Ethics and Nursing as a Moral practice Flashcards
Reason
judgement, capacity to reason, wisdom
Morality vs Ethics
Both rule of conduction, reflection, interrogation.
Morality is Latin and Ethics is Greek origin
Morality is closed system, rigid and applies to concreate situation. (CODE GUIDE OUR ACTIONS)
Ethics is open-minded, room to reflection and flexible. (ALL THAT ESCAPES FROM CODES)
A normative endeavor
related to how individuals and group make choices about how they ought to behave or act in situations.
Belmont report
Ethical principles & guidelines for the protection of human subject of research
Clinical Ethics
Immediate and short intervention, not consider public or health care policies. Focus on dillema, decision, uncertainties, conflicts and values.
Bioethics include
Research Ethics
Policies and Health care ethics
Clinical ethics
Basic ethical principles
3 fundamental ethical principles
Autonomy
Beneficience/Nonmaleficience
Justice
Application of the basic ethical principles in research
Informed consent (information, comprehension & volontariness)
Assessment of risk & benefits
Selection of subjects
Moral distress
Suffering arise in response to ‘‘challenges, threats or violations of professional & individual integrity’’
Feeling compromised in fulfilling a duty of care!
Precipitation factor of Moral distressw:
Lack self-confidence and intrateam conflict.
The nuremberg code is
Refer to
set of research ethics principles for human experimentation set as a result of the subsequent Nuremberg trials at the end of 2WW.
Refer to hippocratic duty
Tuskegee syphillis experiment duration
40y
Ethical fitness
is about how one prepares to make good choices and take actvion that benefit others.
How can nurses practice ethically?
Taking the time to reflect on values and beliefs
Knowing ones strengths
Be aware of codes of ethics
Understanding how the context of health care and nursing influence moral distress
Identifying strategies that develop ethical fitness
promoting interventions that are in the best interest of the client.
2 distinct components of moral distress:
Initial distress Reactive distress (moral residue)
Initial distress:
experienced in real times as the situation unfolds.
Reactive distress (moral residue):
Arises after the situation has passed and involves lingering feelings about ones failure to act on the initial disstress. Associated with a loss of personal moral identity and with long-term adverse.
Moral agency
having capacity to direct his actions to some ethical end -
make moral judgments and to act upon them, despite personal or institutional constraint.
Moral distress consequences:
Emotional (fear, guilt, cynicism, depression..)
Spiritual (crisis of faith, loss of self-worth)
Physical (GI disturbance, fatigue, headaches)
Behavioral (nighmares, addictive behaviors, defensiveness, depersonalization)
Moral resilience
Ethics education
Creating morally habitable work environments (supportive networks, fostering workplace climates based on trust and openness)
Developing self-reflection
Better inter-disciplinary communication (supportive peer communication)
To address moral distress as nruse:
Recognize symptoms of moral distress Reflect and be curious Reconnect to your original purpose and intention for being a nurses Speak up about your ethical concerns commit to your personal well-being.
