identifying and resolving moral dilemmas Flashcards
descriptive ethics
moral system of a group/culture
normative ethics
establishing moral system used to make decisions
biomedical ethics
application of ethics to health care
dilemmas
forcing a choice between mutually exclusive goals; choosing one conviction is breaking another
beneficence
contribute to the good of each pt. do what is best for the pt/client
justice
can be distributive, compensatory, or procedural
distributive justice
equal distribution for all
compensatory justice
act or make up for past injustices
procedural justice
follows an order
autonomy
pt has the freedom to choose
nonmaleficence
- above all do no harm
- do not do anything to cause injury, disable, or kill a person
3 ethical rules
1) Veracity
2) confidentiality/privacy
3) fidelity
veracity
truthful and factual
confidentiality/privacy
honoring privacy as a right, trustworthy and careful with information
fidelity
loyalty to the pt and the relationship you enter into
4 levels of traditional discursive ethics
1) the particular ethical decision
2) favors an ethical rule
3) within ethical principle
4) evolves out of an ethical system
teleological ethics
focuses on the end goal or outcome of an action and determines morality bases on whether the outcome is good for bad
deontological ethics
evaluated the morality of an action based on its inherent rightness or wrongness, regardless of its consequences
consequences of teleological
consequentialist; depended on an outcome
consequences of deonotolgical
non-consequential; not dependent on outcome of the actions
weakness of teleological
not always possible to predict the consequence of an action
weakness of deontological
rigid and objective; follow the process that is the outcome regardless
identifying and resolving moral dilemmas
- gather facts
- decide the ethical principles involved (code)
- clearify your duties in the situation
- describe the desired outcome
- describe the practical features in the situation
- decide
RIPS (what does it stand for)
1) Realm
2) Individual
3) process
4) situation
realm
individual problem, organizational problem, societal problem
Individual process (IP)
- does this appear to be a problem of moral sensitivity, moral judgment, moral motivation, or moral courage
Situation (S)
is this an ethical issue, dilemma, ethical distress, ethical temptation or moral silence
moral sensitivity
the ability to interpret the situation and project the consequences of your actions
moral judgement
being able to make a decision about what is right and what is wrong because you are able to assess how the different lines of actions that you could take will affect other people
moral motivation
put moral values above other values
moral courage
being able to decide weather to take action. the ability to have the perseverance, toughness, and conviction and the courage to take action to correct something that you know is wrong. this would include reporting even when you are not required to report