Nursing Ethics and Applied Ethics Overview-class 1

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Questions and Answers

What is a primary criticism of codes of ethics in nursing?

They focus too much on clinical ethics.

They lack explicit commitment to human rights and equity. (correct)

They are too lenient on organizational factors.

They are too applicable to real-life scenarios.

Which of the following best defines organizational ethics?

Efforts of an organization to define its values and manage conflicts. (correct)

Ethical practices at the micro level of patient care.

Conflicts between different healthcare organizations.

The personal moral beliefs of healthcare professionals.

What is one significant barrier to practicing nursing ethically?

Lack of clarity in ethical guidelines.

Overregulation of healthcare organizations.

Conflicts with organizational policies. (correct)

Availability of advanced medical technologies.

Which ethical approach includes frameworks for decision-making in organizations?

Accountability for Reasonableness (A4R). Signup and view all the answers

Which of the following issues is commonly associated with organizational ethics?

Resource allocation. Signup and view all the answers

What role do ethics advisors typically play in organizations?

They provide guidance and support regarding ethical dilemmas. Signup and view all the answers

Which stakeholder group is often considered when discussing access to care within organizational ethics?

Uninsured individuals. Signup and view all the answers

What is the focus of organizational ethics at the meso/macro level?

The organization’s core values and conflict resolution. Signup and view all the answers

What is emphasized in the ethical practice of nursing according to the pledge?

The welfare of those committed to care Signup and view all the answers

Which value is NOT typically associated with nursing ethics?

Pursuit of fame Signup and view all the answers

In comparing nursing pledges, what overarching themes are encouraged for reflection?

Overlap of values and ethical standards Signup and view all the answers

What does the phrase 'single eye to the patient’s good' imply in nursing ethics?

Prioritizing patient welfare above all else Signup and view all the answers

Which of the following actions is contrary to the nursing pledge?

Administering harmful drugs unknowingly Signup and view all the answers

What aspect of nursing is uniquely highlighted in comparison to other professions?

The combination of moral character and social activism Signup and view all the answers

What does a commitment to client confidentiality imply in nursing ethics?

Trustworthiness and respect for patients Signup and view all the answers

Which of the following is a characteristic present in both nursing ethics and the profession's mission?

Dedication to lifelong learning and improvement Signup and view all the answers

What virtues characterize relational and skillful attunement in excellent nursing practice?

Openness and responsiveness Signup and view all the answers

Which of the following is an essential strength of mindset for nurses?

Mindfulness Signup and view all the answers

Cultural humility in healthcare emphasizes which aspect?

Understanding diverse perspectives Signup and view all the answers

What is a primary characteristic of a care ethic?

Relational focus and respect Signup and view all the answers

Which term is associated with the belief that personal cultural identities impact healthcare delivery?

Cultural humility Signup and view all the answers

What does the concept of cultural safety emphasize in healthcare?

Valuing patients' diverse backgrounds Signup and view all the answers

Which quality is NOT identified as a strength of knowledge among nurses?

Overconfidence Signup and view all the answers

Power dynamics in healthcare refer to:

The hierarchical authority of healthcare providers Signup and view all the answers

What is a key characteristic of cultural humility?

It involves lifelong learning and self-reflection. Signup and view all the answers

What role do institutional accountability and collaborative partnerships play in cultural humility?

They are part of the framework for ethical organizational practices. Signup and view all the answers

How is cultural humility characterized in the framework mentioned?

As a continuous process rather than a final outcome. Signup and view all the answers

What is the purpose of the mini-assignment related to ethical nursing practice?

To reflect on personal values and biases in nursing. Signup and view all the answers

Which aspect of ethical nursing practice is emphasized in the content?

The importance of reflecting on prejudice and privilege. Signup and view all the answers

What theme is suggested as an alternative for the mini-assignment if it is too sensitive?

Focusing on less personal topics related to healthcare. Signup and view all the answers

What is indicated to be part of the supplemental resources for ethical nursing practice?

A video reflection from an Indigenous perspective. Signup and view all the answers

What is one objective of the mini-assignment related to Strengths-Based Nursing & Healthcare?

To reflect on personal core values. Signup and view all the answers

What is one primary focus of the reference by Dryden and Nnorom (2021)?

Systemic anti-Black racism in medicine Signup and view all the answers

Which document is crucial for understanding the ethical obligations of registered nurses in Canada?

The Code of Ethics for Registered Nurses by the CNA Signup and view all the answers

What aspect of nursing does Fowler (2020) focus on in her research?

The historical influence of women in nursing ethics Signup and view all the answers

What ethical theme is discussed by Fowler (2021) in relation to early nursing practices?

The balance of ethical themes through history Signup and view all the answers

Which reference discusses cultural humility in healthcare?

Ruud's work on LGBTQ+ care Signup and view all the answers

What is a key focus of the article by Bauer et al. (2014)?

Emergency department usage and experiences by transgender persons Signup and view all the answers

The ICN code of ethics is primarily concerned with which area of nursing?

Providing a foundation for ethical nursing practice Signup and view all the answers

What is a central theme in Kidder's work on the ethics of right versus right?

Resolving dilemmas when faced with ethical choices Signup and view all the answers

Study Notes

Applied Ethics and Health Ethics

Applied ethics addresses determining the right action in real-life situations.
Health ethics is a specific area of applied ethics relevant to healthcare.

Historical Reflections on Nursing Ethics

Florence Nightingale's pledge emphasizes purity, professional fidelity, avoiding harm, and maintaining patient confidentiality.
Modern nursing codes of ethics share overlapping themes with Nightingale’s pledge but are more comprehensive.

Uniqueness of Nursing Ethics

Nursing ethics involves a professional aspect (skills and knowledge) and a calling aspect (dedication to patient well-being).
The field encompasses moral character development, duties to oneself and others, and social activism.

Criticisms of Codes of Ethics

Codes may lack detailed guidance on resolving conflicting values and organizational pressures.
They may not be sufficiently applicable to diverse real-world situations and ethical dilemmas.
A greater emphasis on human rights and equity is needed in codes of ethics.

Organizational Ethics

Organizational ethics focuses on an organization’s values, mission, conflict resolution, and performance aligning with those values.
Key organizational ethics issues include resource allocation, business development, and ensuring access to care for the uninsured.
Organizational and clinical ethics are interconnected, with organizational ethics shaping the broader context within which clinical decisions are made.

Defining and Implementing Organizational Ethics

Organizational ethics involve defining core values, addressing conflicting values, resolving conflicts, and ensuring actions align with espoused values.
Several approaches exist for practical implementation, including organizational ethics committees, ethics advisors, and sub-committees.
Decision-making frameworks like Accountability for Reasonableness (A4R) guide ethical choices in organizations (consider what, why, and how).

Cultural Humility and Safety in Nursing

Relational ethics emphasizes skilled attunement, openness, and responsiveness to patients.
Essential nurse qualities include mindfulness, humility, open-mindedness, non-judgmental attitudes, curiosity, self-reflection and cultural humility.
Cultural humility involves lifelong learning, acknowledging power imbalances, and fostering collaborative partnerships; it's a process, not a destination.
Cases highlighting lack of cultural safety include Brian Sinclair and Joyce Echaquan.

Mini-Assignment

A mini-assignment involves reflecting on personal values, biases, power, and privilege in relation to ethical nursing practice.
Alternatives are available for those for whom the assignment's themes are too personal.

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Description

This quiz explores the concepts of applied ethics and health ethics, focusing on their significance in nursing. It delves into the historical context of nursing ethics, including Florence Nightingale's pledge, and discusses the unique aspects of nursing ethics while addressing criticisms of ethical codes. Test your understanding of these vital components in healthcare and nursing practices.