Quiz 1 material Flashcards

1
Q

Ethics

A

Ethics: study of moral status of actions using theories and principles

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2
Q

Morality

A

Morality: standards of behavior involving right and wrong actions

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3
Q

What is deontology?

A
  • “Duty based ethics” - regardless of consequences; do the “right thing”
  • Highest virtue comes from doing what one is supposed to do Involved truth telling and keeping promises
  • Following the law
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4
Q

What is consequentialism?

A
  • Moral issues should be resolved by examining the consequences of available alternatives
  • Utilitarianism is dominant theory
  • Theory that actions are judged by their utility (evaluated according to the usefulness of their consequences)
  • Belief that it is useful to society to achieve the greatest good for the greatest number of people who may be affected by an action
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5
Q

Utilitarian decision making

A
  • Consider the available options
  • Determine who will be affected by the actions in each option
  • Determine which option provides the greatest happiness to all persons impacted
  • Ties into justice and fairness
  • Duty alone is not the primary factors
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6
Q

What is natural law theory?

A
  • The rightness of actions is self evident because morality is implanted in the order of nature and divine decree and not revealed through customs and preferences
  • Good is to be done and evil avoided, and are seen as being self evident (life, procreation, knowledge, society, and reasonable conduct)
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7
Q

What is Virtue?

A

Virtue: Moral excellence or a beneficial quality in a person. In traditional ethics, virtues are characteristics that differentiate good people from bad people

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8
Q

What is virtue ethics?

A
  • Virtue ethics focuses on the inherent character of a person rather than on the specific actions he or she possess.
  • Judging character to determine what they deserve.
  • Good v bad.
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9
Q

What are the four cardinal virtues?

A

Wisdom Courage Temperance Justice

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10
Q

What is ethics of care?

A
  • Explores how a caring person would attempt to solve a moral problem with concern for establishing and preserving good relationship and helping others.
  • Role of emotions is a necessary and natural complement to rational thinking
  • Self-sacrifice for others
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11
Q

What is principlism?

A

Theory that tries to connect various moral perspective with bioethical decision making

Grounded in 4 key principles.

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12
Q

What is bioethics?

A

Ethics as it relates to healthcare

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13
Q

4 key principles of principlism?

A
  • Autonomy
  • Beneficence
  • Nonmaleficence
  • Justice
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14
Q

What is autonomy?

A
  • The right to choose what will happen to one’s own person.
  • Negative right - can say no to that (treatment)
  • The freedom and ability to act in a self-determined manner
  • Linkage to informed consent and privacy HIPPA and Patient self determination act
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15
Q

What is beneficence?

A
  • Performing deeds of “mercy, kindness and charity”
  • Preventing harm and removing conditions that cause harm
  • Implies taking actions to benefit and promote the welfare of other people
  • Acting in the best interest of a patient.
  • Weighing whether the benefits outweigh the negatives.
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16
Q

What is nonmaleficence?

A
  • Obligation to do no harm
  • May require to do detriment-benefit analysis
  • Do not kill, cause pain or suffering, incapacitate, cause offense or deprive others of the goods of life
17
Q

What is justice?

A
  • Refers to fairness, treating people equally and without prejudice and the equitable distribution of benefits and burdens
  • Distributive justice refers to fair allocation of resources
  • Social justice says that all people in a society should have the same rights and opportunities
18
Q

What is paternalism?

A

Healthcare provider knows best

Goes against the idea of autonomy

Could be maleficence

19
Q

What are the nine nonnegotiable provisions of the ANA code of ethics?

A
  • Respect for human dignity
  • Primacy of the patient’s interests
  • Protection of the rights of privacy and confidentiality
  • Authority, accountability, and responsibility
  • Duties to self and others
  • The environment and moral virtue
  • Contributions through research and scholarly inquiry
  • Health is a universal right
  • Articulation and assertion of values
20
Q

What is the ANA code of ethics?

A
  • Non nonnegotiable provisions
  • Interpretive statements
  • Nurse-patient relationship - protecting vulnerability of the patient
21
Q

Scope of nursing ethics deals with:

A
  • Character
  • Conduct
  • Duties and obligations of nurses
22
Q

What is the purpose of codes of nursing for ethics?

A
  • Conveys individual and collective ethical values, obligations, duties, and ideals
  • Provides implied contract with the public Informs new professionals of expected moral behaviors
  • Guides the profession in self-regulation
23
Q

ICN code of ethics for nurses four fundamental responsibilities

A
  • Promote health
  • Prevent illness
  • Restore health
  • Alleviate suffering
24
Q

What are some nursing ethical competencies?

A
  • Moral integrity
  • Honesty
  • Wisdom
  • Moral courage
  • Culturally sensitive care
  • Respect
  • Compassion
  • Advocacy
25
Q

What is an ethical problem?

A

Ethical problem: situation that appears to involve moral rules or standards, when the right course of action is unclear

26
Q

What is an ethical dilemma?

A

Ethical dilemma: situations in which all possible actions seems to entail violation of some rule or norm

27
Q

What is ethical analysis?

A

Applying a reasoned process to arrive at a decision regarding the optimal course of action

28
Q

Models in ethical decision making?

A
  1. Identify the moral problem (moral distress)
  2. List all morally relevant facts and assumptions from perspective of major stakeholders
  3. List all the options (not just obvious ones, consider all)
  4. Evaluate the options in terms of ethical principles, duties, ethical competencies, codes, etc.
  5. Select and implement the “best” action
  6. Evaluation - what happened as a result of the decision that was made
29
Q

“MORAL” model of ethical decisions

A

M: Massage the dilemma

O: Outline the options

R: Resolve the dilemma

A: Act by applying the chosen option

L: Look back and evaluate the process