Class 6 - ethics Flashcards

1
Q

What are sources of ethics?

A
  • family
  • peers
  • religion
  • culture
  • society
  • profession
  • personal experiences
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2
Q

Explain how the sources of ethics that contribute to one’s beliefs and values could be in opposition to the scope of ethics for RNs?

A

Natural intersection and places of agreement exist between the various sources; however, they can also conflict with each other, creating competing beliefs and inconsistency in the way we approach ethical issues

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3
Q

Define social justice

A
  • the view that everyone deserves equal rights and opportunities; including the right to good health
  • Assumes all societies experience broad, systemic oppression and inequities (racism, classism, sexism, and heterosexism) which affect some people more than others
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4
Q

What are the 10 attributes of social justice?

A
  • equity (including health equity)
  • human rights (including right to health)
  • democracy and civil rights
  • capacity building
  • just institutions
  • enabling environments
  • poverty reduction
  • ethical practice
  • advocacy
  • partnerships
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5
Q

What are bioethics

A
  • health care ethics
  • Refers to the study of ethical issues that are related to health and healthcare
  • Bioethics and nursing ethics have made use of a range of ethical theories and approaches, including deontology, utilitarianism, casuistry, principlism, virtue ethics, and feminist ethics
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6
Q

What are specific ethical concepts from a community perspective?

A
  • Areas of community practice such as health promotion, prevention and health protection, and health maintenance, restoration, and palliation
  • specific areas of ethical and legal concern as they relate to capacity building, access and equity, and professional responsibility and accountability
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7
Q

What is the scope of ethics?

A
  • societal
  • organizational
  • bioethics/clinical
  • professional
  • personal
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8
Q

What 4 ethical principles does Upshur describe?

A
  • Autonomy: capacity of individuals to decide for themselves what sort of things they want or don’t want in a medical context
  • Beneficence: ability to do good
  • Non-maleficence: not to harm others
  • Justice
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9
Q

What is public health ethics?

A
  • difference from medical ethics
  • Broader focus on issues related to justice, because justice relates to what is due to different groups of people within a society
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10
Q

What are the domains in the entry to Practice Public Health Nursing Competencies for Undergraduate Nursing Education

A
  • Domain 1 - public health sciences in nursing practice
  • Domain 2 - population and community health assessment and analysis
  • Domain 3 - population health planning, implementation, and evaluation
  • Domain 4 - partnerships, collaboration and advocacy
  • Domain 5 - communication in public health nursing
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11
Q

CCHN Standard of Practice, expected areas of practice

A
  • Health promotion
  • Prevention and health protection
  • Health maintenance, restoration, and palliation
  • Professional relationship
  • Capacity building
  • Health equity
  • Evidence informed practice
  • Professional responsibility and accountability
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12
Q

Five Justification for Public Health Programs and Policies

A
  • Overall benefit
  • Collective action and efficiency
  • Fairness in the distribution of burdens
  • The harm principle
  • Paternalism
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13
Q

Five Justifications for Public Health Programs and Policies , overall benefit

A

relies on stats that indicate that regulations, in general, benefit society

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14
Q

Five Justification for Public Health Programs and Policies, Collective action and efficiency

A

recognizes that health as a public good requires that government institutions make decisions about health and safety given that all individuals cannot possess the expertise to make these decisions, nor would it be efficient for them to do so

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15
Q

Five Justification for Public Health Programs and Policies, Fairness in the distribution of burdens

A

such as those associated with disease, disability, or public health interventions

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16
Q

Five Justifications for Public Health Programs and Policies, The Harm Principle

A

establishes the initial justification for restricting the liberty of people in a democratic society

17
Q

Five Justifications for Public Health Programs and Policies, paternalism

A

the interference of a person’s liberty of action to promote his or her welfare, although normally this interference is only mild

18
Q

What are the steps for ethical analysis?

A
  • description: understanding the public health intervention and its context
  • specification: adjusting and adapting the normative criteria
  • evaluation: analyzing the intervention using the criteria
  • synthesis: evaluating the public health intervention
  • generating recommendations based on analysis
  • monitoring: following up w/ ongoing evaluation
19
Q

What are the 7 procedural conditions for public health interventions to be implemented thoroughly and fairly?

A
  • transparency
  • consistency
  • reasonable explanation
  • public participation
  • managing conflicts of interest
  • openness to revision
  • managing adherence to conditions