UNIT 5 - ch.41 Ethics and values Flashcards
Define morals
private, personal, or group standards of right and wrong moral behavior in accordance with custom, reflects personal moral beliefs
Define ethics
systematic study of right and wrong conduct, formal process for making consistent decisions.
What is a subgroup of bioethics
nursing ethics
Define Bioethics
overall application of ethical principles to every aspect of health care.
define nursing ethics
a subset of bioethics - the questions that arise during patient care or healthcare situations
Define moral distress
the inability of one to carry out a chosen moral decision
(a compromise to being able to make a decision, fear, lack of support, policies)
Define moral outrage
unresolved moral distress leading to anger of violence.
What is whistle blowing
Whistleblowing is the activity of a person, often an employee, revealing information about activity within a private or public organization that is deemed illegal, immoral, illicit, unsafe or fraudulent.
What does T.H.I.N.K stand for
T - talk with an attorney
H - have concrete and creditable evidence
I - institute survival plan
N - note nature and consequence of problem
K - knowing reporting options and support systems.
What are nursing interventions for the NURSE to implement for themselves during times of moral distress (7 examples)
- recognize source
- understand values, thoughts and beliefs
- reflect on values threatened
- value clarification
5.self manage emotion and behavior - view situation from patient view
- engage in resources.
Factors that can contribute to ethical problems starting (4)
- low staffing
- EHR’s
- poor documentation
- prioritizing computer over patient interaction (genuine)
What are the three sources of ethical problems, and what do these mean.
- Societal factors -
2.Nature of nursing work -
3.Nature of nursing profession -
What are the 5 values in professional nursing according to AACN - American Association of Colleges of Nursing.
1.Alturism
2.Autonomy
3.Human dignity
4.Integrity
5.Social Justice
What does AACN stand for?
American Association of Colleges of Nursing.
Define Alturism (give an example)
nurses concern for welfare of patients
(example: individual cultural sensitivity)
Define Autonomy
Respecting patients rights
Define human dignity
privacy, respect during patient care.
Define Integrity
nurses acting honestly.
Define social justice
equal treatment for all under the law
What are 9 patient rights
- Be treated for diseases, illnesses or addictions with human dignity
- knowing what to expect from treatment (good and bad)
- be treated by licensed and certified professionals
- evidence - based treatment
5.be treated for co-occuring medical problems - an individualized outcome- treatment plan
- remain in treatment as long as necessary
- support, education and treatment for their families
- a safe treatment setting.
What are 6 ethical principles for nurses to remember (define all)
- autonomy - respecting patient rights
- non- maleficence - duty to do no harm
3.beneficence - duty to do or promote good
4.fidelity - faithfulness to promises
5.veracity - duty to tell the truth
6.justice - obligation to be fair to all patients
What are 3 organizations that implement guidelines for ethical decision making
ICN - international council of nurses
ANA- American nurses association
JACO- The joint commission.
What are two principles nurses need to remember for ethical guidelines during decision making.
- code of ethics for nursing
2.patient centered partnership
What are some concepts that are the nurses responsibility during ethical decision making. (5)
- be aware
- work as a team member and collaborate
- support patient & team members
- following guidelines and facility protocols
- knowing what to report - accuracy of events and objective data only
