MODULE 6 – Ethical and Legal issues Flashcards
what are CNAs “Values and Ethical Responsibilities”:
safe, competent ethical care; health and well-being; informed decision-making; dignity; privacy and confidentiality; justice; and accountability
Ethical issues of Health Promotion:
because health is a value-laden concept, CHNs can influence individuals to conform to social norms through health promotion and unwittingly become agents of social control and medicalization
• a possible moral harm of health promotion is its potential to create adversarial relationships between those who actively strive to improve their health and those who do not
Ethical issues of Professional Relationships:
Professional boundaries: Crossing a boundary means the care provider is misusing the power in the relationship to meet his/her own personal needs.”
Ethical issues of Prevention and Health Protection: 4 utilitarian principles for making ethical decisions about intervention include…
o harm principle (considering whether anyone other than individual is harmed), o least restrictive or coercive means (less coercive options are best used prior to governmental intervention), o reciprocity (social entities are ethically obligated to assist individual in meeting their own ethical responsibilities), o transparency (decision making must be accountable and equitable)
Ethical issues of Access and Equity:
• CHNs must take into consideration that social factors such as age, sexual orientation, and socioeconomic status restrict equitable access and distribution of health services and determinants of health
Ethical issues of Health Maintenance, Restoration, and Palliation:
- CHNs working outside of hospitals must be mindful of the significance of other locations of care as well as potential obstacles such as access to family support or necessary facilities
- CHNs must develop and respect informed consent
- CHNS have an ethical responsibility to families as informal caregivers well as clients
- Palliative care is an increasingly frequent part of community health nursing and requires CHNs to respect a client’s dignity and right to choice although sometimes counter to personal values
“community health nursing takes a stand for the practices, aims, and reforms that are in line with the moral goals of public health.” is known as
Advocacy
“the process of enabling communities to increase control over their lives . . . And by which they increase their assets and attributes and build capacities to gain access, partners, networks and/or a voice, in order to gain control” (WHO, 2013) is described as..
empowerment