Unit 6 Flashcards
ANA codes of ethics
Provision 1
The nurse practices with compassion and respect for the inherent dignity,
worth, and unique attributes of every person
ANA codes of ethics
Provision 2
The nurse’s primary commitment is to the patient, whether an individual,
family, group, community, or population
ANA codes of ethics
Provision 3
The nurse promotes, advocates for, and protects the rights, health, and
safety of the patient
ANA codes of ethics
Provision 4
The nurse has authority, accountability and responsibility for nursing
practice; makes decisions; and takes action consistent with the obligation
to provide optimal patient care
ANA codes of ethics
Provision 5
The nurse owes the same duties to self as to others, including the
responsibility to promote health and safety, preserve wholeness of
character and integrity, maintain competence, and continue personal and
professional growth
ANA codes of ethics
Provision 6
The nurse, through individual and collective effort, establishes, maintains,
and improves the ethical environment of the work setting and conditions
of employment that are conducive to safe, quality health care
ANA codes of ethics
Provision 7
The nurse, in all roles and settings, advances the profession through
research and scholarly inquiry, professional standards development, and
the generation of both nursing and health policy
ANA codes of ethics
Provision 8
The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities
ANA codes of ethics
Provision 9
The profession of nursing, collectively through its professional
organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy
Ethical Principles
Autonomy
Beneficence
Nonmaleficence
Veracity
Fidelity
Justice
Ethical Principles
Autonomy
Obligation to respect client’s rights to
make their own decisions, unless
harmful to others
ex: Respect clients right to refuse treatment,
even if it will end their life
Ethical Principles
Beneficence
Obligation to minimize harm and
practice with intention of benefitting the
client- going above and beyond
EX: Holding dying clients hand
Ethical Principles
Nonmaleficence
Obligation to do no harm
EX: Avoiding negligent care
Ethical Principles
Veracity
Obligation to provide truthful and accurate information
EX: Truthfully answer clients questions
Ethical Principles
Fidelity
Obligation to keep promises
Promising the client you will return, and
then returning
Ethical Principles
Justice
Obligation to provide treatment and allocate resources in an equitable manner
EX: Treating all patients equally
Professional Value
Altruism
Human Dignity
Integrity
Autonomy
Social Justice
Professional Value
Altruism
Selfless concern and desire to help
Professional Value
Human Dignity
Belief that everyone has value
Professional Value
Integrity
Honesty, even in difficult situations
Professional Value
Autonomy
Right to self-determination
Professional Value
Social Justice
Everyone has the right to health and well-being
8 steps of ethical decision making
- Is there an ethical dilemma?
- Identify the ethical dilemma
- Identify possible solutions
- Apply ethical principles to solutions
- Include relevant individuals and factors
- Decide on a solution
- Review the decision
- Put the decision into action
EMTALA
Requires healthcare facilities to provide emergency medical treatment to patients who seek healthcare in ED regardless of their ability to pay, legal status, or citizenship status- obligation to provide medical screenings to determine whether an emergency exists and stabilize prior to transferring
HIPAA
Protects benefits for workers who lose or change jobs, coverage for preexisting medical conditions, established standards to protect privacy of PHI
ADA
Protection against discrimination-must provide reasonable accommodations within work setting
Patient Self-Determination Act
Recognizes client’s right to make decisions regarding their own healthcare based on information provided to him by healthcare provider-must enquire about presence or need for advance directive
Good Samaritan
Only provide care that is consistent with your level of expertise
Once you have committed to providing care you are responsible for following through (safely transfer care to someone who can provide emergency care)
Elements of Malpractice (Professional Negligence)
Duty to provide care
Breach of Duty by failing to meet standards of care
Foreseeability of harm
Causation
Harm
Elements of Malpractice
Duty to provide care
Care nurse provides is consistent with what a reasonably prudent nurse would do
Elements of Malpractice
Breach of Duty by failing to meet standards of care
Failure to give the standard of care
Elements of Malpractice
Foreseeability of harm
Knowledge that failing to provide proper care can cause harm to the patient
Elements of Malpractice
Causation
Must prove that the departure from acceptable standards of care caused an injury
Elements of Malpractice
Harm
Must be prove patient was harmed to collect damages
Quantitative
Numerical data. Using statistical analysis
EX: Frequency of proper hand hygiene
Qualitative
Narrative. Get perspective from individuals
EX: Experiences of new nurses with lateral violence
Mixed
Quantitative and qualitative
Translational
Literature review. Examines effectiveness of nursing interventions
EX: Examining best interventions for getting nurse by- in with new procedures
Quality Improvement
Planning changes to improve patient outcomes. Proactive. Process Driven.
Example: CAUTI prevention
Quality Assurance
Reactive. Problem Driven. Fixes identified problems. Focus is on care providers.
Social Determinants of Health
Education, neighborhood, health, social and community, economic stability
Modifiable Risk factors
Behaviors that affect risk for developing disease.
EX: smoking, exercise, vaccinations
Non modifiable Risk Factors
Cannot be changed
EX: age, race, gender, genetics
