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The American Nurses' Association's position statement on nursing and social policy: philosophical and ethical dimensions.

This article analyses the American Nurses' Association's position statement on nursing and social policy. Specifically, its purpose is to highlight three themes suggested within the position statement: nursing as duty, nursing as moral art and nursing as autonomous profession. Questions are raised about the nature and significance of these themes as they relate to philosophical and ethical dimensions within nursing.

American Nurses' Association↗

The code for nurses: guidelines for ethical practice.

Nurses regularly are faced with ethical situations in their practice. Despite potentially having had as part of their educational programs an ethics course or specific classes addressing ethical issues, many nurses still feel ill-equipped when ethical dilemmas occur. This article discusses the Code for Nurses as a resource that nurses can use for determining the appropriate action(s) when an ethical dilemma arises.

American Nurses' Association↗

Code for nurses.

Explore the source record for details and available documents.

American Nurses' Association↗

Code for nurses.

Explore the source record for details and available documents.

American Nurses' Association↗

Evaluation and management services. A comparison of medical record documentation with actual billing in community family practice.

OBJECTIVE: To compare the concordance of family physicians' billing for evaluation and management services with medical record documentation. DESIGN: Multi-method, cross-sectional observation study. SETTING: Eighty-four family practices in northeast Ohio. PARTICIPANTS: Four thousand fifty-four outpatients visiting 138 family physicians. MAIN OUTCOME MEASURE: The degree of concordance between evaluation and management Current Procedural Terminology codes billed by physicians, with those codes assigned by trained research nurses using American Medical Association criteria to code medical records for the same visits. RESULTS: Discrepancies between the multifactorial nature of family practice outpatient visits and the Current Procedural Terminology coding criteria, which dictate overcoding for depth rather than breadth, made coding difficult (multiple-rater kappa statistic between research nurses = 0.36). Among 4137 outpatient visits with complete billing information, 57% of the Current Procedural Terminology codes generated by medical record review were concordant with the actual billing code assigned by physicians. Undercoding and overcoding occurred at a similar frequency (21% and 19%, respectively) and differed by more than 1 code in fewer than 4% of visits. Visits by new patients were more likely to be inaccurately coded than visits by established patients. CONCLUSIONS: Record documentation by community family physicians largely reflects the level of services billed using evaluation and management codes. Undercoding is as common as overcoding. Efforts from regulatory agencies should be redirected from penalizing physicians for overcoding to focusing on the development of coding criteria that reflect the multifactorial nature of outpatient primary care practice.

Cross-Sectional Studies↗

Historical roots and future perspectives related to nursing ethics.

This article traces the evolution of the development and the refinement of the professional code from concerns about the ethical conduct of nurses to its present state as a professional code for all nurses. The importance and the relationship of the Ethics Committee of the American Nurses' Association (ANA) to the development of the code and other ANA programs and structural units is also presented. The recognized need for a code of ethics to establish nursing as a profession has been present throughout the evolution of the professional nursing organization. A distinction between ethical conduct of nurses and a code of ethics for professional nurses has been made by nursing leaders. The code has been refined to reflect nursing's changing relationship to society and the societal concerns of the times.

American Nurses' Association↗

Sounds of silence.

Strategies are described for dealing with three categories of reportable occurrences: inappropriate peer behavior, including substance abuse and behavioral problems; abuse, neglect and exploitation of patients; and issues concerning treatment orders. The American Nurses Association's (ANA) Code for Nurses, individual State Departments of Nursing License Regulations and State Intervention Projects for Nurses provide some direction for identifying, reporting and resolving occurrences.

Decision Trees↗

How do you measure workforce integrity?

Behavioral hallmarks such as honesty, high ethical standards, and maintained moral principles define workforce integrity. Here, learn methods for integrating them into management practices.

American Nurses' Association↗