Training and Health Care: Professional Practice

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Questions and Answers

What is the primary focus of selection panels when choosing potential health care professionals?

  • Academic achievements.
  • Technical skills in performing specific procedures.
  • Aptitude for memorizing facts.
  • Willingness to work with others and preparedness to reflect on difficult problems. (correct)

In the CARE model for ethical decision-making, what does the 'C' stand for?

  • Core regulations
  • Clinical resolutions
  • Community standards
  • Core beliefs (correct)

Why is it important for health care students to engage in part-time work within health contexts?

  • To gain practical experience in advanced medical procedures.
  • To be exposed to various aspects of health care work and the ethic of caring. (correct)
  • To earn money to pay for their studies.
  • To impress future employers with diverse experience.

According to the information, what obligation does a health care student have if charged with an offence punishable by imprisonment?

<p>To inform the National Board or AHPRA. (D)</p> Signup and view all the answers

What is the term for the process of thought and analysis on past, present, or future issues, applying deep and serious consideration?

<p>Reflection (B)</p> Signup and view all the answers

What is the significance of adequate supervision for health care students performing procedures for the first time?

<p>It is an essential safeguard of patient safety and trust, and of the derived principle of veracity. (B)</p> Signup and view all the answers

What do professional associations and boards define for their members?

<p>The profession's collective goals, expected roles, corresponding duties and the limits of service. (A)</p> Signup and view all the answers

In the context of professional standards for Enrolled Nurses (ENs), according to the Nursing and Midwifery Board of Australia, what does it mean to 'interpret information'?

<p>To contribute to planning appropriate care. (C)</p> Signup and view all the answers

Before starting to work in a healthcare profession, what documentation can one expect to see outlining basic duties?

<p>A 'statement of duties' or a general job description. (A)</p> Signup and view all the answers

What is the role of the Tertiary Education Quality and Standards Agency (TEQSA)?

<p>To set accreditation standards for higher education providers. (C)</p> Signup and view all the answers

What is the first step that an institution typically takes when they discover student plagiarism?

<p>There isn't enough information to properly answer the question (A)</p> Signup and view all the answers

What is the primary goal of Higher Education Providers meeting accreditation standards?

<p>To ensure graduates have received training through an appropriate curriculum. (D)</p> Signup and view all the answers

What is the meaning of 'propriety' in the context of professional conduct?

<p>In keeping with prudent and supported conventional standards. (B)</p> Signup and view all the answers

What does AHPRA consider to be inconsistent with being a fit and proper registered health practitioner?

<p>Engaging in acts of indecency, sexual assault, or violence. (D)</p> Signup and view all the answers

What is the significance of the Ziems case (Ziems v The Prothonotary of the Supreme Court of New South Wales (1957))?

<p>It sets a precedent for deciding if someone is fit and proper to practice, considering the connection between their conduct and professional function. (A)</p> Signup and view all the answers

In professional standards considerations, what does impropriety consist of, according to the High Court case R v Byrnes [1995]?

<p>A breach of the standards of conduct expected of a person in their position by reasonable persons. (D)</p> Signup and view all the answers

Under the Health Practitioner Regulation National Law, what happens if the registering authority think you are unsuitable?

<p>They could be precluded from being registered when they first apply. (B)</p> Signup and view all the answers

Which of the following is NOT a described way to maintain quality and safety?

<p>Ensuring patients all make roughly the same amount of money (C)</p> Signup and view all the answers

What is the main purpose of being accredited after meeting the national standards for quality and safety?

<p>To improve health services and minimise the risk of harm to patients. (A)</p> Signup and view all the answers

Why should potential employees and contractors check that the healthcare facility they may work in is licensed for the services offered?

<p>Because working there as a professional lends credibility to the institution and patients will expect services will be provided. (A)</p> Signup and view all the answers

The health care governance wisdom of the District of Columbia Health Department of Health (DOH) describes what?

<p>Policy on standard operating procedures (SOPs) for use within its institutions. (C)</p> Signup and view all the answers

What is the primary function of the UK Nuffield Council on Bioethics?

<p>To stimulate debate and assist policy makers and professionals in exploring issues in biology and medicine. (D)</p> Signup and view all the answers

What should a health care professional do to practice within their lawful scope of practice?

<p>To actively seek advice and information on the different aspects of law to identify acceptable and required standards and limits. (B)</p> Signup and view all the answers

What is the aim of Quality Improvement or Quality Assurance?

<p>To maintain and improve the quality and safety of care that is offered within the institution. (A)</p> Signup and view all the answers

What is the meaning of the term 'communitarianism' as defined in the text?

<p>An ethics theory, where a groups interest taking priority over over individual interests and needs.. (D)</p> Signup and view all the answers

In the context of health care, what does 'cultural safety' aim to achieve?

<p>Safety for a person given their culture, environment and personal experience.. (B)</p> Signup and view all the answers

If a health care service is not viewed as culturally safe, how might this affect patient care?

<p>Clients might delay seeking effective health care. (B)</p> Signup and view all the answers

What is lateral violence and why is it relevant to cultural safety and security?

<p>Lateral violence refers to a violence between groups from a similar cultural background, and the social justice report gave particular attention to cultural safety and security as tools to address lateral violence (B)</p> Signup and view all the answers

What is professional competence?

<p>A readiness to use your knowledge, skills and judgment in the practice of your profession and role. (B)</p> Signup and view all the answers

In the context of health care, what is a competency (not competence)?

<p>Skills for healthcare professionals that have been tested and found to meet an acceptable standard (B)</p> Signup and view all the answers

What action can be taken at the intstitutional level to fix inadequacies?

<p>Arranging for a program to educate certain people on staff or providing closer suvervision (A)</p> Signup and view all the answers

What is the meaning of Unsatisfactory Professional Conduct?

<p>Conduct judged by peers of good repute that do not meet a reasonable standing of good practise (C)</p> Signup and view all the answers

What is the meaning of Professional Misconduct?

<p>Unsatisfactory professional conduct that is so serious it could warrant suspension from practice or deregistration. (B)</p> Signup and view all the answers

According to traditional case definitions from Allinson v General Council of Medical Education and Registration [1894], what defines professional misconduct?

<p>Deliberate departure from accepted standards or such serious negligence (D)</p> Signup and view all the answers

What happens if someone is judged unsuitable after an inquiry?

<p>They would not then become registered. (D)</p> Signup and view all the answers

What must occur from the protection of health and safety of the public under the National Law in NSW?

<p>The protection of the health and safety of the public must be the paramount consideration (B)</p> Signup and view all the answers

According to the Nursing and Midwifery Board of Australia, what must be done if anyone needs a reprimand?

<p>Orders of reprimand from tribunals must be publicly accessible (D)</p> Signup and view all the answers

What is a key aspect to registered professionals and the process to departures from acceptable standards?

<p>The way registered professionals’ potential departures from acceptable practice are assessed is informed by principles of reasoned inquiry and administrative decision making, including procedural fairness and natural justice (A)</p> Signup and view all the answers

What does the text identify under the National Law, section 5, impairment?

<p>The ‘physical or mental impairment, disability, condition or disorder (including substance abuse or dependence). (C)</p> Signup and view all the answers

If you are asked to provide information you make a oath. Which rules of the code are you bond by?

<p>Expert witness code of conduct (D)</p> Signup and view all the answers

Flashcards

Belief

Firmly held opinion or accepted understanding.

Character

Moral qualities of a person.

Client

The recipient of healthcare services.

Community

Group of people defined by shared social engagement.

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Consultation

Active process of facilitating the expression of opinions and cooperative deliberation.

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Culture

Social expectations and norms of a particular community or civilization.

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Cultural safety

Safety for a person given their culture, environment and personal experience.

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Duties

Obligations and specific tasks that you are bound to fulfil.

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Goals

Ideals and objectives aimed towards.

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Governance

Controlling, directing or regulating activities.

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Health care

Provision of maintaining, restoring, or improving health or comfort.

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Health care professionals

Those trained in recognised professions to be providers of healthcare.

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Impropriety

Imprudence; stark and distasteful contravention to conventional standards.

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Insight

A reflective process of examining own behavior and motivations.

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Impairment

Condition detrimentally impacting competencies or capacity.

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Libertarianism

An ethics theory that aims for the greatest good for the greatest number.

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Mandatory notification

Required alert to relevant authorities.

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Obligation

Something one is bound to fulfill or perform.

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Principlism

An ethics framework where issues are understood and analysed with the help of broad descriptive principles

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Professional Misconduct

Behavior that falls below standards.

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Propriety

Following conventional standards.

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Reflection

A process where we deeply consider our past and the present.

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Unsatisfactory Professional Conduct

Conduct that is unacceptable by acceptable peer standards

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Communitarianism

An attempt of balancing community interests and individual liberties

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Deon

An action that should be performed morally.

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Deontology

The ethics theory behind the action, should it be performed, should it not?

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Competencies

The degree in which someone is able to perform

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Fit and proper person

Being fit to perform role.

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Patient

A patient is someone receiving medical care

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Good characteristics

A state that shows a persons behaviour in a way which is ethically correct.

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Under the national law. Section 5 impairment.

A health issue causes one to negatively affect abilities.

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Fit and proper person.

They are not given the privillege in a registered work space.

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Caring is essential

Ensuring safety and well-being.

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Professional integrity.

Individual is not to be trusted.

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Competence

Ability to do a task, and doing it safely.

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Study Notes

  • Key to professional practice is trust and professional integrity.
  • Continuously developing skills and knowledge is essential for fitness to practice.
  • Regulatory governance systems are vital to maintain quality and safety in health service settings.
  • Knowledge, skills, and judgment should be applied ethically.
  • Peer review offers value for acceptable and satisfactory standards.
  • Powers protect the public from substandard care.

Training and Health Care

  • Choosing to become a health professional is a significant decision.
  • Historically, it was similar to entering holy orders, with oaths of service and learning.
  • Being a successful health care worker involves more than remembering facts and performing skills.
  • Selection panels seek individuals with a willingness to work with others and a desire to care.
  • The goal is to contribute to the health and wellbeing of each patient.

Continued Development

  • Personal beliefs are crucial in professional practice.
  • The CARE model encourages reflection on the physician's core beliefs, past actions, reasoned opinions, and experiences.
  • The ongoing learning process and awareness of the culture of caring begins early and continues throughout professional life.
  • Students often take on part-time work in health contexts.
  • Public training institutions are accredited to receive funding, ensuring appropriate curriculum and assessment.
  • Graduates are eligible for registration upon completing accredited training programs.
  • Teaching hospitals collaborate with colleges to train a skilled workforce.
  • Students and juniors observe and gradually contribute to patient care under supervision.
  • Higher Education Providers meet accreditation standards through TEQSA.

Ethics, Integrity and Regulation

  • Clinical supervisors are assigned to each placement to oversee tasks closely.
  • Policies exist on training placements and practical experience.
  • Students provide personal details to training institutions, which are lodged with national boards and AHPRA.
  • Students inform the National Board or AHPRA of any convictions or charges punishable by imprisonment.
  • Honesty and integrity are core to assessments, with penalties for plagiarism.

Professional Standards and Reflection

  • Standards are derived from law, ethics, and regulation.
  • Learning difficult, finely tuned professional standards is part of becoming a professional carer.
  • Continued learning is a commitment to deliver the best possible care.
  • Recognizing limits in skill is essential for self-reflection and responsible practice.
  • Adequate supervision ensures patient safety.
  • Ethical consideration has significance when performing a procedure for the first time.

Professional Obligations, Goals & Responsibilities

  • Being open about skill and limits is sensible and protective.
  • Professional associations and boards define collective goals, roles, and service limits.
  • The Nursing and Midwifery Board of Australia sets expected requirements for Enrolled Nurses (EN).

Obligations and Expectations

  • Basic duties translate a list of duties and prohibitions outlined before starting work.
  • Job descriptions outline duties, which vary across professions.
  • A qualified speech pathologist provides assessment, planning, and intervention to clients.
  • A physiotherapist requires 2+ years of experience, a license, and AHPRA registration.
  • Roles vary depending on seniority.
  • A registered midwife recognizes the need the natural changes with awareness of health issues.
  • A nurse practitioner needs 3 years of clinical experience.

Skills, Capacity, and Professional Conduct

  • Language proficiency is part of professional competence, along with physical and mental capacity.
  • Core competencies and scope of practice differ across jurisdictions.
  • Duties are obligations to fulfill and a minimal ethical position.
  • Goals are something to aspire to like optimal ideals.
  • One legacy of Aristotle's work is striving for ideals is ethically significant.
  • Reflective practice depends on knowledge transfer.

Accountability and CPD

  • Reflective practice depends on sourcing current standards and a willingness to learn.
  • Continuing professional development (CPD) is part of registration requirements, and is important for transparent quality standards.
  • CPD requirements are set by professional boards or associations.
  • Monitoring compliance may be required as part of an audit system.
  • Many professionals exceed CPD requirements and mentoring in health care teams.
  • Discussions with colleagues facilitate professional development.

Ethics, Propriety and Character

  • Satisfactory professional conduct depends on propriety, character, skill, competence, fitness and ethical health services.
  • Ethical conduct is defined in professional ethics codes.
  • Health care conduct should not fall below the standards expected by a peer.
  • Character, ethics, and fitness to practice is essential
  • AHPRA lists conduct inconsistent with being a registered health practitioner.
  • Judgments provide ways of acceptance of standards and acting in accodance.
  • Good character is not the acts alone.
  • Context is considered before assuming indication of unfitness
  • Acting knowingly outside your delegated authority can be viewed as improper.
  • A professional of “good character” is appropriately trained, skilled, and committed to upholding acceptable practice standards.

Governance & Risk Management

  • The practice setting lets health care workers bring their skills into action.
  • Credentials need to be thoroughly checked before jobs.
  • Administration routinely conducts checks as a condition of employment.
  • Sector regulation and employer standards are important protective features of the health care system.
  • Different aspects of regulation cover all staff.
  • Criminal checks are routine for reasonable confidence.
  • In keeping with Child Protection Laws, employers ensure safety to work with children prior to commencing.
  • The institution has to ensure that they comply with legal requirements legally responsible for Health Care.
  • The health ministers have endorsed a national accreditation scheme.
  • The clinical practice has to meet expectations
  • Standard operating procedures (SOPs) aid efficiency and effectiveness.
  • SOPs provide clear guidance on implementation and uniform task performances

Accountability and Improvement

  • Discussions on quality and care standards ensure appropriate achievement.
  • A system of mentorship and supervision involves more experienced opinions and advice.
  • Those involved in care positions can observe potential problems.
  • Adverse events are reported to improve risk management.
  • Principal investigator, the sponsor of the trial, the human research ethics committee, the institution, and the TGA share responsibilities.

Institutional Safety & Regulation

  • Incidents are reported when outside procedure potentially has an impact on patient and safety.
  • The Incident Management System (IMS) documentation help with handling risks effectively.
  • There are institutional responses with capacity, commitment and reflections.
  • Performance is managed for with improvement plans, with an assessment as to bullying or any risks.
  • Organizations provide guides on how to monitor and improve safety.
  • Healthy Institutions continue to reflect its safe work in the medical fields.

Public Accountability & Practice

  • QA collects patients records, and data for services that requires ethical research.
  • QA helps institutions refine safety services delivery and check that has standard levels appropriately.
  • Royal Commission inquiries prompt review of large scale issues.
  • Professional has to improve and updated to the latest clinical knowledge.
  • Acceptable health care delivery is a joint responsibility of those involved.
  • Public engagement for policy requires administrative levels
  • Governing boards has community for setting priorities.
  • Under specified principlism can be meaning and cultural norms through standards

Ethical Principles

  • Community consultation relies on collective community views in support.
  • In liberalism and autonomy, the community agrees with limitations and endure burdens that is general.
  • In deontology a rule would expect be shared. Under Kant, each can limit harm and allow freedom others.
  • WHO (World Health Organization) recognizes recognized needs and supports people over the diversity across cultures.
  • Cultural impacts differ through people’s health care.
  • Cultural safety is key taking the environment for personal experiences and respect for the person.

Professional Integrity

  • The professional ensures can act by having adequate training and knowledge in the acceptable way
  • To have readiness to take the practices needed in the workforce
  • Competency in this regard means you are fit practise because capacity the current term from the writers, and practice has many referred skill sets to it.
  • By that safety is delivered if one actively reflects throughout the times by the individual, who can be provided by remedy and also make corrections.
  • It's important to understand some standards that you are unable to reach which leads to either supervision or an educational program.

Legislative, Ethical, and Professional Obligations

  • Performance plans can encourage with assessment.
  • The employees are not there to risk their work for something not protective.
  • Health review commissioners that come from the boards of health.
  • With the protective scheme, a person is protected and works right.
  • One can have a health service to work under with registered practitioners in APHRA.
  • All health professionals make mandatory with complaints from AHPRA
  • One has to notify another's practices in ethics codes by seeing through their actions by codes and being health complaints.
  • If the action or person is ok with it, there is a chance in performance reviews by either taking the action or seeing if it improves
  • There needs some support by their panel and to see after inquiry by looking at health codes and misconducts.
  • If things turn around when there are more health conducts by the government when there are some who do not stand by the Code is shown if conducted by the board.
  • These are open through public knowledge as the expert peers can view it for a level

Legislative Interpretation

  • The conduct shows the knowledge, skills, judgements, or skills
  • The individual has to be responsible due to ethics and actioning those actions by good means.
  • With the peer reviews its judged as appropriate because then the conduct might be put to the test due to ethics.
  • When one finds the protective orders it must be relevant, and ethical because the person is shown in good hands that will care for the patient.

Professional Practice & Codes

  • It is looked to see if they can have a say before suspension with educational help.
  • There are many ethical codes for health care that are now available.
  • There is a look now for any bad practices and one needs to always be aware of those practices with those in help.
  • You must make sure that your practices are good with patient help because with those who can understand and provide what is asked.

Rules, Reports & Guidelines

  • All reports must be made where its appropriate to take the oath, and they need to see with what is ethical.
  • As a matter of fact, you have to be accurate by a clinical skill.
  • So, know ethics in this regard if you are asked by fact and to say about that fact,
  • The rules must be clear that it has those following the law and being responsible.

Expert Witnesses and Reports

  • To meet the expert evidence, there needs a clear understanding of expertise by stating what is going to be done,
  • The decision is for your belief in yourself as in what is being done.
  • As it said there is no need to think bad of the law, and understand for the given skills, its hard said in situations like the fact you know they would be working that part.

Impairment and Safety

  • Standards show all councils for what they can all do.
  • You look over the things to see what could improve what.
  • With impairment, they can improve with what has been made to see the practices.
  • You can come to know what you should if it continues with the level that can be improved.
  • Then can those actions continue through the level to support ethical actions and views.

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