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Standards of Care I

Standards of Care I

Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:

Introduction To Health Care Delivery System

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...

Methods Of Healthcare Delivery System

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...

Nurses' Legal Responsibilities II

Nurses' Legal Responsibilities II

Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and patients...

Nurses' Legal Responsibilities III

Nurses' Legal Responsibilities III

Nurse-to-nurse relationships are legally required to adhere to professional standards, ensuring a respectful and positive working environment. Professional conduct demands that nurses treat all colleagues respectfully and courteously, fostering a productive, supportive workplace. Nurses must actively eliminate bullying, discrimination, and harassment to maintain a safe and inclusive environment.
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...

Nurses' Legal Responsibilities I

Nurses' Legal Responsibilities I

In healthcare, informed consent is a crucial process that involves thoroughly communicating medical treatment options to patients, including benefits, risks, potential side effects, and alternatives. This process enables patients to make well-informed decisions about their care, ensuring they understand the implications of their choices before consenting to or refusing treatment.
The legal responsibilities of a nurse regarding informed consent include the following:

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Related Experiment Video

Updated: Jun 22, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Change in Oregon maternity care workforce after malpractice premium subsidy implementation.

Ariel K Smits¹, Valerie J King, Rebecca E Rdesinski

¹Department of Family Medicine, Oregon Health & Science University, Portland, OR 97239, USA. smitsa@ohsu.edu

Health Services Research

|June 9, 2009

Summary

Maternity care providers in Oregon are decreasing, with only 36.6% delivering babies in 2006. High malpractice premiums are the main reason, and a rural subsidy program has not helped retain providers.

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Published on: September 27, 2017

Area of Science:

Maternal Health
Healthcare Policy
Medical Economics

Background:

The provision of maternity care services is crucial for maternal and infant health outcomes.
Declining numbers of maternity care providers, particularly in rural areas, pose a significant public health challenge.
Understanding the factors influencing provider decisions to offer or discontinue maternity services is essential for policy development.

Purpose of the Study:

To quantify the proportion of maternity care providers delivering babies in Oregon.
To identify key factors influencing decisions to cease maternity care provision.
To evaluate the impact of a rural liability subsidy on provider retention in maternity care.

Main Methods:

A survey of all obstetrical care providers in Oregon was conducted in 2002 and 2006.
Survey data were combined with state administrative data for comprehensive analysis.
Analysis focused on changes in maternity care provision, reasons for discontinuation, and the subsidy's effect.

Main Results:

The percentage of eligible clinicians providing maternity care in Oregon decreased from 47.8% in 2002 to 36.6% in 2006.
The primary reason cited for discontinuing maternity care was the cost of malpractice premiums, followed by lifestyle considerations.
The malpractice premium subsidy did not demonstrate a significant association with providers continuing maternity services.

Conclusions:

Oregon is experiencing a continued decline in maternity care providers.
The state's rural liability subsidy program appears ineffective in retaining rural providers for obstetrical services.
Alternative policy interventions are necessary to ensure the continuity of maternity care services.