Wiki.ethics 2011
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  • 1. EthicsInpatient review class August 2011
  • 2. Moral Principles Guiding NursingPractice Autonomy  Based on the doctrine of informed consent  The right of people to be left alone and to define their own destiny without interference— “self- determination”  Free Choice and personal decisions
  • 3. Principal-Based Ethics An approach to ethics that identifies/defines fundamental principles to guide behavior and decision-making Duty and obligation Duty to follow the universally accepted rules of what is right/wrong
  • 4. Principal Based Ethics Beneficence--GOOD  Practitioner should act in the best interest of the patient  An obligation to accomplish good in service to others through acts such as mercy, kindness and generosity Non-maleficence  “First, do no harm” to others (From the Hippocratic Oath)  The duty to avoid the causing, permitting , or imposing harm, or the risk of harm to another person
  • 5. Principal Based Ethics Justice  Rule derived from Aristotle  The obligation to Rx individuals equally or comparably Veracity  Obligation to tell the truth and to give complete information to patients for decision-making Fidelity  Obligation to keep promises/commitments/to remain loyal
  • 6. Principal Based Ethics Privacy (HIPAA)  Right of an individual/group to decide when and to what extent information about themselves can be revealed to others Confidentiality  An extension of privacy—the right to limit the access of others to private information revealed by pt to his/her provider Respect  Reverence for persons and human dignity
  • 7. Informed Consent—The Right to Accept OR to Refuse Rx Usually includes:  Health care professional’s recommendations for Rx  Truthful, honest disclosure of information such as medical condition, nature and purpose of procedure, consequences, risks, benefits, name/s of person/s performing the Rx  Patient’s understanding of information  Voluntary consent/refusal without coercion  Documentation of process
  • 8. LEGAL vs. ETHICAL Legal—fulfills terms of law Ethical—fulfills terms of ethics and is higher than the law Actions can be:  Ethical AND Legal  Ethical but Illegal  Unethical and Legal  Unethical and Illegal Courts do NOT decide questions of ethics— Courts decide questions of law
  • 9. Ethical Codes Religious codes Professional Organization Codes  International Council of Nurses Code of Nurses (1973)  American Medical Association Code of Ethics (2001)  American Nurses Association Code for Nurses (2001) “The Code of Ethics for Nurses was developed as a guide for carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession.”