Integrity of Nursing – Flashcards

Honestly, sincerity, uprightness, Wholeness -comes from the word " to be whole" -follow the code of ethics act as a moral agent -integrity is a key part of virtue ethics -foundation of ethical behaviour -demonstrates consistency among values, beliefs and actions

Moral Agency Fidelity to promise Steadfastness Wholeness

--the capacity or power of a nurse to direct his or her motives and actions to some ethical end and essentially doing what is right -Nurses are the moral agent and the agency is how capable we are to do the right thing -Develop moral agency and integrity as we progress through the career, sense of wholeness and sense of being true develops --sense of integrity develops as they assume greater control over accountability for their moral lives learn through reflection to examine beliefs and actions critically and being to shape their own moral code -

moral agency is bound ip with our willingness to promise and to hold ourselves to promises made -moral agents are expected to be true to their word, make promises and stick by them - the foundation to a trusting nurse-pt relationship

To be firm in belief, determination, or adherence - being true to our moral code or promises is sometimes difficult, but steadfastness has to do with being strong in our beliefs and speaking up for what is right -an unwillingness to yield their principles and values, even when the pressures to do so are great -processes of reflection and thoughtful disclosure about they values that guide action are key

someone who practices with integrity , has continuity and consistency in their actions values are always being upheld

Nurse-client Nurse- instituition Nurse - Colleague Nurse- Community

-The active support of an important cause, supporting others to act for themselves or speaking on behalf of those who can not speak for themselves -advocacy is an intergral part of nursing -can help form trust -an enactment of moral courage -the skill of facilitating the needs of others - a theme within virtue ethics -allowing the person to make their own choices, speak up for themselves to be informed -also looking at the bigger picture, context and policies

individual - individuals assisted to authentically exercise their freedom or self-determination professional- actions taken on the behalf of individual patients and actions taken to expose and redress underlying problems

-hostility ( labelled as hostile) -isolation from peers -emotional toll -reprimand -impinge on job opportunities

-equity and fairness ( can;t promote the interests of one if it is impiging on the interests of others) -systemic issues -requires time, energy, resources, understanding of a patients rights, -requires support and capacity

sustained contact with patient provides insight into injustices

requires a balance between the health needs of an individual vs a population -look at what it means for the whole population, will we have to make the change for all the populations

make sure we are setting the stage for patients to advocate for themselves, empower the patient

-interconectedness with mind/body /spirit -emotional sensitivity to the experience of others -perception of the context/perspective of the experience - integral part of our cognitive appraisal of a situation -allows us to be informed -results in capacity to develop empathy -enhances capacity to form accurate moral perceptions and moral judgements/actions

Values • Providing safe, compassionate, competent and ethical care • Promoting health and well-being • Promoting and respecting informed decision-making • Preserving dignity • Maintaining privacy and confidentiality • Promoting justice • Being accountable Responsibility Statements • Ethical responsibilities with the value statements accompanying each ethical value that guide our practice Levels of Guidance • Prescriptive (in the case of an ethical violation) • Advisory (in the case of an ethical dilemma) • Limited (in the case of ethical distress)

-The first value because it is the foundation of nursing practice and the ultimate goal of nursing -Nurses have a responsibility to safeguard the quality of care that patients receive - holding this value is an enormous responsibility that nurses do not take lightly→ upheld through regulation and practice

-the integration of knowledge, skills, abilities and judgement in enacting care deliver -if nurses do not have this, mistakes can happen and patients may suffer harm -abilities to asses, plan, organize a delegate, listening, providing information -documentation -also need to have psychomotor skills, and competence working with technology

-RNs are part of a self-governing or self-regulating profession • -Practice standards are written statements detailing those things for which nurses must be accountable, and are closely tied to the CAN code of ethics -Designed to ensure nursing competence -Scope of practice -Competency statements- -Accreditation- -Registration- -Professional nursing associations-→ responsible for discipline -Standards

-Responsibility and Accountability -Specialized body of knowledge -Competent application of knowledge -Code of ethics -Provision of service in the public interest -Self regulation

-Expectations are uniform -Require that nurses undertake a process of self review -Holding nurses accountable for their own competence -Continuing competence is a life learning venture -It requires • Reflection • Peer review • Certification • Chart audit

-Nursing practice is legislated in provinces and territories across Canada and that practice standards guide everyday nursing practice -Discipline is a professional matter, but not necessarily a legal one -Patient relies on nurses knowledge, and expertise and nurses have a legal duty to provide what the court considers a reasonable level of care -Nurse is held accountable under law to perform to a certain standard

guides ethical decision making outlines a set of values basic to nursing practice provides a means for self-evaluation provides a basis for peer review initiatives informs nurses of their values/standards informs the public of nurses' values/standards

-does not provide the ethical values for every situation -does not recognize the unique context of an ethical situation -does not identify a system of prioritizing values - does not recognize the moral reasoning required to work through an ethical situation

-Impaired practice ( incompetent or unsafe) -unethical behaviour -HCP charged/convicted of a crime

-failing to provide safe, competent care -breech of ethical standards -questionable behaviour that is likely to continue -unable/unwilling to recognize and correct the behaviour -harm has been caused

- Directly (describe behaviour) - Manager (choose course of action) - Regulatory body (report to CRNBC if un-resolved)