Class 4 - ethics Flashcards

1
Q

define ethics

A
  • ethical principle is a general guide, basic truth, or assumption that can used with judgment to help determine a course of action
  • code of values and moral principles that guide individual and group behaviour
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2
Q

Define autonomy

A

patients must be treated in a way that respects their self-determination by expressing their wishes and making informed choices about their treatment

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3
Q

Define beneficence

A

obligation to do good by acting in ways that promote the welfare and best interests of others

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4
Q

Define non-maleficence

A

directs us to act in ways that avoid harm to others, including even the risk of harm

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5
Q

Define justice

A

treating people equitability, fairly, and appropriately

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6
Q

What is ethics of duty?

A
  • based on deontology
  • taking an action because it is the right thing to do
  • moral duties are seen as self-evident, needing no further justification
  • Moral action is then based on acting according to a specific duty simply because it is the right thing to do
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7
Q

What does moral distress look like?

A

nurse knows the right thing to do, but can’t do it because of organizational constraints

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8
Q

Define ethical leadership, according to Brown et al

A
  • demonstration of normatively appropriate conduct through personal actions and interpersonal relationships
  • the promotion of such conduct through 2 way communication, reinforcement and decision making
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9
Q

What are ethics of consequences?

A
  • Based on a teleological view
  • moral actions are defined entirely on the basis of the outcomes or consequences of an action
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10
Q

What are ethics of character?

A
  • Virtue ethics
  • Relies on the character of the individual as the primary source of moral action
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11
Q

What are ethics of relationship?

A

Emphasize relationship, focused on the nature and obligations inherent in human relationships and community

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12
Q

What are goals of ethical leadership

A
  • explicitly state the ethical dimension of every managerial decision
  • formulate & justify ethical principles used in decision making
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13
Q

What do ethical leaders do?

A
  • role model
  • communicate & justify their actions to followers
  • set ethical standards for the organization
  • consider ethical consequences of their decision and try to be fair
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14
Q

What are the principles of ethical leaders?

A
  • serve followers
  • attempts to balance stakeholder interests
  • develops vision based on input
  • acts consistently with stated values
  • willing to take personal risks & make decisions
  • shares info about decisions
  • encourages critical evaluation to solve problems
  • uses coaching & mentoring to develop followers
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15
Q

Which key documents are used to help ethical leadership with decision making?

A
  • Canadian Nurses Association Code of Ethics
  • International Council of Nurses Code of Ethics
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16
Q

What are the principles of the CNA Code of Ethics

A
  • provide safe, compassionate, competent & ethical care
  • promote health & wellbeing
  • promote respect & informed decision making
  • preserve dignity
  • maintain privacy & confidentiality
  • promote justice
  • be accountable
17
Q

What are organizational ethics

A
  • also known as business ethics
  • the values, principles, and standards that guide the individual and group behaviour of the people in an organization
18
Q

Within organizational ethics, what are ethical issues encountered by administration

A
  • standards of practice
  • treatment of employees
  • resource allocation
  • creating a positive moral climate
19
Q

What are the steps in ethical decision making (IDEA framework cycle)

A
  • identify the facts
    (empowerment, publicity)
  • determine the relevant ethical principle
    (relevance)
  • explore the options & choose one
    (revisions & appeals)
  • act
    (compliance)
20
Q

What are the five conditions within the IDEA framework

A
  • empowerment
  • publicity
  • relevance
  • revisions & appeals
  • compliance (enforcement)
21
Q

What are boundary violations

A

occurs when the client’s needs are no longer the focus of the therapeutic relationship

22
Q

What are examples of activities that may violate boundaries of a therapeutic relationship?

A
  • accepting gifts from clients
  • self-disclosure
  • commencing a social relationship with a former client
  • entering a therapeutic relationship with fam, friends, or acquaintances