A nurse is teaching a class about the interlocking principles of shared governance. Which of the following principles should the nurse include?
(Select All that Apply.)
Finance
Navigation
Caring
Knowing
Leading
Correct Answer : C,D,E
A. This is not one of the core principles of shared governance. While financial considerations are important in healthcare, they are not a foundational element of shared governance.
B. Navigation refers to the ability to guide or steer through complex systems, such as healthcare processes, policies, or organizational structures. In the context of shared governance, navigating through the decision-making process is essential.
C. This principle emphasizes the importance of compassionate and patient-centered care. It underscores the nursing profession's core value of caring for patients.
D. This principle refers to the nurses' knowledge and expertise. It highlights the importance of professional development and the use of evidence-based practice.
E. This principle emphasizes the nurse's role as a leader and follower within the healthcare team. It involves empowerment, autonomy, accountability, and collaboration.
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Correct Answer is C
Explanation
A. The "right person" refers to ensuring that the task is delegated to an individual who has the appropriate skills, knowledge, and training for the task. While important, this does not directly address the ongoing monitoring of task completion.
B. The "right communication" involves providing clear, concise instructions about the task, including what needs to be done, how it should be done, and any specific expectations. Although communication is essential for effective delegation, checking in throughout the shift pertains more to the oversight and monitoring of the task.
C. The "right supervision" involves providing appropriate oversight and monitoring of the tasks delegated. This includes checking on the progress and ensuring that the tasks are being completed as expected. When the nurse checks with assistive personnel throughout the shift to determine if tasks are being completed, they are demonstrating the "right supervision."
D. The "right circumstances" involves ensuring that the situation is appropriate for delegating the task, including the conditions and context in which the task is performed. This right addresses the appropriateness of the delegation based on the current environment and patient needs, but it does not specifically relate to monitoring or following up on task completion.
Correct Answer is B
Explanation
A. This ethical principle directly addresses the idea of doing no harm. It is a fundamental obligation of healthcare professionals to protect patients from injury.
B. While related to doing good, beneficence focuses on actively promoting the well-being of patients. While important, it doesn't specifically address the concept of avoiding harm.
C. Fidelity refers to faithfulness and keeping promises. It is important in building trust but doesn't directly address the prevention of harm.
D. Justice is about fairness and equality in healthcare. While important, it doesn't specifically address the prevention of harm to an individual patient.
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