Fundamentals of Nursing Chapter 44 Ethics and Values – Flashcards
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Define morals
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refer to private, personal, or group standards of right and wrong
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Define ethics
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is the systematic study of right and wrong conduct in situations that involve issues of values and morals
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Define bioethics
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the application of ethical principles to healthcare
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Define nursing ethics
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ethical questions that arise out of nursing practice
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What is meant by ethical agency
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nurses have choices and are responsible for their actions
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Identify the factors that contribute to the frequency of a nurse's moral problems
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values attitudes and beliefs
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Differentiate personal values and morality from professional values
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personal values are those you have internalized and reflected on professional values are those which are guided by governing bodies of nursing such as AACN
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Explain how developmental stages, values, moral frameworks, professional guidelines, and moral principles affect moral decisions
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They offer a lens through which to examine ethical problems
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Describe five major ethical principles that are used in reasoning about healthcare.
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Autonomy--a person's right to choose and ability to act on that choice Nonmaleficence--the two fold duty to do no harm and to prevent harm Beneficence--the duty to do or promote good Fidelity--the duty to keep promises Veracity --the duty to tell the truth Justice--the obligation to be fair
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Compare four moral frameworks: consequentialism, deontology, ethics, of care, feminist ethics
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They all use a perspective that acts are right or wrong depending upon certain criteria
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Contrast four moral frameworks: consequentialism, deontology, ethics, of care, feminist ethics
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Consequentialism--the rightness or wrongness of an action depends upon the consequences of the act rather than on the act itself Deontology--considers an act to be right or wrong regardless of the outcome Ethics of Care--directs attend to the specific situations of individual patients viewed within the context of their life narrative Feminist Ethics--based on the belief that traditional ethical models provide a mostly masculine perspective and that they devalue the moral experience of women
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Identify the moral issues and principles involved in a given ethical situation
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This would be about a scenerio
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Explain how nurses can use knowledge of values transmission and values clarification to facilitate the ethical decision-making of clients
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by guiding the client into clarifying their own values so that they might make informed decisions rather than emotional ones
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Describe a systematic approach for resolving ethical dilemmas
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First use problem solving--Assessment (what are the relevant facts), Analysis/Diagnosis Identify the problem and state the conflict. Second use the MORAL model
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Discuss the concept of an integrity-producing compromise
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it preserves the integrity of all parties 1. discussions are carried out with mutual respect 2. the rationale for the compromise is principle based
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Describe the nurse's obligations in ethical decisions
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1. be aware of and sensitive to issues 2. assume responsibility for your own moral actions 3. function as a team member 4. support the patient and family members 5. support patients who are not being allowed to decide 6. use and participate in institutional ethics committees 7. advocate for your client
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Discuss the roles of the nurse as client advocate in the delivery of ethical nursing care.
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the roles of advocates is to safeguard clients against abuse and violation of their rights.
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Apply the steps identified in the MORAL model for ethical decision-making to issues nurses encounter in patient care.
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M-massage the dilemma O- outline the options R-resolve the dilemma A-act by applying the chosen option L-look back and evaluate
