LPN Ethical Practice and Team Relationships

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Questions and Answers

What is a primary goal of establishing an ethics consult service in nursing?

To minimize staffing costs

To enhance competition among staff

To implement new medical technologies

To resolve ethical conflicts effectively (correct)

Which characteristic is NOT typically associated with effective health care teams?

Trust

Collaboration

Respect

Competition (correct)

How does effective teamwork contribute to patient safety?

It minimizes adverse events caused by miscommunication (correct)

It allows nurses to work independently without oversight

It prioritizes task completion over communication

It increases the number of staff involved in each case

Which approach is a part of policy development related to ethical practices?

Culture policies Signup and view all the answers

What role do shared mental models play in teamwork?

They enhance the collective understanding among team members Signup and view all the answers

What defines a team in the context provided?

Two or more individuals working towards specified goals Signup and view all the answers

Which of the following is NOT a characteristic required for effective health care teams?

Lack of communication Signup and view all the answers

What impact does teamwork have on healthcare delivery systems?

It's associated with the quality and safety of care delivery Signup and view all the answers

What is the primary goal of collaborating with colleagues in a healthcare setting?

To provide safe, competent, ethical, and appropriate care Signup and view all the answers

What is one of the key responsibilities of Licensed Practical Nurses (LPNs) to the public?

Provide only those functions for which they are qualified Signup and view all the answers

Which action best reflects taking responsibility for oneself in nursing practice?

Recognizing and acting within personal competence Signup and view all the answers

Which principle emphasizes the LPN's duty to respect the rights of individual clients?

Responsibility to Clients Signup and view all the answers

How do LPNs demonstrate responsibility to their profession?

By maintaining professional competence and conduct Signup and view all the answers

What should a nurse do upon realizing they are unable to practice safely and competently?

Inform the appropriate authority Signup and view all the answers

Which responsibility involves collaboration with clients and their families?

Responsibility to Clients Signup and view all the answers

What is one of the organizational benefits of effective teamwork in healthcare?

Reduced time and costs of hospitalization Signup and view all the answers

How should organizational leaders support nurses in improving ethical practice environments?

By providing ongoing education in ethics concepts Signup and view all the answers

What must LPNs do when a client is incapable of giving consent?

Adhere to jurisdictional legislation on capacity assessment Signup and view all the answers

Which of the following is a patient benefit of effective teamwork?

Enhanced satisfaction with care Signup and view all the answers

What is an important aspect of maintaining positive relationships with colleagues?

Acknowledging colleagues’ roles and contributions Signup and view all the answers

Why is it important for LPNs to recognize diverse values and beliefs?

To offer personalized care and respect individuality Signup and view all the answers

What should be considered when a client is incapable of consent?

The best interests of the client and their known wishes Signup and view all the answers

Which component is essential for successful teamwork in healthcare?

Open communication Signup and view all the answers

What reflects respect for colleagues in a healthcare team?

Valuing and respecting the expertise of others Signup and view all the answers

What role do coordinating teams play in healthcare systems?

Support core teams with administrative tasks Signup and view all the answers

Which action is appropriate regarding client privacy?

Reporting any unauthorized access to private information Signup and view all the answers

What is the role of the LPN in promoting community health?

Provide care aimed at the health and well-being of the community Signup and view all the answers

What is a core responsibility of nurses in maintaining a safe workplace?

Demonstrating zero tolerance for lateral violence Signup and view all the answers

Which of these actions is least aligned with ethical practice in nursing?

Working independently without consulting colleagues Signup and view all the answers

What principle involves LPNs maintaining ethical standards in their work practices?

Responsibility to the Profession Signup and view all the answers

What is a key responsibility when responding to harmful conditions?

Disclosing safety issues promptly to relevant authorities Signup and view all the answers

Which of the following is NOT a component of successful teamwork?

Ambiguous decision-making procedures Signup and view all the answers

What is a key relationship necessary for effective healthcare provision?

Nurse's relationship with themselves Signup and view all the answers

How can Licensed Practical Nurses promote the integrity of their profession?

By maintaining professional conduct and standards Signup and view all the answers

Why are contingency teams formed in healthcare settings?

To deal with emergency situations Signup and view all the answers

What should be the central focus when advocating for a client?

Ensuring the client’s access to needed health services Signup and view all the answers

Which benefit to team members is associated with effective teamwork?

Enhanced job satisfaction Signup and view all the answers

In order to maintain professional boundaries, which action should be avoided?

Using personal social media to connect with clients Signup and view all the answers

What principle guides nurses in decision-making?

Evidence and judgement to guide nursing decisions Signup and view all the answers

What is the responsibility of nurses regarding the collection of health information?

Storing health information securely as per policies Signup and view all the answers

What is a key benefit of enhanced professional relationships in healthcare?

Strengthened decision-making based on ethical principles Signup and view all the answers

What role do nurses play in a collaborative healthcare team?

Leading and partnering across the continuum of care Signup and view all the answers

What does effective team communication contribute to?

Trust and engagement among team members Signup and view all the answers

What defines nurse-physician collaboration?

Joint problem-solving and decision-making efforts Signup and view all the answers

Which of the following is NOT a common barrier to inter-professional communication?

Shared educational standards Signup and view all the answers

Which strategy promotes effective health communication?

Being humble during discussions Signup and view all the answers

What is a potential challenge posed by differences in accountability in a healthcare team?

Conflicted responsibilities among team members Signup and view all the answers

What is one purpose of asking open-ended questions in healthcare communication?

To encourage detailed responses and engagement Signup and view all the answers

Study Notes

Competent Ethical Practice and Relationship Between Healthcare Teams

Objectives: Students will be able to recognize the principles and ethical responsibilities of Licensed Practical Nurses (LPNs), understand the purpose of ethical practice environments, and explain how to achieve ethical practice environments.

Principles and Ethical Responsibilities of LPNs

Responsibility to the Public: As self-regulating professionals, LPNs commit to providing safe, effective, and ethical care to the public. This includes maintaining standards of practice, professional competence, and conduct. LPNs are to provide only functions for which they are qualified by education or experience. They must recognize that community, society, and the environment are important factors in the health of individual clients. They also respect the rights of individuals regardless of diverse values, beliefs, and cultures. Care is directed toward the health and well-being of the person, family, and community. Collaboration with clients, their families (to the extent of confidentiality rights), and healthcare colleagues promotes the health and well-being of individuals, families, and the public.
Responsibility to Clients: Provide safe and competent care. Respect clients' rights to be informed and make decisions about their health care. Respect and support client choices. Assist and support client participation in decisions about their health and well-being. Respect and adhere to jurisdictional legislation on capacity assessment and substitute decision-making when clients are incapable of consent. With other health care professionals and substitute decision-makers, consider the best interests of the client and any previously known wishes or advanced directives. Advocate for equitable access to needed and reasonably available health services and resources for clients. Respect and protect client privacy; safeguard health and personal information. Report any situations of private or confidential information access or disclosure without consent or legal authority. Ensure communications (verbal, written, and electronic) are respectful and avoid identifying the client unless appropriate. Maintain professional boundaries in electronic media.
Responsibility to the Profession: LPNs have a commitment to their profession and foster respect and trust amongst clients, healthcare colleagues, and the public. Maintain professional standards and uphold the integrity of the profession. Participate in activities that allow the profession to evolve to meet the needs of emerging healthcare. Practice in a manner consistent with the responsibility of self-regulation. Promote workplace practices and policies that facilitate professional practice in accordance with principles, standards, laws, and regulations.
Responsibility to Colleagues: Develop and maintain positive, collaborative relationships with nursing and other healthcare professionals. Take action to address unprofessional conduct of other members of the professional team. Collaborate constructively and respectfully to provide safe, competent, ethical, and appropriate care. Engage in opportunities to inform colleagues about the LPN role and capabilities. Acknowledge colleagues' roles and unique contributions to the inter-professional team. Respect the expertise of colleagues and share one's own expertise and knowledge.
Responsibility to Oneself: Recognize and function within one's personal and professional competence and value systems. Demonstrate honesty, integrity, and trustworthiness. Recognize capabilities and limitations, performing only tasks within the scope of practice that one is qualified for through knowledge, skills, and judgment. Accept responsibility for knowing and acting consistently with principles, practice standards, laws, and regulations. Inform appropriate authority in the event of becoming unable to practice safely, competently, and/or ethically. Engage in continuous learning to develop the competencies needed to meet the profession's ethical and regulatory requirements. Maintain required mental and physical wellness to meet the responsibilities of the role.

Ethical Practice Environments

Role of Leaders: Organizational leaders must provide ongoing education in ethics concepts and ethical practice for nurses. Use the Code as the ethical framework for nursing and demonstrate zero tolerance of lateral violence. Create safe spaces for discussing ethics issues. Every nurse must learn about resources for resolving ethical conflicts, learn how to use them, and collaborate across levels of the organization.
Approaches: Establishment of ethics consult services, creation of ethics committees, and policy development (e.g., culture policies, end-of-life treatment policies) are examples of approaches to ensure ethical practice environments. These and other policies aim to minimize unwanted or unnecessary treatment.

Definition of Team and Teamwork

Definition of Team: A team is defined as two or more individuals who work together toward shared goals, each with task-specific competencies, specialized roles, and shared resources, communicating to coordinate and adapt to change.
Teambuilding: Teamwork refers to behaviors like communication, information sharing, and checking understanding, in addition to attitudes like belief in the team's abilities and the need for collaboration, and cognitions like shared mental models used to communicate, coordinate, and collaborate. Effective teamwork minimizes adverse events caused by miscommunication and role/responsibility misunderstandings, and enhances patient safety.

Characteristics of Healthcare Teams

Collaboration and Trust: Team members must exhibit trust, respect, collaboration, and possess specialized knowledge and skills. They need to understand their individual roles, the roles of others, and interact as a collective unit to achieve common goals.

Benefits of Effective Teamwork

Organizational Benefits: Reduced hospitalization time and costs, reduction in unexpected admissions, and better accessibility of services for patients.
Team Benefits: Improved coordination of care, efficient use of healthcare resources, and enhanced communication and diversity.
Patient Benefits: Enhanced satisfaction with care; acceptance of treatment; improved health outcomes & quality of care; and reduced medical errors.
Member Benefits: Enhanced job satisfaction, clearer roles, and enhanced well-being.

Components of Successful Teamwork

Open communication
Clear direction
Clear roles and tasks
Respectful atmosphere
Shared responsibility for success
Balance of participation for task at hand Clear specifications of authority and accountability
Clear decision-making procedures
Regular/routine communication & information sharing
Enabling environment (access to resources)
Mechanisms for evaluation and outcome adjustment

Types of Healthcare Teams

Core Teams: Teams directly involved in patient care, often including leaders and direct-care providers (nurses, dentists, pharmacists, doctors, assistants), along with case managers.
Coordinating Teams: Teams responsible for operational management, coordinating functions, and managing resources for core teams.
Contingency Teams: Respond to emergencies or specific events (e.g. cardiac arrest, disaster response).
Ancillary Teams: Provide support services in facilitating patient care (e.g., cleaners, domestic staff).

Key Relationships for Humane Healthcare

Nurse-self relationships
Relationships with team members
Relationships with patients and families

Nurse-Physician Collaboration

Defined as interactions between nurses and physicians to achieve shared problem-solving, decision-making, communication and coordination.

Barriers to Interprofessional Collaboration

Differences in requirements, regulations, and norms of professional education
Differences in accountability, payment, and rewards
Concerns regarding clinical responsibility
Complexity of care
Personal values and expectations
Personality differences
Culture and ethnicity
Generational differences
Gender
Differences in language
Differences in schedules & professional routines
Varying levels of preparation & qualifications

Strategies for Effective Health Communication

Be Humble,
Ask Open-Ended Questions
Speak in Plain Language
Keep Communications Confidential
Communicate like a leader in healthcare settings

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Description

This quiz focuses on the ethical principles and responsibilities of Licensed Practical Nurses (LPNs). It explores the importance of ethical practice environments and the role of healthcare teams in maintaining these standards. Students will assess their understanding of providing ethical and effective care in diverse environments.