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Flashcards in Ethics Deck (19)
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define "ethics"

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


define "autonomy"

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


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


define "beneficence"

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


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


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


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


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


ethical decision making

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


define "ethical issues"

  • moral challenges facing profession


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


biggest focus with public health and ethics

  • how to allocate limited resources to equally needy populations


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


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


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


core functions of public health nursing

  • assurance
  • assessment
  • policy development



  • 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


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


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