NR 226: Exam 1
Deontology - ANS defines actions as right or wrong
Utilitarianism - ANS proposes that the value of something is determined by its usefulness
Feminist Ethics - ANS focuses on the inequality between people
Ethics of Care - ANS Emphasizes the importance of understanding relationships, especially as
they are revealed in personal narratives
Professional Nursing Code of Ethics - ANS A set of guiding principles that all members of a
profession accept
Autonomy - ANS commitment to include patients in their decisions
Beneficence - ANS taking positive actions to help others
Nonmaleficence - ANS avoidance of harm or hurt
Justice - ANS being fair
Fidelity - ANS agreement to keep promises
How to process an ethical dilemma (7 steps) - ANS Step 1: Ask if this is an ethical dilemma.
Step 2: Gather all relevant information.
Step 3: Clarify your own values/opinons.
Step 4: Verbalize the problem.
Step 5: Identify possible courses of action.
Step 6: Negotiate a plan.
Step 7: Evaluate the plan.
Who can request access to an ethical committee? - ANS Any person involved in an ethical
dilemma
(including nurses, physicians, health care providers, patients, and family members)
Issues in healthcare ethics - ANS quality of care
genetic screening
care at the end of life
access to care
, 4 basic principles in the Code of Ethics - ANS 1. advocacy
2. confidentiality
3. responsibility
4. accountability
an ethical problem has at least one of the following.. (3) - ANS 1. unable to resolve solely on
scientific data
2. perplexing- cannot easily make decision
3. answer will have a profound relevance for areas of human concern
purposes of the ethical committee - ANS provide education, recommendations, and case
consultation
issue: quality of life - ANS measures the values/benefits of certain medical interventions
(ex. DNR, cancer therapy)
issue: genetic screening - ANS can alert patient to a condition that is not yet apparent, but will
eventually develop
issue: futile care - ANS medical interventions that are unlikely to produce benefit to the patient
(ex. tx to a patient that has no hope/incurable)
moral distress - ANS describes the anguish experienced when a person feels unable to act
according to closely held core values
ethics - ANS The study of conduct and character. It is concerned with determining what is good
or valuable for individuals and society at large
values - ANS Personal beliefs about the worth of something, that influences their behavior
accountability - ANS answering for your own actions
magnet recognition - ANS the hospital has clinical promotion systems and research and
evidence-based practice programs; nurses have professional autonomy over their practice
team nursing - ANS interdisciplinary team approach developed in response to severe shortage
of nursing after World War II- team effort, team leader, care is provided collaboratively
total patient care - ANS -original care delivery model of Florence Nightingale
-RN is responsible for all aspects of care, RN works directly with patient, pt satisfaction is high,
care can be delegated, RN can have multiple patients during a shift
Deontology - ANS defines actions as right or wrong
Utilitarianism - ANS proposes that the value of something is determined by its usefulness
Feminist Ethics - ANS focuses on the inequality between people
Ethics of Care - ANS Emphasizes the importance of understanding relationships, especially as
they are revealed in personal narratives
Professional Nursing Code of Ethics - ANS A set of guiding principles that all members of a
profession accept
Autonomy - ANS commitment to include patients in their decisions
Beneficence - ANS taking positive actions to help others
Nonmaleficence - ANS avoidance of harm or hurt
Justice - ANS being fair
Fidelity - ANS agreement to keep promises
How to process an ethical dilemma (7 steps) - ANS Step 1: Ask if this is an ethical dilemma.
Step 2: Gather all relevant information.
Step 3: Clarify your own values/opinons.
Step 4: Verbalize the problem.
Step 5: Identify possible courses of action.
Step 6: Negotiate a plan.
Step 7: Evaluate the plan.
Who can request access to an ethical committee? - ANS Any person involved in an ethical
dilemma
(including nurses, physicians, health care providers, patients, and family members)
Issues in healthcare ethics - ANS quality of care
genetic screening
care at the end of life
access to care
, 4 basic principles in the Code of Ethics - ANS 1. advocacy
2. confidentiality
3. responsibility
4. accountability
an ethical problem has at least one of the following.. (3) - ANS 1. unable to resolve solely on
scientific data
2. perplexing- cannot easily make decision
3. answer will have a profound relevance for areas of human concern
purposes of the ethical committee - ANS provide education, recommendations, and case
consultation
issue: quality of life - ANS measures the values/benefits of certain medical interventions
(ex. DNR, cancer therapy)
issue: genetic screening - ANS can alert patient to a condition that is not yet apparent, but will
eventually develop
issue: futile care - ANS medical interventions that are unlikely to produce benefit to the patient
(ex. tx to a patient that has no hope/incurable)
moral distress - ANS describes the anguish experienced when a person feels unable to act
according to closely held core values
ethics - ANS The study of conduct and character. It is concerned with determining what is good
or valuable for individuals and society at large
values - ANS Personal beliefs about the worth of something, that influences their behavior
accountability - ANS answering for your own actions
magnet recognition - ANS the hospital has clinical promotion systems and research and
evidence-based practice programs; nurses have professional autonomy over their practice
team nursing - ANS interdisciplinary team approach developed in response to severe shortage
of nursing after World War II- team effort, team leader, care is provided collaboratively
total patient care - ANS -original care delivery model of Florence Nightingale
-RN is responsible for all aspects of care, RN works directly with patient, pt satisfaction is high,
care can be delegated, RN can have multiple patients during a shift
