Week 8 ~ Ethical Considerations Flashcards

1
Q

What is ethics?

A

Deals with rights and wrongs, principles and values.

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2
Q

What’s is bioethics?

A

Investigates, critiques, and informs healthcare professionals in navigating ethical dilemmas. 3 principles are autonomy (right to self determination), beneficence/nonmalefience (actions should do good, actions should do no harm), and justice (fair and impartial, truthful).

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3
Q

What is ethics in nursing?

A

Requires self reflection, reflective practice, inter-professional collaboration, understand ethical decision making, and understand value and standard of national/provincial bodies.

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4
Q

What are 4 concepts of reflective ethical nursing practice?

A
  1. Nurses primary -responsibility to people who need nursing care
  2. Nurse have personal responsibility to maintain ethical nursing practice and ongoing learning to advance competent practice
  3. Nurse play professional role to meet acceptable practice, research, and education standards
  4. Nurses values health care as human right and work towards global health
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5
Q

What is the values in the CNA code of ethics?

A

Provide safe/compassionate/competent care, promote health and well being, promotes and respect informed decision making, honour dignity, maintain privacy/confidentiality, promote justice, be accountable

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6
Q

What are the CRNS practice standards?

A

Professional responsibility/accountability, knowledge based practice, ethical practice, serve to public, and self regulation.

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7
Q

What are the CRNS standards of practice and ELC?

A

Protect public and provide practice reference for RN/NS. Look inwards to our self and outwards to our practice to ensure we demonstrate professional practice and gain public trust. ELC support learning in preparation for becoming an RN.

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8
Q

What is critical thinking?

A

Use specific thinking skills to make decisions. Approach to problem solving in systematic and organized and goal directed way when making decisions.

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9
Q

What is 3 step process for critical thinking?

A
  1. Process- information, seek more if needed, incorporate patients preference, data, asses patient situational factors
  2. Act- act to apply clinical knowledge, indemnify problem, dx and set goals, interventions
  3. Reflect- actions and outcomes, evaluate outcomes, re- evaluate actions, reflect on new learning
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10
Q

How is critical thinking developed?

A

Knowledge/thought process: reflective, anticipate consequences, discard irrelevant info, consider alternatives
Skills: think in organized way, logical reasoning, seek new info, evaluate solutions and outcomes
Attitude: maintain inquisitive mind set, develop analytical thinking, open minded, flexible thinking

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11
Q

What is the clinical decision making process?

A
  1. Clarify concepts, problem?
  2. Indemnify your personal and professional values
  3. Integrate data and identify missing data
  4. Obtain new data
  5. Identify significance of problem-what’s going on
  6. Examine skeptically
  7. Apply criteria (law, protocols)
  8. Generate options and alternatives
  9. Consider whether factors change if the context changes
  10. Make a decision, rationale
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12
Q

What is the oberle and ruffin ethical model?

A

ASSESS the ethics of the situation
REFLECT on and review potential actions
SELECT an ethical action
ENGAGE in ethical actions
REFLECTION and REVIEW ethical action

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13
Q

What are personal values?

A

Influenced by childhood caretakers, spiritual, and religious beliefs and experiences.

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14
Q

What is reflexivity?

A

Be aware of what we are doing and what you think as it’s happening.

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15
Q

What is self disclosure?

A

Sharing personal information. Must be in best interest of client and not the RN.

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16
Q

What is informed consent?

A

Health care provider provides relevant info, benefits and risks, allow client to ask questions, client has legal right to informed consent.

17
Q

What is the nurse client professional boundary?

A

Invisible structure that protects privacy, rights. integrity of n-c relationship. Nurse is responsible for setting the boundary.

18
Q

What are barriers to critical thinking?

A

Attitude and habits, personal vs. professional values (personal values apart of self concept, education helps us acquire prof. values), and cognitive dissonance (mental discomfort when discrepancy between beliefs and new info).

19
Q

What is ethical problem, ethical dilemma, ethical distress, and moral courage?

A

EP: conflict between one or more values.
ED: 2 equally compelling reasons for actions but can’t do both.
EDistress: RN unable to act according to moral judgment.
MC: have courage to stand up for morals and rights.

20
Q

What is the ethical decision model?

A
  1. Obtain information- involved all people implicated in the ethical situation including clients, family, care givers
  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