NR 599 Final Exam Study Guide

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. Nonmaleficience: "Do no harm" Accountability - the fact or condition of being accountable (required or expected to justify actions or decisions); responsibility (having an obligation to do something, or having control over or care for someone, as part of one's job or role). Ethical use of social networking applications - Nurses must-- exercise judicious use of social media to protect their patients' rights.- understand their obligation to their chosen profession, particularly as it relates to personal behavior and the perceptions of their image as portrayed through social media.- be mindful that once communication is written and posted on the internet, there is no way to retract what is written; it is a permanent record that can be tracked, even if the post is deleted. Casuistry - - A case-based ethical reasoning method that analyzes the facts of a case in a sound, logical, and ordered or structured manner.- The casuist approach to ethical decision making grew out of the call for more concrete methods of examining ethical dilemmas. Security Risk Assessment - An evaluation of threats and vulnerabilities of a network and PHI. (breaches in HIPPA requirements) 5 security risk steps - 1) REVIEWING THE EXISTING SECURITY OF PHI 2) IDENTIFYING THREATS AND VULNERABILITIES3) ASSESSING RISKS FOR LIKELIHOOD AND IMPACT 4) MITIGATING SECURITY RISK 5) MONITORING RESULTS (ONC, ND) Risk Mitigation - -A risk response strategy whereby the project team acts to reduce the probability of occurrence or impact of a risk. -the process of reducing risk exposure and minimizing the likelihood of an incident. Ex: Disaster recovery plan 4 types of risk mitigation strategies - Risks to accept — An organization may decide to accept certain risks. Risks to avoid — An organization may seek to eliminate a risk from occurring. Risks to reduce — An organization may seek to reduce the impact of a risk. Risks to transfer — An organization may transfer the risk and its consequences to a third party. 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 ANA Code of Ethics for Nurses (7) "Ethical decision making" - 1. Respect human dignity2. Respect individual right to self-determinism 3. Primary commitment to patient (individual, fam, group, community) 4. Advocacy for patients 5. Advancing the profession 6. Collaborating with others to meet health needs 7. Shaping social policy Bioethics - - The study of ethics related to issues that arise in health care. - Takes on relevant ethical problems experienced by healthcare providers in the provision of care to individuals and groups. Fundamental Background of Bioethics (3) - - The nature and needs of humans as living, thinking beings - The purpose and function of the healthcare system in a human society - An increased cultural awareness of human beings' essential moral status Bioethical Standards (6) - Autonomy, freedom, veracity, privacy, beneficence, and fidelity are maximally appropriate to the health care setting. Autonomy - The right to choose for himself or herself; respecting the clients opinions, perspectives, values and beliefs.