33 Flashcards
(55 cards)
1
Q
– moral principles that govern a person’s behavior or the
conducting of an activity.
A
Ethics
2
Q
– imposed by the State, concerned with the legality of an
action.
A
Law
3
Q
– a lesson, especially one concerning what is right or
prudent, that can be derived from a story, a piece of information,
or an experience.
A
Moral
4
Q
- an articulation of nine provisions for professional values and
moral obligations with respect to nurse patients and co-workers’
relationships. - As early as 1950’s the American association is able to develop
and adopt ethical code of professional practice titled code of
ethics for professional practice of nurses and interpretative
statements since been revised and updated several times.
A
Code of Ethics
5
Q
- various theories and traditions frame a health professional
understanding to the ethical dimension of health care setting in
considering the ethical and legal responsibilities inherent in the
process of patient education nurses and even nurse students can
turn six major ethical principles
A
Application of Ethical Principles of Patient Education
6
Q
- the right of self-determination or having authority and
confidence to make decision and the freedom to act in
accordance to professional knowledge base or condition of self-
government. We can act or not act.
A
Autonomy
7
Q
– refers to the capacity of the pt. to make a
reasonable decision. Is our patient competent enough to
decide for itself? Minsan hindi kaya kaya kapag ganto we
have to ask somebody else and we use criteria.
A
Competence
7
Q
- Being honest and truthful or being exact and accurate and relate
to principle of autonomy it is the basis of trusting relationship
est. bet nurses and pt. closely linked to decision making
informed consent conformity to facts; accuracy. Sometimes
hindi 100% napapractice. - There are four elements that matching up the notion of informed
consents that such vital aspects of pt. education and is still falls
under veracity
A
Veracity
8
Q
– sasabihin info. requires
sufficient information regarding risk and alternative
treatment or sometimes no treatment to enable pt make
rational decision. Give the pros and cons.
A
Disclosure of information
9
Q
– speaks ind. ability to understand or
grasp intellectually the info. Being provided. Kung minsan
kase bato ng bato ng info d nmn pala naiintindihan nung pt.
A
Comprehension
10
Q
– pt. make decision out of coercion or forced
from others. Bawal pilitin pt. as you wish.
A
Voluntarism
11
Q
- associated with right to privacy of personal information that is
entrusted and protected privilege information via social contract,
standard or code, legal covenant. - Nurse has duty to maintain confidentiality of all pt. information
and only info. Pertinent to pt. treatment and welfare is being
disclosed and only to those directly involve to pt. care.
A
Confidentiality
12
Q
- Being impartial and fair and the equitable distribution of goods
and services the law is the justice. - Nurses making impartial medical decision demonstrate this
kaya wag tayong judgemental whether it is related to limited
resources or treatments regardless of economic status of patient
or gender dapat fair bibigay na treatment in similar situation.
A
Justice
13
Q
- Nurses must do no harm intentionally. Minimize risk.
Negligence or malpractice. - Example: Mercy killing, Cannot deprive pt. from food
- Causes of malpractice:
Failure to follow standards of care.
Failure to use equipment in responsible manner.
Failure to communicate.
Failure to document.
Failure to aces and monitor.
Failure to act as patient advocate
Failure to delegate task properly
A
Non-maleficence
13
Q
- kindness and charity. The doing good. Req. action of nurse to
benefit others
A
Beneficence
14
Q
- It is important to recognize the balance of power that exist
between a nurse to nursing student and a patient. - Ethics of being a patient includes respecting nurses and trusting
them to have the best interest. - Care rendered to patients as being ethical task
- Patients have moral claim on the nurse competence.
A
Patient-provider relationship
15
Q
– consent protect patient right to autonomy and self-
determination against assault or battery from unwanted
medication. Ex. nag sign patient DNR do not resuscitate and
after surgery na comatose si patient and nag arrest nag flat line
e nurse naaawa sa nanay so CPR sya so may battery si nurse.
A
Legal
15
Q
- Patients’ bill of rights is the right of the patient to adequate
information regarding his physical condition, medication, risk,
and access to information regarding alternative treatment - The JCI stated that the patient right to education and
information - The state regulation pertaining to patient’s education are
published and enforced - Physicians are responsible and accountable for proper patient
education - Patient education is central to culture of nursing as well as to its
legal practice
A
Legality of Patient Education and Information
15
Q
- To qualify for Medicare and medic-aid reimbursement; the
hospital has to show evidence that patient education has been a
part of patient care. - Respondent superior provides that the employer may be held
liable from negligence, assault, and battery, false imprisonment,
slander, libel, and tort
A
Legal and Financial Implication of Documentation
16
Q
Readiness to learn
Obstacles to learning (language, sensory visual or hearing, low
literacy, cognitive deficit
Referrals, which include a patient advocate or ethic committee
A
Identification of patient and family education
17
Q
- has become the primary standard of protecting patient’s right
and assist in guiding ethical healthcare practice.
A
Informed consent
17
Q
– binigay lahat ng info. The pros and cons
A
- Informed consent
18
Q
- nag agree lamg siya
A
Ordinary consent –
19
Q
– consent protect patient right to autonomy and support
goal in care. Nursing management should coincide what the
patient or legal guardian wants.
A
Ethical
19
– compliance involves physical process of
completing informed consent the process should involve the physician proving the patient with information on the diagnosis,
procedure, treatment options and risk and benefits of procedure.
Nurse should ensure was provided and pt. understand
Administrative
20
- The nurse educator role is the key person responsible in
promoting healthy lifestyles, the nurse also assumes a role a as
working in Healthcare facilities such as hospital setting,
educational Institution or classroom setting, and assume a role
in community setting.
HEALTH EDUCATION TEAM
20
Factors that affect obtaining informed consent
Patient comprehension
Patient uses of disclosed information
Patient autonomy
Demands on providers
Physician meeting minimum standards
21
- they feed learners information necessary to progress student
nurse towards role to finish nursing.
Giver of information
22
- As nurse educators they facilitate nursing by known strategies
to assess and evaluate student learning in the classroom and
clinical, laboratory setting, design curricula, and program
outcomes.
Facilitator of learning
23
- The patient education coordinator is responsible for educating
their patients about their disease medication and all aspects of
care needed following hospitalization or clinic visit.
- Patient education is intended to help patients and family cope
with crisis gather information learn self-care and rules, attitudes
and strategy in order for them to promote optimal health.
- Patients who are well informed about their health actively
makes them their own health care decisions and the way to do this is to include and to involve the patient in their plan of care
to also have them a better health overall and enjoy a better
quality of life have fewer illness related complications tends to
be more compliant with medication and treatment regimen and
are less likely to be a train on health care resources.
Coordinator/ collaborator of teaching
24
- Nurse advocate supports the patients best interest whether
respecting the families important role
- Advocate become facilitators when patients and family
members need to discuss uncomfortable information like cancer,
debilitating disease or explore its complication. Nurses my
sometimes need to advocate for patients against their families.
Because there are times where the patient not comfortable or
they disagree with the decision with their family members.
Client advocate
24
- These are the ones involve in each other’s collaboration of care
in order to provide the best possible for their patient. patient that
they share together.
Groups of physicians, nurses, physician assistants,
Clinical pharmacists, social workers,
And other health professionals that help to establish new
lines of collaboration, communication, and cooperation to
better serve their patient’s needs.
Clinical care teams/ health care team
25
- Clinical judgement and decision making is a required
component of a professional nursing.
- Expert nurses are known for their efficient and incisive
decision-making processes while novice nurses (new
nurses/graduate nurses) they are known for their effortful and
deliberate decision-making process.
Clinical leader/clinical decision maker
25
- this is when nurses can play a vital role in shaping a supporting
appropriate patient referral assess the need to refer clients with
assistance with actual potential problem. Like client’s nana-
amputate we refer them to physical therapy, or sa may mga
speech defect refer to speech therapies.
Process access/entry point/referral guide
26
Physicians, nurses, physician assistants,
Clinical pharmacists, social workers,
And other health professionals that help to establish new lines
of collaboration, communication, and cooperation to better
serve their patient’s needs.
Clinical care teams
27
- Technical procedure you learn in labs, clinical which allow you
to perform job effectively they include things like vital signs
taking administering medication, providing wound care,
inserting IV and catheters.
Technical expert/consultant
27
- The goal of supportive care is to prevent or treat as early as
possible the symptoms of a disease side effects cause by
treatment of disease and psychological, social, and spiritual
problem related to disease or its treatment.
- This is sometimes also called comfort care or palliative care and
some books call it symptomatic management.
Support service/provide
28
- Nurse manager are responsible for managing human and
financial resources ensuring patient and staff satisfaction. The
management of resources is to give responsibility to individual
staff to in the care units.
- Nurses as large group providing care in the hospital are the main
use of resources and equipment at their workplace.
Process coordinator/Resource manager/coordinator
29
- These are skills involving ability to respond promptly to
medical issues as a patient is experiencing.
- The here and the now dapat mabilis response natin
Urgent care and emergency care
29
- The nurse coordinator assists the patient by providing support
and helping them navigate the medical system the care and
treatment they need to prevent hospital re-admission.
- We want patient to not return after discharge.
Information coordinator/communicator
30
- One of the basic responsibilities of a nurse.
- We have to know how to check patient’s heartbeat, rate,
respirations, BP, and temperature.
- VS provide nurses with important information to determine
which treatment protocols is to follow. Track how treatments
are working and provide critical information to make life saving
decisions.
Checking and monitoring vital signs
30
- Inform patient and family about their condition and how they
care for themselves upon discharge and to prevent return to the
hospital.
- Allows patient to make informed decisions relating to their care.
Patient and family education
31
- Involves properly educating patients and families creating safe
environment that minimize the risk of falls preventing errors
and learning from errors when they occur.
- Nurses play a vital role in keeping patients during their visit’s
patients safety helps minimize risk of patients’ harm maximize
recoveries and protects medical facilities and staff from liability
issues.
Patient safety
32
- Ability to use wide range of technology to be successful in
working environment. It is very important for nurses to have
wide range of technology skills.
Technology skill
33
- Ability to handle complex situations in workplace and calmly
develop creative solutions.
- Nurses work in dynamic environment with many variables
being able to think quickly have pros and cons and make inform
patients decision with their life on the line it is critical for nurses
if make or break na kaya n adapt ni nurse to decide.
Critical Thinking and Problem Solving
34
- Involves combination of active listening, talagang
pinakikinggan we also read between the lines kahit ung mga
hindi sinasabi ng patient we also observe and speak with
empathize.
- These skills could be in the form of verbal or nonverbal
communication and written communication.
Communication
35
- Help complete work responsibility in timely manner before
deadline the ability to organize day and prioritize task is vital to
a nurse completing all her job responsibility each day.
- Nurses also need stamina; it is the ability to work long hours
high precious situation when maintaining composure.
Time Management & Stamina
35
- Ethics are set of moral principles and guide individual behavior
and decision making. Nurses have strict code of ethics hey
should follow and because decisions or actions nurses take can
be difference between life and death ethics are fundamental skill
to career in nursing.
- Nurses must also uphold strict patient confidentiality standards
to ensure they don’t really sensitive and personal medical
information without patient permission.
Ethics and Confidentiality
36
- Interpersonal skills that help nurses work together with doctors
and other medical staff in positive environment even if the
hospital is stressful environment negative environment still as
nurses being able to do teamwork and is able to have
interpersonal relationship with other health members then we
can still make hospital as positive environment.
Teamwork and dependability
37
- Instead of instructing patient to relax demonstrate it keep in
mind that anxiety is contagious. Our demeanor can have
profound effect on patient emotional well-being so we to make
sure we stay cool and collected and we can relax them in doing
so, consider relaxation techniques like breathing exercises to
help them cope with anxiety.
Decrease the stress of hospitalization
37
- Nurses increasingly play integral part in helping health care
system to identify cost savings improve efficiency and deliver
patient care.
Reduce care of cost
38
- Understanding effective strategies for improving patient
satisfaction first necessitates a closer look at what the term
patient’s satisfaction means and factors help drive satisfaction
course.
- Patients’ satisfaction is levels of happiness with regard to
healthcare services provider. Satisfaction typically is the term
by a patients’ response to a number of metrics know patients
level of satisfaction:
Increase satisfaction with care
39
- Several interventions that involve multiple components
example patient needs assessments medical reconciliation
patient education arrangement timely patient appointment and
providing telephone follow up successfully reduced re-
admission for patients discharge to home.
Reduce hospital readmission
39
- With the increasing number of older patients and decreased
length of stay, nurses are faced with challenge of ensuring that
the patient or caregiver can manage care after discharge
- Patient education facilitates the maintenance and promotion of
self-care behavior.
FUTURE DIRECTION OF CLIENT EDUCATION
39
- Ibig sabihin na discharge na patient
- Patient ability to perform self-care can be direct observed by
nurse, physical therapist, occupational therapists sometimes by
standardized test that measures in terms of their basic and
instrumental activities of daily living.
Prepare patient for self-care management
