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               276   Index                                                                                                 CikguOnline
               Patient abandonment and neglect  Physical health             in adaptation to work-related stress,
                 legal issues in, 263          in stress management, 208–210,  202–203, 203t
               Patient care. See also Client care  209b–211b                in conflict resolution
                 delegation of, 116–128. See also  Physicians                 case study of, 95b, 95–96
                   Delegation                  communication with, 80–81, 81t  process of, 94f, 94–95
               Patient Care Partnership, 27    informed consent obtained by,  in effective leadership, 9f, 10
               Patient commitment               27–28                       expertise enhanced by, 68, 68f
                 in codes of ethics, 257–258   types of orders written by, 81  Processes
               Patient safety                Physiological stressors, 198   organizational, 64
                 in codes of ethics, 257–258  Planning                      in quality improvement evaluation,
                 Institute of Medicine on, 134b,  in change implementation, 109,  139, 142t
                   134–135, 146b, 146–147       109f                       Professional considerations and issues,
                 Joint Commission on, 147b,    in delegation, 118           1–68, 169–255
                   147–148                     in effective management, 16f, 17  leadership and followership as, 3–12
                 organizational culture and, 59–60  in ethical dilemmas, 50–51  management as, 13–19
                 in work assignment guidelines,  health-care reform and, 151  nursing career as, 217–237, 239–255
                   261–266                     in quality improvement, 136–137,  nursing practice and law as, 21–37
               Patient Self–Determination Act of  137b, 152                 organizations, power, and empower-
                 1990                          in time management, 162        ment as, 57–69
                 life-sustaining treatment and, 32  Polio epidemic          union membership and, 98–99
                 nursing implications of, 33   mechanical ventilation and, 40  values and ethics as, 39–56, 257–258
                 as statutory law, 22        Pollution                      workplace as, 171–194
               Patient’s Bill of Rights, 27    Health care, 193             work-related stress and burnout as,
               Peer review                   Positive feedback                197–214
                 comprehensive system of, 87   guidelines for, 82t, 83b, 83–84  Professional development
                 fundamentals of, 86–87      Post–acute care reform plan, 149  job choice and, 234
               Peer support                  Potential employer             workplace climate and, 191
                 value of, 190                 researching, 220–221        Professional identity
               Performance appraisal         Power, 64–65                   development of, 203
                 procedure for, 85–86          conflict and, 93             threats to
                 standards for evaluation in, 86  defined, 64                 resistance to change and, 106–107
               Performance standards           empowerment versus, 65         as source of conflict, 93
                 peer review and, 87           resistance to change and, 106–107  Professional negligence
               Permissive leadership style, 6, 6t  sources of, 64–65        malpractice as, 24
               Permissive licensure          Preventive errors             Professional organizations, 248–252. See
                 mandatory versus, 34          patient safety and, 146b     also specific organizations
               Perseverance                  Primary nursing care delivery model,  empowerment through, 67
                 in effective leadership, 9, 9f  127                        specialty, 252
               Personal change               Principalism                  Professional practice committee
                 myths surrounding, 110, 111t  in ethics, 43                in peer review, 87
                 stages of, 110, 111t        Principles and Practice of Nursing, 247  Professional questions
               Personal digital assistants   Priorities                     in job interview, 229–232
                 in time management, 162       in delegation, 123          Professional values
               Personal factors                in time management, 160–161, 166,  defined, 41
                 in burnout, 205–206            167t                        work realities versus, 201t, 201–203
               Personal questions            Privacy                       Professionalism
                 in job interview, 232         in codes of ethics, 258      in codes of ethics, 257–258
               Personal space                  negative feedback and, 82t, 83, 83b  image of nursing and, 254
                 cultural diversity and, 192  Private for-profit health-care organiza-  Profit
                 invasion of, 93               tions                        as organizational goal, 60–61
               Personal time inventory         defined, 59                 Promotion
                 in time management, 161     Private not-for-profit health-care  peer review and, 87
               Personal values                 organizations                performance appraisal and, 86
                 defined, 41                   defined, 59                 Protocols
               Personalized patient worksheet, 119,  Prizing                in quality improvement, 137
                 120f                          in values clarification, 42, 42b  Psychiatric hospitalization
               Physical barriers             Problems                       legal issues in, 26
                 to effective communication, 75  workplace conflicts and, 91–100. See  Psychological stressors, 198
               Physical environment             also Conflicts; Problem solving  Psychosocial factors
                 workplace climate and, 193  Problem solving                in ethical dilemma assessment, 50, 50b
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