module 7-professional relationship and enpowerment

Question 1

moral integrity (3)

Answer 1

-behaviour in relationships
-act with right motives
-influenced by values/beliefs

Question 2

conflict resolution framework (5)

Answer 2

1. attentive to personal values
2. Clarify Obligations
3. nature of the problem
4. Consider and weigh alternatives
5. respectful solutions

Question 3

what is the primary obligation

Answer 3

to the patient

Question 4

fiduciary relationship

Answer 4

ethical duty to act in the best interest of another

Question 5

what type of problems are there (5)

Answer 5

moral uncertainty
moral distress
moral dilemma
moral outrage
practical dilemma

Question 6

what occurs during step 5- solution

Answer 6

make a decision
advocate for change

Question 7

what is the best solution to a conflict

Answer 7

the best interest of the patient, but also keep relationships intact

Question 8

who are the nurses obligations (3)

Answer 8

Patient and families
Institution
Other health care team

Question 9

what is a good relationship with institution and nurse (2)

Answer 9

• legal and moral obligation
• not jeopardize nurses personal integrity

Question 10

when is there conflict with institutions

Answer 10

institution’s goals are focused on economics (bottom line) more than patient welfare

Question 11

what is a poor relationship between institution and nurse

Answer 11

nurse- Repeated, self-sacrificing behavior

Question 12

Nurses’ relationships with other nurses (2)

Answer 12

• Duty to report unethical/unsafe practice
  -Balance loyalty to nurses, patient and institution

Question 13

poor relationship between nurses

Answer 13

workplace incivility

Question 14

examples of workplace incivillity

Answer 14

lateral violence
Bullying
Harassment
Oppression

Question 15

oppression

Answer 15

internalize, stay silent

Question 16

harassment

Answer 16

behavior that demeans, humiliates, or embarrasses a person

Question 17

nurse and physician relationship

Answer 17

Old model conflicts with todays autonomous nurse who thinks independently

Question 18

nurse and rest of health care team duty

Answer 18

Primary duty is to the patient, ethical duty to those we work with

Question 19

power vs empower

Answer 19

Power-the authority to carry out an action
*
Empower-to facilitate the ability of another person to act

Question 20

Personal empowerment (4)

Answer 20

Meeting our own needs:
- Self care
- Self actualization
- Awareness

Question 21

what decreases empowerement

Answer 21

self sacrifice

Question 22

what was the empowerment video on

Answer 22

nurse taking the time to explain the meal (attentive)–>empowered dementia pt to eat on his own

Question 23

Professional Empowerment (4)

Answer 23

Personal accountability
-support nursing colleagues
- Collaboration
-conflict resolution

Question 24

Facilitating empowerment (5)

Answer 24

Ethical Principles
Communication
Autonomy
Access to resources
Collaboration

Question 25

Barriers to empowerment (6)

Answer 25

Taking risks
Anxiety and fear
Paternalism
Institutional norms
Limited resources
stereotypes

Question 26

Whistle Blowing

Answer 26

Speaking out against unsafe or questionable practice

Question 27

what is done before whistle blowing (3)

Answer 27

• potential harm to the public
• Reported problem through the proper systems
• speaking out will result in positive change

Question 28

Take your baby and run (3)

Answer 28

-book about children dying in cardiac surgery
-carol young (OR nurse) speaks out
- questioned the competency of surgeon

Question 29

examples of incompetency of cardiac surgeon (4)

Answer 29

unsafe practices
lacked attention to detail
paternalistic
didn’t work with the team

Question 30

what type of process is empowerment

Answer 30

interactive

Question 31

case study (3)

Answer 31

Sophie- recent grad
maternity unit (understaffed)-not familiar
new admission- complicated pt

Question 32

what moral problem is Sophie feeling and why

Answer 32

moral distress
-knows that she needs to care for pt but is unable to provide quality care