PRINCIPLES OF HEALTHCARE ETHICS Flashcards
called character ethics
virtue ethics
virtue ethics is also called
character ethics
individual’s actions are based on certain degree of innate moral virtue
virtue ethics
homer, plato, aristotle, early christian thinkers, western moralism
virtue ethics
cardinal virtues
wisdom
courage
temperance
justice
generosity
faith
hope
charity
modern and contemporary writers’ virtues
honesty
compassion
caring
responsibility
integrity
discernment
trustworthiness
prudence
important framework for examining moral behavior
virtue ethics
character trait is morally valued
moral virtue
both consistent moral action and morally appropriate desire
moral virtue
ethics: greek word = ______; which means _____
ethica, matters having to do with character
said that good character comes from practicing virtuous behavior
aristotle
said that virtue habits and can be learned and improved over time by consistently making good choices
aristotle
virtuous acts chosen for own sake
aristotle
choice proceed from firm and unchangeable character
aristotle
disposition to choose the mean
aristotle
golden mean of virtuous behavior
avoiding both excess and deficiency
did not list several moral principles because basic moral question is not “what should one do” but “what should one be”
aristotle
expands aristotle’s idea
philippa ruth foot
virtue isn’t just about actions but also the will
philippa ruth foot
requires good intentions not just practiced skills
true virtue
this is only virtuous if done with right motive
act
four focal virtues
compassion
discernment
trustworthiness
integrity
beauchamp an childress’ proposal
four focal virtues
imagine self in another’s situation
compassion
embodies golden rule
compassion
sensitive insight
discernment
involves acute judgement and understanding that results in decisive actions
discernment
confident belief that entails confidence
trustworthiness
cardinal virtue that means soundness, reliability, wholeness, and integration
integrity
nightingale’s pledge
purity
faith
loyalty
devotion
trustworthiness
temperance
principles of HE
nonmaleficence
beneficence
autonomy
justice
hippocratic ethical teaching
first, do no harm, benefit only
harm prevents good or leads to less good
consequentialist
harm prevents from carrying out duty
deontologist
harm opposed to rational natures and limits potential
natural law ethicist
harm opposed to self-interest
ethical egoist
harm is anything that worsens patients condition
healthcare
person seeking eudaimonia and practical wisdom
virtue ethics
harm is immoderate that leads us away from manifesting proper ends
virtue ethics
endures hardships justified if they lead to greater overall benefit
conseuentialists
act of omission
negligence
not following protocols
negligence
act of commission
actively causing harm
act of omission
fail to do something
failure to meet expected standards of care
negligence
must follow laws to prevent fraud and abuse
healthcare financial anagers
similar to malpractice and neglects responsibilities
malfeasance
hippocratic ethical dictum
benefit only
beneficence; latin = _____; meaning ____
bene, well or good
more than just avoiding harm
beneficence
level of altruism is absent from simply refraining from harm
beneficence
fundamental principle of HE
beneficence
primary obligation is to ourselves, selfishness
ethical egoism
self ruling
autonomy
auto; greek = ____; meaning _____
auto, self
treat people’s illness, not to judge for why they are ill
autonomy
nomy; greek = ____; meaning _____
nomos, rule or law
sometimes unclear if patients have ability for autonomy
autonomy
having freedom to choose with competence and free from coercion
autonomy
unfair treatment
injustice
similar situations are treated differently
injustice
treat similar cases the same, unless good reason to do otherwise
justice
types of justice
procedural justice
distributive justice
due process
procedural justice
being equal before law
procedural justice
when you get your turn, you receive the same treatment as everyone else
procedural justice
determining what is fair
distributive justice
everyone should share equally in benefits and burdens
distributive justice
extent of resource allocation disparity
kaiser family foundation
reasons for discrimination
deserving something
needing it
believing person is entitled to something for legal or moral reasons
claiming a right
ideal or legal
rights
do no harm
nonmaleficence
avoid causing harm to others
nonmaleficence
benefit only
beneficence
duty to actively promote good
beneficence
respect individual choices
autonomy
right to make own decisions
autonomy
fairness and equality
justice
fair treatment distributed eqully
justice
fairness of process
procedural justice
fair allocation or sharing of medical resources
distributive justice
ensures people receive what they deserve based on need, merit, or equality
distributive justice
ensures rules, policies, and procedures are applied consistently and transparently
procedural justice