Chapter 22.txt

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Chapter 22.txt
2015-05-30 18:52:21
Ethics Values

Ethics & Values
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  1. What is the code of ethics for nursing and by whom was it established?
    • A set of guiding principles that all members of a profession accept
    • Helps professional groups settle questions about practice or behavior ?
    • Includes:
    • a. advocacy
    • b. responsibility
    • c. accountability
    • d. confidentiality
    • The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.
    • The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy.
    • Established by: the ANA (American Nurses Association)
  2. How would the nurse demonstrate the principles of:
    • a. advocacy: nurses advocate for health, safety, rights of patients (including right to privacy)
    • b. responsibility: responsible for your actions and actions of those you delegate. Obligated to follow through with promises
    • c. accountability: ability to answer for your actions. Yur professional actions should be explainable to patients and employer.
    • d. confidentiality: HIPPA mandates protection of patient personal health information.
  3. How do we form and clarify values?
    • We form values during childhood and are shaped by experiences within the family unit. Schools, governments, religious traditions and other social institutions also help form values. As we grow we acquire new values from community and discard or transform others. Our individual experiences also help form them
    • We clarify values by learning to tolerate differences. To clarify we need to distinguish among value, fact and opinion. This will help us not to use our strong values to be judgmental. Identifying values as something separate from facts can help you find tolerance for others even when we have different values. "You must know where you stand, but you must set it aside at times so it doesn't color your opinion of the patient."
  4. What steps would the nurse utilize to process an ethical dilemma?
    • Step 1: Ask if this is an ethical dilemma.
    • Step 2: Gather all relevant information.
    • Step 3: Clarify values.
    • Step 4: Verbalize the problem.
    • Step 5: Identify possible courses of action.
    • Step 6: Negotiate a plan.
    • Step 7: Evaluate the plan.
  5. What does the nurse’s point of view provide in the resolution of ethical dilemmas?
    A nurse’s point of view offers a unique voice in the resolution of ethical dilemmas. Nurses spend the most time with patients and because they are involved in intimate physical acts like bathing, feeding and special procedures, pts and families feel safer or more comfortable with revealing information they may not tell doctors etc. Details about family life, coping styles, personal preferences and fears are likely to come out under the nurses care. This is a very valuable point of view.