NR599 Final Exam

Ethical Decision Making - -Process that requires striking a balance between science and morality -Making informed choices about ethical dilemmas based on a set of standards differentiating right from wrong. Ethical Decision Making Process - 1. Identify the ethical dilemma 2. Discover alternative actions 3. Decide who might be affected 4. List the probable effects of the alternatives 5. Select the best alternative Rational justification - developed through a logical process of decision making that gives proper attention to such things as facts, alternative perspectives, consequences to all stakeholders, and ethical principles. American Nurses Association- Code of Ethics for Nurses with Interpretive Statements. - provides specific guidance for ethical decision making and provides a valuable framework that can be used when working with HIT issues having an ethical component includes the following - 1. Failure to adopt technology or use it adeptly 2. Lack of regard for data integrity such as discrepancies. in record information that are noted but no corrective action is taken. 3. Failure to address threats to privacy and personal health information. 4. Inappropriate access of PHI without a need to know. 5. Failure to keep informed of emerging developments and issues.6. Failure to recognize and use technology to advance the profession. 7. Failure to engage in policy discussion that impact healthcare delivery. 8. Failure to recall that the patient is their primary focus. 9. Failure to actively participate in the selection use, and/or evaluation of technology that has the potential to improve healthcare. ANAs Code of Ethics for Nurses - 1. Respect for human dignity 2. Respect for individual right to self-determinism 3. Primary commitment is to the patient (individual, family, group or community) 4. Advocacy for the patient 5. Participation in the creation, maintenance, and improvement of healthcare environments 6. Advancing the Profession 7. Collaboration with others to meet health needs 8. Shaping social policy. 6 contemporary Bioethical Standards - Autonomy freedom veracity privacy beneficence fidelity What is the Husted bioethical decision making model centered on - healthcare professionals implicit agreement with the patientVirtue Ethics Approach - moral behavior stems from personal virtues