JONA'S healthcare law, ethics and regulation最新文献

{"title":"Is It Ethical to Do Dialysis But Not Cardiopulmonary Resuscitation?","authors":"M. S. DeWolf Bosek, Linda MacDonald Glenn, Lorene Reynolds","doi":"10.1097/NHL.0B013E31821CD8EE","DOIUrl":"https://doi.org/10.1097/NHL.0B013E31821CD8EE","url":null,"abstract":"Summary Apatient’sdesiretohaveaDNRorderwhileconcurrentlyreceiving hemodialysis is not ethically inconsistent, butrather reflects a clear understanding and integration ofthe patient’s values and beliefs and the specific goalsfor dialysis treatment. Nurses have an ethical obligationto assist patients to explore their values and beliefs andto execute an advance directive if desired. Transparentagencypoliciesandopen honest communicationbetweenthe dialysis staff and patients and their significant othersshould promote a mutual trusting relationship.REFERENCES 1. Alport Syndrome Foundation. What is Alport syndrome?2010. http://www.alportsyndrome.org/what-is-alport-syndrome/. Accessed February 22, 2011.2. Norris K. Why do I feel nauseous and lethargic after dialysis?2002. http://www.aakp.org/aakp -library/feel-nauseaus-and-lethargic/. Accessed March 25, 2011.3. Ross LF. Do not resuscitate orders and iatrogenic arrestduring dialysis: should ‘‘no’’ mean ‘‘no’’? Semin Dial. 2003;16(5):395–398.4. Moss AH, Holley JL, Davison SN, et al. Core curriculumin nephrology: palliative care. Am J Kidney Dis. 2004;43(1):172–173.5. Ebell MH, Becker LA, Barry HC, Hagen M. Survival after in-hospital cardiopulmonary resuscitation: a meta-analysis.J Gen Intern Med. 1998;13(12):805–816.6. Moss AH, Holley JL, Upton MB. Outcomes of cardiopul-monary resuscitation in dialysis patients. J Am Soc Nephrol.1992;3(6):1238–1243.7. National Kidney Foundation. When stopping dialysis is yourchoice: a guide for patients and their families. 1989-2006.http://www.kidney.org/atoz/pdf/StopDialysis.pdf. AccessedMarch 22, 2011.8. RobertWoodJohnsonFoundation.Promotingexcellenceinend-of-life care: quality of life. http://www.promotingexcellence.org/tools/quality_life.html. Accessed March 22, 2011.9. Kidney End of Life Coalition. Personal death awareness ex-ercises. http://www.kidneyeol.org/PersonalDeathAwarenessExercises.pdf. Accessed March 22, 2011.10. Omnibus Budget Reconciliation Act of 1990. H.R. 5835.ENR.11. American Medical Directors Association (AMDA). White pa-per on surrogate decision-mak ing and advance care planningin long-term care. http://www.amda.com/governance/whitepapers/surrogate/decision making_hierarchy.cfm. AccessedMarch 24, 2011.12. National Kidney Foundation. Dialysis patients’ bill of rightsand responsibilities. 2003, 2006. http://www.kidney.org/atoz/pdf/DialysisBillRights.pdf. Accessed February 9, 2011.JONA’S Healthcare Law, Ethics, and Regulation / Volume 13, Number 2 / April–June 2011","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"13 1","pages":"47-52"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0B013E31821CD8EE","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61726035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accountable Care Organizations: What the Nurse Executive Needs to Know","authors":"R. Cady","doi":"10.1097/NHL.0b013e31821f4af7","DOIUrl":"https://doi.org/10.1097/NHL.0b013e31821f4af7","url":null,"abstract":"ABSTRACT In April 2011, the Federal Government published draft regulations regarding the implementation of Section 3022 of the Affordable Care Act, which contains provisions relating to Medicare payments to providers of services and suppliers participating in accountable care organizations. It is important for the nurse executive to understand these proposed regulations and how they may impact the provision of nursing care should the organization for which the nurse executive works decide to become or join an accountable care organization.","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"13 1","pages":"55-60"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e31821f4af7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61726043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' risk without using smart pumps.","authors":"Andrew D Harding,&nbsp;Mark W Connolly,&nbsp;Timothy O Wilkerson","doi":"10.1097/NHL.0b013e31820e0eb5","DOIUrl":"https://doi.org/10.1097/NHL.0b013e31820e0eb5","url":null,"abstract":"<p><p>Intravenous smart pump devices hold specific medications in electronic libraries. These libraries contain predetermined volumes with corresponding administration rate limits. Smart pumps prevent nurses from engaging in calculations under high-pressure situations and ensure that only therapies available to the nurse are administered to patients. When this technology is available and not utilized, litigation could be successful in finding fault on the nurse. Therefore, nurses should use the available smart pump technology every time when administering intravenous therapy.</p>","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"13 1","pages":"17-20"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e31820e0eb5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29691113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse drug diversion and nursing leader's responsibilities: legal, regulatory, ethical, humanistic, and practical considerations.","authors":"Hazel Y Tanga","doi":"10.1097/NHL.0b013e31820bd9e6","DOIUrl":"https://doi.org/10.1097/NHL.0b013e31820bd9e6","url":null,"abstract":"<p><p>Nurses who divert drugs pose significant threats to patient safety, but also become a liability to healthcare organizations and the nursing department where the diversion occurred. Healthcare and nursing leaders have a responsibility to ensure that security systems are in place to prevent diversion and protect patients if nursing impairment is suspected as a result of drug diversion. Nursing leaders must consider legal, regulatory, ethical, humanistic, and practical considerations in resolving this issue.</p>","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"13 1","pages":"13-6"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e31820bd9e6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29691111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A primer for protecting attorney-client work product documents and privileged information.","authors":"Denise A Atwood","doi":"10.1097/NHL.0b013e31820b5cfa","DOIUrl":"https://doi.org/10.1097/NHL.0b013e31820b5cfa","url":null,"abstract":"<p><p>Physicians, risk managers, and quality assurance personnel may incorrectly assume that all communications that take place in hospital committee discussions or investigations are privileged and thus protected from discovery. This article addresses that inaccurate assumption and sets forth some simple steps to help protect these communications, including the protections afforded by the agency privilege.</p>","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"13 1","pages":"21-6; quiz 27-8"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e31820b5cfa","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29690552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hand hygiene as standard practice: do the rules apply to all healthcare professionals?","authors":"Marcia Bosek,&nbsp;Hollie Shaner-McRae","doi":"10.1097/NHL.0b013e3181fcf82b","DOIUrl":"https://doi.org/10.1097/NHL.0b013e3181fcf82b","url":null,"abstract":"","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"12 4","pages":"101-5"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e3181fcf82b","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29500991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A review of basic patient rights in psychiatric care.","authors":"Rebecca F Cady","doi":"10.1097/NHL.0b013e3181f4d357","DOIUrl":"https://doi.org/10.1097/NHL.0b013e3181f4d357","url":null,"abstract":"<p><p>Although patient rights is a concept that all nurse managers need to be aware of, this concept often becomes confusing when applied to patients undergoing psychiatric treatment. It is important for the nurse manager to understand the basic rights that psychiatric patients are entitled to, to best be able to help staff nurses under his/her supervision to protect these rights. The nurse manager on a psychiatric unit often serves as a reference for staff nurses, and even for physicians, when questions regarding patient rights present themselves. The nurse manager should be certain to discuss these issues with the facility's legal and risk management team to be aware of particulars of the law of the state in which the facility is located, as state laws may differ somewhat in their treatment of psychiatric patients.</p>","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"12 4","pages":"117-25; quiz 126-7"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e3181f4d357","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29499915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Legal and ethical implications of health care provider insurance risk assumption.","authors":"Thomas Cox","doi":"10.1097/NHL.0b013e3181ff0fa0","DOIUrl":"https://doi.org/10.1097/NHL.0b013e3181ff0fa0","url":null,"abstract":"<p><p>From bedside to boardroom, nurses deal with the consequences of health care provider insurance risk assumption. Professional caregiver insurance risk refers to insurance risks assumed through contracts with third parties, federal and state Medicare and Medicaid program mandates, and the diagnosis-related groups and Prospective Payment Systems. This article analyzes the financial, legal, and ethical implications of provider insurance risk assumption by focusing on the degree to which patient benefits are reduced.</p>","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"12 4","pages":"106-16"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e3181ff0fa0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29500993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor.","authors":"Viroj Wiwanitkit","doi":"10.1097/NHL.0b013e3181fc08f0","DOIUrl":"https://doi.org/10.1097/NHL.0b013e3181fc08f0","url":null,"abstract":"","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"12 4","pages":"88"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e3181fc08f0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29500989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impetus for legislation revoking the Joint Commission's deemed status as a Medicare accrediting agency.","authors":"Juliet Battard Menendez","doi":"10.1097/NHL.0b013e3181ee276f","DOIUrl":"https://doi.org/10.1097/NHL.0b013e3181ee276f","url":null,"abstract":"<p><p>A change in the Medicare law in 2008 removed the \"deeming\" status of the Joint Commission and forced the accrediting body to formally apply to the Centers for Medicare & Medicaid Services for its continued authority to determine a hospital as eligible for participation in federal programs. This legislation was reportedly justified by a critical concern about the Joint Commission's ability to ensure patient safety through its hospital accreditation program. This article provides a comprehensive evaluation of the issues surrounding congressional legislation revoking the Joint Commission's special authority and calls into question the validity of that concern for the safety of hospitalized patients based on the Joint Commission's performance. The legal history of the Centers for Medicare & Medicaid Services' oversight of hospital accreditation is considered. The 2004 US Government Accountability Office report that triggered the relevant section of the Medicare Improvement for Patients and Providers Act of 2008 is closely examined for validity. Once these relevant factors are reviewed, the reader may conclude that the legislation revoking Joint Commission's deemed status was not adequately justified.</p>","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"12 3","pages":"69-76; quiz 77-8"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e3181ee276f","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29207960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}