Ethics and Legal
> ethics - choosing from right/wrong, acting within ones - national league for nursing (NLN)
values; each person has own set of morals
• build strong and diverse nursing workforce to
• principles: advance health
- autonomy: freedom to make own decisions • 4 competencies: human flourishing, nursing
- beneficence: actions guided by compassion judgement, professional identity, spirits of
- veracity: telling the truth inquiry
> nursing licensure
-
- fidelity: keeping commitments
- justice: actions are fair and equitable • duty of each state to protect clients
>
-
values - what we believe to important, meaningful drives • periodic renewal required
our behavior • nurse licensure compact (NLC) - can practice in
• understanding clients values: provides clarification, home and other compact states
> national certification in specialty practice
-
important role in ethical compliance
>
- altruism - do something for the sake of benefitting • certificate program, followed by test
someone else • certification in specialty area
>
- dignity - everyone has value and should be respected - credentialing - provides confirmation of abilities to
because humans are equal practice as health professional
> integrity - being honest and having strong moral principles
- • complete program of study and demonstrate
>
-
social justice - regardless of societal status, every person - abilities
has right to quality health care ANA code of ethics
>
- malpractice - professional negligence • succinct statement of ethical values, obligations,
professional ideals
• not consistent with best practice standards, harm
client as result • 9 provisions
> patient self determination act (PSDA)
-
• failure to follow standards, assess and monitor,
communicate, document • inform clients of right to make decisions - right
to refuse
>tort law - individual carries out act or fails to carry out
• advance directives - outline wishes of person in
-
act that results in injury or harm to client
case they cannot make decisions for self
• torts can be intentional or unintentional
> ANA standards of nursing practice and professional
-
- implied consent - implied by actions
performance > informed consent - expressed in writing
• specific to the practice of nursing • required providers to educate about risks,
• expectations to protect nurse and client, hold benefits, alternatives
accountable
- emergency medical treatment and active labor act
>
- state nurse practice acts (NPAs) (EMTALA)
• regulate nursing within each state and territory, • prevent patient dumping - based on lack of
executed by state boards ability to pay
• identify specific nursing titles (RN, LPN, APN) and • presenting to ED will at least receive screening
definitions and treatment until stabilized
> noncompliance - failure to act in accordance with
-
• scope and standards of practice
plan
- state legislature passes NPA to regulate within state
• can be challenging to positive health outcomes
- identifies BON to enforce regulations
>
- regulation of education • with nonadherent client should document
resources used, communication attempts, follow
• approved by state BON if they meet requirements of ups
NPA
> good samaritan laws - not required to provide care
-
• accredited when meet national ACEN or CCNE outside of work
>
- quality and safety education for nursing (QSEN) • cannot be liable for deciding not to provide care'
• improve quality and safety in nursing based on IOM > mandatory reporting
core competencies • legal duty to report info that can prevent
• 6 competencies: patient centered care, teamwork/ maltreatment and provide safety
collaboration, EBP, QI, safety, informatics
> ethics - choosing from right/wrong, acting within ones - national league for nursing (NLN)
values; each person has own set of morals
• build strong and diverse nursing workforce to
• principles: advance health
- autonomy: freedom to make own decisions • 4 competencies: human flourishing, nursing
- beneficence: actions guided by compassion judgement, professional identity, spirits of
- veracity: telling the truth inquiry
> nursing licensure
-
- fidelity: keeping commitments
- justice: actions are fair and equitable • duty of each state to protect clients
>
-
values - what we believe to important, meaningful drives • periodic renewal required
our behavior • nurse licensure compact (NLC) - can practice in
• understanding clients values: provides clarification, home and other compact states
> national certification in specialty practice
-
important role in ethical compliance
>
- altruism - do something for the sake of benefitting • certificate program, followed by test
someone else • certification in specialty area
>
- dignity - everyone has value and should be respected - credentialing - provides confirmation of abilities to
because humans are equal practice as health professional
> integrity - being honest and having strong moral principles
- • complete program of study and demonstrate
>
-
social justice - regardless of societal status, every person - abilities
has right to quality health care ANA code of ethics
>
- malpractice - professional negligence • succinct statement of ethical values, obligations,
professional ideals
• not consistent with best practice standards, harm
client as result • 9 provisions
> patient self determination act (PSDA)
-
• failure to follow standards, assess and monitor,
communicate, document • inform clients of right to make decisions - right
to refuse
>tort law - individual carries out act or fails to carry out
• advance directives - outline wishes of person in
-
act that results in injury or harm to client
case they cannot make decisions for self
• torts can be intentional or unintentional
> ANA standards of nursing practice and professional
-
- implied consent - implied by actions
performance > informed consent - expressed in writing
• specific to the practice of nursing • required providers to educate about risks,
• expectations to protect nurse and client, hold benefits, alternatives
accountable
- emergency medical treatment and active labor act
>
- state nurse practice acts (NPAs) (EMTALA)
• regulate nursing within each state and territory, • prevent patient dumping - based on lack of
executed by state boards ability to pay
• identify specific nursing titles (RN, LPN, APN) and • presenting to ED will at least receive screening
definitions and treatment until stabilized
> noncompliance - failure to act in accordance with
-
• scope and standards of practice
plan
- state legislature passes NPA to regulate within state
• can be challenging to positive health outcomes
- identifies BON to enforce regulations
>
- regulation of education • with nonadherent client should document
resources used, communication attempts, follow
• approved by state BON if they meet requirements of ups
NPA
> good samaritan laws - not required to provide care
-
• accredited when meet national ACEN or CCNE outside of work
>
- quality and safety education for nursing (QSEN) • cannot be liable for deciding not to provide care'
• improve quality and safety in nursing based on IOM > mandatory reporting
core competencies • legal duty to report info that can prevent
• 6 competencies: patient centered care, teamwork/ maltreatment and provide safety
collaboration, EBP, QI, safety, informatics
