ANA's Code of Ethics for Nurses - answer1. Respect for human dignity
2.Respect for individual right to self-determinism
3. Primary commitment to the patient (defined as individual, family, group, or
community)
4. Advocacy for the patient
5. Participation in the creation, maintenance, and improvement of healthcare
environments
6. Advancing the profession
7. Collaboration with others to meet health needs
8. Shaping social policy
issues in healthcare having an ethical component - answer1. Failure to adopt
technology or use it adeptly
2. Lack of regard to data integrity such as discrepancies in record information that are
noted but no corrective action is taken
3. Failure to address threats to privacy and personal health information
4. Inappropriate access of PHI without a need to know
5. Failure to keep informed of emerging developments and issues
6. Failure to recognize and use technology to advance the profession
7. Failure to engage in policy discussions that impact healthcare delivery.
8. Failure to recall that the patients is their primary focus
9. Failure to actively participate in the selection use, and/or evaluation of technology
that has the potential to improve healthcare.
3 ethical issues that can result in patient harm - answer1. Noting discrepancies in record
information without corrective action is irresponsible. - Nurses need to demonstrate
accountability for data integrity or risk that it may be compromised.
2. Failure to adopt technology or not using it well or as designed can also jeopardize
patient safety. - example might be an APN who continues to use written notes when
automated documentation is the expectation. This deviation might be quicker and easier
initially for the individual provider, but it creates a fragmented patient record, increasing
the likelihood that important information will be lost, and because it is unstructured data,
it is invisible for data analysis.
3. The biggest ethical challenge comes when nurses fail to embrace their roles in
shaping health policy and social change.
- Nurses need to be aware of the facts related to features of HIT legislation, particularly
the Patient Protection and Affordable Care Act (ACA).
- ACA was intended to improve care and reduce disparities and help reform healthcare.
- Distributive justice is the major ethical principle underlying health-reform initiatives.
, Distributive Justice - answer- the major ethical principle underlying health-reform
initiatives (ACA)
- refers to fair, equitable, and appropriate distribution in society determined by justified
norms that structure the terms of social cooperation.
Practice-based ethics - answerethics examines the ways men and women can exercise
their power in order to bring about human-benefit - the ways in which one can act in
order to bring about the conditions of happiness.
ethical dilemma - answer- when moral issues raise questions that cannot be answered
with a simple, clearly defined rule, fact, or authoritative view.
- A difficult choice or issue that requires the application of standards or principles to
solve. Issues that challenge us ethically.
moral dilemma - answer- Situations for which there is no clear evidence that one of
several alternatives is morally right or wrong.
- arise with uncertainty, as is the case when some evidence a person is confronted with
indicates an action is morally right and other evidence indicates that this action is
morally wrong.
- uncertainty is stressful and in the face of inconclusive evidence on both sides of the
dilemma, causes the person to question what he or she should do.
ethical decision-making model - answerto help one choose the best action when
situational factors and personal beliefs create uncertainty.
social media - answerhealthcare providers can enhance the patient care delivery
system, promote professional collegiality, and provide timely communication and
education regarding health-related matters by using this forum.
- nurses must be mindful - once communication is written and posted on the internet,
there is no way to retract what was written, even if it was deleted.
Ethical Decision Making - answerThe process of making informed choices about ethical
dilemmas based on a set of standards differentiating right from wrong.
- reflects an understanding of the principles, standards and philosophical approaches.
- it requires a systemic framework for addressing the complex and often controversial
moral questions.
Morals - answerrefer to social convention about right and wrong human conduct that is
so widely shared that it forms a stable (although usually incomplete) communal
consensus
- Social conventions about right and wrong human conduct that are socially constructed
and tacitly agreed upon as good or right.
nonmaleficence - answer"do no harm"
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