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?

Advocating for adequate resources for safe and ethical care Signup and view all the answers

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

It provides a basis for addressing ethical dilemmas with core values. Signup and view all the answers

What type of relationship does the Confederacy signify?

A union of peace and friendship Signup and view all the answers

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

They must reflect on what happened and identify gaps in practice. Signup and view all the answers

What does a learning plan help nurses to do?

Develop an action plan to address specific areas of practice. Signup and view all the answers

What happens to late submissions of assignments?

They will receive deductions. Signup and view all the answers

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

Creating a learning plan. Signup and view all the answers

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

The Between the Lakes Treaty and the Upper Canada Treaty Agreement. Signup and view all the answers

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

Recognition of Indigenous territories and contributions. Signup and view all the answers

Which aspect of nursing does Module 9 specifically address?

Nursing Ethics Signup and view all the answers

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

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

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

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

Which statement correctly defines confidentiality in nursing?

Confidentiality involves keeping personal information private. Signup and view all the answers

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

Identify and respect the different beliefs and values about privacy. Signup and view all the answers

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

Consult with the healthcare team and report the information as necessary. Signup and view all the answers

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

To advocate for clients in acquiring necessary information. Signup and view all the answers

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

Accessing information that is not necessary for care. Signup and view all the answers

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

Making an implicit promise to uphold confidentiality. Signup and view all the answers

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

To uphold the standards of the profession Signup and view all the answers

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

A privilege accompanied by significant responsibilities Signup and view all the answers

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

Advanced financial management systems Signup and view all the answers

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

The nursing profession Signup and view all the answers

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

Supporting systems that respond to nurses' concerns Signup and view all the answers

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

Being accountable for their actions and behaviours Signup and view all the answers

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

Participating in reflective practice requirements Signup and view all the answers

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

Conducting research and sharing findings Signup and view all the answers

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

Keeping promises and meeting obligations towards clients Signup and view all the answers

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

By clarifying their own values in client situations Signup and view all the answers

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

Further discussion to address the conflict Signup and view all the answers

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

Make reasonable efforts to maintain safety and well-being Signup and view all the answers

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

Clarifying their own values to navigate client care Signup and view all the answers

How should nurses address their physical and mental limitations?

By recognizing the impact on their ability to provide care Signup and view all the answers

When facing a value conflict, what should nurses do?

Explore alternative options and seek consultation Signup and view all the answers

What does maintaining commitments in nursing primarily entail?

Honoring promises and ensuring client welfare Signup and view all the answers

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

The nurse must provide immediate care if no other caregiver is available. Signup and view all the answers

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

Informing clients that their information may be used for research. Signup and view all the answers

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

Withdraw from the situation and arrange for another caregiver. Signup and view all the answers

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

Advocate for palliative measures while active treatment is declined. Signup and view all the answers

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

Keeping all personal and health information confidential. Signup and view all the answers

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

Client’s values regarding respect for life and quality of life. Signup and view all the answers

What should be avoided when collecting information from clients?

Inquiring about personal matters unrelated to their health. 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?

To avoid any misconceptions about privacy. 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?

To acknowledge and foster mutual respect with Indigenous peoples Signup and view all the answers

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

The Between the Lakes Treaty Signup and view all the answers

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

A commitment to share resources and maintain peace Signup and view all the answers

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

To maintain respectful and reciprocal relationships Signup and view all the answers

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

A modern confederation promoting peace and friendship Signup and view all the answers

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

The employer and the College must be informed of the pseudonym. Signup and view all the answers

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

Failing to observe a provision of the Nursing Act. Signup and view all the answers

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

They are required to report any unsafe practice or unethical conduct. Signup and view all the answers

What is considered a conflict of interest for nursing professionals?

Practicing the profession while in a conflict of interest. Signup and view all the answers

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

To narrow the issues for the hearing and receive a candid assessment of the case. Signup and view all the answers

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

Submitting a charge for services known to be false or misleading. Signup and view all the answers

What is the composition of a disciplinary hearing panel?

3-5 members, with at least 2 being College Council and the rest nurses. Signup and view all the answers

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

Abide by a written undertaking given to the College. Signup and view all the answers

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

Complaints that arise from personal disputes or bad faith. Signup and view all the answers

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

To disregard any limitations set by the College on their practice. Signup and view all the answers

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

A penalty appropriate to the severity of the act is assigned. Signup and view all the answers

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

Charging excessive fees is never acceptable. Signup and view all the answers

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

If the complaint is not signed and cannot solicit further information. Signup and view all the answers

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

Connect with patients only on professional accounts Signup and view all the answers

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

It promotes clear guidelines to safeguard patient privacy Signup and view all the answers

What should nurses do when using professional social media accounts?

Ensure no patient privacy is violated Signup and view all the answers

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

Potential breaches of patient confidentiality Signup and view all the answers

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

Examine complaints and outcomes from discipline decisions Signup and view all the answers

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

It enhances professional networking and information sharing Signup and view all the answers

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

Accepting friend requests from current patients Signup and view all the answers

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

Keep communication strictly professional and secure 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?

Potential breach of patient confidentiality Signup and view all the answers

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

Follow strict confidentiality protocols Signup and view all the answers

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

Politely decline the request to maintain professional boundaries Signup and view all the answers

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

Therapeutic Nurse-Client Relationships Signup and view all the answers

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

Violation of professional ethics Signup and view all the answers

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

Avoid discussing any patient-related information Signup and view all the answers

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

To ensure compliance with professional standards Signup and view all the answers

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

Disclosing past treatment details Signup and view all the answers

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

Separate personal and professional accounts to maintain professionalism. Signup and view all the answers

How should nurses approach client information on social media platforms?

Never share any client information under any circumstances. Signup and view all the answers

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

To maintain a professional demeanor and relationship with clients. Signup and view all the answers

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

Regularly review and adjust privacy settings for safety. Signup and view all the answers

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

Discussing workplace issues through appropriate communication channels. Signup and view all the answers

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

Their online behavior can impact the nursing profession's reputation. Signup and view all the answers

How should nurses deal with client relationships on social media?

Set and communicate professional boundaries online. Signup and view all the answers

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

To analyze the potential impact of their actions on clients and colleagues. Signup and view all the answers

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

Report it to the appropriate authorities immediately. Signup and view all the answers

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

Perceived as client abandonment and loss of professional credibility. 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, 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.

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.

Studying That Suits You

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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.