Final Flashcards
(27 cards)
Ethical theories
duty (deontology) - right action
consequence - right thing for most involved
character - based on life and willingness
relationship - nature and obligation (preservation of relations)
moral distress
risk factors for spiritual distress?
unable to act on belief or acting in a manner contrary to belief
death, illness, loss, transition, alienation
religion
humanism
spirituality
context?
beliefs and practices related to transcendence. organizational/solo
secular humanism views human existence without reference to religion, transcendence, higher power, or ultimate truth
core of religion
modern day: largely self-defined
all care, life transition, trauma, end of life
NANDA spirituality
ability to experience meaning in life through connectedness to self, others, the world, etc
attributes of spirituality: meaning-making unfolding mystery connectedness/experiencing relationship practice
purpose
transcending self
intra-inter-trans
watsons caring theory
authentic presence
watsons caring theory: loving-kindness and presence
miracles
holistic
authentic presence: enabling deep belief of another
scope of spirituality?
spiritual care (ramezani)?
meaning making
unfolding mystery
humanism-devotion-religion
integrating dimension of care (ramezani)
finding purpose
experiencing transcendence
safety?
3 attributes?
prevention of care errors and elimination of patient injury caused by these errors
knowledge
skills
attitude
safety theoretical links?
human factors science: study of interrelationships, technology, and work environment
multitasking and ability
support of providers
complex acute care
context (what has changed)?
historically: blame and discipline
now: process approach- what went wrong?
required: culture of safety
just culture?
finding balance between need to learn mistakes and need for disciplinary action
value: reporting errors without discipline
skill attribute?
safety exemplars?
using technology and practice to maximize safety
med administration:
7 rights
TALLman lettering
standardizing order sets
standardized med orders?
do not include what?
generic name metric dose frequency route indication details
drug volume # of tablets/vials range of dosage without objectivity
errors?
scope of errors?
diagnostic, treatment, preventative, communication
latent(blunt and systematic) and active(sharp and direct)
active exemplars?
latent exemplars?
7 rights, bedside
TALLman, standardized orders
adverse?
near miss?
sentinel?
unintended harm from act rather than disease
error of act that could have harmed patient, but it was a chance miss
unexpected death/serious injury
how do you analyze a sentinel event?
root cause analysis
systems approach
identify active and latent errors
multidisciplinary approach
error of commission?
omission?
execution?
incorrect data entered/malfunctioning technology
data not recorded or not detailed
correct actions in mind, but fails to execute correctly
ethics?
encompasses what 3 things?
study of morality through multiple approaches
nurse, family, employee
scope of ethics? define each.
societal: ethics with laws and regulations
organizational: formal and informal principles direct members of an organization
bioethics: ethics surrounding bio and technology
clinical: ethical decisions made at bedside
research ethics: concerning humans and animals
professional: expectations of a profession- high standard
personal: intersect with other ethics- conflicting
ethics are dynamic
values are?
learned, reflect us
day-to-day and life decisions
dynamic
valuing? leads to what?
choosing, prizing, acting
consistent
self-awareness (nonjudgmental)
ethical principles? define.
situations can be viewed differently depending on which angle
respect: autonomy and veracity nonmaleficence beneficence justice: equal distribution fidelity: faithful to commitments
ethical problem v dilemma?
problem: child stole
dilemma: child starving- punish or dismiss?
