N108: Transition to the Registered Professional Nurse Role Study Guide Chapter Two: Ethical, Legal, Regulatory, and Professional Implications Learning Objectives: 1. Discuss the socioeconomic factors that have impacted the development of nursing practice. 2. Discuss the different methods of healthcare financing for healthcare services delivered. 3. Discuss the impact of scientific/technological advances and the impact on healthcare services and nursing. 4. Identify the different types of healthcare organization according to the types of services delivered, length of care, and their ownership. 5. Identify different accreditation and regulatory bodies for healthcare organizations. 6. Discuss the nurse’s role in healthcare legislation and policy formulation. 7. Identify professional nursing organizations and healthcare organizations that play a role in the legislative process. 8. Discuss scope and standards of nursing practice and how they can ensure accountability in nursing practice. 9. Define primary, team, case-method, functional, and other types of nursing. 10. Understand the role that ethical principles and personal values play in professional nursing. 11. Describe the influences of legal issues on nursing practice. 12. Define common law, statutory law, civil law, and criminal law. 13. Discuss the influence of tort law on malpractice litigation. 14. Clarify how personal and professional values are incorporated in nursing codes. 15. Discuss the process for resolving ethical dilemmas in nursing practice. 2.1 Ethical Aspects of Nursing Practice Ethics is the study of the right action to take. Morality is a word sometimes used interchangeably with ethics. Some say that ethics are the ideal guidelines to use, while morals describe the guidelines people actually use in life. Others say ethics describes societal behavior whereas the word moral describes individual behavior. Values Clarification Values are internalized standards for living which each person has acquired in his or her lifetime. Values are closely tied to our family, culture, religion, and society. Values give us a sense of right and wrong. Values clarification is the process of examining values and clarifying one’s own values, as well as prioritizing those values. The choice between two values is known as a values conflict. To understand the degree of our conviction to one set of values or another, we ask ourselves questions about our basic values. It is important for a nurse to evaluate his or her values to clarify ways of thinking and beliefs. This helps affirm values and incorporate them into everyday life and practice. RNs must clearly understand their values regarding life, death, wellness, and illness.