Ethical Decision Making

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Questions and Answers

What is the initial step in ethical decision-making?

  • Justify the position and act on it
  • Evaluate options
  • Determine if an ethical principle can guide the decision
  • Clarification of the ethical dilemma (correct)

Which of the following is NOT a requirement for making ethical decisions?

  • Commitment to do the right thing
  • Competency in legal matters (correct)
  • Ability to foresee potential consequences
  • Consciousness of moral behavior

Why is seeking advice considered important in ethical decision-making?

  • To eliminate the need for justification
  • To validate personal opinions
  • To escape personal responsibility
  • To gather diverse perspectives (correct)

Which of the following best describes ethical reasoning?

<p>Highlighting acts that enhance or harm the well-being of others (C)</p> Signup and view all the answers

How should one approach discussions where they disagree with others' views?

<p>Respectfully challenge their opinions (D)</p> Signup and view all the answers

What role do ethics committees play in healthcare organizations?

<p>To provide consultation on ethical issues (A)</p> Signup and view all the answers

Which of the following is considered a key aspect of competency in ethical decision-making?

<p>Collecting and evaluating information (A)</p> Signup and view all the answers

What is a known cause of moral distress for ICU clinicians?

<p>Prolongation of the dying process (D)</p> Signup and view all the answers

What is essential for acting on an ethical decision?

<p>Justifying the position taken (C)</p> Signup and view all the answers

Which of the following is NOT a step in the ethical decision-making process?

<p>Consensus building (B)</p> Signup and view all the answers

What is the primary ethical obligation of a nurse practicing altruism?

<p>To serve others without self-interest (A)</p> Signup and view all the answers

Why are debriefing sessions important for ICU clinicians?

<p>To express concerns and develop consensus plans of care (D)</p> Signup and view all the answers

What should healthcare providers continually ask themselves regarding modern technology and life support?

<p>Can the patient ever have a productive life? (C)</p> Signup and view all the answers

Which step involves identifying the decision-makers in the ethical decision-making process?

<p>Planning (A)</p> Signup and view all the answers

What values may conflict in situations involving ICU patients?

<p>Patient autonomy vs. family wishes (C)</p> Signup and view all the answers

What is one of the responsibilities of nursing professionals as advocates?

<p>Make decisions in the best interest of the patient (B)</p> Signup and view all the answers

What is the first step in the Ethical Decision Making (EDM) model?

<p>Examine the ethical dilemma (A)</p> Signup and view all the answers

Which factor does NOT influence Ethical Decision Making (EDM)?

<p>Personal financial status (B)</p> Signup and view all the answers

What role do ethics committees serve in health care?

<p>To provide structure and guidelines for ethical issues (B)</p> Signup and view all the answers

Which of the following is a suggested way to enhance ethical decision-making in nursing?

<p>Becoming familiar with nursing code of ethics (D)</p> Signup and view all the answers

Which of the following factors relates specifically to the work environment affecting EDM?

<p>Collegial relationships (C)</p> Signup and view all the answers

What is suggested as a method for facilitating ethical discussions in healthcare?

<p>Participating in or establishing ethic rounds (C)</p> Signup and view all the answers

Which is NOT a purpose of ethics committees in health care?

<p>Advocate solely for hospital administrators (D)</p> Signup and view all the answers

Which step follows the hypothesis of ethical arguments in the EDM model?

<p>Investigate, compare, and evaluate the arguments (C)</p> Signup and view all the answers

Flashcards

Ethical Decision-Making

The process of carefully considering and selecting among choices, ensuring that decisions align with ethical principles.

Ethical Decision Making Model

A set of steps that can help guide ethical decision-making, including clarifying the issue, identifying relevant ethical principles, evaluating options, seeking advice, and justifying the decision.

Open-Mindedness in Ethical Reasoning

The ability to critically examine different perspectives and be open to new information, even if it challenges your existing views.

Ethical Decision Making

The process of making informed choices about what is right and wrong based on a set of ethical standards.

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Commitment and Consciousness in Ethical Decision-Making

The commitment to acting ethically, even when it is difficult or inconvenient, and being aware of how our actions impact others.

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Competency in Ethical Decision-Making

The practical skills needed to make ethical decisions, including gathering information, evaluating options, and anticipating consequences.

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Ethical Committees

Formal groups within healthcare organizations that provide guidance and support on ethical issues that arise.

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Ethical Concerns in Healthcare Communication

The importance of protecting patient privacy, autonomy, and confidentiality in healthcare communication, especially with evolving technologies.

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Purpose of Ethical Committee

An ethical committee's primary role is to review and guide decisions related to patient care, ensuring ethical principles are upheld. This includes protecting patient rights, evaluating potential risks and benefits, and promoting ethical decision-making in challenging situations.

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Moral Distress for ICU Clinicians

Situations where healthcare professionals face moral dilemmas or conflicting values in patient care, causing emotional distress. Common causes include failing to respect patient wishes, inability to protect patients from harm, treating patients as objects, and extending the dying process.

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Debriefing Sessions

The process of reflecting on, analyzing, and processing difficult ethical experiences, helping healthcare professionals develop coping mechanisms, learn from mistakes, and improve their ethical decision-making.

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Altruism in Nursing Ethics

The core principle of acting selflessly and placing the patient's well-being above personal interests. This involves advocating for the patient's rights and best interests, even when it may be challenging or inconvenient.

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Conflict Between Patient and Family Wishes

A situation where the patient's wishes and the family's wishes regarding medical treatment are in conflict. This requires careful consideration of patient autonomy, family perspectives, and ethical principles to reach a mutually acceptable decision.

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The Ethical Questions in Modern Healthcare

The continuous process of asking critical questions about the appropriateness and effectiveness of medical interventions, considering the patient's quality of life, potential benefits and burdens, and the overall goals of care.

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Ensuring Ethical Decision-Making in Healthcare

Healthcare professionals have a responsibility to continually evaluate and improve their ethical decision-making processes to ensure they are making the best choices for their patients. This involves reflecting on their actions, seeking feedback, and staying updated on ethical guidelines.

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EDM (Ethical Decision Making) Model

A step-by-step process for making ethical decisions in healthcare. It involves examining the ethical dilemma, exploring alternatives, and evaluating the arguments for each option.

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Factors that Influence EDM

Factors that influence ethical decision-making in nursing, such as patient rights, cultural attitudes, legislation, and personal beliefs.

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Factors in the Work Environment Affecting EDM

Aspects of the work environment that can affect ethical decision-making, including job status, collective bargaining agreements, and relationships with colleagues.

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Roles of Ethics Committees

This process involves: 1. Providing structure for addressing potential problems 2. Facilitating open dialogue 3. Advocating for the patient's best interests.

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Enhancing Ethical Decision Making

Strategies to enhance ethical decision-making in nursing. This includes understanding personal values, staying informed about ethical issues, and engaging in ethical discussions.

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DECISION MAKING ABCDE Model

A model that helps nurses evaluate ethical problems and make decisions. It emphasizes assessing the problem, considering alternatives, evaluating arguments, and acting on the decision.

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Assess: What Is the Problem?

The first step in the DECISION MAKING ABCDE model, which involves identifying the ethical problem or decision that needs addressed.

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Study Notes

Ethical Decision Making

  • Ethical decision-making is the process of evaluating and choosing actions aligned with ethical principles.
  • Ethical decisions require identifying unethical options and selecting the most ethical alternative.
  • Ethical decision-making involves clarifying the ethical dilemma, collecting relevant data, identifying guiding ethical principles, evaluating options by unpacking elements, seeking advice if available, and justifying the chosen position and subsequent action.
  • Ethical reasoning highlights actions that improve and harm the well-being of others.
  • Stay open-minded to diverse views when discussing ethical decisions.
  • Challenge opposing views respectfully and considerately, and support positions with sound reasoning.
  • Philosophical discussions should focus on discovering the truth through collaborative engagement, and not dominating or showing off.
  • Ethical decision-making involves making informed choices in ethical dilemmas using defined standards to differentiate right from wrong.
  • New communication standards in healthcare cause concerns about protecting patient confidentiality, privacy, and autonomy.
  • Effective ethical decision-making requires commitment to doing what is right, regardless of the cost. It also demands awareness and consistency in applying moral convictions to daily behavior.
  • Competency in ethical decision-making requires collecting, evaluating information, creating solutions and anticipating potential consequences and risks.
  • Healthcare organizations establish ethics committees to consult on ethical issues.
  • Causes of moral distress for ICU clinicians include failing to respect expressed patient wishes, failing to protect patients, and the prolongation of the dying process (conflicts between patient and family wishes).
  • Debriefing sessions help clinicians express concerns, create consensus on care plans and develop educational programs on ethical topics.
  • A systematic approach to ethical decision-making is necessary, and involves careful assessment, planning, implementation and evaluation.

Ethical Decision Making Model (ABCDE)

  • Assess the issue or decision.
  • Brainstorm potential choices and solutions.
  • Consider the consequences (positive and negative) of each option.
  • Decide on a course of action.
  • Evaluate the decision and its outcomes.

Ethical Committees

  • Health care agencies now recognize the need for systematic procedures to discuss ethical issues.
  • Multidisciplinary committees provide a platform for exchanging views on ethical dilemmas.
  • Ethics committees can establish policies and procedures for preventing and resolving dilemmas.

Enhancing Ethical Decision Making

  • Understanding personal values and ethical aspects of nursing is crucial for ethical decision-making.
  • Familiarity with nursing codes of ethics is essential.
  • Continuing education promotes knowledge regarding ethical issues in nursing.
  • Respecting diverse opinions and values within the healthcare team.
  • Healthcare professionals should participate in ethics rounds and serving on institutional ethics committees.

Factors Influencing Ethical Decision Making

  • Codes for nurses
  • Patients' rights
  • Social and cultural attitudes
  • Science and technology
  • Legislation
  • Judicial/legal decisions
  • Funding
  • Personal religious and philosophical viewpoints
  • Employment status
  • Collective bargaining contracts
  • Collegial relationships
  • Authoritarian or paternalistic backgrounds
  • Ethics committees in health care
  • Consumer involvement in health care

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