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NURS 204 Final > Week 8 & 9 > Flashcards

Week 8 & 9 Flashcards

1
Q

CNA: Nursing values and ethical responsibilities:

A
  • providing safe, compassionate, competent care
  • promoting health and well-being
  • promoting and respecting informed decision making
  • honouring dignity
  • maintaining privacy and confidentiality
  • being accountable
  • promoting justice
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2
Q

What is the purpose of the CNA?

A
  • serves as a foundation for nurses’ ethical practice.
  • provides guidance for ethical relationships.
  • used in conjunction w professional standards, laws and regulations that guide practice
  • protect the public and provide practice reference for RN’s in line w The registered nurses act.
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3
Q

CRNS standards and competencies:

A
  • Professional responsibility and accountability
  • knowledge based practice
  • ethical practice
  • service to the public
  • self regulation
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4
Q

CNA emphasizes four major components:

A
  1. nurses and the client
  2. nurses and practice
  3. nurses and the profession
  4. nurses and global health
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5
Q

Bioethics:

A
  • Bioethics investigates, critiques, and informs healthcare professionals in navigating ethical dilemmas.
  • dilemmas may result from competing expectations, values, or duties.
  1. Autonomy: right to self-determination – basis for informed consent; focus on client’s needs, opinions, and preferences for care; right to be involved in decisions to the extent they are able
  2. Beneficence/Nonmaleficence: actions should “do good”; actions should “do no harm” benefit vs harm
  3. Justice: being fair and impartial - who receives resources?; being truthful
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6
Q

Concepts of ethical nursing practice: self disclosure

A
  • Self disclosure must be in the best interest of the client; it is not about meeting the nurses’ needs
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7
Q

Nurse-client professional boundary:

A
  • Invisible structure which protects rights, privacy, and functional integrity of the nurse-client relationship
  • Aim: a professional helping therapeutic relationship; not a personal unprofessional relationship
  • The nurse (not the patient) is responsible for setting the boundary
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8
Q

critical thinking characteristics:

A
  • Attitude: Develops an analytical thinking ability; maintains an inquisitive mind set;
    open-minded & flexible thinking process
  • Thought process: Reflective; combines existing knowledge & standards with new information; creative thinking; Recognizes when information is missing and seeks new information
    discards irrelevant information;
  • Skills: Organized and methodical reasoning
    Diligently seeks new information
    revises actions based on new input
    evaluates solutions & outcomes
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9
Q

Barriers to thinking critically and reasoning ethically:

A
  • Attitudes and habits : my way is better”; cognitive barriers such as stereotypes
  • Cognitive dissonance: mental discomfort you feel when there is a discrepancy between what you believe and new information - conflict
  • personal values vs. professional values: personal values become a part of self-concept
    education helps us acquire a professional value system. be careful our personal values do not obstruct care for a client who holds differing values
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10
Q

Ethical problem:

A
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11
Q

Ethical Dilemma:

A
  • inadequate staffing, end of life issues, inappropriate resource allocation.
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12
Q

Ethical distress:

A
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13
Q

Moral Courage:

A
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14
Q

Using the ethical decisional models:

A
  1. Obtain information: involve all the people implicated in the ethical situation including clients, family, care givers/health providers
  2. Establish if an ethical committee exists
  3. Identify conflicted ethical values in each case
  4. Apply existing organizational processes to react to an ethical situation
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15
Q

Oberle and Raffin Ethical model:

A
  1. Assess the ethics of the situation
  2. Reflect on and review potential actions
  3. Select an ethical action
  4. Engage in ethical action
  5. Reflection and review ethical action
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16
Q

Interpersonal Conflict:

A

An expressed struggle between at least two interdependent people who perceive incompatible goals, scarce resources, or interference in the achievement of their goals.

17
Q

Conflict:

A

Disagreement arising from differing values, needs, attitudes resulting in frustration in achieving goals. Result is stress or tension

18
Q

conflict triggers:

A
  • Criticism
  • Feeling Entitled (you give this but i dont give anything back).
  • Perceived Lack of Fairness
  • More Perceived Costs Than Rewards
  • Different Perspectives – The Big Six (power and decision making, social issues, personal flaws, distrust, intimacy in relationships, distance in relationships)
  • Stress and Lack of Rest
  • Dialectical tension (wanting connection but wanting to be alone)
19
Q

Conflict process:

A

source, beginning, middle, end, aftermath

20
Q

Pseudo-conflict:

A

Conflict triggered by a lack of understanding and miscommunication.

21
Q

Simple conflict:

A

Conflict that stems from different ideas, definitions, perceptions, or goals.

22
Q

Ego conflict:

A

Conflict that is based on personal issues; conflicting partners attack on another’s self-esteem.

23
Q

interpersonal power:

A

degree to which a person can control/influence another (people use power to achieve their aim in conflict).

24
Q

Compliance Gaining:

A

action/communication one person takes to get the conflict partner to comply with one’s own goal (persuasion)

25
Q

Conflict management styles:

A

Avoidance
Accommodation
Competition
Compromise
Collaboration

26
Q

destructive conflict

A
  • Each person has a win-lose attitude
  • Damages the relationship
  • lack of willingness to compromise and see others perspectives.
27
Q

Constructive conflict:

A
  • Builds new insight
  • Establishes a new pattern
  • Strengthen the relationship
28
Q

Other-orientation and conflict management:

A

Stop: Stop making your arguments and concentrate on your partner’s points.

Look: Monitor emotions by observing nonverbal cues.

Listen: Concentrate on details, main points, and tone, and what the other person is saying.

Imagine: Imagine how you would feel in the other person’s place.

Question: Question for more information.

Paraphrase: Paraphrase to confirm understanding.

29
Q

Conflict management skills:

A
  1. manage your emotions
  2. manage information
  3. manage goals
  4. manage the problem
30
Q

interprofessional conflict:

A

role ambiguity
real and perceived power hierarchy
differing goals
differing values, styles, personality traits

31
Q

Incivility:

A
  • Discourteous speech or behavior in violation of expected norms, with intent to harm
  • Derogatory comments, dismissive points of view, not sharing information, not responding to communication, rude verbal and nonverbal behavior
  • Nursing: violation of Code of ethics and CRNS competencies
32
Q

Reactions to hurtful words:

A

-Active verbal response (reactive statement)
-Acquiescent response (cry, apologize)
-Invulnerable response (ignore, silent, laugh)

33
Q

LOW LINE

A

listen, offer, wait, look, incline, nod, express

34
Q

Manage your own anger:

A

Reframe self-talk – look at situation as misunderstanding, accidental, clumsiness
Listen non-defensively – reframe criticism as a problem or challenge
Self-awareness – Am I engaging in incivility?
Deliberately calm yourself – breath, count, time out
Don’t revisit past injustices
Work on one issue at a time

NURS 204 Final (7 decks)

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