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foundations study guide test 1, chapter 22

front 1

autonomy

back 1

refers to freedom of external control for politics and government, in health care similar

front 2

respect for autonomy refers to the commitment to include _______________ in decisions about all aspects of care as a way of acknowledging their independence.

back 2

patients

front 3

beneficence

back 3

taking positive actions to help others. the principle of beneficence is fundamental to the practice of nursing and medicine. The agreement to act with b. implies that the best interests of the patient remains more important then self. Implies that nurses practice service to others, even daily

front 4

nonmaleficence

back 4

Maleficence= harm or hurt, so nonmaleficence is the avoidance of harm or hurt.

front 5

nonmaleficence in health care, ethical practice involves the will to do good, but equal commitment to do no

back 5

harm

front 6

justice

back 6

fairness. usually when discussing healthcare resources, or lack of availability to

front 7

fidelity

back 7

refers to ability to keep promises by following through on your actions and interventions if you assess a patient for pain and offer a plan to manage the pain, encourages you to monitor the patient's response

front 8

advocacy

back 8

refers to the support of a particular cause. as a nurse you advocate for the health, safety, and rights of patients, including their right to privacy. you understand patient's point of view.

front 9

responsibility

back 9

willingness to respect one's professional obligations and follow through on promises. responsible for actions and for actions of those you delegate tasks to. maintain competent to practice so you are reliable.

front 10

accountability

back 10

refers to ability to answer for one's action. you learn to ensure that your professional actions are explainable to your patients and your employer.

front 11

confidentiality

back 11

widely respected in health care. federal legislation known as the Health Insurance Portability Accountability Act (HIPAA).

front 12

value

back 12

a personal belief about the worth of a given ideas, attitude, custom, or object that sets standards that influence behavior. Important to know your own values as you respect others values.

front 13

Philosophies of ethical

back 13

be able to recognize the philosophy

front 14

Philosophies of ethical discussions:
deontology

back 14

defines actions as right or wrong based on their "right-making characteristics) such as fidelity to promises, truthfulness, and justice.

front 15

Philosophies of ethical discussions:
utilitarianism

back 15

proposes that the value of something is determined by its usefulness. the philosophy is also known as consequentialism. relies on the application of a certain principle.

front 16

Difference between deontology and utilitarianism

back 16

the focus on outcomes. Utilitarianism measures the effect that an act will have; deontology looks to the presence of principle regardless of outcome.

front 17

Philosophies of ethical discussions:
feminist ethics

back 17

critiques conventional ethics such as deontology and utilitarianism. looks to the nature of relationships to guide participants in making difficult decisions, especially when powers are unequal.

front 18

Philosophies of ethical discussions:
feminist ethics

back 18

propose that the natural human urge to be influenced by relationships is a positive value.

front 19

Philosophies of ethical discussions:
ethics of care

back 19

ethics of care and feminist ethics are closely related. both promote a philosophy that focuses on understanding relationships, especially personal narratives.

front 20

Philosophies of ethical discussions:
ethics of care

back 20

may even address issues beyond individual relationships such as ethical concerns about the structures within which individual caring occurs such as health care facilities

front 21

Philosophies of ethical discussions:
consensus in bioethics

back 21

bringing different points of view to agreement and harmony, or consensus, requires skill and patience. Building consensus is essentially an act of discovery, collective wisdom guides the group. encourages respect for unusual points of view while working for agreement among participants.

front 22

Key steps in the resolution of an ethical dilemma

back 22

Ask, gather info, clarify values, verbalize problem, identify courses of action, negotiate a plan, and evaluate the plan.

front 23

Key steps in the resolution of an ethical dilemma (know in order) STEP 1:

back 23

Ask the question, is this an ethical dilemma? if a review of scientific data does not resolve the question, if it is perplexing, and if the answer will have relevance for human concern, an ethical dilemma probably exists.

front 24

Key steps in the resolution of an ethical dilemma (know in order) STEP 2:

back 24

gather info relevant to the case. Patient, family, institutional, and social perspectives are important sources of relevant information.

front 25

Key steps in the resolution of an ethical dilemma (know in order) STEP 3:

back 25

clarify values. Distinguish among fact, opinion, and values.

front 26

Key steps in the resolution of an ethical dilemma (know in order) STEP 4:

back 26

verbalize the problem. a clear, simple statement of the dilemma is not always easy, but it helps to ensure effectiveness in the final plan and facilitate discussion.

front 27

Key steps in the resolution of an ethical dilemma (know in order) STEP 5:

back 27

Identify possible courses of action.

front 28

Key steps in the resolution of an ethical dilemma (know in order) STEP 6:

back 28

negotiate a plan. negotiation requires sa confidence in one's own point of view and a deep respect for the opinions of others.

front 29

Key steps in the resolution of an ethical dilemma (know in order) STEP 7:

back 29

evaluate the plan over time.