Podcast
Questions and Answers
What is the initial step in ethical decision-making?
What is the initial step in ethical decision-making?
Which of the following is NOT a requirement for making ethical decisions?
Which of the following is NOT a requirement for making ethical decisions?
Why is seeking advice considered important in ethical decision-making?
Why is seeking advice considered important in ethical decision-making?
Which of the following best describes ethical reasoning?
Which of the following best describes ethical reasoning?
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How should one approach discussions where they disagree with others' views?
How should one approach discussions where they disagree with others' views?
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What role do ethics committees play in healthcare organizations?
What role do ethics committees play in healthcare organizations?
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Which of the following is considered a key aspect of competency in ethical decision-making?
Which of the following is considered a key aspect of competency in ethical decision-making?
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What is a known cause of moral distress for ICU clinicians?
What is a known cause of moral distress for ICU clinicians?
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What is essential for acting on an ethical decision?
What is essential for acting on an ethical decision?
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Which of the following is NOT a step in the ethical decision-making process?
Which of the following is NOT a step in the ethical decision-making process?
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What is the primary ethical obligation of a nurse practicing altruism?
What is the primary ethical obligation of a nurse practicing altruism?
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Why are debriefing sessions important for ICU clinicians?
Why are debriefing sessions important for ICU clinicians?
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What should healthcare providers continually ask themselves regarding modern technology and life support?
What should healthcare providers continually ask themselves regarding modern technology and life support?
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Which step involves identifying the decision-makers in the ethical decision-making process?
Which step involves identifying the decision-makers in the ethical decision-making process?
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What values may conflict in situations involving ICU patients?
What values may conflict in situations involving ICU patients?
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What is one of the responsibilities of nursing professionals as advocates?
What is one of the responsibilities of nursing professionals as advocates?
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What is the first step in the Ethical Decision Making (EDM) model?
What is the first step in the Ethical Decision Making (EDM) model?
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Which factor does NOT influence Ethical Decision Making (EDM)?
Which factor does NOT influence Ethical Decision Making (EDM)?
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What role do ethics committees serve in health care?
What role do ethics committees serve in health care?
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Which of the following is a suggested way to enhance ethical decision-making in nursing?
Which of the following is a suggested way to enhance ethical decision-making in nursing?
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Which of the following factors relates specifically to the work environment affecting EDM?
Which of the following factors relates specifically to the work environment affecting EDM?
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What is suggested as a method for facilitating ethical discussions in healthcare?
What is suggested as a method for facilitating ethical discussions in healthcare?
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Which is NOT a purpose of ethics committees in health care?
Which is NOT a purpose of ethics committees in health care?
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Which step follows the hypothesis of ethical arguments in the EDM model?
Which step follows the hypothesis of ethical arguments in the EDM model?
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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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Description
Test your understanding of ethical decision-making processes and principles. This quiz covers the evaluation of options, identifying ethical dilemmas, and the importance of diverse perspectives in ethical discussions. Challenge your knowledge on how to make informed choices in complex situations.
