Study sets, textbooks, questions
Upgrade to remove ads
Nursing 211: Unit 2B
Terms in this set (59)
What is a value?
- belief about worth of something and what matters that guides behaviors
- concepts that give meaning to live
What are values derived from?
- societal norms
- religious beliefs
What are morals?
concepts of right and wrong that individual learns and internalizes, usually in childhood
What are laws?
rules of social conduct made by humans to protect society
What is value clarification?
- process by which people come to understand their owns values and value system
- a process of discovery - what choices to make when alternatives are discovered
What about values needs to understand for patient care?
- understand the values of the patients we care for
- need to understand our own values
What do values essential to the professional nurse do?
- provide the foundation for nursing practice
- guide our actions
- determine if your own values match the Professional Values of Nursing
What are the professional values of nursing?
- human dignity
- social justice
What is altruism?
- being concerned about well being of others, such as patients, nurses, and HCPs
What are some professional examples of altruism?
- understanding different cultures and beliefs
- advocating for patients, especially the most vulnerable
- taking risks on behalf of pt and colleagues
- mentoring other professionals
What is autonomy?
right to self-determination
What are some professional examples of autonomy?
- respecting patients right to make decisions about healthcare
- plan care in partnership
- provide information so patients can make informed choices
What is human dignity?
- respect for the worth and dignity of person
- respect for patients and colleagues
- respect for cultures
What are some profession examples of human dignity?
- competent and culturally sensitive care
- protect privacy and confidentiality
- design care with sensitivity to individual patient needs
What is integrity?
What are some professional examples of integrity?
- provides care based on ethical framework from professional organization
- honest information to patients and public
- document care accurately and honestly
- try to remedy other you or others made
What is social justice?
- upholding moral and legal tenets
- giving equal treatment under the law
What are professional examples of social justice?
- access to healthcare, not denying care
- fairness and non-discrimination
- universal access to healthcare
- encourage laws and policies consistent with advancement of nursing and healthcare
What are ethics?
- declaration of what is right or wrong and what ought to be
- serve the purpose of governing conduct to ensure protection of an individual's rights
What does the ethical principle of autonomy require?
the right to self-determination
What does the ethical principle of justice require?
obligation to be fair to all people
What does the ethical principle of fidelity require?
obligation of an individual to be faithful to commitments made to himself and others
What does the ethical principle of beneficence require?
- doing good for patients in our care
- holistic approach: physical care and psychosocial status
What does the ethical principle of nonmaleficence require?
do no harm
What does the ethical principle of veracity require?
- do not deceive or mislead patient
What is utilitarianism?
- ethical system of utility
- good is defined as happiness or pleasure
What are the two underlying principles of utilitarianism?
- greatest good for the greatest number
- end justifies the means
What are the flaws of utilitarianism?
- how do you define happiness?
- how do you define the greatest good for the greatest number?
- society constantly rejects the notion that the end justifies the means
What is the ethical system of deontology?
- ethical system based on moral rules and unchanging principles
- it is not the results of the act that make it right or wrong, but the principles by reason of which the act is carried out
- focuses on a concern for right and wrong in the moral sense
What are the ethical principles of deontology?
- human life has value
- people should be treated as ends, not means
- always tell the truth
- do no harm
- people are of equal harm
What is an ethical dilemma?
- a situation that requires an individual to make a choice between 2 equally unfavorable alternatives
- no simple correct solution, usually must defend the final decision to those who disagree
What are two medical issues that present many ethical dilemmas?
What is the ANA Code of Ethics?
- a code of ethics is the ethical principles that govern a particular profession
- a code of ethics are presented as general statements and thus do not give specific answers
- ANA Code of Ethics is one of the most complete
What are the steps in the ethical decision making process?
- assess the situation (gather the date)
- diagnosis (identify) the ethical problem
- plan: identify options, think the ethical problem through, make a decision
- implement the decision
- evaluate the decision
What are ethics committees?
- committees are multidisciplinary
- decisions of the committee may or may not be binding
What are the roles of ethical committees?
- educational programs
- research studies
- advisory/consultory board
What are some examples of ethical problems between nurses and patients?
- informed consent
What are some examples of ethical problems between nurses and physicians?
- disagreement about plan of care
- disagreement about nurse's scope of practice
- how to handle physician incompatence
What are some examples of ethical problems between nurses and other nurses?
- reporting what a nurse did or did not do
- nurse incompetence
- loyalty issues
What are some examples of ethical problems between nurses and their employers?
- short staffing (unsafe)
- health care rationing
- 30 CE credits every 2 years
What are two ethical issues surrounding end of life issues?
- Do patients and families have the right to demand and receive treatment that health care providers believe to be futile?
- Do physicians have the right to refuse treatments that they believe to be futile, despite the wish to continue by family/pt?
What is euthanasia?
killing or refusing to treat a patient in order to allow a painless or peaceful death
What is passive euthanasia?
practice of allowing an individual to die without any extraordinary intervention
What is active euthanasia?
describes the practice of hastening an individual's death through some act of procedure
What is Physician Assisted Suicide?
- can be considered a type of active euthanism
- two conflicting ethical tenets: right to self determination vs non-maleficience
What is the basis for the idea of life-long learning for professional nurses?
- ANA code for nurses
- NLN Educational outcomes for AND
- DCCC College Competencies and Nursing Program
- Mandate of SBON
What is nursing research fundamental to?
recognition of nursing as an autonomous profession, not just as occupation
What is essential to being a profession?
a specialized body of knowledge
What does on-going practice based research reflect?
commitment to meet the challenges of health care
What is a question every nurse can ask to contribute to nursing research?
Is this the best way to achieve the desired pt. outcomes?
What are ways to participate in nursing research?
- suggest topics
- participate in research projects
- use research findings in pt. care
What is Evidence Based Practice?
- nursing issue of priority
- defined as: practice of nursing in which interventions are based on data from research that demonstrates that they (the interventions are appropriate and successful
What does the evidence based practice process involve?
uncovering, evaluating, and using information from research as the basis for deciding about and providing client care
What is evidence based practice driven by?
need to achieve cost effective high quality care based on scientific inquiry
What type of evidence do nursing scholars use to support claims?
- research studies
- chart reviews
- quality improvement data
- nursing standards
- pathophysiology knowledge
- patient preferences
- clinical expertise
What is the staff nurse's role in EBP?
- similar to nursing practice
- involves assessing sources of evidence
- determining which are helpful to your practice
- evaluating the evidence
- working collaboratively to introduce the evidence -evaluate the effectiveness
How does committee participation improve nursing practice?
- allows for nursing input
- establishes communication and networking
- gives opportunity to demonstrate creativity and leadership
What are the benefits of membership in professional organization?
- allow networking
- keeps nurses current
- increases the strength of the profession
- allows nurses to have a voice in legislation
What are some nursing organizations?
- specialized nursing organizations
- honorary organizations
Sets found in the same folder
Nursing 211: Unit 2C, Part A
Nursing 211: Unit 3C, Part B
NCLEX: Safe and Effective Care Environment, Manage…
Values, ethics, and legal concerns [Foundations of…
Sets with similar terms
Fundamentals of Nursing Values, Ethics , and Advoc…
N3362: Foundation - Chapter 6: Values, Ethics, and…
Nursing Fundamentals: Chapter 6
Chapter 6: Values, Ethics, and Advocacy
Other sets by this creator
NCLEX, Diagnostic Test Concepts
NCLEX, Diagnostic Test Facts
NCLEX, Cardiovascular System
NCLEX, Electrolyte Imbalances
Other Quizlet sets
MGMT 349 Exam 2
Soc exam 1
OB Test 4