What is an Ethical Dilemma - ANS Collision of 2 ethical principles that often happen in
healthcare and can lead to compassion fatigue
Autonomy - ANS informed consent
Beneficence - ANS actions should promote good
nonmaleficence - ANS do no harm
veracity - ANS tell the truth
justice - ANS equal treatment
paternalism - ANS belief that healthcare provider knows best, information is provided or
withheld based on this belief
fidelity - ANS keeping a promise
respect for others - ANS allowing patients and families the right to make the decisions and to
live by these decisions
what 3 things contribute to ethical dilemmas - ANS technology changes, social changes
(different generations), and conflicting loyalties/obligations (family members and hospital
politics)
what is the code of ethics for nurses? (3) - ANS Nonnegotiable ethical standard we follow
Ethical obligation and duties of every nurse
An expression of nursing's own understanding of its commitment to society
state nurse practice act - ANS define the rights, responsibility, and scope of nursing practice
laws - ANS a sum total of rules and regulations in which a society is governed
reporting - ANS duty to report-violence that occurs against vulnerable populations
whistleblower - ANS a person who exposes any kind of information or activity that is deemed
illegal, dishonest, or not correct within an organization
basis of informed consent - ANS legal capacity, voluntary action, comprehension
,advanced directives - ANS expresses patient desires regarding medical treatment EX (living will,
DNP, DPOA)
Nurse's role with informed consent - ANS assess patient/family understanding. May witness
signing of documents. provide support
HIPAA privacy rule - ANS protection of health information. Patient rights with health information.
Copy of health records
Just culture - ANS front-line operators and others are not punished for actions or decisions
CUS - ANS i am Concerned, i am Uncomfortable, this is a Safety issue
Advocacy - ANS protection and support of another's rights
code for nurses explained: the nurse provides services with respect for human dignity and the
uniqueness of the client unrestricted by consideration of social or economic status, personal
attributes, or the nature of the health problem. - ANS going to take care of them as if they were
all the same. prioritize by medical needs
code for nurses explained: the nurse safeguards the client's right to privacy by judiciously
protecting information of a confidential nature - ANS HIPAA
code for nurses explained: the nurse acts to safeguard the client and the public when health
care and safety are affected by the incompetent, unethical, or illegal practice of any person -
ANS have to keep patients safe. cant let health care workers take money from patients, waste
and keep drugs, etc.
code for nurses explained: the nurse assumes responsibility and accountability for individual
nursing judgments and actions - ANS you're in charge of you and you need to take responsibility
code for nurses explained: the nurse maintains competence in nursing - ANS Education outside
of nursing school
code for nurses explained: the nurse exercises informed judgment and uses individual
competence and qualifications as criteria is seeking consultation, accepting responsibilities, and
delegating nursing activities to others - ANS Don't take a patient you cant handle
code for nurses explained: the nurse participates in activities that contribute to the ongoing
development of the profession's body of knowledge - ANS Research, EBP, surveys, etc
code for nurses explained: the nurse participates in the profession's efforts to implement and
improve standards of nursing - ANS learning new policies, bedside report, etcetera
, code for nurses explained: the nurse participates in the profession's efforts to establish and
maintain the condition of employment conducive to high-quality nursing care - ANS staffing,
having a manager be nice to you so you want to stay on the floor
code for nurses explained: the nurse participates in the profession's efforts to protect the public
from misinformation and misrepresentation and to maintain the integrity of nursing - ANS social
media (be careful when posting so you don't get fired) so you maintain your reputation and the
reputation of your job
code for nurses explained: the nurse collaborates with members of the health professions and
other citizens in promoting community and national efforts to meet the health needs of the public
- ANS hope connection, bringing in food, etc
What are the ethical decisions framework - ANS Who should make the choice?
Possible options or courses of action
Available options
Consequences, both good and bad, of all possible options
Rules, obligations, and values that should direct choices
Desired goals or outcomes
Ethical dilemmas in patient care - ANS Acting for patients without their consent
Lying (Even if it benefits the patient?)
Confidentiality
Refusal of care
Refusing to provide care
Technology conflicts
Keeping people alive when they shouldn't be
(Keeping frozen embryos/trashing/research)
What are ethical problems with disagreeing with prescribed care - ANS Get labs, patient
information, family information and communicate that. Document communication. Contact nurse
manager.
Ethical dilemmas with the scope of the nurse's role - ANS nurses making orders for tylenol when
it needs to be ordered by the physician
dilemmas with claims of loyalty - ANS I promise my boss i'll do something for her to get every
Friday off (not good stuff that you promise them)
4 ethical problems with health care workers - ANS disagreeing with care prescribed, scope of
the nurse's role, incompetence, claims of loyality
End of life dilemmas with advanced directives (3) - ANS Nurses will talk about this when no one
else will do it
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