4.1
What is accountability?
To be accountable means being responsible and answerable for one's judgments, decisions, and actions in nursing practice.
The scope of nursing practice and authority continues to do what as healthcare changes?
Evolve
When a nurse speaks up about an unsafe order or questionable practice, they are demonstrating this responsibility outlined in Provision 4.3?
What is advocacy for patient safety?
This ensures delegated care is done correctly.
What is oversight?
This ethical principle requires nurses to “do no harm” and avoid actions that could injure patients.
What is nonmaleficence?
What should nursing judgments be factually based on?
Nursing judgments should always be based on clinical decisions which are derived from education, knowledge, competence, experience, and more importantly, patient safety.
What kind of environments should nurses build to support practice authority?
Inclusive and supportive environments
When a nurse asks for help because a situation is beyond their competence, they are honoring this part of accountability.
What is practicing within one’s scope and competence?
This responsibility cannot be delegated.
What is nursing assessment and evaluation?
This principle supports a patient’s right to make their own informed decisions about healthcare, even if the nurse disagrees.
What is autonomy?
What are resources nurses should consult when issues are beyond their authority?
One can seek advice and help from different resources like Ethics committees, nursing organizations, institutional policies, and evidence-based literature when one is quite unsure or the issue is beyond one's authority.
Nurses should engage in what type of decision-making to exercise their authority?
Team and institutional decision-making
Every action has ______ implications.
What is Ethical?
Name the four competence components
What are knowledge, skill, experience, and qualifications?
This ethical principle involves promoting good, acting in the patient’s best interest, and contributing to positive health outcomes.
What is beneficence?
What is the NPA?
The Nurse Practice Act (NPA) is the legal document stipulating the range of activities for nurses in a specific state.
What should nurses in leadership roles pay attention to in order to provide better support?
Recurring problems
What is it called when you fight for what your patient needs?
What is Patient Advocacy?
This person is responsible if a delegated task was performed incorrectly.
Who is the nurse that delegated the task?
This principle requires nurses to treat all patients fairly and provide equitable care without discrimination.
What is justice?
How do nurses uphold and preserve professional standards?
One of the ways to demonstrate professionalism is through continued professional development such as continuing education, recertification, and participation in quality improvement initiatives.
What happens when nurses’ perspectives are not considered?
The work environment, healthcare systems, and most importantly patient care cannot thrive or advance
Treating every patient interaction as meaningful rather than routine demonstrates this mindset encouraged in Provision 4.3.
What is intentional nursing practice?
Even when you delegate a task, you still retain this.
What is accountability?
This ethical principle refers to keeping promises, maintaining trust, and being faithful to professional commitments.
What is fidelity?