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26 Cards in this Set

  • Front
  • Back
Social Morality
Traced back to Ethos
Conduct, Customs, Character - Rules of conduct
Ethics
Ideals or concepts that give meaning to the individual's life
Strongly held beliefs
Influences your decision making and personal philosophy
Values
The process of raising unconscious beliefs to the consciousness fostering awareness, empathy, insight, and prioritization
If a patient/provider perceptions are different, it can cause problems
"What are your values?" (Asking patient)
Values Clarification
What happens when patient's values differ from the nurses values?
Patient may be labeled as stubborn, uncooperative, noncompliant
The organization of one's own values along a continuum.
Arranged in order from most important to least important.
"List Your values in regards to health"
Value System
Rules or principles that determine what human actions are right and wrong.
Often manifested as behavior in accordance with a group's norms, customs, or traditions.
Morals
Branch of ethics that is based on right/wrong actions related to human life.
i.e. Euthanasia, Abortion, Stem Cell Research, Transplantation, Quality of Life, Life Sustaining Technology
Bioethics
Freedom to make own choices; independence of patient
Autonomy
To act or treat justly or fairly
To be fair/equal
Justice
Knowing who to be faithful to
Fidelity
The obligation to do good (take positive actions to help) for the patient/client even if it may cause temporary discomfort/pain (i.e. turning/repositioning, giving immunization to baby, giving chemotherapy to a pt., coughing/deep breathing)
Beneficence
To provide the least harm (do no harm intentionally or unintentionally). i.e. giving someone IV medication instead of IM medication, not leaving a small child unattended in the hallway, give belly buddy for cough/deep breath so that the pressure doesn't hurt them
Nonmaleficence
Obligation to tell the truth and not to decieve or mislead patients intentionally. (Respect, Open communication, Trust, Shared Responsibility) If something bad happens to a patient and you lied to them, the outcome could be referred back to the fact that you lied to them. Doctors traditionally see disclosure/nondisclosure to be a facet of care within their control
Veracity
Non-disclosure of private information
Right of individual to control personal information
Demands non-disclosure of private information
Confidentiality
1973
Rights and Responsibilities of Patient
Patient Bill of Rights
1990
Must provide education on advanced directives and document as so
Clearly chart that you provided the information
Patient Self-determination Act
Being accountable
Fidelity
Situation that requires an individual to make a choice between two equally unfavorable alternatives
Generally no simple solution
When you feel you need to defend your decision
Ethical Dilemma
Positive Attributes of an affective decision maker
1. Moral Integrity
2. Sensitivity, Compassion, Caring
3. Responsibility
4. Empowerment
5. Patience and Willingness to Deliberate
What are the facets of the Ethical Decision Making Model?
1. Articulate the Problem
2. Gather Data
3. Explore Strategies
4. Implement the Strategy
5. Evaluate Outcomes
Multidisciplinary committee made up of physicians, nurses, admin, clergy, philosopher, lawyer, community members
Ethics Committee
Promoting ethical decision making
Evaluating institutional policies
Making recommendations in complex situations
Providing educational programs for staff and community
Duties of Ethics Committee
Greatest good for the greatest number
The end justifies the mean
Looks at the consequences of the action to determine if that action is right or wrong
Utilitarianism
Emphasizes duty, rationality, and obedience to rules and purposes that the morality of a decision is not determined by the consequences
Deontology
It is not the results of the act that makes it right or wrong but instead it is the principles by reason of which the act is carried out that makes it right or wrong
Deontology
Dynamic document published by the ANA.
Serves the Following Purposes
- Statement of the ethical obligations and duties of every individual who enters the nursing profession
- It is the profession's nonnegotiable ethical standard
- The expression of nursing's own understanding of it's comittment to society
Code of Ethics for Nurses