The document discusses the importance of standards in nursing practice and healthcare. It outlines a methodology for developing standards, including identifying key functions or systems, forming a working group, defining quality characteristics, developing or adopting standards, creating indicators, and assessing the standards. Standards help outline expectations, guide professional practice, and provide a framework for competencies. They can focus on structure, processes, or outcomes. The document also reviews examples of nursing standards and ethical cases involving patients' rights and responsibilities.
24. 2. Identify a team to address standards
1. Select individuals/groups
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25. 2. Identify a team to address standards
2. Organize the working
group
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26. 2. Identify a team to address standards
3. Develop approval
process for the
standards
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27. 3. Identify inputs, process, or outcomes of the function or system
and define the quality characteristics
a. Define area of topic
b. Identify methods &
desired outcomes
c. State scope of care and identify important aspects of care
d. State the level of health care system for which the stds are being
developed
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28. 4. Develop or Adopt Standards
Can be:
1. Case management plans
3. Clinical Care Protocols
2. Critical paths
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29. Outline the anticipated/ standard length of stay
Expected clinical outcomes, goals and interventions
involved in the care of a given case of client.
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30. Critical Path
Sequencing and timing of
interventions
Designed to minimize delays in
services and resources used
maximize the quality of care.
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38. Standards of Practice Standards of Care
Focuses on provider of care - nurse Focuses on recipient of care –
patient/client
What he does What he expect/ receive
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40. Case 1
An 80-year old woman is in a persistent vegetative state
as a result of cardiovascular accident.
She has always talked about signing a living will
requesting that heroic measures not be taken, but her
family wants “everything that can be done to be
done.”
Whose wishes should prevail?
What ethical principles would come into play in this
decision process?
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41. Case 2
One night, Maria called her friend, Jade, at home to tell
her that she had just tested positive for HIV. Jade is a
nurse at a local community health center and works
with Liza, Maria’s sister. The next day, Jade sees Liza
and assuming she knows about Maria’s HIV test.” She
does not have Maria’s written consent for this
disclosure.
Did Jade violate the confidentiality law?
Why do you say so?
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