Class 1 - Ethical Practice Flashcards

1
Q

What does ethics mean?

A

the practice or beliefs of a certain group (ex: medical ethics, nursing ethics)

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2
Q

Define values

A

beliefs or attitudes about the worth of a person, object, idea or action.

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3
Q

Define beliefs (or opinions)

A

are interpretations or conclusions that people accept as true.

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4
Q

Define attitudes

A

are mental positions or feelings toward a person, object, or an idea (ie. acceptance, compassion, openness).

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5
Q

What is an ethical dilemma?

A

It is a conflict between 2 sets of values, both which are ‘good’ but neither provides a satisfactory outcome for either party

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6
Q

How do I know if its an ethical dilemma?

A
  1. It cannot be resolved through science alone – requires research, gathering information from various sources
  2. It is confusing/perplexing/gnaws at your stomach feeling – logic cannot be applied uniformly or at all and often others disagree with you
  3. The problem has profound implications in other areas of care/service
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7
Q

Define autonomy

A

the right to chooseyour own actions

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8
Q

Define beneficence

A

do what is good for the patient

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9
Q

Define nonmaleficence

A

doing no harm to the patient

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10
Q

Define justice

A

being impartial or fair

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11
Q

Define fidelity

A

faithful to promises and agreements

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12
Q

Define veracity

A

being truthful or honest

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13
Q

What are four of the ethical practice codes that are listed on CLPNBC

A
  1. demonstrates honesty and integrity at all times
  2. represents self clearly and accurately with respect to name, title and role
  3. respects and protects client worth, dignity, uniqueness and diversity
  4. protects client information and maintains privacy and confidentiality
  5. recognizes and respects the contributions of others on the health care team
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14
Q

What are four main points to remeber when making ethical decisions

A
  1. Ethical reasoning is rational and systematic
  2. Based on ethical principles & codes rather than on emotions, intuition, fixed policies, or precedent.
  3. A good decision is one that is in the client’s best interests & also preserves the integrity of all involved.
  4. Nurses have ethical obligations to their clients, agency, & health care providers.
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15
Q

What is in the ethical decision making model

A
  1. Define the ethical dilemma
  2. Clarify the personal & professional values, ethical principles, and laws involved.
  3. Identify the alternatives for the actions.
  4. Choose an action.
  5. Generalize the solution to other similar cases.
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16
Q

How do you process an ethical dilemma

A
  1. Determine if the issue is an ethical one
  2. Gather all the information relevant to the situation/case
  3. Examine and determine your own values on the issues
  4. Verbalize the problem
  5. Consider possible courses of action
  6. Reflect on the outcomes
  7. Evaluate the action and the outcome
17
Q

Whate four nursing obligations in ethical decision making

A
  1. Maximize the client’s well-being
  2. Carry out agency policies.
  3. Protect other clients’ well-being.
  4. Protect the nurse’s own standards of care.
  5. Support each family member, and enhance the family
    support system
18
Q

What is reflection

A

assessing, making sense of and learning through experience

19
Q

What is amkes up the reflective practice model

A

What - So what - Now what

What = observation/information
So what = what you make of the information after reflection

Now what = what will you do with the information to reinforce what you feel good about or what changes in knowledge or skills need to be made

20
Q

What are some ethical issues that may arise in nursing ? long term care

A
  • Informed consent
  • Withdrawal of food and hydration
  • Inadequate care giving
  • Adverse events
  • Whistle blowing
21
Q

What are four principles for Duty to Provide Care as per CLPNBC

A
  1. LPNs have a professional and legal obligation to provide clients with safe, competent and ethical care
  2. In an emergency LPNs provide the best care they can given the circumstances and their competencies.
  3. LPNs may withdraw from care provision or refuse to provide care if they believe that providing care would place them or their clients at an unacceptable level of risk
  4. LPNs recognize that informed capable clients have the right tobe independent live at risk and direct their own care.