Does ethical prinicples serve as a basis for clinical decision making?
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Terms in this set (54)
Where do nurses practice clinical ethics?bedsideavoid harm; "do not harm"nonmalficencefor the good; to promote the welfare of othersbeneficenceno universal defintion; treating people fairly or appropriatelyJusticeIs justice the same as equality?no!Trustworthy, honest, loyaltyfidelityDo nurses often have multiple loyalties?yes!the right to self-determination; patients can make decisions for themselvesautonomyWhat communities does societal ethics serve? What issues do they address?larger; abortion, physical-assisted suicide, embryonic stem cell research, healthcare reformIn societal ethics, society provides a strong normative basis for ethical behavior through its _____ and ____ systems.legal; regulatoryWhat do legal standards in societal ethics include?clinical standards of care liability negligence malpracticeWhat are 3 examples of societal ethics (groups)NPA scope of practice accreditation standardsSocietal ethics: following the law and other expectations defined by society is the _________ required for the privilege of working as licensed professional in health care.most basic ethical standardFormal and informal principles and values guide the behavior, decisions, and actions taken by members of an organization. What type of ethics is this?organizational ethicsWhat 3 things are the foundation of organizational ethics?mission and values of the organization how it treats its customers and members financial practicesmembers are held to a higher standard because of their privileged role in society and aim for the highest ideals of practice. What kind of ethics?professional ethicsHow is professional ethics expressed?code of ethics or code of conductThe nurse promotes, advocates for and strives to protect ____, ____, and ____ of the patient.health, safety, and rightsThe nurse is responsible and accountable for ____ nursing practice and determines the appropriate ____ of tasks consistent w/ the nurses' obligation to provide ____ patient care.individual; delegation; optimumThe nurse owes the same duties to self as to others including the _____ to preserve _____ and ___, to maintain ____, and to continue personal and _____ growth.responsibility; integrity and safety competence professionalThe nurse participates in ____, ____, and ____ healthcare environments and conditions of employment conducive to the provision of quality health care and consistent w/ the ____ of the profession through ____ and ____ action.establishing, maintaining, improving values; individual, collectiveThe nurse participates in the advancement of the profession through ______ to practice, ____, _____, and ___ development.contributions, education, administration, knowledgeThe nurse collaborates w/ other health professionals and the public in promoting what 3 levels of efforts to meet health needs?community, national, internationalThe profession of nursing as represented by associations and their members, is responsible for _____ nursing values, _____ the integrity of the profession and its _____, and shaping ____ policy.articulating, maintaining, practice, socialWhat 3 types of ethics are all part of professional ethics?bioethics, clinical ethics, and research ethicsWhy does personal ethics leave the potential for conflict?intersects w/ other categories of ethics that do not perfectly overlapAre sources of ethics static?no, change over time, just like individuals grow and change over timeWhat are common sources of ethics?family culture religion peers society higher education professional education profession colleagues workplaceSources of ethics is filtered through one's own personal worldview and life experiences and directs a person in how to ____ experience and _____ it into one's own ethical practice.interpret, translateWhat are the 6 ethical principles?autonomy nonmalficence beneficence justice fidelity or being loyal respect for personsIs a specific duty simply because it is the right thing to doEthics of duty or deontologyActions are defined on the basis of the outcomes or consequences of an action. Reaching a particular goal is what defines the ethical justification of an act, regardless of the sense of duty or moral intent.Ethics of consequencesRelies on the character of the individual as the primary source of the moral action. Ethics of virtue falls under this category.Ethics of characterWhat theory is very prominent in the nursing profession?ethics of character ethics of virtueVirtues embraces by the profession are (3)?moral virtues practical virtues nursing virtuesWhat are moral virtues?respect honesty sympathy charity kindness loyalty fairnessWhat are practical virtues?intelligence patience prudence shrewdnessWhat are nursing virtues?compassion humility integrity courageName and obligations inherent in human relationships and in the community. Primary attention is paid to preserving relationships, improving communication, enhancing cooperation, and minimizing harm to everyone involved while promoting an ideal of caring. Closely related to virtue/character ethics.ethics of relationshipsHow is ethical decision making done in practice?not done by individual; member of patient care team or administrative teamEthical issues in nursing are encoded by nurses on a _________ basis and are often discussed w/ nursing _____ or nursing ______.regular; peers, leadershipOccurs when a person is unable to act on what is believed to be the morally appropriate action to take. An end-of-life situation w/ overly aggressive treatment and the inappropriate use of resources is a common example. Very common in the nursing profession.moral distressWhat are the interrelated concepts of ethics?health care economics professionalism healthy care equality safety evidence based practice collaboration informatics leadershippersonal stress professional burnoutethical dilemma