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4330 Health Care & Politics. Dianne McAdams-Jones Ed D( c ), RN, GNE. Objectives. List 4 reasons why nurses are mandated to be accountable for their actions Discuss social and moral consciousness Apply the principle of authority in nursing to the profession of nursing - PowerPoint PPT Presentation
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4330 Health Care & Politics
Dianne McAdams-Jones Ed D( c ), RN, GNE
Objectives
• List 4 reasons why nurses are mandated to be accountable for their actions• Discuss social and moral consciousness• Apply the principle of authority in nursing to the profession of nursing• Define the nursing process• List the components of the nursing process• Compare and contrast the differences between medical and nursing
training• List three nursing degrees and name one position which that degree would
qualify the recipient• List one reason why the registered nurse is accountable to the public• Discuss the difference between self funded health plans and managed care• Define ERISA• What is the doughnut hole?
Accountability for Nursing Judgment and Action
The RN acts under a code of ethical conduct that is
grounded in moral principles of fidelity and respect for
dignity, worth and self-determination of patients
Medical Care was a term used for many years to define
management of an individual's care. In recent years this term has been substituted
with the term “health care”
What is your opinion?
True Fa
lse
50%50%1. True2. False
10
A definition of health
• Is: The dynamic state of being in which the developmental and behavioral potential of an individual is realized to the fullest extent possible
True or False
True Fa
lse
50%50%
101. True2. False
Social contract between society and the professions
The authority for nursing as a
profession is based on
The Nursing Process is research oriented
Intrapersonal, interpersonal and systems are terms used to describe nursing theories
Is this
True Fa
lse
50%50%
0 of 30
1. True2. False
The Nursing Process is a series of functions performed by the nurse where
• research about the patient is used to systematically plan care for the patient
What is your opinion?
True Fa
lse
50%50%
:10
1. True2. False
Characteristics on nursing practice
The defining characteristics of the
scope of nursing practice
intersections
Boundaries,
Dimensions
are
Core
Distinctive Characteristics of Nursing
Nurturant
Protective
Generative
• Watchful• Caring
• Safety• Insulating
• Healing• Restorative
What is your opinion?
True Fa
lse
50%50%
Answer Now
1. True2. False
Nursing Specialist
Expert
In a defined
area
Minimum of Master’s
Degree
What is your opinion?
True Fa
lse
50%50%
10
1. True2. False
ANA dictated divisions of nursing practice
Community Health Nursing
Gerontological Nursing
Maternal and Child Nursing
Medical Nursing
Surgical Nursing
The public is assured
That a nurse meets
Through the professional
societyCertification
Grants to nurses in specialty
areas
The requirements
for certification
Standards of Care
• Managing all areas of care
• Utilizing technology
• All groups of people
• Children to adults
Age appropriate
Culturally sensitive
Safe careCommunicates effectively
Nursing has its roots
Is the statement
True Fa
lse
50%50%
10
1. True2. False
The Federal Government collects data about the nursing work force
Professional licensure of the healthcare professions was
established
And to authorize the practice of the profession
To protect the public safety
Code of Ethics
List
• Of provisions
That make
• explicit• The
primary
Professional
• Goals • Values and
obligations
The Nurse’s primary commitment
Is to the patient
In the beginning of Nursing
Nurses cared for patients in their homes
And do you think that statement is
True Fa
lse
50%50%1. True2. False
The nurse owes the same duties to self as to others, including the responsibility to
preserve integrity and safety, to maintain competence, and to continue professional
growth
Move out of the way!!! I get all of my exercise here at work!!!!
ERISA
Was enacted to ensure Medicaid and Medicare remained in effect for the descendant populations
Is that
50%50%
True FalseAnswer Now :10
1. True2. False
Changes in the Law
In 1990, The Supreme Court limited the scope
of ERISA such that
Enrollees had greater opportunities to sue
Their health plans in state courts where they could seek compensation for
lost wages
Self funded health plans
•exempt•From state law
are•Sued in •Federal court
Must be
• sued•In state courts
Cannot be
Companies that administer health plans but do not assume any risks
Administrative services
onlyAre not Regulated by
the state
Many older adults lost health care this year because they
Got caught in the
Medicare payments
To the •hospitals•is
by •determined
the •DRGs•Diagnostic related groups
Health Care
•Is increasingly•not
In•Available nor •Is it
the
•Accessible to •Many of the poor
US
Health care and rising costs
encouraged
The growth of health savings accounts The trend is market driven
the
Bush administration
Employers
Are eliminating outright Healthcare benefits
Peer Review is
a collegial, systematic, and periodic process by
which registered nurses are held accountable
for practice and which
fosters the refinement of ones knowledge, skills, and decision-
making at all levels and in all areas of practice