Nursing Ethics Module 9
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Questions and Answers

What does fairness in health care primarily entail?

  • Allocating resources based on objective health-related factors (correct)
  • Prioritizing care for those who are able to pay
  • Distributing resources evenly among all patients
  • Making decisions based on personal judgments of care

Which statement is true about the Canadian Health Act?

  • It guarantees health care access only to those with critical needs.
  • It limits health care services based on available resources.
  • It provides access to health care for all Canadians. (correct)
  • It provides restricted access to health care for select Canadians.

How might nurses prioritize individual client needs?

  • By comparing the needs of multiple clients at once
  • According to the critical nature of that need (correct)
  • Based on the client's social status
  • By considering the client's ability to afford care

What is one way nurses can demonstrate regard for fairness?

<p>Advocating for adequate resources for safe and ethical care (B)</p> Signup and view all the answers

What is the significance of having an ethical framework in nursing?

<p>It provides a basis for addressing ethical dilemmas with core values. (B)</p> Signup and view all the answers

What type of relationship does the Confederacy signify?

<p>A union of peace and friendship (D)</p> Signup and view all the answers

What is required of nurses when a practice issue occurs that may lead to patient harm?

<p>They must reflect on what happened and identify gaps in practice. (D)</p> Signup and view all the answers

What does a learning plan help nurses to do?

<p>Develop an action plan to address specific areas of practice. (A)</p> Signup and view all the answers

What happens to late submissions of assignments?

<p>They will receive deductions. (D)</p> Signup and view all the answers

What is part of the annual quality assurance requirement for nurses?

<p>Creating a learning plan. (D)</p> Signup and view all the answers

Which treaties govern the territories on which Mohawk College is situated?

<p>The Between the Lakes Treaty and the Upper Canada Treaty Agreement. (D)</p> Signup and view all the answers

What does the term 'Land Acknowledgement' primarily refer to?

<p>Recognition of Indigenous territories and contributions. (C)</p> Signup and view all the answers

Which aspect of nursing does Module 9 specifically address?

<p>Nursing Ethics (C)</p> Signup and view all the answers

What is an essential aspect of respecting client choice behavior in nursing?

<p>Exploring the client's rationale for their decisions (C)</p> Signup and view all the answers

What should nurses do when a client is not capable of making decisions?

<p>Follow substitute decision makers’ directives (A)</p> Signup and view all the answers

Which statement correctly defines confidentiality in nursing?

<p>Confidentiality involves keeping personal information private. (B)</p> Signup and view all the answers

How should nurses handle clients' privacy according to different beliefs and values?

<p>Identify and respect the different beliefs and values about privacy. (C)</p> Signup and view all the answers

In cases where serious harm may occur, what must nurses do regarding confidential information?

<p>Consult with the healthcare team and report the information as necessary. (D)</p> Signup and view all the answers

What is the primary purpose of supporting informed decision-making for clients?

<p>To advocate for clients in acquiring necessary information. (C)</p> Signup and view all the answers

What must nurses avoid when maintaining a client’s privacy?

<p>Accessing information that is not necessary for care. (C)</p> Signup and view all the answers

What is a key responsibility of nurses regarding clients’ rights to confidentiality?

<p>Making an implicit promise to uphold confidentiality. (B)</p> Signup and view all the answers

What is the primary duty of nurses in relation to the nursing profession?

<p>To uphold the standards of the profession (C)</p> Signup and view all the answers

Which of the following best describes self-regulation in nursing?

<p>A privilege accompanied by significant responsibilities (D)</p> Signup and view all the answers

Which characteristic is NOT identified by CNO as supporting quality professional practice?

<p>Advanced financial management systems (A)</p> Signup and view all the answers

Nurses are expected to conduct themselves in a manner that promotes respect for which of the following?

<p>The nursing profession (B)</p> Signup and view all the answers

What is one way nurses can advocate for quality practice settings?

<p>Supporting systems that respond to nurses' concerns (B)</p> Signup and view all the answers

What is a responsibility that accompanies the privilege of self-regulation for nurses?

<p>Being accountable for their actions and behaviours (C)</p> Signup and view all the answers

Which of the following actions reflects a commitment to the nursing profession?

<p>Participating in reflective practice requirements (C)</p> Signup and view all the answers

Which of the following best demonstrates a nurse's commitment to the growth of the profession?

<p>Conducting research and sharing findings (C)</p> Signup and view all the answers

What is the primary obligation of nurses in maintaining commitments to clients?

<p>Keeping promises and meeting obligations towards clients (B)</p> Signup and view all the answers

How can nurses demonstrate a regard for both clients and themselves?

<p>By clarifying their own values in client situations (B)</p> Signup and view all the answers

When clients’ needs conflict with those of their family, what should nurses encourage?

<p>Further discussion to address the conflict (C)</p> Signup and view all the answers

What action should nurses take to ensure client safety during job actions?

<p>Make reasonable efforts to maintain safety and well-being (A)</p> Signup and view all the answers

What is a key aspect of maintaining commitments to oneself as a nurse?

<p>Clarifying their own values to navigate client care (A)</p> Signup and view all the answers

How should nurses address their physical and mental limitations?

<p>By recognizing the impact on their ability to provide care (B)</p> Signup and view all the answers

When facing a value conflict, what should nurses do?

<p>Explore alternative options and seek consultation (B)</p> Signup and view all the answers

What does maintaining commitments in nursing primarily entail?

<p>Honoring promises and ensuring client welfare (C)</p> Signup and view all the answers

Which action is necessary when a nurse's personal values conflict with a client's wishes?

<p>The nurse must provide immediate care if no other caregiver is available. (A)</p> Signup and view all the answers

Which of these statements reflects the principle of respecting client privacy?

<p>Informing clients that their information may be used for research. (C)</p> Signup and view all the answers

What should a nurse do if they believe they cannot provide care due to personal values?

<p>Withdraw from the situation and arrange for another caregiver. (B)</p> Signup and view all the answers

How can a nurse demonstrate respect for life when caring for a dying client?

<p>Advocate for palliative measures while active treatment is declined. (C)</p> Signup and view all the answers

What is a key component of maintaining confidentiality in a healthcare setting?

<p>Keeping all personal and health information confidential. (B)</p> Signup and view all the answers

When discussing care plans with clients, what is vital to include?

<p>Client’s values regarding respect for life and quality of life. (C)</p> Signup and view all the answers

What should be avoided when collecting information from clients?

<p>Inquiring about personal matters unrelated to their health. (D)</p> Signup and view all the answers

Why is it important for nurses to inform clients regarding the access to their information by other health team members?

<p>To avoid any misconceptions about privacy. (B)</p> Signup and view all the answers

What is the primary purpose of recognizing the Mohawk Nation and the Six Nations of the Haudenosaunee Confederacy at Mohawk College?

<p>To acknowledge and foster mutual respect with Indigenous peoples (D)</p> Signup and view all the answers

Which treaty is mentioned in the context of the governance of the territories of Mohawk College?

<p>The Between the Lakes Treaty (D)</p> Signup and view all the answers

What does the Dish with One Spoon Wampum Agreement primarily signify?

<p>A commitment to share resources and maintain peace (C)</p> Signup and view all the answers

What commitment does Mohawk College emphasize in relation to Indigenous nations?

<p>To maintain respectful and reciprocal relationships (B)</p> Signup and view all the answers

Which statement best describes the Six Nations of the Grand River?

<p>A modern confederation promoting peace and friendship (D)</p> Signup and view all the answers

What is a condition under which a member can use a pseudonym while providing services?

<p>The employer and the College must be informed of the pseudonym. (A)</p> Signup and view all the answers

Which action constitutes professional misconduct regarding compliance with the College's mandates?

<p>Failing to observe a provision of the Nursing Act. (B)</p> Signup and view all the answers

What is required of a member when reporting unsafe practice or unethical conduct?

<p>They are required to report any unsafe practice or unethical conduct. (B)</p> Signup and view all the answers

What is considered a conflict of interest for nursing professionals?

<p>Practicing the profession while in a conflict of interest. (A)</p> Signup and view all the answers

What is the main purpose of a pre-hearing conference?

<p>To narrow the issues for the hearing and receive a candid assessment of the case. (C)</p> Signup and view all the answers

Which of the following actions is categorized as inappropriate business practice?

<p>Submitting a charge for services known to be false or misleading. (B)</p> Signup and view all the answers

What is the composition of a disciplinary hearing panel?

<p>3-5 members, with at least 2 being College Council and the rest nurses. (D)</p> Signup and view all the answers

What is a member’s obligation when dealing with an agreement made with the College?

<p>Abide by a written undertaking given to the College. (A)</p> Signup and view all the answers

Which kind of complaint is NOT addressed by the College of Nurses of Ontario?

<p>Complaints that arise from personal disputes or bad faith. (B)</p> Signup and view all the answers

What does it mean to contravene a term of the Certificate of Registration?

<p>To disregard any limitations set by the College on their practice. (A)</p> Signup and view all the answers

What action is typically taken if a member is found guilty during a disciplinary hearing?

<p>A penalty appropriate to the severity of the act is assigned. (C)</p> Signup and view all the answers

In what situation is it acceptable to charge an excessive fee for services?

<p>Charging excessive fees is never acceptable. (B)</p> Signup and view all the answers

In what situation will anonymous complaints be disregarded by the College of Nurses?

<p>If the complaint is not signed and cannot solicit further information. (A)</p> Signup and view all the answers

What is a critical boundary nurses should maintain regarding social media?

<p>Connect with patients only on professional accounts (A)</p> Signup and view all the answers

What does the International Nurse Regulator Collaborative emphasize about social media use?

<p>It promotes clear guidelines to safeguard patient privacy (A)</p> Signup and view all the answers

What should nurses do when using professional social media accounts?

<p>Ensure no patient privacy is violated (D)</p> Signup and view all the answers

In the nursing profession, which of the following is a risk associated with social media use?

<p>Potential breaches of patient confidentiality (A)</p> Signup and view all the answers

What aspect should students focus on during the small group activity about discipline hearings?

<p>Examine complaints and outcomes from discipline decisions (B)</p> Signup and view all the answers

What is a major benefit of using social media within the nursing profession?

<p>It enhances professional networking and information sharing (A)</p> Signup and view all the answers

Which action is inappropriate for nurses when using personal social media accounts?

<p>Accepting friend requests from current patients (C)</p> Signup and view all the answers

What is a primary guideline for nurses regarding the use of social media and patient interactions?

<p>Keep communication strictly professional and secure (B)</p> Signup and view all the answers

What is a primary concern when a nurse shares details about a patient on social media, even without using names?

<p>Potential breach of patient confidentiality (B)</p> Signup and view all the answers

Which strategy can nurses use to mitigate the risks of social media use?

<p>Follow strict confidentiality protocols (D)</p> Signup and view all the answers

How should a nurse respond to a patient who requests to be friends on social media?

<p>Politely decline the request to maintain professional boundaries (B)</p> Signup and view all the answers

Which of the following CNO standards could be cited in relation to the use of social media?

<p>Therapeutic Nurse-Client Relationships (A)</p> Signup and view all the answers

What is a potential risk of a nurse interacting with patients on social media?

<p>Violation of professional ethics (D)</p> Signup and view all the answers

What should a nurse do to prevent potential breaches of confidentiality when using social media?

<p>Avoid discussing any patient-related information (B)</p> Signup and view all the answers

Why is it important for nurses to be aware of the ethical implications of social media use?

<p>To ensure compliance with professional standards (D)</p> Signup and view all the answers

What action should be avoided when interacting with former patients on social media?

<p>Disclosing past treatment details (B)</p> Signup and view all the answers

What should nurses do regarding their personal and professional social media accounts?

<p>Separate personal and professional accounts to maintain professionalism. (B)</p> Signup and view all the answers

How should nurses approach client information on social media platforms?

<p>Never share any client information under any circumstances. (D)</p> Signup and view all the answers

What is a key expectation of nurses if they identify themselves on social media?

<p>To maintain a professional demeanor and relationship with clients. (A)</p> Signup and view all the answers

What is a recommended practice for setting privacy on social media accounts?

<p>Regularly review and adjust privacy settings for safety. (D)</p> Signup and view all the answers

What is an essential aspect of maintaining integrity on social media for nurses?

<p>Discussing workplace issues through appropriate communication channels. (C)</p> Signup and view all the answers

What should nurses be aware of when using social media in a professional context?

<p>Their online behavior can impact the nursing profession's reputation. (D)</p> Signup and view all the answers

How should nurses deal with client relationships on social media?

<p>Set and communicate professional boundaries online. (A)</p> Signup and view all the answers

Why is it important for nurses to reflect on their use of social media?

<p>To analyze the potential impact of their actions on clients and colleagues. (C)</p> Signup and view all the answers

What should nurses do if they witness a breach of confidentiality on social media?

<p>Report it to the appropriate authorities immediately. (D)</p> Signup and view all the answers

What is a potential consequence of personal social media use while working for nurses?

<p>Perceived as client abandonment and loss of professional credibility. (A)</p> Signup and view all the answers

Flashcards

Learning Plan (Part B)

An individual assignment requiring nurses to create a learning plan to address potential practice issues.

Practice Issue

A situation that could harm a patient, prompting reflection on nurse practice.

Learning Plan

A structured plan to improve knowledge and skills in a specific area of nursing practice; used for quality assurance.

Patient Harm

A negative outcome for a patient, possibly caused by a gap in nursing practice.

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Individual Learning Plan (Part A)

Previous assignment focused on reflecting on potential issues and current knowledge/skills.

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Nursing Ethics

Moral principles that guide nurses in their practice, promoting patient well-being.

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Quality Assurance

A process of testing and improving standards in nursing practice.

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Consent and Confidentiality

Important ethical considerations related to patient privacy and autonomy.

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Client Choice

Respecting a client's decisions, even if different from the nurse's, while adhering to legal and practice standards.

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Substitute Decision Makers

Individuals authorized to make decisions for clients who lack the capacity to do so.

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Informed Decision Making

Supporting clients to gather information so they can make their own choices.

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Privacy

Limited access to a person's body, conversations, or personal information, respecting individual beliefs.

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Confidentiality

Keeping client information private, sharing only with those involved in care.

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Serious Harm Disclosure

Nurses must report information that could prevent serious harm to a client or others.

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Reporting Obligations

Nurses must report suspected abuse (child/elder) and other serious incidents such as gunshot wounds or stabbings.

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Client Dignity

Maintaining an environment that respects a client's sense of worth. Caregivers should not access a client's personal affairs unnecessarily.

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Confidentiality in Healthcare

Protecting sensitive patient information from unauthorized access or disclosure. This includes health records, personal details, and conversations.

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Informed Consent

Ensuring a patient understands the risks, benefits, and alternatives of a treatment or procedure before agreeing to it.

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Substitute Decision-Maker (SDM)

A person appointed to make medical decisions for a patient who cannot make them for themselves.

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Respect for Life

A core ethical principle in nursing that emphasizes valuing and protecting human life.

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Nurse's Values vs. Patient's Wishes

When a nurse's personal beliefs clash with a patient's wishes regarding care. The nurse must prioritize patient autonomy within legal and ethical boundaries.

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Ethical Obligation to Provide Care

A nurse's responsibility to provide essential care to a patient, even if it differs from their personal values, unless it's unsafe for the patient.

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Advocating for Palliative Care

Supporting patients who choose to focus on comfort and quality of life rather than aggressive medical treatment.

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Dignified Care for Dying Patients

Providing compassionate and attentive care to a dying patient, respecting their needs and wishes.

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Commitment to Clients

Nurses must fulfill promises made to their patients, ensuring honesty and meeting explicit or implicit obligations.

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Client Needs vs. Family Wishes

When a patient's desires conflict with their family's, nurses should identify the conflict and encourage further discussion.

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Supporting Client Wishes

Nurses should identify and provide resources to help patients fulfill their wishes.

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Client Safety During Job Action

Nurses must make all reasonable efforts to ensure patient safety and well-being during labor disputes.

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Nurses' Values in Care

Nurses should recognize and function within their own values, even when they differ from patients or other healthcare professionals.

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Value Conflict in Care

When a nurse's values conflict with providing care, they should explore alternative options and seek consultation.

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Recognizing Limitations

Nurses should be aware of their physical and mental limitations, and how these impact their ability to provide safe and ethical care.

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Impact of Health on Care

Nurses should recognize how their own health affects their ability to provide safe, effective, and ethical care.

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Fairness in Healthcare

Distributing healthcare resources based on objective health-related factors, prioritizing those with the most critical needs and potential for benefit.

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Canadian Health Act

Guarantees access to healthcare for all Canadians, regardless of their ability to pay.

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Resource Allocation Dilemma

The challenge of making decisions about who receives care and what kind, due to limited resources and increasing healthcare needs.

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Nurse's Role in Fairness

Nurses prioritize patient needs based on criticality and potential benefit, advocate for adequate resources, and explore alternative care options.

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Ethical Framework

A set of core values and principles used by nurses to guide their decision-making in ethical dilemmas.

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Maintaining Commitments to Nursing

Nurses have a duty to uphold professional standards, conduct themselves ethically, and participate in the growth and regulation of nursing to protect public access to quality care.

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Self-Regulation in Nursing

Nurses are responsible for upholding their own practice standards and contributing to the ongoing evolution of nursing regulations.

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Quality Practice Settings

Environments that support high-quality nursing practice are essential for delivering optimal patient care.

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Advocating for Quality Practice Settings

Nurses have a responsibility to speak up for improvements in their workplaces that enhance the provision of quality care.

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Key Characteristics of Quality Practice Settings

Seven characteristics contribute to a quality practice environment: professional development, leadership, organizational supports, response systems, facilities and equipment, communication systems, and a culture that values and supports nurses.

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Professional Development Systems

Opportunities for ongoing learning and skill development are crucial for nurses to stay up-to-date and improve their practice.

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Leadership in Quality Practice Settings

Effective leadership in nursing promotes a positive work environment, encourages staff involvement, and fosters a culture of ongoing improvement.

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Organizational Supports for Quality Practice

Adequate resources, policies, and structures are essential for nurses to deliver safe and effective care.

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Professional Boundaries

Guidelines that separate a professional's personal life from their work life. They help maintain ethical and safe relationships with clients.

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Misconduct

Any unprofessional behaviour that violates ethical codes or legal regulations, potentially harming clients or the profession.

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Social Media Use

Using online platforms like Facebook or Twitter for personal or professional purposes. Special care is needed to protect client privacy and maintain professional boundaries.

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Land Acknowledgement

A formal recognition of the historical and ongoing presence of Indigenous peoples on the land where a particular institution or event is happening.

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Professional Development

Ongoing learning and skill-building activities that enhance competency and knowledge. Key for nurses to provide the best patient care.

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Pre-hearing Conference

A meeting before a disciplinary hearing to narrow the issues, identify legal points, and give the parties a chance to understand the case better, potentially leading to a resolution.

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Disciplinary Hearing Panel

A group of 3-5 people, with at least 2 from the College Council and the rest being nurses, who review allegations, hear evidence, and decide if a nurse committed a violation.

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What complaints can the College address?

The College handles complaints about any aspect of nursing care, including unsafe practices, medication errors, and inappropriate behavior.

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What complaints won't the College address?

The College won't handle complaints about workplace issues that aren't directly related to a nurse's actions, personal disputes, or anonymous complaints.

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What happens when someone wants to make a complaint?

The College investigates complaints about nurses' conduct, gathering information and interviewing parties involved. This may lead to disciplinary action or other resolutions.

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Using Another Name

A nurse can't use a different name when providing services unless it's necessary for personal safety and they've informed their employer and the College.

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Contravening Registration

Nurses are in trouble if they break the rules set out in their Certificate of Registration.

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Breaking Nursing Laws

Failing to follow the Nursing Act, Regulated Health Professions Act, or their regulations is a serious offense.

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Ignoring College Orders

Nurses must obey orders from the College's Complaints, Discipline, or Fitness to Practice Committees.

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Conflict of Interest

Nurses can't practice when they have a personal interest that conflicts with their professional duties.

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False Billing

Nurses can't submit fake invoices or charges for services they didn't provide.

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Excessive Fees

Nurses cannot charge unreasonably high fees for the services they provide.

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Unsafe Practice Reporting

Nurses have a duty to report any unsafe practice or unethical conduct they witness in the healthcare field.

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Social Media in Nursing

Using online platforms like Facebook or Twitter for personal or professional purposes. It can be beneficial for communication and information sharing but poses risks related to patient privacy and professional boundaries.

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Professional Social Media Accounts

Online platforms specifically designed for nurses, such as LinkedIn, where professionals can network and share relevant information.

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Personal Social Media Accounts

Online platforms meant for personal use, such as Facebook, where individuals share their daily lives and connect with friends and family.

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Nurse-Client Boundary

A clear separation between the professional relationship nurses have with their patients and their personal lives.

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Patient Privacy

Protecting sensitive information about a patient's health, treatment, and personal details from unauthorized access or disclosure.

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Professional Social Media Use

Using social media platforms in a way that is respectful of patient privacy, confidentiality, and professional boundaries.

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INRC Position Statement

Guidelines released by the International Nurse Regulator Collaborative outlining recommended practices for nurses' use of social media.

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Social Media Use in Nursing

Using social media platforms like Facebook or Twitter for either personal or professional purposes, while adhering to ethical guidelines and professional boundaries.

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Professional Boundaries in Social Media

Maintaining a separation between personal and professional online interactions, using different accounts for personal and professional activities.

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Confidentiality on Social Media

Never sharing any client information on social media platforms, including details about their care or personal life.

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Privacy Settings: Limit Access

Adjusting social media privacy settings to limit access to personal information and safeguard online privacy.

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Professional Image Online

Maintaining professional behaviour and communication in online interactions, mirroring the standards expected in face-to-face interactions.

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Employer Policies on Social Media

Understanding and following employer policies regarding social media use, photography, and device usage (including personal devices at work).

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Accountability for Online Actions

Taking responsibility for online behaviour, reflecting on its motivations and potential consequences, and being prepared to address them.

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Integrity in Online Communication

Maintaining ethical online communication by using appropriate channels for workplace issues and respecting colleagues and clients.

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Using Caution When Identified as a Nurse

Being mindful of potential requests for advice or a nurse-client relationship when identifying as a nurse online.

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Client Abandonment & Social Media

Understanding how personal social media use while working could be perceived as neglecting client care.

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CNO & Social Media

The College of Nurses of Ontario sets guidelines for nurses using social media, emphasizing patient privacy, professional boundaries, and ethical conduct.

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Mitigating Social Media Risks

Nurses use strategies to reduce or eliminate risks associated with social media, like avoiding patient information and maintaining professional boundaries.

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Confidentiality Scenario

A nurse posts information about a patient's diagnosis on social media, even without using names or pictures, potentially violating patient privacy.

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Professional Boundaries Scenario

A home care nurse is asked to be Facebook friends with a patient, potentially blurring the lines between professional and personal relationships.

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Professional Standards

CNO guidelines define expected ethical and competent behavior for nurses, including responsible social media use to protect patients.

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Social Media Benefits

Social media can be beneficial for nurses in appropriate circumstances, such as sharing professional resources or connecting with colleagues.

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Social Media Safeguards

Measures nurses take to ensure ethical and safe social media use, like avoiding patient information and maintaining privacy.

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Representing the Profession

Nurses are expected to uphold professional standards, including on social media, demonstrating ethical conduct and protecting patient privacy.

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Study Notes

Week 9: Professional Development I

  • Module 9: Nursing Ethics

Land Acknowledgement

  • Mohawk College is named after the Mohawk Nation, one of the Six Nations of the Haudenosaunee Confederacy
  • Mohawk College recognizes the Six Nations of the Grand River and the Mississaugas of the Credit First Nation
  • The college acknowledges the territories governed by the Between the Lakes Treaty, the Dish with One Spoon Wampum Agreement, and the Upper Canada Treaty Agreement
  • These agreements represent a mutual commitment to maintain healthy, reciprocal, and respectful relationships with Indigenous peoples and communities of the area
  • The college values the ongoing contributions of Indigenous peoples and communities

Agenda

  • Housekeeping
  • Learning Outcomes
  • Ethics
  • Consent & Confidentiality
  • Coming Up
  • Questions?

Housekeeping

  • This is a housekeeping item for the week

Case Scenario Assignment Part B

  • Learning Plan (Part B): Reflect on Part A's insights, consult Canvas for extra instructions, complete individual assignments, submit by the start of next week, and note that late submissions will be penalized
  • Due Date: Prior to the start of class next week (Week 10)

Part B: Individual Learning Plan

  • Nurses have ethical responsibilities to reflect on practice issues, identify gaps, and develop learning plans to improve practice and demonstrate commitment to excellence in nursing practice
  • In Part A, students reflected on how to manage a situation, and they now need to create an individual learning plan with a learning goal and three learning activities
  • Students need to link the learning goal to patient safety (with a scholarly backing), CNO Codes of Conduct, and RPN entry-to-practice competencies
  • This plan must include a timeline for completing the learning activities

Part B: Individual Learning Plan (Steps)

  • Step 1: Reflect on Part A's answer, identify any knowledge or skill gaps
  • Step 2: Describe the learning goal, aligning it with patient safety principles and current nursing practices (supported by a relevant scholarly source)
  • Step 3: Explain how the learning goal meets at least two CNO Code of Conduct principles
  • Step 4: Detail how the learning goal aligns with at least three entry-to-practice competencies
  • Step 5: Outline three specific learning activities with a timeline for completion

Learning Outcomes

  • 1: Discuss ethics and its connection to nursing practice
  • 2: Explore ethical values and principles of the College of Nurses of Ontario
  • 3: Utilize an ethical decision-making framework to evaluate ethical dilemmas
  • 4: Identify and recognize ethical issues in nursing practice

Ethics

  • A small group activity to provide ideas on how to define ethics.

Understanding Ethics

  • Values: Firm beliefs and ideals individuals or groups hold
  • Ethics: Philosophy that defines right and wrong behaviour based on what one should do and should not do
  • The CNA has published a code of ethics for nurses reflecting values essential to nursing practice

Nursing & Ethics

  • The CNA Code of Ethics is a statement of ethical values for nurses regarding person centered health care
  • The code guides nurses in all aspects of practice, education, administration, research, and policy

Ethical Terms

  • Responsibility: Reliability, dependability, ability to distinguish right from wrong, and performing actions thoroughly
  • Advocacy: Action on behalf of another, speaking for those unable to, recognizing systemic inequality, and advocating for equity
  • Accountability: Ethical principles of fidelity and respect, nurses maintaining honesty and integrity in interactions and accepting responsibility for decisions and actions

Principles of Health Care Ethics

  • Autonomy: Freedom, self-determination, and making decisions about one's life
  • Beneficence: Doing good, promoting well-being, decisions balanced with risks and benefits
  • Nonmaleficence: Avoiding harm, decisions guiding new therapies

Principles of Health Care Ethics (continued)

  • Justice: Treat everyone fairly, upholding principle of justice, equitable burden and distribution of benefits

Ethics in Healthcare

  • Health care teams have professional standards and ethical guidelines for interactions with clients

Codes of Ethics

  • Guides ethical decision-making in multidisciplinary teams
  • Self-assessment and reflecting on ethical practice
  • Planning actions supported by ethical rationales

Canadian Nurses Association (CNA)

  • Provides guidance and 7 ethical values and responsibilities:
    • Safe, compassionate, competent, and ethical care
    • Promoting health and well-being
    • Respect and informed decision-making
    • Valuing dignity
    • Maintaining confidentiality
    • Promoting justice
    • Being accountable

College of Nurses of Ontario (CNO)

  • Provides ethical values important to nurses:
    • Client well-being
    • Client choice
    • Privacy and confidentiality
    • Respect for life Maintenance of commitments and truthfulness
    • Fairness

College of Nurses of Ontario (CNO) (continued)

  • Has a Practice Standard and Ethical Responsibilities with behavioural directives for the above values

Ethical Dilemmas

  • Conflicts between values
  • Situations causing distress or uncertainty
  • Examples: client refuses treatment, concern over client safety

Resolving Ethical Conflicts

  • Nurses work through ethical situations during care, aiming for a solution benefiting everyone involved, and documenting discussions and decisions.

Consent & Confidentiality

  • Nurses have legal and ethical responsibilities for obtaining consent, following provincial legislation such as the Health Care Consent Act (HCCA) and the Substitute Decisions Act (SDA)
  • Nurses are accountable for obtaining informed consent, providing complete information about proposed treatment, its associated risks, benefits, and alternatives, and potential consequences.
  • Promotes individual, autonomy, communication, and participation by family when necessary

Substitute Decisions Act (SDA)

  • Addresses decision-making tasks for individuals who are incapable
  • Nurses must assess capacity; provide emergency treatments during crisis admission; inform the client and/or substitute decision-maker; identify the SDM; and obtain consent from the SDM
  • The process must follow all legal requirements and respect the clients' rights.

Confidentiality

  • Ethical and legal responsibility for nurses to preserve client privacy with provincial acts such as PHIPA and QOCIPA

Confidentiality Scenarios

  • Case studies demonstrating confidentiality issues in multiple contexts, including transfers and sharing information with insurance.

Coming Up

  • Module 9: Complete one hour of asynchronous work, review module objectives, and prepare for required readings and activities.
  • Part B Assignment: Complete the Learning Plan assignment, and find instructions on Canvas. Due date is November 15th at 7:00 pm.

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Related Documents

Mohawk College Professional Development I (Nursing Ethics) PDF
Professional Development - Professional Misconduct & Boundaries (PDF)

Description

Explore the essential principles of nursing ethics in this Week 9 module. This quiz will cover topics such as consent, confidentiality, and the importance of Indigenous acknowledgements in professional nursing practice. Engage critically with the learning outcomes and scenarios presented.

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