Lesson 2 Flashcards
Basis
Natural law
Golden rule
Deontological
Greatest good for the greatest number
Teleological
It’s the guiding behavioral principles
Ethics
Promulgated the deontological notion of the “Golden Rule”
Immanuel Kant
Purported a teleological approach
John Stuart Mill
Meaning of deon
Duty
Meaning of logos
Study
An ethical belief system that stresses “the importance of doing one’s duty and following the rules”
Deontology
Another term for teological
Utilitarian
Allow the sacrifice of one or more individuals so that a group of people can benefit in some important wqy
Teological / Utilitarian
Guiding principles of the behavior
Ethics
Refers to norms or standards of behavior
Ethical
Refers to the internal value system
Moral
Expressed externally through ethical behavior
Morality
Ethical principles are not enforceable by law
True
Rules governing behavior or conduct that are enforceable under threat of punishment or penalty, such as fine and imprisonment
Legal rights and duties
Rule governing behavior or conduct that are enforceable under threat or punishment, such as fine or imprisonment
Legal rights and duties
Documents that define profession, describes the profession scope of practice, and provide guidelines
Practiced Acts
These are developed to protect the public from unqualified practitioners and to protect the professional’s title
Practiced Acrs
Guiding behavior principles
Ethics
Societal behavior standards
Ethical
Internal value system
Moral values
Rules governing behavior, enforceable by law
Legal rights and duties
Documents defining a profession
Practiced acts
The right to full disclosure, the right to make one’s own decisions
Informed consent
The right to protect one’s own body and to determind how it shall be treated
Right to self determination
Basic tenet of ethical thought
Informed consent
Informed consent was established in the year ____
1914
Who established the informed consent
Justice Benjamin Cardozo
This code represents an articulation of professional valued and moral obligations in relation to the nurse patient relationship
Code of Ethics for Nurses with Interpretive Statements
6 Ethical Principles
Autonomy
Veracity
Confidentiality
Non-maleficence
Beneficence
Justice
Refers to the right of self determination
Autonomy
The act that patient can make decision about his or her health care, including the right to refuse medical and surgical care,,
PSDA - Patient Self Determination Act
Refers to truth telling
Veracity
Closely linked with informed decision making and informed consent
Veracity
The patient should know the truth regarding risks or benefits involved in these procedures
Veracity
Four elements making up the notion of informed consent
Competence
Disclosure of information
Comprehensiveness
Voluntariness
Thr capacity of the patient to make a decision
Competence
The sufficient information regarding risks and alternative treatments be provided to the patient to enable him or her to make a rational decision
Disclosure of information
Thr ability to understand or to grasp intellectually the information being provided
Comprehension
Patient has made decision without coercion or force from others
Voluntariness
A final dimension of the legality of truth telling related to the role of the nurse as
Expert witness
Refers to personal information that is entrusted and protected as privileged information via a social contact, healthcare standard or code, or legal covenant
Confidentiality
Defined as do not harm
Non-maleficence
Refers to the ethics of legal determinations involving negligence and or malpractice
Nonmaleficence
3 parts of nonmaleficence
Negligence
Malpractice
Duty
Defined as negligence, misconduct, or breach of duty by a professional person that results the injury or damage to the patient
Malpractice
Defined as doing good for the benefit of others
Beneficence
Speaks to fairness and equal distribution of goods and services
Justice
It is called the “Justice Sytem”
Law
Student - Novice or Expert
Novice
Teacher - Novice or Expert
Expert
Those are tangible and predictable, such qs rent, food, heating
Direct cost
Cost that are stable and on going, such as salaries, mortgage, utilities, durable equipment, etc.
Fixed costs
Those relaled to fluctuation in volume, program attendance, occupancy rates
Variable cost
Those that may be fixed but not necessarily directly related to a particular activity
Indirect cost
Those that cannot be anticipated or accounted for until after the fact
Hidden costs
Money realized through decreased use of costly services, shortened lengths of stay, or fewer complications
Cost savings
Occurs when institution realizes an economic gain resulting from educational program
Cost benefit
Occurs when revenues generated are equal to or greater than expenditures
Cost recovery
Income earned that is above the cost of the programs offered
Revenue Generation
American Nurses Association (ANA) developed and adopted a Code for Nurses
1950
What is Ana’s s code?
Code of Ethics for Nurses with Interpretive Statements
The kind of healthcare professionals give patients
Due care
Conducts which falls below the standard established by law for the protection of others against unreasonable risk or hatm
Negligence
Limited class of negligent activities
Malpractice