4330 Health Care & Politics
Dianne McAdams-Jones Ed D( c ),
RN, GNE
Objectives
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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 selfdetermination 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?
10
se
50%
Fa
l
50%
Tr
ue
1. True
2. False
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
10
se
50%
Fa
l
50%
Tr
ue
1. True
2. 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
se
50%
Fa
l
0 of
30
50%
Tr
ue
1. True
2. 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?
se
50%
Fa
l
50%
Tr
ue
1. True
2. False
:10
Characteristics on nursing practice
The defining
characteristics of the
scope of nursing
practice
intersections
Boundaries,
Dimensions
are
Core
Distinctive Characteristics of Nursing
Nurturant
• Watchful
• Caring
Protective
• Safety
• Insulating
Generative
• Healing
• Restorative
What is your opinion?
se
50%
Fa
l
50%
Tr
ue
1. True
2. False
Nursing Specialist
Minimum
of Master’s
Degree
Expert
In a
defined
area
50%
se
50%
Fa
l
1. True
2. False
What is your opinion?
Tr
ue
10
ANA dictated divisions of nursing
practice
Community
Health Nursing
Surgical
Nursing
Gerontological
Nursing
Medical
Nursing
Maternal and
Child Nursing
The public is assured
That a nurse
meets
The
requirements
for certification
Through the
professional
society
Certification
Grants to nurses
in specialty
areas
Standards of Care
• Children to
adults
• Utilizing
technology
• All groups
of people
Age
appropriate
Culturally
sensitive
Communicates
effectively
Safe care
• Managing
all areas of
care
Nursing has its roots
Is the statement
se
50%
Fa
l
50%
Tr
ue
1. True
2. False
10
The Federal Government collects data
about the nursing work force
Professional licensure of the
healthcare professions was
established
To protect the
public safety
And to
authorize the
practice of
the profession
Code of Ethics
List
• Of
provisions
That make
Professional
• explicit
• The
primary
• 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
se
50%
Fa
l
50%
Tr
ue
1. True
2. 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
1. True
2. False
50%
Answer Now
50%
True
False
:10
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
are
• exempt
• From state law
Must be
• Sued in
• Federal court
Cannot be
• sued
• In state courts
Companies that administer health
plans but do not assume any risks
Administrative
services only
Are not
Regulated by
the state
Many older adults lost health care this
year because they
Got caught in the
Medicare payments
• hospitals
To the • is
by
the
• determined
• DRGs
• Diagnostic related groups
Health Care
In
• Is increasingly
• not
the
• Available nor
• Is it
US
• Accessible to
• Many of the poor
Health care and rising costs
Employers
Are eliminating outright
Healthcare benefits
the
Bush
administration
encouraged
The growth of health savings accounts
The trend is market driven
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 decisionmaking at all levels and
in all areas of practice