Ethical Quiz Med surg
social justice
upholding moral, legal, and humanistic principles
Certification:
-Certain criteria met, granted recognition in a specified practice area
Accreditation:
-Educational program evaluated as having met standards
Factors that influence decision-making
-Legislative and judicial factors -Science and technological advances -Societal influences -Health care reform Professional values and client values influence what
Licensure
-State determines minimum requirements met to practice nursing
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Principles of Nursing Ethics Fidelity
: Loyal to commitments, being responsible
Healthcare Institution
: Policies and procedures
Law
A standard or rule of conduct established and enforced by the government that is intended to protect the rights of the public
Areas of Potential Liability Standard 1
Assessment-incomplete data base, significant omissions, failure to recognize and report
Principles of Nursing Ethics Nonmaleficence
Avoid doing harm
Areas of Potential Liability Standard 2
Diagnosis-failure to identify priority nursing diagnosis critical to care
Principles of Nursing Ethics Veracity
Duty to be truthful
Plan
Ethical Decision Making o identify options, use ethical reasoning to decide on a course of action
Diagnose
Ethical Decision Making o identify the ethical problem, Does and ethical problem exist?
Implement
Ethical Decision Making o the decision, documenting the steps of the process of implementation
Evaluate
Ethical Decision Making o the results of the implementation process
Assessing
Ethical Decision Making o: the situation, gather the data, define the problem
Areas of Potential Liability Standard 5
Evaluation-no evidence of evaluation of goals
Areas of Potential Liability Standard 4
Implementation-nursing interventions deviate standard of care
Due Process
Legal procedure must be followed, investigation, formal hearing implemented
Board of Nursing:
Licensure, delegation, medication, unprofessional conduct
Areas of Potential Liability Standard 3
Outcome Identification-no indication in the plan of care that nurses were aware of patient priorities
Principles of Nursing Ethics Beneficence
Principle of doing good
Credentialing:
Professional competence ensured
durable power of attorney
a person is named to make healthcare decisions if the patient is unable to do so
integrity
acting in accordance with an appropriate Code of Ethics and Standards
two people
advanced directives muct be witnessed by
altruism
concern for welfare and wellbeing of others
oPatient Abandonment oPatient Abuse oPatient Neglect Diversion of Medications
disciplinary action for what 4 things by State Board of nursing
o Bioethics
ethics that encompass all those perspectives that seek to understand human nature and behavior, the domain of social science, and the natural world
Nursing Ethics
formal study of ethical issues that arise in the practice of nursing and analysis used by nurses to make ethical judgements
Living Will
instructions about medical care if the patient is unable to make and verbalize a decision
Unintentional Torts (3)
o Negligence: Performing or failing to perform and act that a person would or would not do oMalpractice: Acts of negligence as applied to health care professionals oLiability: Four elements to prove malpractice 1. Duty, obligation to use standards of care 2. Breach of duty, failure to meet standards of care 3. Causation, breach causes injury 4. Damages actual harm or injury
Value System
o an organization of values in which each is ranked in order of importance.
Values
o belief about the worth of something, standard to guide one's behavior.
Ethical theories
o guides the decision-making process
Federal Legislation
o: Medicare and Medicaid provisions related to reimbursement for nursing services
Intentional Torts (5)
oAssault: Threat or attempt to make bodily contact with another person without consent oBattery: An assault carried out that includes willful, angry and violent, or negligent touching of a person's body, clothing, or anything attached or held by the person oDefamation of Character: Slander, libel oFalse Imprisonment: Unjustified use of restraints oFraud: Purposeful misrepresentation
Malpractice
oFailure to ensure safety oFailure to monitor and report oImproper treatment/performance oMedication errors/reactions oFailure to follow agency procedure oDocumentation oEquipment use oAdverse incidents oDiscrimination in treatment are examples of what
Principles of Nursing Ethics Justice
oGive fair and equal treatment to all patients
Professional/Legal Regulation of Nursing PracticeOhio's Nurse Practice Acts (5)
oMost important Law affecting Nursing Practice oDefines legal scope of Nursing Practice oHow nursing will be practiced in the locale oEducational preparation required oMethods of discipline
Principles of Nursing Ethics Autonomy
oRespecting the rights of patients to make healthcare decisions
State Legislation
oScope of practice, educational requirements, composition and disciplinary authority of Board of Nursing
Civil Law /Tort Law
oSubject to action in a civil court with damages settled by money oUnintentional or intentional wrong not connected with a contract that injures a person oInjured party may opt to sue for damages
Administrative law
regulations empowered by executive officers
Patient self-determination act of 1990
requires educating patients regarding advanced directive requires patients be given the opportunity to complete an Advanced Directive
human dignity
respect for the worth and uniqueness of the individual
autonomy
right to self determination, respecting patients rights
Criminal law
•concerns state and federal criminal statutes felony, misdemeanor
Statutory law
•enacted by a legislative body
• Common law
•judiciary system reconciles controversies, creates body of common law
Contract law
•regulates certain types of transactions
Civil law
•regulates relationships between individuals and private organizations
Constitutions
•serve as guides to legislative bodies
