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Nurs 448 (Ethics) > Chapter 3 > Flashcards

Chapter 3 Flashcards

Exam 1

1
Q

What was the Nursing Ethics: For Hospital and Private Use (IH Robb, 1900/1916). highlighted slide

A

Addressed professional nurse relationships

Physician-centered focused on obedience

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2
Q

ICN Code of Ethics for Nurses (1953)

A

“Obedient” focus shifts in 1965 to patient needs

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3
Q

What are the three Professional Codes of Ethics made in Nursing?

A
  1. Nursing Ethics: For Hospital and Private Use (I.H. Robb,1900/1916)
  2. ICN Code of Ethics for Nurses
  3. ANA Code of Ethics for Nurses
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4
Q

What did the ANA Code of Ethics for Nurses outline?

A

Outlined nine nonnegotiable provisions

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5
Q

What was the ANA Code of Ethics based on?

A

Based on deontology and normative ethics

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6
Q

What was the ANA Code of Ethics focus on?

A

Focused on the “patient” (NCLEX uses “client”)

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7
Q

What else did the ANA Code of Ethics for Nurses emphasis?

A
  1. Wholeness of character:
    Recognition of values within nursing profession
  2. Personal integrity: Nurses’ attention and care to their own needs
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8
Q

What does the ICN Code of Ethics for Nurses relate to?

A

Relates to four key action-based standards of conduct

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9
Q

Four key action-based standards of conduct the ICN Code of Ethics for Nurses has: highlighted slide

A

Nurses and people
Nurses and practice
Nurses and the profession
Nurses and global health

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10
Q

What is the ICN Code of Ethics for Nurses based on?

A

Based on deontological, normative ethics

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11
Q

What do professional boundaries do?

A

Limit nurse’s power and therefore limit patient’s vulnerabilities

Facilitate safe connections

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12
Q

What are consequences of boundary violations?

A

Voluntary surrender, suspension, or revocation of license

Prohibition from practice

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13
Q

Legal considerations of Professional boundaries in Nursing

A

Negligence

Malpractice

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13
Q

Moral integrity is the commitment to what?

A

Commitment to follow-through

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14
Q

What is the role of the state board of nursing (having to do with the Nurse Practice Act)

A
  1. State boards of nursing are responsible for enforcing their Nurse Practice Act to promote safe and competent care
  2. State Boards of Nursing function to protect the public, not individual nurses or the nursing profession
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14
Q

Moral Integrity is the understanding of what?

A

Understanding of moral obligations

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14
Q

Moral Integrity is the pursuit of what?

A

Pursuit of moral purpose

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14
Q

Each state and country has a _________ Nurse Practice Act

A

Each state and country has a LEGALLY ENFORCEABLE Nurse Practice Act

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15
Q

Moral Distress

A

Emotional and physical exhaustion and suffering from compromised moral integrity

When one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action

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16
Q

Causes of moral distress:

A

Multiple or dual expectations

Inability to act according to moral integrity

Pressure to do something that conflicts with their values (Ex. falsify documentation)

Crisis situations where essentials are at risk
Ex. Nurse safety, resources, and relationships during Covid-19 pandemic

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17
Q

What is the most important cause of moral distress?

A

Crisis situations where essentials are at risk
Ex. Nurse safety, resources, and relationships during Covid-19 pandemic

18
Q

What does the AACN recommend to mitigate the harmful effects of moral distress?

A

The AACN strongly recommended strategies for healthcare institutions and for nurses and that every institution must implement readily accessible resources to identify and mitigate the harmful effects of moral distress

19
Q

Moral courage

A

Stand up for or act upon moral principles to do what is right

20
Q

What does moral courage turn into?

A

Turns into noticeable actions

21
What can moral courage entail?
Can entail potential threats
22
How can moral courage be facilitated?
Can be facilitated through self-talk and scenario assessment
23
Examples of moral courage
Confronting an impaired colleague Confronting physicians who order questionable treatments not within the reasonable standard of care Confronting an administrator regarding unsafe practices or staffing
24
Veracity
Truth or fact' accuracy Be honest and tell the truth
25
Why is veracity important?
Honesty is a prerequisite for trust Dishonesty is always exposed. Nurses are expected to be honest.
26
What does veracity entail?
Commitment to promises to patients Follow-through with appropriate behaviors Ongoing self-evaluation Being genuine in words and deeds **Communicating truthfully “Just a little stick…”** Preserving patient’s respect for autonomy Not withholding information
27
Benevolence
Refers to the propensity and desire to act to benefit others, which often prompts beneficent acts (beneficence)
28
What is noted as a central factor in decision making?
Benevolence
29
Confucianists place high value on what?
Confucianists place high value on human character or virtuous conduct
30
Word for practical wisdom
Phronesis (practical wisdom)
31
Prudence (wisdom)
Intellectual accomplishment and proclivity to seek the right and good
32
Clinical wisdom
Necessary combination of prudence and practical wisdom
33
Advocacy
Safeguard patients’ autonomy Act on patients’ behalf *****Showing/Sharing Concern****
34
Culturally sensitive care
Adapts care consistent with patient’s culture
35
Culturally sensitive care requires what?
Requires a basic knowledge of culturally diverse customs
36
What does culturally sensitive care demonstrate?
Demonstrate constructive attitudes based on that knowledge
37
Power
Having influence over others
38
Socialized power
an indication of the principles of beneficence, nonmaleficence, and justice at work
39
Stein’s (1967) doctor–nurse game focused on what?
Focus on hierarchal relationship
40
What is Stein’s (1967) doctor–nurse game characterized by?
Characterized by avoidance of conflict and open disagreement
41
What is the conflict related to the nurse-physician relationship?
Institutional hierarchies The hierarchical way ethical care decisions are made Competency and quality-of-care conflicts Lack of communication
42
Horizontal violence (workplace bullying):
via interpersonal conflict, harassment, and intimidation
43
Types of horizontal violence
Tall poppy syndrome Walking wounded Wounded healers
43
Tall poppy syndrome
describes when successful people are criticized by their peers for being too successful or bragging about their achievements.
44
Benefits of healthier relationships
Improved moral climate for safe care Increased sense of community
45
Nurses and Social Media: Moral Spaces and Blurred Lines
Nurses must respect this “moral space”

Nurs 448 (Ethics) (13 decks)

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