Integrity of Nursing Flashcards
What is Integrity?
- Commitment to people
- Consistency in word & action
- Adhere to Code of ethics & professional standards of practice
- Integrate our ideals in all aspects of our lives
- Moral agents in practice ( Virtue ethics)
Four components of integrity
- Moral autonomy
Result of our developed moral code & responsibility ( reflect on your growth) - Fidelity to promise
Hold faithful to the promise we make - Steadfastness
Stand ground & speak up=moral courage - Wholeness
Integrate various aspects of our lives, values and principles continually & consistently
Four intersection relationships
- Nurse-client
- Nurse- institution e.g. staffing issues, beds in hallway
- Nurse- colleague
- Nurse- community
Challenge to maintaining integrity within a work context featuring significant constraining factors
What issues affect you to act as moral agent?
Moral distress
Moral courage
Moral residue
What is Advocacy?
-Individual advocacy
Individuals assisted to authentically exercise their freedom of self-determination
-Professional advocacy*
Action on behalf of pt or to expose/redress underlying problems in institutions/policy making & healthcare delivery systems
Role of advocacy & caring*
- Professional advocacy
- Enactment of moral courage
- Facilitating the needs of others
- Assist pt in self-determination
- Help pt with clarity- speak on behalf
- Integral part of nursing
- Foundation of trust
- Active support of important issue
- Virtue ethic
When warranted
- For individuals
- When responsibilities exist to broader contextual issues
- Not because it seriously impinges om another’s rights
- Not possible , risky, it necessitate broader, political, collaborative endeavor
Issues & considerations
- Risks ( hostility, isolation, emotional, reprimand, job opportunities)
- Insurmountable obstacles
- Impinging on others if promoting pt interest
- Sustained contact insight into injustice
- Time, energy and resources
- Understand pt rights, have support &capacity
Caring: embodied knowledge
- Interconnectedness with mind/body/spirit
- Sensitive to emotions
- Perception of concept & perspective of the experience
- Integral part of our cognitive appraisal
- How- feel unease, relational practice,
- Use bodily sense & read emotions
- Enhance informed, responsive & empowered nursing practice
Role of caring
- Empathy enhance the capacity to form accurate moral perceptions and moral judgments/ actions
- Unity that we live, as a whole, pregiven, reflective and relational world
Code of ethics
- Adheres to the ethical standards of nursing profession to uphold values & practice according to ethical responsibilities Elements: - Nursing values - Ethical responsibilities - Levels of guidance
Nursing values
- Provide safe, compassionate, competent and ethical care
- Promote health & well being
- Promote and respect informed decision making
- Preserving dignity
- Maintain privacy & confidentiality
- Promote justice
- Being accountable
Purpose of Code*
- Guide ethical decision making
- Outline set of values in nursing
- Means of self evaluation
- Basis for peer review
- Inform nurses & public of values/standards to uphold
Levels of guidance
-Prescriptive- in ethical violations
-Advisory-in ethical dilemmas
-Limited- in ethical distress
Limits:
-X ethical value for each situation
-X recognise unique contexts
-X identify system for prioritizing
-X recognise moral reasoning to work through dilemma
Problematic substance use
Responsibilities of the :
- Individuals-accountable vs denial/cravings
- Colleagues-duty to report, pt safety
- Employers –healthy, safe environment, policies, EAP
- Profession- regulate public protection vs support for nurses
- Students- curriculum education
- Government- resources 4 prevention
