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Flashcards in Ethics Deck (19)
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1

define "ethics"

  • body of knowledge and is more than "being a good person"
  • part of clinical decision making to make decisions off ethics

2

define "autonomy"

  • agreement to respect another's right to self determine a course of action
  • support of independent decision making

3

Patient Self Determination Act

  • passed by US congress
  • states that competent ppl could make their wishes known regarding what they wanted in their end of life experience, when they were possibly not competent
  • includes DPOA which designates a competent person to assist in making end of life decisions when the individual was no longer competent

4

define "beneficence"

  • act of compassion
  • taking positive action to help others
  • a desire to good
  • core principle of patient advocacy

5

define "nonmaleficence"

  • avoidance of harm or hurt
  • core of medical oath and nursing ethics
  • extends to make sure you are doing no harm in the beneficent act of using technology to extend life or in using experimental tx that have not been well tested

6

define "fidelity"

  • requires loyalty, fairness, truthfulness, advocacy, and dedication to the pt
  • involves agreement to keep promises
  • refers to the concept of keeping a commitment
  • based upon virtue of caring

7

define "justice"

  • refers to equal and fair distribution of resources, based on analysis of benefits and burdens of decision
  • implies that all citizens have equal right to goods distributed, regardless of what they have contributed and who they are

8

define "paternalism"

  • refers to act of healthcare professionals making decisions about diagnosis, therapy, and prognosis for patient
  • based upon healthcare professional's belief abut what is in the best interest of the patient, he/she chooses to reveal or withhold patient info in these top three arenas
  • heavily laden as an application of power over the patient

9

ethical decision making

  • process that considers ethical principles, client values, professional obligations, and addresses ethic diversity and multiculturalism

10

define "ethical issues"

  • moral challenges facing profession

11

define "ethical dilemmas"

  • moral problems where ppl, groups, or community can see morally justified reasons for taking or not taking certain actions
  • no matter where you practice, all  hospitals have an ethical resource available 24/7

12

biggest focus with public health and ethics

  • how to allocate limited resources to equally needy populations

13

conflicts in ethical issues and ethnicity

  • situations in which ethnic diversity can be judged in relationship to cultural standards:
    • situations that place persons at direct risk of harm, whether psychological or physical
    • situations where ethnic cultural standards conflict with professional standards
    • situations where the greater community's values are jeopardized by specific ethnic values
    • situations where specific ethnic community customs are annoying but not problematic for the greater community

14

nursing code of ethics

  • ANA's Code of Ethics for Nurses with Interpretive Statements
    • emphasizes political action as the mechanism to effect social justice and reform regarding homelessness, violence, and stigmitization

15

public health code of ethics

  • contains 12 statements that address the moral standards that delineate public health's values, goals, and obligations
    • preventing harm
    • doing no harm
    • promoting good
    • respecting both individual and community rights
    • respecting autonomy, diversity, and confidentiality when possible
    • ensuring professional competency
    • trustworthiness
    • promoting adovcacy for disenfranchiesed persons w/in a community

16

core functions of public health nursing

  • assurance
  • assessment
  • policy development

17

advocacy

  • act of pleading for or supporting a course of action on behalf of a person, group, or community
  • public health nurses have a moral mandate to establish ethical standards when advocating for health care policy

18

ethical principles for effective advocacy

  • act in client's best interests
  • act in accordance with client's wishes and instructions
  • keep client properly informed
  • carry out instructions w/ diligence and competence
  • act impartially, and offer frank, independent advice
  • maintain client confidentiality

19

nurses and advocacy

  • nurses should advocate through policy development process
  • nurses have the opportunities as well as responsibilities to provide accurate and up to date information in the policy development process
  • providing info to elected officials can be a source of significant influence and reward
  • nurses should be prepared to discuss issues factually and have info that is based on credible evidence
  • nurses can serve as force behind intro for new bill