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related to the term duty; deontology is a group of ethical theories based upon the rationalist view that the rightness or wrongness of an act depends upon the nature of the act, rather than the consequences that occur as a result of it |
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a formal process for making logical and consistent decisions based upon moral belifes |
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a moral theory which holds that an action os judged as good or bad in relation to the consequences, outcome, or end result derived from it |
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an ethical principle that literally means self-governing; it denotes having the freedom to make independent choices |
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the ethical principle that requires one to act in ways that benefit another; in research, this implies the protection from harm, discomfort, including a balance between the benefits and risks of a study |
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an ethical principle that relates to fair, equitable, and appropriate treatment in light of what is due or owed to persons, recognizing that giving to some will deny receipt to others who might otherwise have received these things |
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an ethical principle related to beneficence that requires one to act in such a manner as to avoid causing harm to another, including deliberate harm, risk of harm, and harm that occurs during the performance of beneficial acts |
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the reaction to a situation in which there are moral problems that seem to have clear solutions, yet one is unable to follow one's moral beliefs becuase of external restraints; this may be evidenced in anger, frustration, dissatisfaction and poor performance of beneficial acts |
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values are ideals, beliefs, customs, and modes of conduct, qualities, or goals that are highly prized or preferred by individuals, groups, or society |
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refers to the process of becoming more conscious of and naming what one values or considers worthy |
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internal or interpersonal conflict that occurs in circumstances in which personal values are at odds with those of patients, collegues, or the institution |
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an approach to ethical decision making grounded in the relationship and mutual responsibility, in which choices are contextually bound and strategies are focused on maintaining connections and not hurting anyone |
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an approach to ethical decision making, based on objective rules and principles in which choices are made from a stance of separateness |
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human values development, often referred to as moral development is a produce of the sociocultural environement in which we live and develop |
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preferences or dispositions, reflective of right or wrong, should or should not, in human behavior |
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describes stages of cognitive development addressing how the mind works, that is the development of intellectual capacities through the time of childhood from birth to about 15 years |
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occur when options include conflictiong moral claims; a conflict can be experienced when there is evidence to indicate that a certain act is morally right and evidence to indicate that that act is morally wrong, but no evidence is conclusive |
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exist when there is a conflice between what is done and what should be done |
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an ethical principle related to the concept of faithfulness and the practice of promise-keeping |
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a state which occurs when someone else int eh health care setting performs an act the nurse believes to be immoral; the nurse does not participate in the act and therefore does not feel responsible for wrong, but feels powerlessness to prevent it |
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actions that overstep established boundaries to meet the needs ot the nurse |
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good professional character |
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-is able to distinguish right from wrong -is able to think and act rationally -is able to keep promises and honor obligations -is accountable for his or her own behavior -is able to practice nursing in an autonomous role -is able to recognize and honor the interpersonal boundaries appripriate to any therapeutic relationship or health care setting -is able to promptly and fully self-disclose faces, circumstances, events, errors, and omissions when such disclosure could enhance the health status of patients or the public or could protect patients or the public from unnecessary risk of harm |
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to protect and promote the welfare of the people by ensuring that each person holding a license as a nurse is competent to practice safely |
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the space between the nurse's power and the client's vulnerability |
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the unjustifiable attempt or threat to touch a person without consent that results in fear of immediately harmful or threatening contact |
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the unlawful, unjustifiable detention of a person within fixed boundaries, or an act intended to result in such confinement |
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serious crimes that carry significant fines and jail sentences |
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the omission to do something that a reasonable prudent person, guided by those ordinary considerations that ordinarily regulate human affairs, would do, or doing something that a reasonable and prudent person would not do |
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torts that occur when an act or omission causes unintended injury or harm to another person |
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the state of being anwerable to someone for something one has done |
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explicit declaration of the primary goals and values of the profession that indicate the profession's acceptance of the responsibility and trust with which it has been invested by society |
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the characteristic of having a high level of specialized skill and knowledge |
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Americans with Disability Act |
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the act ensures that people with disabilities are not excluded from job opportunities or adversely affected in other aspects of employment unless they are unqualified or unable to perform the job |
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each licensed nurse upholds his/her duty to maintain client safety by practicing within the parameters of the NPA and Board rules as the apply to each licensee |
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-verifies the training of the unlicensed person -verifies that the unlicensed person can properly and adequately perform the delegated task without jeopardizing the client's welfare -adequately supervises the unlicensed person |
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moral claims have greater weight than nonmoral claims |
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all unwelcome sexual advances, requests for sexual favors, and other conduct of a sexual nature |
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the ethical principle that requires nondisclosure of private or secret information with which one is entrusted |
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written directives in a patient's chart indicating that CPR is to be avoided |
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a comprehensive, interdisciplinary, and total care approach, focusing primarily on comfort and support of patients and families who face illness that is chronic or not responsive to curative treatment |
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a subjective appraisal of factors that make life worth living and contribute to a positive experience on living |
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instructions that indicate which health care interventions to initiate or withhold, or which designate someone who will act as a surrogate in making such decisions, in the event that person loses decision-making capacity |
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process by which patients are informed of the possible outcomes, alternative, and risks of treatment and required to give their consent freely; this implies legal protection of a patient's right to personal autonomy by providing the opportunity to choose a course of action regarding plans for health care, including the right to refuse medical recommendations and to choose from available theraputic alternatives |
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a person's ability to make meaningful life decisions; a declaration of incompetence involves legal action with a ruling by a judge that the person is unable to make such life decisions |
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barriers to patient empowerment |
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paternalistic attitudes and sociocultural role expectations, lack of knowledge of resources of stratigies that promote empowerment, dependency, apathy, mistrust, being labeled unwilling to share decision-making power, economic or political factors |
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enable patient empowerment |
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ethical principles and decision making processes, values development, and their impact on choices |
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gender-biased term that literally means acting in a "fatherly" manner, the traditional view of which implies well-intended actions of benevolent decision making, leadership, protection, and discipline, which, in the healthcare arena, manifest in the making of decisions on behalf of patients without their full consent or knowledge |
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the law that determines a person's legas rights and obligations in many kinds of activities involving other people |
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informed consent-emergency |
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assumes the patient would want the intervention if he were able to give consent |
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legal documents developed voluntarily by persons giving directions to healthcare providers related to withholding or withdrawing life support if certain conditions exist |
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witnessing informed consent |
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the nurses witnesses that the patient has signed the consent willingly |
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lobbying efforts that involve mobilizing a committed constituency to influence the opinions of policy makers |
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the art of persuasion; attempting to convince a person to comply with a request, whether it is convincing them to support a position on an issue or to follow a particular course of action |
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adherence to the ideology of a particular political party |
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a phase of the policy-making process that includes such actions as agenda setting and the subsequent development of legislation |
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allows the person to choose which provider/hospital, etc they want |
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an integrated form of healthcare delivery and financing that represents attempts to control costs by modifying the bahavior of providers and patients |
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universal health insurance |
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a government run health insurance program |
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holding people burdened by social conditions accountable for their own situations and responsible for needed solutions |
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occurs when a person is subjected to different or unequal treatment in any munber of situations, when that treatment is based on the person's gender |
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a form of sexism that maligns the caring role in society and leads to discrimination in nursing by virtue of the role undertaken, regardless of gender |
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the assumption that members of one sex are superior to those of the other |
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nursing is considered a commodity purchased by the healthcare system |
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the ability to facilitate empowerment in others requires us to attent to personal empowerment |
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requires growth of personal strengthand power and includes the ability to enact our own will and love for ourselves in the context of love and respect for others |
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publicly speaking out, with sound moral justification about questionable or unsafe practices affecting patient care or nursing working conditions |
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the court held that a nurse has a duty to the patient which cannot be superceded by hospital policy or physician's order |
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to protect the health, safety, and welfare of the people; emphasizes the nurse's responsibility and duty to the client to provide safe, effective nursing care |
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