Sunday, June 24, 2012

Title: Nursing, Medicine, and Law: Working Together with Renewed Commitment to Improve the Quality of Perinatal Care

Woodrow Wilson (Gaylord National Harbor)
Ann C. Holden, RN, BScN, MSc, PNC , Family Birthing Centre, Childbirth and Parenting Services, St. Joseph's Health Centre, Toronto, ON, Canada
Margaret Frances Rhone Wood, RNC, BScN., MScN, PhD , Women's, Children's, and Family Health Program, St. Joseph's Health Centre, Toronto, ON, Canada

Discipline: Professional Issues (PI)

Learning Objectives:
  1. Identify five key legal principles in trial decisions and appeals.
  2. Analyze the application of these five key legal principles in perinatal practice.
  3. Using these legal principles, describe how nurses, physicians, and the legal system work together for quality outcomes.
Submission Description:
Purpose for the program: Since the 1990’s there have been increasing numbers of lawsuits involving perinatal nurses. As members of the perinatal care team, nurses need to know the legal basis of the care they provide within this team. The purpose of this session is to provide nurses with an understanding of the strengths and vulnerabilities of professional practice and issues in providing quality care. This information should be shared with nurses so that they can be more aware of the way nursing practice is viewed and reviewed in courts.

Proposed change: Medical malpractice trial outcomes are increasingly influencing nurses and nursing practice. We will provide information about the integral roles of nursing, medicine, and law, and how these professions work together on issues of quality care. We will rely on cases that have gone through the judicial system to support the principle points. We will provide examples of key elements discussed and decided in the courts (Duty, Care, Standards, Proximate Cause, and Proof).  We will demonstrate how the legal system, which is the arbiter of standards, has influenced nursing and medical care of women and infants. 

Implementation, outcomes and evaluation: Nurses will apply the information learned in this session to their practices by understanding the dual principles of autonomy and teamwork. We will create an awareness of the strengths and vulnerabilities inherent in professional perinatal practice. An awareness of duty, care, and standards, as taken from trial decisions, will inform nursing practice. 

Implications for nursing practice: Upon returning to their work settings, nurses will be in a knowledge position to comment on the trial and appeals, and consider applications to their nursing practice.

Keywords: nursing duty, care, standards, malpractice, judicial system