Ethics and Standards of Practice Issues in Mother/Baby

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Ethics and Standards of Practice Issues in Mother/Baby
2014-09-05 23:21:11
Chap Two

Chap 2
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  1. The ANA code of ethics for nursing serve as:
    -A statement of the ethical obligations and duties of every nurse

    -The profession's non-negotiable ethical standard

    -An expression of nursing's own understanding of its commitment to society
  2. Ethical principles that relate to patient care include:
    • Autonomy
    • Respect for others
    • Beneficence
    • Nonmaleficence
    • Justice
    • Fidelity
    • Veracity
    • Utility
  3. The right to self-determination
  4. Principle that all persons are equally valued
    Respect for Others
  5. Obligation to do good
  6. Obligation to do no harm
  7. Principle of equal treatment of others or that others be treated fairly
  8. Faithfulness or obligation to keep promises
  9. Obligation to tell the truth
  10. The greatest good for the individual or an action that is valid
  11. Two key ethical approaches:
    The Rights Approach-- the focus is on the individual's right to choose, and the rights to privacy, to know truth, and to be free from injury or harm

    The Utilitarian Approach-- ethical actions are those that provide greatest balance of good over evil and provide for the greatest good for the greatest number
  12. Choice that has the potential to violate ethical principles
    Ethical Dilemma
  13. Action taken on behalf of those in our care:
    • Advocacy
    • (in maternal nursing you are advocating for 2 patients: mom and baby!)
  14. System under which an authority makes decisions for others and should be avoided in decision making in health care
  15. Five clinical situations that account for a majority of fetal and neonatal injuries and litigation in obstetrics:
    -Inability to recognize/appropriately respond to intrapartum fetal compromise

    -Inability to effect a timely cesarean birth when indicated by fetal or maternal condition

    -Inability to appropriately initiate resuscitation of a depressed neonate

    -Inappropriate use of oxytocin or misoprostol leading to uterine hyperstimulation, uterine rupture, and fetal intolerance of labor and/or fetal death

    -Inappropriate use of forceps/vacuum and/or preventable shoulder dystocia
  16. Reflect a very important global paradigm shift in how to view health care outcomes, how the discipline is taught, how practice is conducted, and how health care practices are evaluated for quality
    Evidence Based Practice, Evidence-based Medicine, Evidence-Based Nursing
  17. The ____ is a publicly available database of evidence based clinical practice guidelines
    National Guideline Clearinghouse
  18. Systematic approach to determine the most current and relevant evidence upon which to base decisions about patient care
    Evidence Based Practice