Chapter 7

Question 1

What is moral integrity?

Answer 1

-Good moral character
-Sense of being whole or complete

Question 2

What Influences Moral Integrity

Answer 2

Influenced by our values and beliefs

It is influenced, challenged, or supported through how we conduct ourselves in relationships.

Question 3

What are the steps of the Conflict Resolution Framework?

Answer 3

1) Remain attentive to personal values

2) Clarify Obligations

3) Determine the nature of the problem

4) Consider and weigh alternatives

5) Develop respectful solutions

Question 4

Step One: Remain Attentive to Personal Values

Answer 4

-We must acknowledge our personal values and beliefs

-We are compelled to maintain our own integrity when seeking to do what is right

-This skill gets easier the more we practice it

Question 5

Step Two: Clarify Obligations

Answer 5

-Nurses have multiple obligations

-Primary obligation is always to the patient

Question 6

What is a Fiduciary Relationship

Answer 6

-Ethical duty to act in the best interest of another

Question 7

Step 3: Determine the Nature of the Problem

Answer 7

-Determine what type of problem is it; Moral distress, moral dilemma, moral outrage, practical dilemma?

-Be aware of potential unethical/unsafe situations- seek assistance/guidance

Question 8

Step 4: Consider and Weigh Alternatives

Answer 8

-Weight options thoughtfully, including immediate/potential harm

-Consider not only relationships but diverse values held by others

Question 9

Step 5: Develop Respectful Solutions

Answer 9

-Develop solutions that respect each person

-This step demands attention and work

-Develop solutions that are in the best interest of the patient, but also keep relationships intact

-Also involves examining institutional policies

-Advocate for change

Question 10

Who do nurses have an obligation to?

Answer 10

-Patient and family
-Institution that they work for
-Other nurses and health care team members

Question 11

What is the definition of Harassment

Answer 11

Any behaviour that demeans, humiliates, or embarrasses a person, and that a resonable person should have known was unwelcome (touching, comments, jokes, name-calling)

Question 12

Conflict: Tips and Tricks

Answer 12

-Active listening

-Using I statements

-Understanding other’s perspectives

-Advocating for what you feel is right to maintain moral integrity

Question 13

Definition of power

Answer 13

The authority to carry out an action/influence others

Question 14

Definition of Empower

Answer 14

To facilitate the ability of another person to do or to act

Question 15

Definition of Empowerment

Answer 15

Process of personal growth and development

Question 16

Definition of personal Empowerment

Answer 16

Meeting our own needs:
-Self-care
-Self actualization
-Awareness

-Can affect patient care
-Can be challenging to attain

Question 17

Definition of Professional empowerment (Examples)

Answer 17

-Personal accountability and support of nursing colleagues

-Collaboration

-Decision Making

-Improving Outcomes

-Being Involved

Question 18

How do you facilitate empowerment?

Answer 18

-Ethical Principles

-Communication

-Autonomy

-Access to resources

-Collaboration

Question 19

Barriers to Empowerment?

Answer 19

-Taking risks

-Anxiety and fear

-Paternalistic attitudes in health care

-Institutional norms

-Social, cultural, and political factors

-Limited resources, stereotypes

Question 20

Define Whistle Blowing

Answer 20

Speaking out against unsafe or questionable practice