Nurs 207 - Ethics and Informed Consent Flashcards
What are the 5 Ethical Principles?
1) Autonomy
2) Non-maleficence
3) Beneficence
4) Justice
5) Fidelity
Autonomy
People have the right to make legally acceptable decisions based on personal values and beliefs, adequate information that’s given free from coercion, and sound reasoning that considers all the alternatives
(right to choose)
Non-maleficence
Avoid harm (Do no harm)
Beneficence
Aim to benefit others; balance benefits against risks and harm
Act of doing good or the best for the patient/family as we can
Justice
Treat all people fairly, and give what is due or owed
Equity in decision making
Fidelity
Keep promises, and don’t make promises you can’t keep. Maintain confidentiality.
Be honest and tell the truth (called veracity).
Accept responsibility for the consequences of your actions.
Never leave patients without first ensuring their needs will be met.
Examples of Acts of Beneficence
Patient Education
Promoting Health
Being present and providing good quality care ex. holding hand during surgery
Giving vaccination
Examples of Acts of benificence
Exploring risks and benefits of a treatment
Beneficence vs Non-maleficence
Beneficence: Allowing choice and control - determining best option forward
Non-Malificence: a constant - actively promoting not doing harm
-more important to avoid harm (non-maleficence) than do good (beneficence)
Nursing Code of Ethics provides….
guidance for relationships, behaviour, and decision making of the RN
Code of Ethics
Statement of ethical values of nurses and nurses commitments to persons with health care needs
- intended for nurses in all contexts
- provides guidance when nurses are working through an ethical challenge
Code of Ethics includes…
responsibility, accountability, and advocacy in order to promote quality healthcare for all
7 Values in the Code of Ethics
Providing safe, competent, and ethical care
Promoting health and well-being
Promoting and respecting informed decision making
Honouring dignity
Maintaining privacy and confidentiality
Promoting justice
Being accountable
What is informed consent?
a persons agreement to allow a medical action to happen, such as surgery or invasive procedure, based on full disclosure of the likely risks and benefits of the action, alternatives to the action, and consequences of refusal
Informed Consent
Legal and ethical right Right to refuse Has clear understanding Capable of consenting Can be withdrawn at any time Informed consent can be formal or implied