Ethical Considerations

Question 1

As nurses we should put away our own views so they don’t get in the way of our care, T or F

Answer 1

True

Question 2

Ethical theories

Answer 2

Virtue Ethics
Principlism
Teology
Deontology

Question 3

what is virtue ethics

Answer 3

individual character and how it displays in our actions

Question 4

what is principlism

Answer 4

bio-ethical principles

Question 5

what is deontology

Answer 5

what is our duty and the morals of human actions

Question 6

3 formulas of deontology

Answer 6

Recap info. you learned in the categorical imperative
Studied the 3 formulas of categorical imperative
Applied knowledge through a practice question

Question 7

what is teology

Answer 7

“lesser evil” - morals are the values of what an action brings to being

Question 8

what is ethical principlism

Answer 8

autonomy, beneficence, non-maleficence, justice

Question 9

what is ethical ambiguity

Answer 9

Dynamic healthcare environment
Conflicting values
Complex disease processes
Advancing science
Complex technology
Diverse participants
Differentiating legal/ethical issues

Question 10

what is the ANA code of ethics

Answer 10

guide for carrying out responsibilities with quality in care and ethical obligations of the profession

Question 11

what is the most difficult and important part of the ethics consultation

Answer 11

formulating the ethics question

Question 12

CASES approach to ANA Code of Ethics

Answer 12

C - Clarify the ethics consultation request
A - Assemble the relevant information
S - Synthesize the information
E - Explain the synthesis
S - Support the consultation process

Question 13

Developing preventative Ethics and ISSUES cycle approach

Answer 13

I - Identify the cause
S - Study the issue
S - Select a strategy
U - Undertake a plan
E - Evaluate and adjust
S - Sustain and spread

Question 14

2 guides to ethical decision making

Answer 14

Burkhart and Nathaniel

Ethical Positioning System Model

Question 15

what is the Burkhart and Nathaniel guide

Answer 15

Articulate the problem
Gather data, articulate conflicting moral claims
Explore strategies
Implement strategies
Evaluate outcomes

Question 16

what is the Ethical Positioning System Model

Answer 16

Assessment
Nursing dilemma
Planning/diagram (choices, ethical principles, ANA Code of Ethics)
Implementation
Evaluation

Question 17

Common ethical dilemmas at the end of life

Answer 17

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

Question 18

Developing an improvement goal

Answer 18

Summarize best practices
Refine improvement goals to include quality ethics gap
Select a strategy
Identify barriers
Eval. and adjust

Question 19

What goes into ethical decision making

Answer 19

Values
Power
Informed Consent
Context of Problem
Family