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Ethical rights and wrongs of nursing
Code of ethics
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Ideas and beliefs of an individual or group
values
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Accomodation to patients
values clarification
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Character of behavior related to what is right and wrong
ethics
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Adherence to basic ethical principles results in two conflicting courses of action
ethical dilemma
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Examples of ethical dilemma
- Friends doing wrong
- Do you assist with death of patient
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Nurse knows the right thing to do but personal or institutional factors make it difficult to follow the correct course of action
Ethical distress
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personal standard of right and wrong
morals
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Well being of others
altruism
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Examples of altruism
- Calling Dr. when he doesn't want to be bothered
- Helping out no matter who the person is
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Self deterimination
autonomy
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Examples of autonomy
Educating pt when he makes a health care decision
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Respect for the inherent worth and uniqueness of individuals and populations
Human dignity
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Examples of Human dignity
- Keeping patient covered
- privacy
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Being honest and truthful
integrity
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Treating everyone with the same respect
social justice
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Life and death issues "Life sciences"
Bioethics
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Concerned with ethical problems at the bedside
clinical ethics
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Consequences outway the act (abortion)
Utilitarian
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an action that is right or wrong independent of its consequences
Deontologic
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Ethics combines elements of both utilitarian and deontologic theories and offers specific action guides for practice
Principle based
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directs attention to the specific situations of individual patients viewed within the context of their life narrative
Care based approach
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Formal study of ethical issues that arise in the practice of nursing and of the analysis used by nurses to make ethical judgements
Nursing Ethics
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Avoid causing harm
nonmaleficence
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Benefit the patient, balance benefits against risks and harms
beneficence
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Give each his of her due; act fairly
justice
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cant leave pt until another nurse is there to work
fidelity
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Ethical statements of the obligations and duties of every individual who enters the nursing profession
ANA code for nurses with interpretive statements
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without their consent to secure good or prevent harm
paternalism
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Protection and support of another's rights
advocacy
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agency's policy and procedure manual
standards of care
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Most important law affecting your nursing practice
Nurse practice acts
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Criminal law =
statuatory law
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A wrong against a person or his or her property, but the act is considered to be against the public as well
crime
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less serious crime than a felony
misdemeanor
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Punishment for misdemeanor
- fines
- imprisonment for less than 1 year
- with parole
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Punishment for felony
more than 1 year in prison
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Wrong committed by a person against another person or his or her property
tort
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Threat or an attemt to make bodily contact with another person
assault
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action; assault that is carried out and includes every willful, angry, and violent or negligent touching of another person's body
battery
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Gossip..."Mrs. so and so smelled so bad during her bath today."
defamation of character
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Right to privacy and right to be left alone
4th admendment
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Punishment for invasion of privacy
- $250,000 fine
- jail up to 10 years
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Cant force someone in righ mind to stay in hospital
False imprisonment
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Lying on application
fraud
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not following proper precautions for falls, turning
negligence
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complete disregard for a patients life
gross negligence
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When do you not need informed consent?
xray or cat scan
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When do you need informed consent?
- admission
- diagnostic procedure
- surgical treatment
- experimental treatment
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When do orders have to be signed?
within 24 hrs
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protects health practitioners when giving aid in emergency situations
Good Samaritan Law
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Which states dont have Good Samaritan Law?
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