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