-RN baby boomers retiring
-Millennials different thoughts on work/life balance
-decreasing faculty
-decreasing nurse managers
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Trends compounding the changes
,-Open & honest communication
-Establish rules of engagement specific to ethical issues
-People hear the real messages that are communicated
-Clear expectations that are understood
-Principle-centered policies & practices
-Adhere to principles
-Discuss areas of disagreement until common ground is found
-Support environment of trust and hold people to their words & promises
-Respect every team member's contributions & build on team values
-Work out ethical situations quickly & establish new rules as needed
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Trust Building
2 Formal Definitions of Death:
-Irreversible cessation of circulatory and respiratory functions
-Irreversible cessation of all functions of the entire brain, including brain stem
Determination of death must be made in accordance with accepted medical
standards
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Uniform Determination of Death Act (UDDA)
-aging population (by 2030 20% pop >65 yo)
-increase in chronic illnesses for all ages
-growing diversity
-bio-medical advances
-new areas of knowledge, i.e. precision health, genetics, technology,
, pharmacokinetics
-increasing complexity of healthcare system
NEED for more advanced practice nurses!
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Dramatic Changes in Healthcare
Moral Courage
-confront situation in a logical, unemotional manner
-competence in ethical dilemma concepts and scenarios
-assertiveness, clarity, timeliness, and beneficence
Clarify Professional Role
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Self-Knowledge
Socialization:
-values
-attitudes
Education
-Knowledge
-Skills
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