Nursing Ethics and Mohawk College Connection

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Questions and Answers

What is the significance of the Mohawk Nation in relation to Mohawk College?

The college exclusively serves Native American students.

The college was established to promote Mohawk culture.

It is the only Indigenous group recognized by the college.

It is part of the Six Nations of the Haudenosaunee Confederacy. (correct)

Which treaty is mentioned as governing the territories of Mohawk College?

The Treaty of Ghent

The Between the Lakes Treaty (correct)

The Treaty of Paris

The Treaty of Utrecht

What is the primary purpose of a learning plan mentioned in the course outline?

To ensure all nurses become certified.

To evaluate patient satisfaction in nursing practice.

To develop an action plan for identified gaps in nursing knowledge. (correct)

To rate the performance of healthcare facilities.

What consequence is mentioned for late submission of assignments?

Deductions will be applied. Signup and view all the answers

Which of the following is part of the professional responsibility of nurses when a practice issue occurs?

To reflect on what happened. Signup and view all the answers

What is required annually for all nurses registered with the College of Nurses of Ontario?

Submission of a learning plan. Signup and view all the answers

What does the Dish with One Spoon Wampum Agreement represent?

A mutual commitment to peaceful coexistence among nations. Signup and view all the answers

What is included in the agenda of Week 9's Professional Development module?

Learning Outcomes. Signup and view all the answers

What is the primary focus of the ethical value of client well-being in nursing?

Facilitating someone’s good health or welfare Signup and view all the answers

Which of the following best describes the ethical principle of privacy and confidentiality in nursing?

Protecting client information from unauthorized access Signup and view all the answers

How can nurses promote informed decision-making among clients?

By offering comprehensive information to facilitate choices Signup and view all the answers

What does maintaining commitments entail in nursing ethics?

Adhering to professional promises made to clients Signup and view all the answers

Which ethical value emphasizes the need to balance potential benefits and harms in nursing care?

Client well-being Signup and view all the answers

What is a key aspect of being accountable in nursing?

Being transparent about one's actions and decisions Signup and view all the answers

Which principle reflects fairness in nursing ethics?

Equally distributing healthcare resources among clients Signup and view all the answers

How should nurses approach the differing views of clients regarding what is beneficial?

By using the client's views as a starting point for decisions Signup and view all the answers

What is one key aspect of respecting client choice according to nursing standards?

Following the client's wishes within legal and professional obligations Signup and view all the answers

How should nurses approach a client’s decision-making process?

By exploring the client's rationale for their decisions Signup and view all the answers

What does maintaining client confidentiality entail for nurses?

Keeping personal information private and only sharing it with those directly involved in care Signup and view all the answers

What must nurses do if they learn information that could lead to serious harm if not reported?

Consult with the health care team and report as needed Signup and view all the answers

How should nurses handle different beliefs about privacy from clients?

Identify and respect the client's unique beliefs and values about privacy Signup and view all the answers

Which of the following actions does NOT demonstrate respect for client privacy?

Accessing a client's personal information without consent Signup and view all the answers

What is the primary purpose of the CNA Code of Ethics for nurses?

To provide guidelines for ethical conduct and responsibilities Signup and view all the answers

What role does informed decision-making play in client care?

It allows clients to make choices based on comprehensive information Signup and view all the answers

Which of the following best defines advocacy in the nursing context?

Acting on behalf of those who cannot voice their needs Signup and view all the answers

What does accountability in nursing require from practitioners?

Maintaining integrity and being responsible for one's actions Signup and view all the answers

What should nurses do when clients are not capable of making decisions?

Follow the directives of substitute decision makers Signup and view all the answers

Autonomy in health care ethics emphasizes what principle?

Clients having the freedom to make their own decisions Signup and view all the answers

Which of the following is NOT one of the four basic principles of Health Care Ethics?

Sustainability Signup and view all the answers

What is the primary focus of health care ethics?

Resolving conflicts between opposing moral choices in care Signup and view all the answers

Which value is most aligned with the ethical responsibility of reliability in nursing?

Adherence to professional codes and standards Signup and view all the answers

Which characteristic must a nurse demonstrate to fulfill their ethical obligations?

A commitment to ethical relationships and transparent decision-making Signup and view all the answers

What does the principle of justice in health care ethics primarily relate to?

Ensuring fair distribution of health care resources Signup and view all the answers

Which of the following best describes nonmaleficence in nursing ethics?

The duty to avoid causing harm while providing care Signup and view all the answers

What does fairness in health care resource allocation prioritize?

Objective health-related factors Signup and view all the answers

Which action demonstrates a nurse's commitment to fairness?

Advocating for adequate resources for nursing care Signup and view all the answers

In fair health care practices, what might nurses consider when prioritizing care?

The critical nature of patient needs Signup and view all the answers

What is a potential challenge in health care resource allocation?

Rising health care costs Signup and view all the answers

What is an essential component of an ethical framework in nursing?

A set of core values Signup and view all the answers

What does truthfulness in nursing primarily emphasize?

Communicating or acting without the intention to deceive. Signup and view all the answers

Which of the following actions demonstrates a nurse's commitment to quality practice settings?

Evaluating the workplace environment for care improvement opportunities. Signup and view all the answers

How should nurses address client queries regarding their diagnosis?

Discuss with the healthcare team and advocate for full disclosure. Signup and view all the answers

What is the effect of honesty in the nurse-client therapeutic relationship?

It creates a bond of trust essential for effective care. Signup and view all the answers

Which statement best reflects the importance of client information disclosure?

Omissions of information are equally as deceitful as providing false information. Signup and view all the answers

When nurses assess clients' readiness for information, they are primarily focusing on what aspect?

The clients' emotional state and willingness to receive information. Signup and view all the answers

What role does advocacy play in the nurse's responsibility toward clients?

It involves promoting clients' interests and rights to information. Signup and view all the answers

What is an important consideration when clients do not want to be informed of certain health information?

Nurses should still evaluate the client's need for understanding. Signup and view all the answers

Study Notes

Week 9: Professional Development I

Module 9: Nursing Ethics

Land Acknowledgement

Mohawk College is named after the Mohawk Nation.
The Mohawk Nation is one of the Six Nations of the Haudenosaunee Confederacy.
Mohawk College acknowledges the treaties (Between the Lakes Treaty, the Dish with One Spoon Wampum Agreement, and the Upper Canada Treaty Agreement).
These agreements bind the college to maintaining healthy, reciprocal, and respectful relationships with Indigenous nations.
The college values the ongoing contributions of Indigenous peoples and communities.

Agenda

01: Housekeeping
02: Learning Outcomes
03: Ethics
04: Consent & Confidentiality
05: Coming Up
06: Questions?

Housekeeping

Week 9: Housekeeping
Questions?

Case Scenario Assignment Part B

Learning Plan (Part B):
Building on Part A (Reflection submitted Week 5).
Refer to Canvas for additional instructions.
Individual Assignment.
Due prior to start of class next week (Week 10).
Late submissions will receive deductions.

Part B: Individual Learning Plan

Reflect on how you might manage a situation, considering your knowledge and skills.
Identify any knowledge or skill gaps.
Reflect on scenarios that could harm a patient.
Identify learning areas of improvement for practice.
Develop an action plan to address identified areas of practice.
Learning plans aid in maintaining nurses' competence (annual Quality Assurance requirement - College of Nurses of Ontario).
Create a Learning plan outline including a learning goal and 3 learning activities with their corresponding timelines.

Part B: Individual Learning Plan- Steps

Step 1: Assess your knowledge and skills needed to manage a clinical scenario. Identify any gaps you found in your practice.
Step 2: How does your learning goal align with patient safety principles and current nursing best practices? Cite relevant, reputable and current scholarly sources.
Step 3: Which Code of Conduct principles from the College of Nurses of Ontario does your learning goal align with? Give 2 examples.
Step 4: How does your learning goal align with at least 3 entry-level competencies for Registered Practical Nurses?
Step 5: Create 3 learning activities, outlining how you will complete the activities and your anticipated timeline.

Learning Outcomes

1: Discuss ethics as it relates to nursing practice.
2: Explore the ethical values and principles set by the College of Nurses of Ontario.
3: Use an ethical decision-making framework to examine ethical dilemmas.
4: Identify ethical issues in nursing practice.

Ethics

Small Group Activity:
Discuss how you define ethics.
Identify ethical situations.

Understanding Ethics

Values: Strong personal beliefs & ideals that a person or group believes are important.
Ethics: The study of what constitutes right and wrong behavior based on an individual's or group's beliefs.
Ethics: Reflects what matters most to a profession.
Professional Values: Codes of Ethics are developed by governing bodies for nurses (and other professions).

Nursing & Ethics

CNA Code of Ethics: A statement of nurses' ethical values and commitments to patients in several practice settings.
The code guides nurses through practice, education, and policy decision-making.
Nurses are bound to the code to serve and protect individuals.
The code provides guidance for ethical relationships, responsibilities, behaviors, and decision-making.
The code should be used in conjunction with professional standards and best practices.

Ethical Terms

Responsibility: (Reliability, dependability, the ability to distinguish right from wrong, performing actions adequately and thoroughly).
Advocacy: Acting on behalf of another.
Advocacy: Recognizing systems' & societal structures' needs for improvement.
Advocacy: Advocating for the elimination of social inequities.
Accountability: Grounded in moral principles (fidelity and respect for others' dignity), being honest, demonstrating practice with integrity, accepting responsibility for one's actions and answers for actions taken.

Principles of Health Care Ethics

Autonomy: Refers to freedom of decision-making and choice affecting one's life. Nurse's support clients in achieving their own health goals. Clients need to be competent to make rational decisions.
Beneficence: Promoting the well-being or good of another. Decisions must be made to determine the benefits of treatment versus risks and considering the patient's interests more than the nurse's.
Nonmaleficence: Avoiding harm or hurt when guiding decisions, especially new or controversial therapies. The actions taken by the nurse should cause the least harm possible.
Justice: Treating all individuals fairly and equally, regardless of their condition or situation.

Ethics in Healthcare

Health care teams form professional helping relationships with clients and have developed ethical standards to guide interactions.
Regulated professions (like nursing) have codes of ethics provided by the governing body (i.e., CNA).

Codes of Ethics

Codes of ethics relate applicable values to specific scenarios, especially in multidisciplinary teams.
Provide guidance for decision-making regarding ethical matters.
Serve as a means for self-evaluation and reflection for nurses in their ethical nursing practice.
Helps nurses plan out actions and provides supportive rationales for decisions.
Professional bodies (especially the CNO and CNA).

Canadian Nurses Association

CNA Ethics in Nursing: https://www.cna-aiic.ca/
The seven values of ethical responsibility.
1. Providing safe, compassionate, competent and ethical care
2. Promoting health and well-being
3. Honouring dignity
4. Maintaining privacy and confidentiality
5. Promoting justice
6. Being accountable

College of Nurses of Ontario

CNO standards for ethics are important to nurses.
Specific client-related values are outlined from a principle-based approach.

Small Group Activity (CNO & Ethics)

Discuss each ethical value in detail according to CNO.
Understand the importance of these values in nursing practice.

College of Nurses of Ontario — Ethical Value Sections

1. Ethical Well-being
1. Client Choice
1. Privacy & Confidentiality
1. Respect for Life
1. Maintaining Commitments to Clients

5. Maintaining Commitments to Oneself

Nurses' recognition of their values & how they may differ from others' and maintaining their values while providing ethical care.

5. Maintaining Commitments to the Nursing Profession

Nurses' upholding of standards within the profession. This also involves the promotion and growth of the profession itself.
Nurses' commitment to regulating nursing and the role it has in protecting quality.
Nurses' roles in self-regulation, taking responsibility and participating in standards.

5. Maintaining Commitments to Quality Practice Settings

All nurses must support and promote quality practice settings.
There are seven keys characteristics of quality settings in professional practice.
1. Professional development systems
2. Leadership
3. Organizational supports
4. Response systems facilities and equipment
5. Communication systems
6. Care delivery processes

6. Truthfulness

Truthfulness in nursing practice by speaking or acting without intending to deceive.
Providing complete information to clients.

7. Fairness

Fairness involves allocating health care resources responsibly, considering health factors.
The use of Canadian Health Act as a guideline.

Ethical Dilemmas

Conflict between two sets of values. These principles are important for finding the best course of action for the patient.
Ethical dilemmas are often challenging, but considering the principles of health care ethics may aid in finding the best course of action.

Resolving Ethical Conflicts

Working through ethical situations is essential for providing care.
It is not always possible to find a resolution that satisfies everyone.

Nurses have an ethical and legal obligation to obtain informed consent.
Consent guidelines are discussed under both the Health Care Consent Act of 1996 and the Substitute Decisions Act of 1992.
Practice guidelines sometimes do not support legislation, especially related to the mental health and dying acts.

Nurses are responsible for obtaining informed consent.
The information shared must include details regarding treatment nature, benefits, risks and side effects, alternative options, and consequences from not undergoing treatment.

Promote individual autonomy, enabling clear communication between healthcare practitioners and their clients.
Consent is an ongoing process.

Substitute Decisions Act (SDA)

Deals with decision-making about personal care and property, especially regarding those incapable of making decisions.
Involves the appointment of decision-makers, often using Power of Attorney documents.

Assess client's capacity.
Provide emergency treatment if needed when crisis admission occurs.
Inform the client of Substitute Decision-Maker roles and responsibilities.
Identify and approach a Substitute Decision-Maker.
Obtain consent from the Substitute Decision-Maker.

Confidentiality

Nurses have an ethical and legal obligation to maintain confidentiality and privacy of client health information.
Ontario's privacy legislation (legislation acts like PHIPA or QOCIPA) supports the nurses' responsibility for confidentiality, setting standards, and protecting client health information.

Confidentiality Scenario

A client with an acquired brain injury is being transferred to a new hospital for continuing care and in an unconscious state.
The husband is to be informed/involved in the transfer.
The health care plan must be shared with the new hospital. Insurance information (covering the transfer) needs to be shared with the insurance company.
Identify the challenges of sharing information with these different parties.

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Description

This quiz explores the relationship between the Mohawk Nation and Mohawk College, focusing on the ethical responsibilities of nurses. Key topics include treaties, learning plans, client well-being, and professional responsibilities within nursing. Test your knowledge on these important concepts related to nursing ethics and cultural contexts.