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| bleeding/breathing. Immediate threat to client’s survival |
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| nonemergency. Anticipating teaching needs for post-op, new meds |
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| often related to client’s developmental needs and long term care needs |
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| You owe a duty to your patient to provide care that is |
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| study of conduct and character and motives. It is concerned with determining what is good or valuable for individuals, for groups of individuals, and for society. Acts that are ethical reflect a commitment to standards beyond personal preference. Conflict occurs when ethics, values, and decisions about health care collide. |
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| commitment to include client in decisions about all aspects of care. Ex- signed consent form |
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| taking positive actions to help others. Good Samaritan. |
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| avoidance of harm or hurt. Commitment to do no harm. Health care professional tries to balance the risks, and benefits of a plan of care while striving to do the least harm possible. |
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| agreement to keep promises. Support the reluctance to abandon clients even during disagreements. Follow through with care offered to client. |
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| set of guiding principles that all members of a profession accept. It is a collective statement about the group’s expectations and standards of behavior. Codes serve as guidelines to assist professional groups when questions arise about correct practice or behavior. BOX 22-1 pg 315 |
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| practice with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by consideration of social or economic status, personal attributes, or nature of health problems |
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| primary commitment is to the client, whether an individual, family, group, community |
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| promotes, advocates for, and strives to protect the health, safety, and rights of the client |
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| Who is repsonsible for you? |
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| responsible and accountable for individual nursing practice |
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| owe the same duties to self as to others |
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| Ethics and working enviornment |
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| participates in establishing, maintaining, and improving health care environments and conditions of employment conductive to the provision of quality health care and consistent with values of the profession through individual and collective action |
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| Ethics and advancement of profession |
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| participates in the advancement of the profession |
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| collaborates with other health professional and the public in promoting community, national, and international efforts to meet health needs |
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| profession of nursing, as a represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice |
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| support of a cause, as a nurse you are an advocate for health, safety, and rights of the client |
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| duty, willingness to respect obligations and to follow through on promises. You are responsible for your actions |
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| ability to answer for one’s own action. The joint commission and ANA provide standards for monitoring and protecting nursing practice: |
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| national guidelines to ensure |
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| client safety and workplace safety through consistent, effective nursing practice |
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| monitoring provision of client education about smoking |
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| cessation for all client populations |
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| establish national standards for |
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| continuing education and curriculum development for nursing schools |
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| protection of ethical decision making, by requiring |
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| health care institutions to create an accessible multidisciplinary forum for discussion about ethical issues |
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| HIPPA mandates the confidential protection of client’s personal health information. |
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| nursing is a work of intimacy. Nursing practice requires you to be in contact with clients not only physically but also emotionally, psychologically, and spiritually. You agree to provide care to your clients solely on the basis of their need for your service. You will work with clients whose values differ from yours. It is important to have clarity about your own values: what you value, why, and how you respect your own values even as you try to respect those of others whose values differ from yours. A value is a personal belief about the worth of a given idea, attitude, custom, or object that sets standards that influence behavior. The values that an individual holds reflect cultural and social influences, and these values vary among people and develop and change over time. Discussion about ethical issues require that you maintain respect for differing values. This is nonjudgmental. Maintain respect for different values. Development begins at childhood. |
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| begins in childhood. Schools, governments, religious traditions, and other social institutions play a role in formation of values. Over time, an individual acquires values by choosing come that the community holds strongly and perhaps discharging or transforming others. |
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| ethical dilemmas almost always occur in the presence of conflicting values. To resolve ethical dilemmas one needs to distinguish between value, fact, and opinion. You need to tolerate differences, which can become the key in the search for resolution of ethical dilemmas. Clarifying values- your own, your client’s, your co-workers. People can be so passionate about their values that they provoke judgmental attitudes during conflict. Some consider these values as facts, not opinion. |
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