Lecture 7 - Jill Z. Guest Lecture

Question 1

Ethics?

Answer 1

• moral practices, beliefs and standards of individuals and/or groups

Question 2

Ethical Theory

Answer 2

• study of nature and justification of general ethical principles that can be applied to moral problems

Question 3

Biomedical Ethics

Answer 3

Explores ethical Q’s and moral issues assoc. with healthcare

Question 4

Nursing Ethics

Answer 4

Moral Q’s within sphere of nursing practice

Question 5

Deontology

Answer 5

• Actions as right or wrong
• Black and white
• NO looking @ consequences

Question 6

Utilitarianism (consequentialism)

Answer 6

• value of something is determined by its usefulness
• Greater good
• Communism (extreme form)

Question 7

Bioethics

Answer 7

• obligation- reason based

- outcome oriented

Question 8

Feminist ethics

Answer 8

• focus on inequalities b/w ppl
• power dynamics
• differences

Question 9

Relational ethics

Answer 9

• important to understand relationships
• personal narratives
• Interconnectedness

Question 10

Autonomy

Answer 10

capable and competent person is free to determine a self-chosen plan or course of action

Question 11

Nonmaleficence

Answer 11

Not causing harm to others

Question 12

Beneficence

Answer 12

produce some good or benefit to another person

Question 13

Justice

Answer 13

• fair treatment of individuals and groups within society

Question 14

4 responsibilities of nurses (Code of ethics)

Answer 14

1) Promote health and well-being
2) Prevent illness
3) Restore health
4) Alleviate suffering

Question 15

Responsibility - Nurse - People

Answer 15

Primary responsibility

Question 16

Responsibility - Nurse - practice

Answer 16

Maintaining competence

Question 17

Responsibility - Nurse - Nursing profession

Answer 17

Implementing std’s

Question 18

Responsibility - Nurse - coworkers

Answer 18

Sustain cooperative relationships

Question 19

Purpose of Code of Ethics

Answer 19

• Inform public
• Professional commitment
• Outline major ethical considerations
• guide self-regulation
• Remind profession of obligations and responsibilities

Question 20

Highlights of new Code of Ethics

Answer 20

• Medical assistance in dying
• Advance care planning
• Equity
• Primary health care
• Job action
• Workplace bullying
• Ethical models for reflection
• Advocating for quality work environments

Question 21

Code of Ethics Values (7)

Answer 21

1) Providing safe, compassionate, competent, and ethical care
2) Promoting health and well-being
3) Promoting and respecting informed decision making
4) Preserving dignity
5) Maintaining privacy and confidentiality
6) Promoting justice
7) Being accountable

Question 22

Examples of Pt care issues

Answer 22

• informed consent
• futile care
• advance directives
• withdrawal of food/hydration

Question 23

Ethical Dilemma

Answer 23

• best course of action is unclear

- strong moral reasons on both sides of an argument

Question 24

Ethical distress

Answer 24

• nurses know or believe they know the right thing to do

- for various reasons don’t/can’t take right action or prevent a particular harm

Question 25

Steps to process Ethical Dilemma (7)

Answer 25

Step 1: Determine whether an ethical dilemma.
Step 2: Gather relevant info.
Step 3: Examine +determine own values on issues.
Step 4: Verbalize the problem.
Step 5: Consider possible courses of action.
Step 6: Reflect on outcome.
Step 7: Evaluate action and outcome.

Question 26

Resolving Ethical Distress

Answer 26

1) Recognize
2) Refer
3) Request
- also use the CODE