Ch 6. Evidence-Informed Practice Flashcards
Nursing Research
A way to identify new knowledge, improve professional education and practice, and use resources effectively
Scientific research
Attempts to understand phenomena
Quantitative research
Statistical, measureable, quantifiable
Qualitative research
Understanding other peoples perspectives.
Not as measureable with statistics
Transferability
extent that the findings of a study can be tansposed to other populations
Research evidence
Basis for decision making in clinical practice
Essential for providing competent, efficient care
Value
A strong personal belief
An ideal that a person or group believes has merit
Moral development
learning to distinguish right from wrong
Values Clarification
- The process of appraising one’s values helps a person decide priorities and make decisions.
- Values may change, and a person may modify attitudes and behaviour.
- Values may conflict between people and between societies.
Values conflict
personal values are at odds with a patient, colleague or institution
Ethics
- The study of good conduct, character, and motives
- Philosophical ideals of right and wrong
- A reflection of what matters most to people or professions
Code of Ethics
- Statement of the ethical values of nurses and nurses’ commitments to persons with health care needs
- Provides guidance for relationships, behaviour, and decision making
- Includes responsibility, accountability, and advocacy
Deontology
- Defining actions as right or wrong
* looking at the action, the outcome doesn’t matter at all
Utilitarianism (consequentialism)
- The concept that the value of something is determined by its usefulness
- looking at the outcome or effect
Bioethics
The concept that actions are obligation based, outcome oriented, and based on reason
Meta ethics
- is there a right way of behaviour
* can “good” be discovered or is it a social construct
Autonomy
- Ability to make informed personal choices
* include patient in as many choices as possible. May only be choosing which socks
Nonmaleficence
- Avoidance of harm or hurt
* choose least harmful interventions
Justice
Fairness
Beneficence
Doing or promoting good for others
Feminist Ethics
- Focuses on inequalities between people
- Being attentive to issues of difference, power dynamics, and context and relatedness
- Moral development in women is more compassion based and boys is more justice based
Care theory
– caring is a universal human attribute
Relational Ethics
Ethical understandings are formed in, and emerge from, a person’s relationships with others
Ethical Dilemma
- Conflict between two sets of human values
- Cause of distress and confusion for patients and caregivers
- May necessitate descriptive analysis and conceptual analysis
Futile care
not beneficial to persons physical wellbeing
Something could be medically futile but be very beneficial to the client’s life