURSING AS A PROFESSION - FUNDAMENTALS OF NURSING.pdf
NURSING AS A PROFESSION - FUNDAMENTALS OF NURSING.pdf
 
The ethico – legal aspects of iv therapy
The ethico – legal aspects of iv therapyThe ethico – legal aspects of iv therapy
The ethico – legal aspects of iv therapy
 
ASVINI. M - CODE OF ETHICS ASS.pptx
ASVINI. M - CODE OF ETHICS ASS.pptxASVINI. M - CODE OF ETHICS ASS.pptx
ASVINI. M - CODE OF ETHICS ASS.pptx
 
Innovations in nursing
Innovations in nursingInnovations in nursing
Innovations in nursing
 
Professionalism in nursing
Professionalism in nursingProfessionalism in nursing
Professionalism in nursing
 
Nursing ethics (2)
Nursing ethics (2)Nursing ethics (2)
Nursing ethics (2)
 
Code of ethics in Nursing
Code of ethics in NursingCode of ethics in Nursing
Code of ethics in Nursing
 
Code of ethics
Code of ethicsCode of ethics
Code of ethics
 
Ethical Committee, Code of ethics and Professional conduct In Nursing
Ethical Committee, Code of ethics and Professional conduct In NursingEthical Committee, Code of ethics and Professional conduct In Nursing
Ethical Committee, Code of ethics and Professional conduct In Nursing
 
Innovations in nursing
Innovations in nursingInnovations in nursing
Innovations in nursing
 
01 nursing as a profession
01 nursing as a profession01 nursing as a profession
01 nursing as a profession
 
Icncode english
Icncode englishIcncode english
Icncode english
 
Code of Ethics, Code of professional conduct, Legal aspects in Nursing .pptx
Code of Ethics, Code of professional conduct, Legal aspects in Nursing .pptxCode of Ethics, Code of professional conduct, Legal aspects in Nursing .pptx
Code of Ethics, Code of professional conduct, Legal aspects in Nursing .pptx
 
Position Statement competency standards for the registered nurse.docx
Position Statement competency standards for the registered nurse.docxPosition Statement competency standards for the registered nurse.docx
Position Statement competency standards for the registered nurse.docx
 
Code of ethics for nurses
Code of ethics for nursesCode of ethics for nurses
Code of ethics for nurses
 
Juris1
Juris1Juris1
Juris1
 

More from Bates2ndQuarterLPN

PVR Module 7
PVR Module 7PVR Module 7
PVR Module 7
Bates2ndQuarterLPN
 
PVR Module 6
PVR Module 6PVR Module 6
PVR Module 6
Bates2ndQuarterLPN
 
PVR Module 5
PVR Module 5PVR Module 5
PVR Module 5
Bates2ndQuarterLPN
 
PVR Module 4
PVR Module 4PVR Module 4
PVR Module 4
Bates2ndQuarterLPN
 
Nutrition: Food, Nutrition and Health
Nutrition: Food, Nutrition and HealthNutrition: Food, Nutrition and Health
Nutrition: Food, Nutrition and Health
Bates2ndQuarterLPN
 
PVR Module 1
PVR Module 1PVR Module 1
PVR Module 1
Bates2ndQuarterLPN
 
Nutrition: Gastrointestinal System
Nutrition: Gastrointestinal SystemNutrition: Gastrointestinal System
Nutrition: Gastrointestinal System
Bates2ndQuarterLPN
 
Death And Dying
Death And DyingDeath And Dying
Death And Dying
Bates2ndQuarterLPN
 
IVs
IVsIVs
Application Of Hot And Cold
Application Of Hot And ColdApplication Of Hot And Cold
Application Of Hot And Cold
Bates2ndQuarterLPN
 
Admit/Discharge Powerpoint
Admit/Discharge PowerpointAdmit/Discharge Powerpoint
Admit/Discharge Powerpoint
Bates2ndQuarterLPN
 
Nursing Skills: Charting
Nursing Skills: ChartingNursing Skills: Charting
Nursing Skills: Charting
Bates2ndQuarterLPN
 
Microbiology
MicrobiologyMicrobiology
Microbiology
Bates2ndQuarterLPN
 
Intro To Med-Surge
Intro To Med-SurgeIntro To Med-Surge
Intro To Med-Surge
Bates2ndQuarterLPN
 

More from Bates2ndQuarterLPN (14)

PVR Module 7
PVR Module 7PVR Module 7
PVR Module 7
 
PVR Module 6
PVR Module 6PVR Module 6
PVR Module 6
 
PVR Module 5
PVR Module 5PVR Module 5
PVR Module 5
 
PVR Module 4
PVR Module 4PVR Module 4
PVR Module 4
 
Nutrition: Food, Nutrition and Health
Nutrition: Food, Nutrition and HealthNutrition: Food, Nutrition and Health
Nutrition: Food, Nutrition and Health
 
PVR Module 1
PVR Module 1PVR Module 1
PVR Module 1
 
Nutrition: Gastrointestinal System
Nutrition: Gastrointestinal SystemNutrition: Gastrointestinal System
Nutrition: Gastrointestinal System
 
Death And Dying
Death And DyingDeath And Dying
Death And Dying
 
IVs
IVsIVs
IVs
 
Application Of Hot And Cold
Application Of Hot And ColdApplication Of Hot And Cold
Application Of Hot And Cold
 
Admit/Discharge Powerpoint
Admit/Discharge PowerpointAdmit/Discharge Powerpoint
Admit/Discharge Powerpoint
 
Nursing Skills: Charting
Nursing Skills: ChartingNursing Skills: Charting
Nursing Skills: Charting
 
Microbiology
MicrobiologyMicrobiology
Microbiology
 
Intro To Med-Surge
Intro To Med-SurgeIntro To Med-Surge
Intro To Med-Surge
 

Recently uploaded

Introduction to Interventional Radiology.pptx
Introduction to Interventional Radiology.pptxIntroduction to Interventional Radiology.pptx
Introduction to Interventional Radiology.pptx
Dr. Dheeraj Kumar
 
Dr.Tarik Enaairi - Dermatology - Mastocytosis.ppsx
Dr.Tarik Enaairi - Dermatology - Mastocytosis.ppsxDr.Tarik Enaairi - Dermatology - Mastocytosis.ppsx
Dr.Tarik Enaairi - Dermatology - Mastocytosis.ppsx
Dr.Tarik Enaairi
 
Ativisha by Saket in Dravyguna BAMS NCISM
Ativisha by Saket in Dravyguna BAMS NCISMAtivisha by Saket in Dravyguna BAMS NCISM
Ativisha by Saket in Dravyguna BAMS NCISM
SaketkumarSrivastava
 
PICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptx
PICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptxPICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptx
PICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptx
Aloy Okechukwu Ugwu
 
Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...
Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...
Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...
ailynolive
 
Subcutaneous nodules in rheumatic diseases Ahmed Yehia Assistant Professor of...
Subcutaneous nodules in rheumatic diseases Ahmed Yehia Assistant Professor of...Subcutaneous nodules in rheumatic diseases Ahmed Yehia Assistant Professor of...
Subcutaneous nodules in rheumatic diseases Ahmed Yehia Assistant Professor of...
Internal medicine department, faculty of Medicine Beni-Suef University Egypt
 
Rhythm Control in Atrial Fibrillation.pdf
Rhythm Control in Atrial Fibrillation.pdfRhythm Control in Atrial Fibrillation.pdf
Rhythm Control in Atrial Fibrillation.pdf
Jim Jacob Roy
 
CASE PRESENTATION ON ACUTE GASTROENTERITIS.
CASE PRESENTATION ON ACUTE GASTROENTERITIS.CASE PRESENTATION ON ACUTE GASTROENTERITIS.
CASE PRESENTATION ON ACUTE GASTROENTERITIS.
Bhavana
 
Report Back from ASCO 2024: Latest Updates on Metastatic Breast Cancer (MBC)....
Report Back from ASCO 2024: Latest Updates on Metastatic Breast Cancer (MBC)....Report Back from ASCO 2024: Latest Updates on Metastatic Breast Cancer (MBC)....
Report Back from ASCO 2024: Latest Updates on Metastatic Breast Cancer (MBC)....
bkling
 
Interpretation of ECG - Cardiac Arrhythmias
Interpretation of ECG - Cardiac ArrhythmiasInterpretation of ECG - Cardiac Arrhythmias
Interpretation of ECG - Cardiac Arrhythmias
MedicoseAcademics
 
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga
 
Genetic deletion of HVEM in a leukemia B cell line promotes a preferential in...
Genetic deletion of HVEM in a leukemia B cell line promotes a preferential in...Genetic deletion of HVEM in a leukemia B cell line promotes a preferential in...
Genetic deletion of HVEM in a leukemia B cell line promotes a preferential in...
MARIALUISADELROGONZL
 
OBSTETRICS SEPSIS - BUNDLE APPROACH.pptx
OBSTETRICS SEPSIS - BUNDLE APPROACH.pptxOBSTETRICS SEPSIS - BUNDLE APPROACH.pptx
OBSTETRICS SEPSIS - BUNDLE APPROACH.pptx
Niranjan Chavan
 
World Population Day 2024_Overview_Dr Bijan Das
World Population Day 2024_Overview_Dr Bijan DasWorld Population Day 2024_Overview_Dr Bijan Das
World Population Day 2024_Overview_Dr Bijan Das
srmnchatripura
 
Introduction to Dental Implant for undergraduate student
Introduction to Dental Implant for undergraduate studentIntroduction to Dental Implant for undergraduate student
Introduction to Dental Implant for undergraduate student
Shamsuddin Mahmud
 
Yoga talk & yoga slides by Flametree Yoga 11 July 2024.pdf
Yoga talk & yoga slides by Flametree Yoga 11 July 2024.pdfYoga talk & yoga slides by Flametree Yoga 11 July 2024.pdf
Yoga talk & yoga slides by Flametree Yoga 11 July 2024.pdf
Stuart McGill
 
Health communication, AI and health misinformation.pptx
Health communication, AI and health misinformation.pptxHealth communication, AI and health misinformation.pptx
Health communication, AI and health misinformation.pptx
Tina Purnat
 
2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf
2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf
2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf
CarriePoppy
 
General Endocrinology and mechanism of action of hormones
General Endocrinology and mechanism of action of hormonesGeneral Endocrinology and mechanism of action of hormones
General Endocrinology and mechanism of action of hormones
MedicoseAcademics
 
Definition of Radiotherapy Treatment Planning.pptx
Definition of Radiotherapy Treatment Planning.pptxDefinition of Radiotherapy Treatment Planning.pptx
Definition of Radiotherapy Treatment Planning.pptx
Dr. Dheeraj Kumar
 

Recently uploaded (20)

Introduction to Interventional Radiology.pptx
Introduction to Interventional Radiology.pptxIntroduction to Interventional Radiology.pptx
Introduction to Interventional Radiology.pptx
 
Dr.Tarik Enaairi - Dermatology - Mastocytosis.ppsx
Dr.Tarik Enaairi - Dermatology - Mastocytosis.ppsxDr.Tarik Enaairi - Dermatology - Mastocytosis.ppsx
Dr.Tarik Enaairi - Dermatology - Mastocytosis.ppsx
 
Ativisha by Saket in Dravyguna BAMS NCISM
Ativisha by Saket in Dravyguna BAMS NCISMAtivisha by Saket in Dravyguna BAMS NCISM
Ativisha by Saket in Dravyguna BAMS NCISM
 
PICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptx
PICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptxPICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptx
PICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptx
 
Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...
Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...
Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...
 
Subcutaneous nodules in rheumatic diseases Ahmed Yehia Assistant Professor of...
Subcutaneous nodules in rheumatic diseases Ahmed Yehia Assistant Professor of...Subcutaneous nodules in rheumatic diseases Ahmed Yehia Assistant Professor of...
Subcutaneous nodules in rheumatic diseases Ahmed Yehia Assistant Professor of...
 
Rhythm Control in Atrial Fibrillation.pdf
Rhythm Control in Atrial Fibrillation.pdfRhythm Control in Atrial Fibrillation.pdf
Rhythm Control in Atrial Fibrillation.pdf
 
CASE PRESENTATION ON ACUTE GASTROENTERITIS.
CASE PRESENTATION ON ACUTE GASTROENTERITIS.CASE PRESENTATION ON ACUTE GASTROENTERITIS.
CASE PRESENTATION ON ACUTE GASTROENTERITIS.
 
Report Back from ASCO 2024: Latest Updates on Metastatic Breast Cancer (MBC)....
Report Back from ASCO 2024: Latest Updates on Metastatic Breast Cancer (MBC)....Report Back from ASCO 2024: Latest Updates on Metastatic Breast Cancer (MBC)....
Report Back from ASCO 2024: Latest Updates on Metastatic Breast Cancer (MBC)....
 
Interpretation of ECG - Cardiac Arrhythmias
Interpretation of ECG - Cardiac ArrhythmiasInterpretation of ECG - Cardiac Arrhythmias
Interpretation of ECG - Cardiac Arrhythmias
 
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
 
Genetic deletion of HVEM in a leukemia B cell line promotes a preferential in...
Genetic deletion of HVEM in a leukemia B cell line promotes a preferential in...Genetic deletion of HVEM in a leukemia B cell line promotes a preferential in...
Genetic deletion of HVEM in a leukemia B cell line promotes a preferential in...
 
OBSTETRICS SEPSIS - BUNDLE APPROACH.pptx
OBSTETRICS SEPSIS - BUNDLE APPROACH.pptxOBSTETRICS SEPSIS - BUNDLE APPROACH.pptx
OBSTETRICS SEPSIS - BUNDLE APPROACH.pptx
 
World Population Day 2024_Overview_Dr Bijan Das
World Population Day 2024_Overview_Dr Bijan DasWorld Population Day 2024_Overview_Dr Bijan Das
World Population Day 2024_Overview_Dr Bijan Das
 
Introduction to Dental Implant for undergraduate student
Introduction to Dental Implant for undergraduate studentIntroduction to Dental Implant for undergraduate student
Introduction to Dental Implant for undergraduate student
 
Yoga talk & yoga slides by Flametree Yoga 11 July 2024.pdf
Yoga talk & yoga slides by Flametree Yoga 11 July 2024.pdfYoga talk & yoga slides by Flametree Yoga 11 July 2024.pdf
Yoga talk & yoga slides by Flametree Yoga 11 July 2024.pdf
 
Health communication, AI and health misinformation.pptx
Health communication, AI and health misinformation.pptxHealth communication, AI and health misinformation.pptx
Health communication, AI and health misinformation.pptx
 
2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf
2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf
2024 07 12 Do you share my autistic traits_ - Google Sheets.pdf
 
General Endocrinology and mechanism of action of hormones
General Endocrinology and mechanism of action of hormonesGeneral Endocrinology and mechanism of action of hormones
General Endocrinology and mechanism of action of hormones
 
Definition of Radiotherapy Treatment Planning.pptx
Definition of Radiotherapy Treatment Planning.pptxDefinition of Radiotherapy Treatment Planning.pptx
Definition of Radiotherapy Treatment Planning.pptx
 

PVR Modules 2 and 3

  • 1. ETHICS DEFINED Ethics is a study of good conduct, character, & motives & is concerned with determining what is good or valuable for all people. It goes beyond personal preferences to establish norms & standards upon which individuals, professions & societies agree.
  • 2. NURSING ETHICS Within nursing, specific values & moral requirements are necessary to maintain the integrity of the profession. An ethical nurse will act & treat others in specific ways that are consistent with nursing norms & will be guided by more than personal preferences or values.
  • 3. NURSING ETHICS (cont’d) To become mature professionals who are able to participate effectively in the ethical dimensions of their practice, nurses must continue to develop a strong sense of their moral identity, seek support from professional resources & expand their knowledge and skill in the area of ethics.
  • 4. NURSING ETHICS (cont’d) A nurse assumes responsibility and accountability for nursing care provided.
  • 5. RESPONSIBILITY Refers to the execution of duties associated with the nurse’s particular role. A nurse who acts in a responsible manner gains the trust of clients & other professionals. A responsible nurse remains competent in knowledge & skills & demonstrates a willingness to perform within the ethical guidelines of the profession.
  • 6. RESPONSIBILITY (example) When administering medications, the nurse is responsible for assessing clients’ need for the drugs, giving them safely & correctly, and evaluating the responses.
  • 7. ACCOUNTABILITY Being answerable for one’s own actions. A nurse is accountable to self, the client, the profession, the employer, and society
  • 8. ACCOUNTABILITY (example) If a wrong dose of medication is given, the nurse is accountable to the client who received it, the physician who ordered it, the nursing service that set standards of expected performance, & society which demands professional excellence.
  • 9. ACCOUNTABILITY (example cont’d) Thus, when an error is made, the nurse reports it and initiates care to prevent further injury. Accountability calls for an evaluation of a nurse’s effectiveness in practice.
  • 10. ACCOUNTABILITY PURPOSE 1. To evaluate new professional practices & reassess existing ones. 2. To maintain standards of health care. 3. To facilitate personal reflection, ethical thought, & personal growth on the part of health care professionals. 4. To provide a basis for ethical decision making.
  • 11. VARIABLES AFFECTING ETHICAL DECISIONS Because ethical problems occur in situations involving people who have different approaches to “moral reasoning”, it is helpful if the nurse can sort through the various factors that influence a persons’ thinking.
  • 12. VARIABLES (cont’d) Emotions Legal considerations Cultural diversity Religious/Spiritual convictions Education level Past life experiences Developmental level
  • 13. VARIABLES (cont’d) Societal changes Race Gender Class Economic level Sexuality orientation Current state of “health”
  • 14. ETHICAL DECISION MAKING METHODS Each ethical situation or dilemma will be different, but the nurse in any setting can use the following guidelines for ethical processing and decision making.
  • 15. METHODOLOGY (cont’d) Presume good will Identify all important persons Gather relevant information Identify important ethical principles Propose alternative courses of action Take action
  • 16. SENSITIVE ETHICAL SITUATIONS Bio-technology Surrogate Pregnancy Contracts Adoption Abortion Substance Abuse AIDS/HIV Death & Dying Living Wills/Health Care Surrogates Organ Donations
  • 17. NAPNES CODE OF ETHICS (LPN) Refer to the printed sheets
  • 18. STANDARD OF PRACTICE (LPN) Refer to printed sheets
  • 19. PATIENT BILL OF RIGHTS Considerate & respectful care Relevant, current, understandable information Part of decision in plan of care Advanced Directives Privacy Confidential communication Review records
  • 20. PATIENT BILL OF RIGHTS (cont’d) Appropriate/modern care Conflicting relationships Consent/Decline research participation Reasonable continuity of care Informed of hospital policies, procedures & mission statement
  • 21. NURSE PRACTICE ACT In all states in the US, nurse practice acts regulate the licensure & practice of nurses. Each state defines for itself the scope of nursing practice.
  • 22. LEGAL TERMS DEFINED A TORT is a civil wrong made against a property. Torts may be classified as unintentional or intentional. An example of an unintentional tort is NEGLIGENCE or MALPRACTICE. Intentional torts are willful acts that violate another’s rights (assault, battery, defamation, and invasion of privacy).
  • 23. LEGAL DEFINITIONS (cont’d) NEGLIGENCE: Conduct that falls below a standard of care. MALPRACTICE: Results when nursing care is below that required for safe nursing practice.
  • 24. LEGAL DEFINITIONS (cont’d) No intent is needed for negligence to occur. It is established by law for the protection of others against reasonable risk of harm. It is characterized chiefly by inadvertence, thoughtlessness, carelessness, or inattention.
  • 25. NEGLIGENCE & MALPRACTICE (cont’d) If a nurse performs a procedure for which they have not been trained and do it carefully, but still harm the patient, a claim of negligence or malpractice could be made.
  • 26. NEGLIGENCE & MALPRACTICE (cont’d) If nurses give care that does not meet appropriate standards, they may be held negligent. Because these actions are performed by a professional, the negligence of the nurse is termed malpractice.
  • 27. NEGLIGENCE & MALPRACTICE RISKS IV therapy errors resulting in infiltration of phlebitis Burns from improperly monitored heat therapy Falls resulting in injury Failure to use aseptic technique Errors in sponge, instrument, or needle counts in surgical cases
  • 28. NEGLIGENCE & MALPRACTICE (cont’d) Nurses must perform all procedures correctly. They must also use professional judgment as they carry out MD orders as well as independent nursing therapies for which they have authority.
  • 29. NEGLIGENCE & MALPRACTICE (cont’d) The following actions must take place for Nursing Negligence to occur: Nurse owed a duty to patient Nurse did not carry out duty Patient was injured Patient’s injuries were result of the nurse’s failure to carry out the duty
  • 30. STUDENT NURSE ROLE Student nurses must also practice nursing in a reasonably safe manner. They should never be assigned to tasks for which they are unprepared & should be carefully supervised by instructors/staff as they learn new procedures.
  • 31. STUDENT ROLE (cont’d) Student nurses are expected to perform as professional nurses would in providing safe patient care. Student nurses must be accountable for informing staff of their current safe level of practice.
  • 32. STAYING LEGAL Nurses can reduce their chances of being named in lawsuits by following standards of care, giving competent health care, & developing an empathetic rapport with patients. In addition, careful, complete, & objective documentation serves as evidence of the standard of nursing care provided.
  • 33. NATIONAL LEAGUE FOR NURSING NLN Membership: Anyone interested in the future of nursing. Objective: Improvement of care & education, workshops, conferences, eval svcs, politics. Publish: Nursing & Health Care.
  • 34. AMERICAN NURSES ASSOCIATION ANA Membership: RN & SN’s only Objective: Improvement of care & education, workshops, conferences, eval svs, a very strong political force Publish: The American Journal of Nursing
  • 35. NATIONAL FEDERATION OF LICENSED PRACTICAL NURSES NFLPN Membership: LPN & SPN’s only Objective: Improvement of care & education, workshops, conferences, eval sys, politics Publish: The Journal of Nursing Care
  • 36. NAT’L ASSC OF PRACTICAL NURSES FOR EDUC & SERVICE NAPNES Membership: Anyone interested in Practical Nursing (BTC) Objective: Improvement of care & education, workshops, conferences, eval sys, politics (focus on the LPN role) Publish: Journal of Practical Nursing
  • 38. CONCEPTUAL FRAMEWORKS Conceptual Framework is the structure, scaffolding, or skeleton used to determine human behaviors, learning styles, and learning capabilities. The development of nursing science, conceptual models & theory is a scholarly activity.
  • 39. NURSING THEORY Theories, which are composed of concepts & propositions, focus more specifically on the events & phenomena of the nursing discipline. Theory contributes to a sound basis of nursing practice. Nurses now & in the future need to have models of care from which their practice is based.
  • 40. NURSING THEORY As nursing continues to evolve, nurses theorize about the nature of nursing practice, the principles on which practice is based, & the proper goals & functions of nursing in society.
  • 41. NURSING THEORY Conceptual and theoretical nursing models are used to provide knowledge to improve practice, guide research and curricula, and identify the domain and goals of nursing practice.
  • 42. HEALTH CARE THEORISTS Nightingale (1860) To aid “the body’s reparative processes” by manipulating the environment Peplau (1952) Interaction btwn nurse & client Henderson (1955) Work interdependently with other health care workers to help client regain independence quickly
  • 43. HEALTH CARE THEORISTS (cont’d) Abdellah (1960) Provide service to individuals, families, society. To be kind, caring & intelligent. Orlando (1961) Respond to pt’s behavior in terms of immediacy. Hall (1962) Provide care/comfort during disease processes.
  • 44. HEALTH CARE THEORISTS (cont’d) Wiedenbach (1964) Overcoming obstacles that interfere with ability to meet demands/needs. Levine (1966) Use of conservation acts to optimize client’s resources. Johnson (1968) Reduce stress to speed up the recovery process. Rogers (1970) “Humanistic Science of Nursing” to promote health & prevent illness & to rehabilitate.
  • 45. HEALTH CARE THEORISTS (cont’d) Orem (1971) Bates Model King (1971) Communication use Travelbee (l971) Assist patients thru interpersonal processes. Neuman (1972) Stress reduction. Patterson & Zderad (1976) Patient awareness of “uniqueness” & “commonality”.
  • 46. HEALTH CARE THEORISTS (cont’d) Leininger (1978) Transcultural Roy (1979) Psysiological, psychological, sociological & dependence-independence Watson (1979) Philosophy & science of caring Parse (1981) Man’s interaction with environment & health
  • 47. OREM’S THEORY Dorothea Orem (1971) developed a definition of nursing that emphasizes the client’s self-care needs. “Nursing has a special concern for man’s needs for self-care action & the provision & management of it on a continuous basis in order to sustain life & health, recover from disease or injury, & cope with their effects.”
  • 48. OREM’S THEORY (cont’d) “Self-care is a requirement of every person – man, woman & child. When self-care is not maintained, illness, disease, or death will occur. Nurses sometimes manage & maintain required self-care continually for persons who are totally incapacitated.”
  • 49. OREM’S THEORY (cont’d) “In other instances, nurses help persons to maintain required self-care by performing some but not all care measures, by supervising others who assist patients, and by instructing and guiding individuals as they gradually move toward self-care.”
  • 50. OREM’S GOAL To help the client perform self-care. Nursing care is necessary when the client is unable to fulfill biological, psychological, developmental, or social needs. The nurse determines why a client is unable to meet them, & how much self-care the client is able to perform. The goal of nursing is to increase the client’s ability to independently meet these needs.
  • 51. OREM’S APPLICATION Man: Individuals who use self-care to sustain life & health, recover from disease or injury, or cope with its effects. Health: The result of practices that individuals have learned to carry out on their own behalf to maintain life & well-being.
  • 52. OREM’S APPLICATION (cont’d) Environment: External elements with which man interacts in his struggle to maintain self-care. Nursing: A human service that assists individuals to progressively maximize their self-care potential.
  • 53. OREM’S APPLICATION (cont’d) Synopsis of Theory: Individuals learn behaviors that they perform on their own behalf to maintain life, health & well-being. Application to Nursing Practice: Nurses assist patients with self-care to improve or maintain health.
  • 54. SELF-CARE REQUISITES UNIVERSAL SELF-CARE: Needs that support life processes & structural & functional integrity common to all (air, food, H2O, elimination, activity, sleep, etc) DEVELOPMENT SELF-CARE: Needs that promote development at each period of the life cycle (Infancy thru gerontology & special pregnant nds)
  • 55. SELF-CARE REQUISITES (cont’d) HEALTH DEVIATION SELF-CARE: Needs for prevention or control of genetic or constitutional defects. Needs are met by seeking out medical assistance, carrying out treatments, understanding & learning to live with the deficit.
  • 56. SELF-CARE DEFICITS Self-Care deficits are not having the capacity to meet self-care demands. Nursing approaches & care are aimed at those pts with actual or potential deficits. Nurses use the “Nursing Process” to pinpoint self-care deficits & plan for ways to help the patient overcome them.
  • 57. BTC SCHOOL OF NURSING CONCEPTUAL FRAMEWORK Based on Orem’s Theory of self-care. It complies with the Bates Technical College’s Mission statement and all state quidelines/requirements for accreditation in the State of Washington.
  • 58. BTC: WHY USE A FRAMEWORK Conceptual Frameworks enhance the reliability and validity of the material presented, it establishes “norms” of student practice, encourages/fosters steady upward & progressive nursing growth, and increases integrity among the student nurses.
  • 59. BTC: WHY (cont’d) Appropriate use of conceptual frameworks also provide an avenue to accurately measure student outcomes. Proven & predictable self-care models place the student nurse on the path to efficacy.