Chapter 6 Flashcards
Value
(we are not born with values, we learn) A study of right and wrong conduct and character
Common modes of value transmission
Modeling, Laissez faire, rewarding and punishment
Modeling
Children know what is high or low value from their parents
Laissez faire
Leave children to explore values of their own. No guidance, letting people do what they want (Never occurs in nursing) This is the least favorable and may cause conflict
Rewarding and Punishment
Rewarded for demonstrating values and punished for demonstrating unacceptable values.
Ethical dilemma
Problems involving more than one choice
- Ex: Doctor refuses to give terminal client morphine but nurse sees the client is in agony (Tough to manage because there are pros and cons)
Ethical Distress
Occurs when you know the right thing to do but the actions taken are different from what you feel is ethically correct Ex: Working in an institution with nursing staff shortages when you know this isn’t safe like COVID
Principle-Based Approach
Combines both utilitarian (the rightness or wrongness of an action depends on the consequences of the action) and deontological (Action right or wrong based on a rule) theory. Has 4 principles: autonomy, nonmaleficence, beneficence, and justice.
Autonomy
The right to makes one’s own decisions even if its not in their own interest Ex: respect for clients to make health care decisions
Nonmaleficence
A commitment to do no harm
Beneficence
Promotes good for others, without personal benefits
Justice
Fairness with no bias or discrimination
utilitarian
The rightness or wrongness of an action depends on the consequences of the action. Ex: the idea that women should get an abortion if the consequence of the action will be positive for her
deontological
An action is right and wrong independent of its consequences Ex: the idea that a woman should not ever get an abortion, regardless of the consequences that result from following the rule (DON’T CARE ABOUT CONSEQUENCES)
Altruism
Concern of well-being of others (Advocates for clients) It is the main professional values as a nurse