Ethics, Values And Advocacy

Question 1

Values

Answer 1

1. Beliefs or attitudes about the worth of a person and object or an action
2. Personal values vs professional values

Question 2

Nurses’ values

Answer 2

Needs to understand
1. Own values
2. Professional values
3. Employers values
4. Patients values
5. Colleagues values

Question 3

Ethics

Answer 3

Syst of values and beliefs to determine what is right/wrong and make judgments abt what to do to and for human beings

Question 4

Nurses have ethical obligations to

Answer 4

1. Clients
2. Agency that enployes them
3. Other hc professionals

Question 5

Bioethics (hc ethics)

Answer 5

4 principles
1. Autonomy (respect for person)
2. Non maleficence
3. Beneficence
4. Justice

Question 6

Autonomy

Answer 6

1. Individuals have right to choose abt own health
2. Accepting as unique individuals
3. Choices must be free and informed
4. When pts are unable (family members, hc provider)

Question 7

Non maleficence

Answer 7

1. Duty to do no harm, avoid harm!
2. Unintentionally inflict harm
3. Treatments that cause pain/discomfort
4. Bigger harm vs lesser harm (harm vs benefit)

Question 8

Beneficence

Answer 8

1. Obligation to do GOOD
2. not always clear (mobilizing post op pt, can inflict pain-> which greater benefit)
3. Don’t simply follow orders but act thoughtfully
4. Vaccination: temporary discomfort for greater benefit
5. Paternalism: hcp make decision for pt

Question 9

Justice

Answer 9

1. Fairness
2. Transplantation
3. Discharge

Question 10

Relational ethics

Answer 10

1. Emerge from person’s relationship with others
2. Include pt, family, community, colleagues
3. Enivro, embodiment, mutuality, engagement

Question 11

Rationale ethics (RE): enviro

Answer 11

Surroundings and hc syst where nurses work

Question 12

RE: embodiment

Answer 12

Knowledge generated from mind, body, spirit

Question 13

RE: mutuality

Answer 13

Relationships that benefits nurse and pt, no judgment on both sides

Question 14

RE: engagement

Answer 14

Connecting w other person w open, trusting, responsive manner

Question 15

CNA code of ethics

Answer 15

1. Provide safe, compassionate, competent, ethical care
2. Promote health and well being
3. Promote/respect informed decision making
4. Preserve dignity
5. Maintain privacy/confidentiality
6. Being accountable

Question 16

Ethical dilemma

Answer 16

Conflict between 2 values, both “good” but none can fully be served

Question 17

Analyzing ethical dilemma steps

Answer 17

1. Define ED
2. Gather relevant info
3. Examine/determine own value
4. Verbalize problem
5. Consider possible actions
6. Reflect on outcomes
7. Evaluate action/outcome

Question 18

Nurses obligations in ethical decisions

Answer 18

1. Maximize client wellbeing
2. Balance client’s need for autonomy w family members responsibilities for client well being
3. Support each family member, enhance family support syst
4. Carry out agency policies
5. Protect nurse own standards of care

Question 19

Moral distress

Answer 19

When individual knows ethically correct action but unable to take action bc of internal/external barriers

Question 20

Moral dilemmas

Answer 20

Situation involving conflicting ethical claims and often create questions as to”what ought i do?”

Question 21

Moral residue

Answer 21

Emotional response of nurse from ethical situation where felt compromised, and that provides basis for reflection on ethical decision making in future

Question 22

Ethical issues in nursing practice

Answer 22

1. Futile care (advanced care planning)
2. Medical assistance in dying

Question 23

Advocacy

Answer 23

1. Important role
2. Nurses responsibility
3. Ethical obligations
4. Empowering pt
5. Advocate for social justice in hc