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Foundations Test 1 Dr. Woods
Chapters 5, 22-23
68
Nursing
Undergraduate 1
07/21/2012

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Term
STEPS OF EVIDENCE BASED PRACTICE
Definition

1. ASK ACLINICAL QUESTION.

2. COLLECT THE MOST RELAVANT AMD BEST EVDENCE.

3.CRTICALLY APPRAISE THE EVIDENCE YOU GATHER.

4. INTEGRATE ALL EVIDENCE WITH ONE'S CLINICAL EXPERTISE AND CLIENT PREFERNCE AND VALUES IN MAKING A PRACTICE OR CHANGE.

5. EVALUATE THE PRACTICE DECISION OR CHANGE.

Term
NURSING RESEARCH
Definition
A WAY TO IDENTIFY NEW KNOWLEDGE, IMPROVE PROFESSIONAL ADUCATION AND PRACTICE ADN USE RESOURCES EFFECTIVELY.
Term
ANA REVIED STANDARDS OF nursing practice in 2003
Definition
American Association of critical care nurses oncology nursing society and SIGMA THEA TAU international support nursing research
Term
Outcomes management research
Definition
Designed to assess a document the effectiveness of Health Care Services And interventions
A response of the healthcare industry to demands from policymakers insurers and public
Term
Scientific method
Definition
The foundation of research
The most reliable and object of a means of acquiring and conducting research
Term
Nursing and the scientific approach
Definition
Nursing research provides a way for nursing questions and problems to be studied in a broader context
Quantitative
Qualities
Term
Research process
Definition
A quarterly series of steps that allows a researchers to find the answers to a question
consists of five steps:
Identify problem
Designed study
Conduct of study
Analyze Data
Use the findings
Term
Quality and performance improvement
Definition
Every Health Care organization gathers data on healthcare outcome measures as a way to gauge their quality of care
Term
NURSING RESEARCH
Definition
A WAY TO IDENTIFY NEW KNOWLEDGE, IMPROVE PROFESSIONAL ADUCATION AND PRACTICE ADN USE RESOURCES EFFECTIVELY.
Term
ANA REVIED STANDARDS OF nursing practice in 2003
Definition
American Association of critical care nurses oncology nursing society and SIGMA THEA TAU international support nursing research
Term
Outcomes management research
Definition
Designed to assess a document the effectiveness of Health Care Services And interventions
A response of the healthcare industry to demands from policymakers insurers and public
Term
Scientific method
Definition
The foundation of research
The most reliable and object of a means of acquiring and conducting research
Term
Nursing and the scientific approach
Definition
Nursing research provides a way for nursing questions and problems to be studied in a broader context
Quantitative
Qualities
Term
Research process
Definition
A quarterly series of steps that allows a researchers to find the answers to a question
consists of five steps:
Identify problem
Designed study
Conduct of study
Analyze Data
Use the findings
Term
Quality and performance improvement
Definition
Every Health Care organization gathers data on healthcare outcome measures as a way to gauge their quality of care
Quality improvement
Performance management
Term
AUTONOMY
Definition
THE COMMITMENT TO INCLUDE CLIENTS IN DECISIONS ABOUT ALL ASPECTS OF CARE
Term
FIDELITY
Definition
THE AGREEMENT TO KEEP PROMISES
Term
JUSTICE
Definition
FAIRNESS
Term
BENEFICENCE
Definition
TAKING POSITIVE ACTIONS TO HELP OTHERS
Term
NON-MALEFICENCE
Definition
THE AVOIDANCE OF HARM OR HURT
Term
ADVOCACY
Definition
THE SUPPORT OF A CAUSE
Term
RESPONSIBILITY
Definition
A WILLINGNESS TO RESPECT OBLIGATIONS AND TO FOLLOW THROUGH ON PROMISES
Term
ACCOUNTABILITY
Definition
THE ABILITY TO ANSWER FOR ONE’S OWN ACTIONS
Term
CONFIDENTIALITY
Definition
PROTECTION OF CLIENT’S PERSONAL HEALTH INFORMATION
Term
VALUES
Definition
A PERSONAL BELIEF ABOUT A GIVEN IDEA ATTITUDE CUSTOM OR OBJECTS THAT SETS STANDARDS THAT INFLUENCE BEHAVIOR

THE VALUES THAT AN INDIVIDUAL HOLDS REFLECTS CULTURAL AND SOCIAL INFLUENCES AND THESE VALUES VARY AMONG PEOPLE AND DEVELOP AND CHANGE OVER TIME
Term
VALUE FORMATION:
Definition
DEVELOPMENT OF VALUES BEGAN IN CHILDHOOD, SHARED BY EXPERIENCE WITHIN A FAMILY UNIT.
Term
VALUE CLARIFICATION:
Definition
TO TOLERATE DIFFERENCE, WHICH SOMETIMES (ALTHOUGH NOT ALWAYS) BECOME THE KEY IN THE SEARCH FOR RESOLUTION OF ETHICAL DILEMMAS
Term
DEONTOLOGY:
Definition
A SYSTEM THAT DEFINES ACTIONS AS RIGHT OR WRONG BASED ON THEIR “RIGHT –MAKING CHARACTERISTICS SUCH AS FIDELITY TO PROMISES, TRUTHFULNESS, AND JUSTICE

IT DOES NOT LOOK TO CONSEQUENCES OF ACTIONS TO DETERMINE RIGHTNESS OR WRONGNESS; INSTEAD IT EXAMINES A SITUATION FOR THE EXISTENCE OF ESSENTIAL RIGHTNESS OR WRONGNESS
Term
UTILITARIANISM:
Definition
THE VALUE OF SOMETHING IS DETERMINED BY ITS USEFULNESS
Term
FEMINIST ETHICS:
Definition
FOCUS ON THE INEQUALITY OF PEOPLE
Term
ETHIC OF CARE:
Definition
FOCUS ON UNDERSTANDING RELATIONSHIPS, ESPECIALLY PERSONAL NARRATIVES
Term
SEVEN GUIDELINES FOR ETHICAL PROCESSING AND DECISION MAKING:
Definition
STEP 1: ASK THE QUESTION, IS THIS AN ETHICAL DILEMMA? IF A REVIEW OF SCIENTIFIC DATA DOES NOT RESOLVE THE QUESTION, THE QUESTION IS PERPLEXING, AND THE ANSWER WILL HAVE RELEVANCE FOR AREAS OF HUMAN CONCERN, THEN AN ETHICAL DILEMMA PROBABLY EXIST
STEP 2: GATHER INFORMATION RELEVANT TO THE CASE. CLIENT, FAMILY, INSTITUTIONAL, AND SOCIAL PERSPECTIVES ARE IMPORTANT SOURCES OF RELEVANT INFORMATION.
STEP 3: CLARIFY VALUES. DISTINGUISH BETWEEN FACT, OPINION, AND VALUES
STEP 4: VERBALIZE THE PROBLEM. A CLEAR, SIMPLE STATEMENT OF THE DILEMMA IS NOT ALWAYS EASY, BUT IT HELPS TO ENSURE EFFECTIVENESS IN THE FINAL PLAN AND FACILITATES DISCUSSION.
STEP 5: IDENTIFY POSSIBLE COURSES OF ACTION
STEP 6: NEGOTIATE A PLAN. NEGOTIATION REQUIRES A CONFIDENCE IN ONE’S OWN POINT OF VIEW AND A DEEP RESPECT FOR OTHERS
STEP 7: EVALUATE THE PLAN OVER TIME
Term
ISSUES IN BIOETHICS-
Definition
QUALITY OF LIFE
GENETIC SCREENING
FUTILE CARE
Term
QUALITY OF LIFE
Definition
A MEASURE THAT HELPS A CLIENT AND FAMILY DECIDE ON MERITED OF A CERTAIN RISKY INTERVENTION, SUCH AS AN ORGAN TRANSPLANT OR EXPERIMENTAL MANAGEMENT
Term
GENETIC SCREENING
Definition
ALERT A CLIENT TO A CONDITION THAT IS NOT YET EVIDENT BUT IS CERTAIN TO DEVELOP IN THE FUTURE
Term
FUTILE CARE
Definition
INTERVENTIONS UNLIKELY TO PRODUCE BENEFIT FOR THE CLIENT
Term
A HEALTH CARE ISSUE OFTEN BECOMES AN ETHICAL DILEMMA BECAUSE
Definition
A CLIENT RIGHTS COEXIST WITH A HEALTH PROFESSIONAL’S OBLIGATIONS
Term
NURSE PRACTICE ACT
Definition
DEFINE THE LEGAL BOUNDARIES OF NURSING PRACTICE WITHIN IN A STATE
Term
REGULATORY LAW
Definition
REFLECTS DECISION MADE BY ADMINISTRATIVE BODIES SUCH AS STATE BOARD OF NURSING WHEN THEY PASS RULES AND REGULATIONS
Term
COMMON LAW
Definition
RESULTS FROM JUDICIAL DECISIONS MADE IN COURTS WHEN INDIVIDUAL LEGAL CASES ARE DECIDED
Term
CRIMINAL LAW
Definition
PREVENT HARM TO SOCIETY AND PROVIDE PUNISHMENT FOR CRIMES O HOW EMPLOYERS MUST TREAT HEALTH CARE WORKERS AND CLIENTS INFECTED WITH HUMAN IMMUNODEFICIENCY VIRUS (HIV).
Term
FELONY
Definition
A CRIME OF A SERIOUS NATURE THAT HAS A PENALTY OF IMPRISONMENT FOR RATER THAN ONE YEAR OR EVEN DEATH
Term
CIVIL LAW
Definition
PROTECTS THE RIGHTS OF INDIVIDUAL’S PERSONS WITHIN OUR SOCIETY AND ENCOURAGE FAIR AND EQUITABLE TREATMENT AMONG PEOPLE
Term
STANDARDS OF CARE
Definition
LEGAL GUIDELINES FOR NURSING PRACTICE AND PROVIDE THE MINIMUM ACCEPTABLE NURSING CARE
Term
AMERICANS WITH DISABILITIES ACT
Definition
PROTECTS THE RIGHTS OF DISABLE PEOPLE. IT IS ALSO THE MOST EXTENSIVE LAW
Term
EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA):
Definition
THIS ACT PROVIDES THAT WHEN A CLIENT COMES TO THE EMERGENCY DEPARTMENT OR THE HOSPITAL, AN APPROPRIATE MEDICAL SCREENING OCCURS WITHIN THE HOSPITALS CAPACITY
Term
MENTAL HEALTH PARITY ACT:
Definition
FORBIDS HEALTH PLANS FROM PLACING LIFETIME OR ANNUAL LIMITS ON MENTAL HEALTH COVERAGE THAT ARE LESS ENCORES THAN THOSE PLACED ON MEDIAL OR SURGICAL BENEFITS
Term
PATIENT SELF-DETERMINATION ACT (PSDA):
Definition
REQUIRES HEALTH CARE INSTITUTIONS TO PROVIDE WRITTEN INFORMATION TO CLIENT CONCERNING CLIENT RIGHT’S TO MAKE DECISIONS, INCLUDING THE RIGHT TO REFUSE TREATMENT AND FORMULATE ADVANCE DIRECTIVE.
Term
LIVING WILL
Definition
REPRESENTS WRITTEN DOCUMENTATION THAT DIRECT TREATMENT IN ACCORDANCE WITH A CLIENT’S WISHES IN THE EVENT OF A TERMINAL ILLNESS OR CONDITIONS
Term
DURABLE POWER OF ATTORNEY FOR HEALTH CARE (DPAHC)
Definition
A LEGAL DOCUMENT THAT DESIGNATES A PERSON OF ONE’S CHOOSING TO MAKE HEALTH CARE DECISIOS WHEN THE CLIENT IS NO LONGER ABLE TO MAKE DECISIONS ON HIS OR HER OWN BEHALF
Term
UNIFORM ANATOMICAL GIFT ACT:
Definition
AN INDIVIDUAL WHO IS AT LEAST 18 YEARS OLD HAS THE RIGHT TO MAKE AN ORGAN DONATION (DEFINED AS A “DONATION OF ALL OR PART OF A HUMAN BODY TO TAKE EFFECT UPON OR AFTER DEATH
Term
HEALTH INSURANCE PORTABLILTY AND ACCOUNTABILITY ACT OF 1996(HIPPAA):
Definition
PROTECTS INDIVIDUALS FRM LOSING THEIR HELTH INSURANCE WHEN CHANGING JOBS.
IT PRIVIDES RIGHTS TO CLIENTS AND PROTECTS EMPLOYEES
PORTABILITY ALLOWS EMPLOYEES TO CHANGE JOBS WITHOUT LOSING COVERAGE AS A RESULTS OF PREEXISTIING COVERAGE EXCLUSION AS LONG AS THEY HAVE HAD 12 MONTHS OF CONTINOUS GROUP HEALTH INSURANCE COVERAGE
Term
THE JOINT COMMISSION (TJC) SPECIFIC GUIDELINES FOR THE USE OF RESTRAINTS:
Definition
1) ONLY TO ENSURE PHYSICAL SAFTY OF THE RESIDENCE OR OTHER RESIDENCE, 2) WHEN LESS RESTRICTIVE INTERVENTIOS ARE NOT SUCCESSFUL, 3) ONLY WITH A WRITTEN ORDER FROM A PHYSICIAN OR HEALTHCARE PROVIDER
Term
LICENSURE
Definition
IS GRANTED BY THE STATE BOARD OF NURSING, PASSING THE NCLEX IS NESSACCERY TO RECEIVE LICENSURE
Term
GOOD SAMARITAN LAWS
Definition
LAWS THAT LLIMIT LIBILITY AND OFFER LEGAL IMMUNITY FOR NURSES WHO HELP AT THE SCENE OF AN ACCIDENT
Term
PUBLIC HEALTH LAWS
Definition
REPORTING LAWS FOR COMMUNICABLE DISEASES, SCHOOL IMMUNIZATION, AND LAWS INTENDED TO PROMOTE HEALTH AND REDUCE HEALTH RISK IN COMMUNITIES
Term
UNIFORM DETERMINATION OF DEATH ACT
Definition
HEALTH CARE PROVIDERS CAN USE EITHER CARDIOPULMONARY DEFINITION OR THE WHOLE-BRAIN DEFINITION TO DETERMINE DEATH
Term
PHYSICIAN-ASSISTED SUICIDE:
Definition
: A COMPETENT INDIVIDUAL WITH A TERMINAL ILLNESS COULD MAKE AN ORAL OR WRITTEN REQUEST FOR MEDICATION TO END HIS OR HER LIFE IN A DIGHNIFIED AND HUMANE MANNER
Term
INVASION OF PRIVACY
Definition
THE TORT OF FALSE IMPRISIONMENT OCCURS WITH UNJUSTIFIED RESTRAIING OF A PERSON WITHUT LEGAL WARRANT
Term
TORT:
Definition
CIVIL WRONG MADE AGAINST A PERSON OR PROPERTY
CLASSIFED AS INTENTINAL, QUASI-INTENTIONAL, OR UNINTENTIONAL
Term
DEFAMATION OF CHARACTER:
Definition
PUBLICATION FO FALSE STATEMENTS THAT RESULT IN DAMAGE TO A PERSON’S REPUTATION
Term
INFORMED CONSENT
Definition
A PERSON’S AGREEMENT TO ALLOW SOMETHING TO HAPPEN, SUCH AS SURGERY OF DIANOSTIC PROCEDURE, BASED ON A FULL DICLOSEURE OF RISKS, BENINFITS, ALTERNATIVES, AND COSEQUNCENCES OF REFUSAL
Term
RISK MANAGEMENT:
Definition
A SYSTEM OF ENSURIN APPROPRIATE NURSING CARE THAT ATTEMPS TO IDENTIFY POTIENTIAL HAZARDS AND ELIMINATE THEM BEFORE HARM OCCURS
Term
PHYSICIAN’S ORDERS
Definition
SHOULD BE WRITTEN BY PHYSICIAN OR HEALTH CARE PROVIDER, NURSE TO TRANSCRIBE, IF A VERBAL ORDER IS TAKEN, IT SHOULD BE WRITTEN AND SIGNED BY A PHYSICIAN WITHIN 24 HOURS
Term
STUDENT NURSE WHO IS EMPLOYED AS A NURSING ASSISTANT MAY PERFORM ANY FUNCTIONS:
Definition
ARE IDENTIFIED IN THEIR POSITION’S JOB DESCRIPTION
Term
A CONFUSED CLIENT WHO FELL OUT OF THE BED BECAUSE SIDE RAILS WERE NOT USED IS AN EXAMPLE OF:
Definition
NEGLIGENCE
Term
THE NURSE WHO PUTS A RESTRAINT JACKET ON A CLIENT WITHOUT THE CLIENTS AND WITHOUT A PHYSICIAN ORDER.
Definition
FALSE IMPRISONMENT
Term
IN A SITUATION IN WHICH THERE IS INSUFFICIENT STAFF TO IMPLEMENT COMPETENT CARE A NURSE SHOULD:
Definition
MAKE WRITTEN PROTEST TO NURSING ADMINISTRATION
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