S3 M4 Ethical/Legal Flashcards
(28 cards)
Ethics
A system of laws and morals to guide conduct
Principles of ethics
Autonomy
Beneficence
None maleficence
Justice - fairness
Veracity - truth
Fidelity - keep promise
Ethical dilemma
When 2 options compete in terms of ethics
Ethical dilemma solving steps
ID problem
ID alternatives
Examine alternatives
Predict consequences
Implement plan
Evaluate action
Moral distress
Difficulty with following through with the ethical action like ending life support for a patient
Internal constraints
?
External constrains
?
Ethical vs moral dilemma
Ethical - dont know what is right or wrong
Moral - you know but cant take the next step
AACN what can be do about ethics
Self recognition
Understand own values
Be more knowledgeable about ethical dilemma
Informed consent
Getting permission before doing intervention
What is INFORMED consent
Receiving full disclosure from provider
Done by physician and liability will lie with physician
Patient understands risks/benefits
What to verify with informed consent as a nurse
Has all info and they UNDERSTAND it
Signature lines on consent forms
Informant -DR
Patient
Witness -fam preferably
What are you witnessing to in consent forms
That person is INDEED that person
Internal constraints to ethics
Doubt
Lack of assertiveness
Powerlessness
Lack of understanding
External constraints to ethics
Hierarchies
Lack of staff support
Lack of admin support
Fear of litigation
Manifestations of moral distress
Emotional like anger
Physical like headaches
Psych like depression
AACN
American association of critical nurses
Who creates guidance on how to handle ethical issues
AACN
Levels of handling ethical dilemma
Self
Unit
Organization
Ethics and self
Recognize stress
Tell trusted colleagues
Do professional EDU like palliative care classes
Ethics and the Unit
Pause after PT death
Do resilience rounds
Create mentoring program
Ethics and the Organization
Promote AACN health work environment standards
Offer counseling
Zero tolerance policy on bullying
Advanced directives
Allow individual of SOUND MIND to document preferences regarding end of life care
Done for when the individual if NOT of sound mind
