Nursing Ethics & Values
Terms
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- Values
- Standard for decision making. Includes attitudes and beliefs
- Attitudes
- One's dispositon toward an object or a situation
- Beliefs
- Ideas that one accepts to be true
- Professional Values
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Promoting self determination
Doing good
Avoiding Harm
Telling the truth
Respecting privileged information
Keeping promises
Treating people fairly
Respect for human dignity - Five Core Values (American Associatiion of Colleges of Nurses)
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Altruism -selflessness
Autonomy
Human Dignity
Integrity
Social Justice - Social Values
- Consist of Cultural influence and Socializing Influences
- Cultural Influences
- World view, cultural value orientation
- Socializing Influences
- Family, shcool, religion, media, community, peers, life experiences
- Ethics
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Brance of philosophy dealing with standards of conduct and moral judgement
Based on moral reasoning and reflect sets of values - Health Care Ethics
- The application of moral reasoning to all aspects of health care.
- Principles of Healthcare Ethics
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Beneficence
Nonmaleficence
Respect for Autonomy
Justice
Veracity
Fidelity
Confidentiality
Privacy - Beneficence
- Doing or promoting good
- Nonmaleficence
- Avoid doing harm
- Respect for autonomy
- right to self determination
- Justice
- Principle of fairness
- Veracity
- Teeling the truth
- Fidelity
- Being faithful to one's commitments
- Confidentiality
- Keeping information private
- Model for Case Analysis
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Indications for medial intervientions
-Futility
-Prognosis
-palliative interventions (comfort measures)
-legal interventions
Client Preference
-Informed consent
-Ability to communicate
-Advanced directive
Quality of life
Contextual features
-benefits vs. burdens - Ethical Dilemmas
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A situation in which tow or more choices are available
It is diffidulty to detmine which choice is best
avlailable alternatives cannot solve the needs of all those involved
The alternatives have both favorable and unfavorable features - Strategies
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-Validate feelings and values
-conduct a case analysis
-idewntify outcomes
-identify short and long term goals
-clarify accountabilities
-resolve reactions - Three primary functions of Ethic Committees
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Policy making
Education
Consultation