Ch 16 ethical issue impacting values


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Ch 16 ethical issue impacting values

  1. 1. Ethics in the Life Sciences Chapter 16 Ethical Issues Impacting the Professional Nurses Values 1
  2. 2. Learning Objectives • Discuss laws protecting conscientious objection • Analyze cases that include claims of conscientious objection • Identify the requirements of whistleblowing • Differentiate between illegal and unethical practice • Discuss resources and strategies needed and/or available before and after making a whistle blowing decision 2
  3. 3. Professional Nurse Issue Conscientious Objection • Can occur with a variety of issue involving values • Based on an appeal to conscience when a person believes that if a given action where implemented then he or she would experience harm. • Based on one’s personal standards and calls attention to the loss of ones’ integrity and wholeness. • One example of conscientious objection includes the professional nurse participation in pregnancy termination. 3
  4. 4. Professional Nurse Issue Conscientious Objection • Conscientious objection comes into play when the nurse refuses to participate in an action based on religious beliefs or the equivalent moral conviction if the nurse is not religious. • Three types of laws exist to protect a person engaging in conscientious objection. • Employment laws- based on professional codes • Religious discrimination laws • Conscience clauses 4
  5. 5. Professional Nurse Issue Conscientious Objection • Nurse can remove the need to conscientiously object by • Identify and evaluate his or her own values and morals • Think prospectively about what may threaten these values • Do not refer to conscience when your refusal is based on applying the principle of nonmaleficence to another person. 5
  6. 6. Professional Nurse Issue Whistle Blowing • Should only be used when all internal resources have been exhausted and careful consideration has been given to the personal and professional ramifications that will follow a whistle blowing event. • Whistle blowing questions arise when a nurse recognizes a lack of commitment to doing what is right by an individual or group. This may involve doing something illegal, incompetent or unethical. • Only thirteen states have whistleblower protection legislation. 6
  7. 7. Professional Nurse Issue Professional Misconduct • Professional misconduct may come in the form of incompetent practice, unethical practice, illegal practice, or impaired practice. • Nurses have a duty to recognize professional misconduct and report it when it occurs. • Most states have clear guidance for reporting and dealing with professional misconduct. • The professional nurse has a duty to protect their patients by reporting professional misconduct. • Nurses should understand their states practice act and their requirements on reporting professional misconduct. 7
  8. 8. Summary • Nursing is a demanding profession with a variety of physical and mental stressors. • Nurses have a duty to act on issues that are illegal, immoral or unethical. • Nurses should take actions necessary to protect their patients and the practice environment in which they work. 8