Ethics in Nursing
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Questions and Answers

Which ethical theory primarily emphasizes the character and virtues of the moral agent rather than the consequences of actions?

  • Principlism
  • Deontology
  • Virtue Ethics (correct)
  • Utilitarianism
  • Which of the following is NOT considered a source of nursing ethics?

  • Legal frameworks
  • Codes of Ethics
  • Institutional Policies and Procedures
  • Personal opinions (correct)
  • What is a key concept included in the study of Ethical Dilemmas and Decision-Making?

  • Bioethics
  • Narrative Ethics
  • Moral Distress (correct)
  • Feminist Ethics
  • Which approach is characterized by a focus on rules, rights, and obligations?

    <p>Deontology</p> Signup and view all the answers

    What is the purpose of ethical decision-making tools and frameworks?

    <p>To provide clarity in ethical dilemmas</p> Signup and view all the answers

    What is a key characteristic of utilitarianism?

    <p>It judges actions based solely on their consequences.</p> Signup and view all the answers

    According to Jeremy Bentham, what determines whether an action is morally right?

    <p>The amount of happiness it produces.</p> Signup and view all the answers

    What is a criticism noted about applying a growth mindset?

    <p>It lacks sufficient guidance on how to become virtuous.</p> Signup and view all the answers

    Which philosopher is associated with the phrase 'The Greatest Happiness Principle'?

    <p>Jeremy Bentham.</p> Signup and view all the answers

    In comparing deontology and utilitarianism, what is the primary difference?

    <p>Deontology evaluates actions based on their adherence to rules, regardless of outcome.</p> Signup and view all the answers

    On what basis are actions deemed right or wrong according to the concept discussed?

    <p>Based on the consequences and utility</p> Signup and view all the answers

    What is the primary measure used to assess the morality of actions in this ethical framework?

    <p>The total amount of happiness versus pain</p> Signup and view all the answers

    What is a key critique of the utilitarian approach as discussed?

    <p>It cannot account for future consequences accurately</p> Signup and view all the answers

    According to this ethical perspective, how is happiness viewed?

    <p>As a universal value that holds equal weight for everyone</p> Signup and view all the answers

    What does the term ‘sins of commission and omission’ refer to in this ethical context?

    <p>The failures of action versus inaction that impact outcomes</p> Signup and view all the answers

    What is the primary mission of the Canadian Black Nurses Alliance McGill Chapter?

    <p>To empower Black Canadian nurses through community support.</p> Signup and view all the answers

    What role do allies play in the Canadian Black Nurses Alliance?

    <p>They are welcomed and necessary for the organization.</p> Signup and view all the answers

    Which ethical concept is identified as valuable for nurses when facing moral distress?

    <p>Moral resilience</p> Signup and view all the answers

    Which of the following topics is NOT listed as a part of the learning objectives?

    <p>Developing a nursing curriculum</p> Signup and view all the answers

    What kind of material is supplementary to the Week 2 class aside from ethical theories?

    <p>Feminist ethics and ethics of care</p> Signup and view all the answers

    What social media platform is mentioned for connecting with the CBNA McGill Chapter?

    <p>Instagram</p> Signup and view all the answers

    Which of these elements is considered important for fostering growth in nursing, according to the learning objectives?

    <p>Moral courage</p> Signup and view all the answers

    What is one of the aims of the CBNA for Black nursing students?

    <p>To facilitate connections and sharing of resources.</p> Signup and view all the answers

    What does moral worth depend on in a non-consequentialist ethical theory?

    <p>The motives behind actions</p> Signup and view all the answers

    Which statement best describes a key feature of deontology?

    <p>It prioritizes the motive of duty as morally significant.</p> Signup and view all the answers

    What role does reason play in Kant's moral philosophy?

    <p>It determines human dignity and respect.</p> Signup and view all the answers

    What criticism does deontology face regarding decision-making?

    <p>It does not account for conflicting duties or exceptions.</p> Signup and view all the answers

    In the context of healthcare and nursing, which principle does deontology primarily uphold?

    <p>Duty-based language and codes of ethics</p> Signup and view all the answers

    Which of the following statements about moral choices aligns with deontological thinking?

    <p>Motivation should stem from a sense of duty.</p> Signup and view all the answers

    How does deontology view the role of human emotions in moral actions?

    <p>They distract from rational moral duty.</p> Signup and view all the answers

    What is one aspect of moral principles according to Kant's perspective?

    <p>They are universally applicable and unconditionally good.</p> Signup and view all the answers

    What does the principle of beneficence primarily focus on?

    <p>Promoting good and helping others</p> Signup and view all the answers

    Which of the following is NOT a sub-principle of principlism?

    <p>Engagement</p> Signup and view all the answers

    What is a key critique of principlism according to the content?

    <p>It can ignore the context of ethical dilemmas.</p> Signup and view all the answers

    In which ethical paradigm does ethical action primarily take place in everyday interactions?

    <p>Relational Ethics</p> Signup and view all the answers

    What does the undermining of autonomy for suicide prevention illustrate?

    <p>The potential conflict among ethical principles</p> Signup and view all the answers

    What is the focus of narrative ethics as described in the content?

    <p>Using stories to understand experiences</p> Signup and view all the answers

    What does casuistry involve in the application of ethical principles?

    <p>Applying general principles to specific cases</p> Signup and view all the answers

    Which principle emphasizes fairness in determining entitlements?

    <p>Justice</p> Signup and view all the answers

    What aspect of principlism can lead to robotic thinking if overemphasized?

    <p>Rationality and analysis</p> Signup and view all the answers

    In the context of relational ethics, which concept is foundational for ethical actions?

    <p>Therapeutic relationships</p> Signup and view all the answers

    Study Notes

    Announcements

    • Students can submit announcements for class ahead of time (by Thursday morning) to add to the slide and set the timing.

    Participants Needed!

    • The study is interested in hearing from undergraduate BScN students about their use of ChatGPT.
    • Eligibility requires full-time enrollment in the BScN program.
    • Participants are contacted for an interview, lasting 30-45 minutes.
    • Interviews are conducted via Zoom or in-person.
    • Participants who complete an interview will receive a $10 Tim Hortons gift card.

    CBNA - McGill University

    • The mission of this non-profit organization is to serve, mentor, and empower Black Canadian nurses.
    • The chapter aims to provide a support network for Black nursing students, connecting them with resources for academic and professional success.
    • Students have avenues to connect with peers and feel empowered through interactions with other nurses of color.

    Past Events

    • Pictures of group events and activities related to the CBNA chapter.

    Past Event: Open Discussion on Perinatal Grief

    • Discussion session on perinatal grief from an AFRO-DESCENDANT perspective.
    • Speakers include a PhD psychologist, and nursing students from the chapter.
    • The event was held on March 9th 2024, from 4:00 PM to 6:00 PM, in a physical location and was voluntary.

    Event: Why Representation In Medicine Matters

    • Joint event by CBNA, BMSA, QBMA, and SSMU
    • Held on February 8th, 2024 from 6:00 PM to 8:00 PM.
    • Feature an illustrator and medical student exploring artwork, narratives, and inspiration.

    Community and Student Session

    • A hybrid event (in person and online) held on November 20th, 4:00 PM–6:00 PM.
    • This session will cover the Relevance of Challenging Anti-Black Racism.
    • Speakers are Dr. Priscilla Boakye and Dr. Nadia Prendergast.

    McGill CBNA Chapter

    • Welcomes new members.
    • Provides resources to learn more by visiting their Instagram page (@cbna.mcgill) and their email ([email protected], or [email protected]).
    • Provides link to organization website (canadianblacknursesalliance.org) for further information.

    Introduction to Normative Ethics

    • Presented by Marianne Sofronas, RN, PhD, Faculty Lecturer, Ingram School of Nursing, McGill University, with thanks to Catherine-Anne Miller.
    • Part of NUR1 424 Fall 2024.

    Situating Class Material for Week 2

    • Lecture covers ethical theories, dilemmas, moral distress, agency and courage.
    • Supplemental materials on MyCourses include Feminist ethics, ethics of care, and videos about how to formulate ethical questions.
    • Readings by Kotalik and Martin, Keatings and Adams, Storch (research ethics) and Glenda Sandy (Indigenous perspective) are mentioned.

    Learning Objectives

    • Students will compare ethical theory perspectives on issues.
    • Students will identify dilemmas where fundamental values are at odds.
    • Articulate ethical issues in practice using principles, ethical theories and values.
    • Develop skills in ethical analysis to resolve dilemmas.
    • Reflect on building moral resilience in nursing practice.
    • The topics covered include bioethics, nursing practice, cultural humility, safety, ethical theories, values, principles, moral courage, resilience, decision-making, and nursing codes of ethics.
    • Legal considerations covering healthcare legislation, patient rights, professional obligations, and civil liability, along with informed consent and confidentiality regulations
    • Content includes nursing codes of ethics, ethical dilemmas in clinical settings, analysis of ethical dilemmas, along with areas including End-of-Life & MAID, public health, and childhood nursing, and mental health

    Guidance/Sources of Nursing Ethics

    • Overview of legal frameworks, codes of ethics, coursework and clinical placements, institutional policies and procedures, clinical ethics services, external and institutional support resources, and history of medicine, nursing, moral philosophy and bioethics are included.

    Content for Class 2

    • Normative Ethics: Covers various paradigms such as virtue ethics, utilitarianism, deontology, principles, narrative ethics, relational ethics, casuistry, and interpretive approaches.
    • Ethical Dilemmas and Decision-Making Process: Discusses how to identify ethical dilemmas, and frameworks/tools for ethical decision-making, ethical question review of cases and the importance of moral courage, distress, and resilience.

    What is ethical theory/framework?

    • A structure to organize concepts related to a particular set of theoretical questions, historically embedded in social, cultural and personal contexts.

    Virtue Ethics

    • Focuses on the character and motivations of the moral agent.
    • Aims to define the character traits (virtues) of a good person, rather than focusing on rules or actions.
    • Key concept: Eudaimonia (human flourishing), asking questions like: what kind of person am I and should I be?

    Virtue Ethics Features

    • Discusses virtue as a "trait of character manifested in habitual action."
    • Explains the Aristotelian mean as a balance between deficiencies and excesses.
    • Emphasizes that the "just middle" may vary among individuals

    Phronesis - Practical Wisdom

    • A critical element of virtue ethics, where a virtuous person deliberates and responds emotionally in the right sort of way to situations.

    Virtue Ethics: Critiques

    • Issues such as conflict resolution, cultural appropriateness, application across various contexts, and the development of virtues are examined.

    Utilitarianism

    • The principle of utilitarianism states "the end justifies the means" to achieve the greatest good for the greatest number.

    Jeremy Bentham

    • Highlights the moral worth of individual actions.

    John Stuart Mill

    • Clarifies the utilitarianism principle of promoting happiness and avoiding suffering.

    Utilitarianism's Features/What is good?

    • Actions driven by "greatest happiness for the greatest number" of people.
    • Focus on the best possible outcome.

    Does the End Justify the Means?

    • Critiques point out the difficulties in predicting future consequences, fairness considerations, issues for vulnerable minorities, and the need for careful consideration of the means used to achieve an end.

    Utilitarianism in Healthcare

    • Application of utilitarianism principles in healthcare is examined with an emphasis on resource allocation (dealing with scarcity), collective good, public health, evidence-based care, and considerations for global health.

    Deontology

    • This ethical framework emphasizes duty and moral rules, where the means are just as important as the end.

    Deontology's Features

    • All humans have dignity, and respecting their worth is paramount (humans are rational).
    • Moral value is based on voluntary, free will-driven actions.
    • Moral choices happen when acting out of a sense of duty.

    Deontology: Critiques

    • Issues include the potential conflict between competing obligations, challenges related to the definition and application of rules, and questions concerning the source of moral duties and their appropriateness in context.

    Deontology in Healthcare and Nursing

    • Exploration of how duty-based principles affect roles, laws, and responsibilities in healthcare.
    • Relationship between dignity, respect, and promoting autonomy are discussed.

    Principlism

    • A frequently utilized framework based on central principles like autonomy, beneficence, non-maleficence, and justice.

    Principlism's Features

    • Defines concepts of autonomy, beneficence, non-maleficence, and justice.
    • Identifies related sub-principles such as veracity and fidelity to support the principles.

    Principlism - Strengths & Critiques

    • Explores the common language nature, structure and focus on rationality aspects of this widely used ethical approach.
    • Addresses the risks of oversimplifying or applying the principles in a robotic/context-independent manner, and questions the presence of consensus among principles to avoid issues arising from conflict and prioritization.

    Other Paradigms

    • Relational Ethics: Focuses on ethical interactions and engagement within therapeutic relationships, emphasizing mutual respect.
    • Narrative Ethics: Examines the lived experiences and stories as a way to approach ethical dilemmas.
    • Casuistry: Focuses on applying abstract ethical principles to specific cases.
    • Hermeneutics: Discusses ethical understanding and interpretation of experience.

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    Description

    Test your knowledge on ethical theories, moral decision-making, and the principles of nursing ethics. This quiz covers key concepts such as utilitarianism, deontology, and the importance of character in ethics. Explore various ethical dilemmas and decision-making frameworks relevant to nursing practice.

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