Ethical Considerations Flashcards
As nurses we should put away our own views so they don’t get in the way of our care, T or F
True
Ethical theories
Virtue Ethics
Principlism
Teology
Deontology
what is virtue ethics
individual character and how it displays in our actions
what is principlism
bio-ethical principles
what is deontology
what is our duty and the morals of human actions
3 formulas of deontology
Recap info. you learned in the categorical imperative
Studied the 3 formulas of categorical imperative
Applied knowledge through a practice question
what is teology
“lesser evil” - morals are the values of what an action brings to being
what is ethical principlism
autonomy, beneficence, non-maleficence, justice
what is ethical ambiguity
Dynamic healthcare environment Conflicting values Complex disease processes Advancing science Complex technology Diverse participants Differentiating legal/ethical issues
what is the ANA code of ethics
guide for carrying out responsibilities with quality in care and ethical obligations of the profession
what is the most difficult and important part of the ethics consultation
formulating the ethics question
CASES approach to ANA Code of Ethics
C - Clarify the ethics consultation request A - Assemble the relevant information S - Synthesize the information E - Explain the synthesis S - Support the consultation process
Developing preventative Ethics and ISSUES cycle approach
I - Identify the cause S - Study the issue S - Select a strategy U - Undertake a plan E - Evaluate and adjust S - Sustain and spread
2 guides to ethical decision making
Burkhart and Nathaniel
Ethical Positioning System Model
what is the Burkhart and Nathaniel guide
Articulate the problem Gather data, articulate conflicting moral claims Explore strategies Implement strategies Evaluate outcomes
what is the Ethical Positioning System Model
Assessment Nursing dilemma Planning/diagram (choices, ethical principles, ANA Code of Ethics) Implementation Evaluation
Common ethical dilemmas at the end of life
Withhold/Withdraw med. interventions (code status, stopping chemo, ventilator, artificial hydration/nutrition)
Surrogate decision makers
Disagreement btw pt./family/medical teams
Religious preferences
Non-beneficial/futile interventions
Developing an improvement goal
Summarize best practices Refine improvement goals to include quality ethics gap Select a strategy Identify barriers Eval. and adjust
What goes into ethical decision making
Values Power Informed Consent Context of Problem Family
