Role Fidelity Codes of Ethics and Professional Conduct Quiz

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Questions and Answers

What is the primary focus of codes of ethics and professional conduct mentioned in the text?

Enhancing the prestige of the healthcare profession

Ensuring financial success for healthcare practitioners

Promoting patient autonomy and privacy (correct)

Exercising power over professional colleagues

What is a common problem associated with professional codes?

Lack of gatekeeping mechanisms

Incomplete duties outlined in the codes (correct)

Excessive promotion of professional prestige

Vagueness regarding conflicts of interest

What does 'gaming the system' refer to in the healthcare context as per the text?

Complying strictly with regulations

Ensuring patient satisfaction through all means

Promoting fair competition among healthcare practitioners

Attempting to deceive or manipulate the system (correct)

What potential harm is highlighted in the text due to a healthcare practitioner lying?

It can result in an overall negative impact on the healthcare profession Signup and view all the answers

Which action is considered at least suspect and potentially unethical according to the text?

Self-referral to an establishment with economic interest Signup and view all the answers

Why is having sexual relations between healthcare practitioners and patients considered unethical?

It creates emotional factors that can interfere with therapeutic relationships Signup and view all the answers

What are the four fundamental responsibilities of nurses according to the ICN Code of Ethics?

To promote health, to prevent illness, to restore health, and to alleviate suffering. Signup and view all the answers

What is a key aspect of nursing care delivery according to the text?

Respect and no restrictions based on various attributes like age, culture, and gender. Signup and view all the answers

What professional values should a nurse possess according to the ICN Code of Ethics?

Respectfulness, responsiveness, trustworthiness, and integrity. Signup and view all the answers

What is the primary professional responsibility of nurses according to the ICN Code of Ethics?

To provide care to people needing nursing care with respect to human rights and values. Signup and view all the answers

What should a nurse ensure when sharing personal information according to the ICN Code of Ethics?

Confidentiality and culturally appropriate information sharing with consent. Signup and view all the answers

According to the ICN Code of Ethics, who should nurses collaborate their services with?

Related groups Signup and view all the answers

What should the nurse maintain to provide safe and quality care?

Standard of personal health and conduct Signup and view all the answers

In the context of the Filipino Nurses Code of Ethics, what should be given importance in the delivery of care?

Individuality and totality Signup and view all the answers

According to the ICN Code of Ethics, what should a nurse actively participate in to provide safe working conditions for nursing?

Participating in professional organizations Signup and view all the answers

Which aspect of human life is considered inviolable according to the Code of Ethics for Filipino Nurses?

Human life itself Signup and view all the answers

According to section 3 of Republic Act No. 877 (Philippine Nursing Law), what should nurses be accountable for in their practice?

Continuous learning and providing safe and quality care Signup and view all the answers

What is the primary goal of nursing practice according to the Code of Ethics for Filipino Nurses?

Providing quality and excellence patient care Signup and view all the answers

What is a primary responsibility of nursing care according to the text?

Providing health teachings to individuals and communities Signup and view all the answers

In the context of nursing ethics, what does the ANA Committee on Ethics emphasize regarding moral duty decisions?

Preventing harm, loss, or damage to the patient through intervention Signup and view all the answers

Which model of nurse-patient relationship emphasizes maintaining social order at the expense of individual patient welfare?

Bureaucratic model Signup and view all the answers

What is a key responsibility of nurses in a multicultural society?

Navigating cultural diversity to provide effective care Signup and view all the answers

What should be the approach if a healthcare provider finds an impaired colleague?

Confront and seek effective assistance for the impaired colleague Signup and view all the answers

What is one of the responsibilities of a nurse regarding health human resource development training and research?

Undertaking health human resource development training and research Signup and view all the answers

What is a characteristic of most healthcare practitioners in the United States mentioned in the text?

Xenophobic and ethnocentric attitudes among providers Signup and view all the answers

When it comes to suturing perineal lacerations, what does the text mention about the required training?

Training must be provided according to established protocols Signup and view all the answers

[Difficult] According to the ANA Committee on Ethics, when does treating a patient become a moral duty for a practitioner?

'All four criteria' mentioned by the committee must be met Signup and view all the answers

[Difficult] In a multicultural society, what challenge arises due to ethnocentric practices mentioned in the text?

Culture shock leading to communication barriers Signup and view all the answers

What is the main purpose of an Institutional Ethics Committee in a healthcare institution?

To address ethical questions within the healthcare institution Signup and view all the answers

Which of the following professionals are commonly part of an Institutional Ethics Committee?

Physicians, nurses, and social workers Signup and view all the answers

What is the trend regarding ethical training in healthcare programs according to the text?

It is increasing in healthcare programs Signup and view all the answers

What is the expectation from healthcare practitioners mentioned in the text?

To conduct themselves in a manner that protects patients and institutions they serve Signup and view all the answers

What obligations do practitioners of health professions have?

Obligation to perform necessary gatekeeping tasks as part of their duty Signup and view all the answers

Study Notes

Codes of Ethics and Professional Conduct

Codes of conduct and ethics include:
- Appropriate scope of practice
- Conflicts of interests
- Serving best interest of patients
- Obligations to promote patient autonomy and privacy
- Obligations beyond patients to others in society
- Ethics of research
- Informing on unethical or illegal behavior
Common problems with professional codes include:
- Vagueness as to duties and prohibitions
- Incompleteness as to duties
- Excessive concern with promotion and prestige of profession
- Financial and business interests
- Disparagement of professional colleagues
- Gatekeeping

Gaming the System

Practitioners attempting to get around the system
Willing to lie in the process, often on behalf of patient or at patient's request
Healthcare practitioners have a responsibility to be truthful, keep promises, and be fair
Lying undermines a person's credibility and can have a harmful effect on the entire healthcare profession

Conflicts of Interest

Joint-venturing: a group of individuals joining together for a business venture
Any commercial relationship between practitioner and a company, with material interest, that could form a basis for conflict of interest
Self-referral: referring to an establishment in which you have an economic interest is at least suspect and perhaps unethical

Sexual Misconduct in Healthcare Practice

Sexual relations between practitioners and patients are unethical
The relationship between practitioner and patient is always unequal, creating emotional factors that interfere with therapeutic relationship and objective judgment
When a practitioner feels potential for misunderstanding or mutual feelings of romantic interest, it is time to end the professional relationship

Scope of Practice

Role Fidelity: requires remaining within the scope of clear legitimate practice
One does not cross the line without willful intention
Scope of practice in the Philippines:
- Provide nursing care through the utilization of the nursing process
- Establish linkages with community resources and coordinate with the health team
- Provide health education to individuals, families, and communities
- Teach, guide, and supervise students in nursing education programs
Nurse-patient relationship models:
- Bureaucratic model: emphasis on maintenance of social order at the expense of individual patient's welfare
- Physician advocate model: goal is to enhance authority of physician
- Impaired colleagues place clients at risk

Impaired Colleagues

Practitioner has a duty to intervene, but the manner of intervention is important
Health care provider must be confronted and made to seek effective assistance
Treat impaired colleague humanely

Health Care Provision in a Multicultural Society

We are a nation of immigrants, a multicultural society, with competing ideas regarding basic issues such as the meaning of health and illness
Health care providers often not only ethnocentric but also xenophobic
Culture shock: communication barrier raised, problem patient or uncommunicative one

ANA Committee on Ethics

Fundamental criteria for moral duty decisions:
- Patient at significant risk of harm, loss, or damage if practitioner does not assist
- Practitioner's intervention or care directly relevant to preventing harm
- Practitioner's care will probably prevent harm, loss, or damage to patient
- Benefit the patient will gain outweighs any harm practitioner might incur and does not present more than a minimal risk to health care provider
If practitioner answers yes to all four criteria, it is a moral duty to treat under the principle of beneficence

9 Provisions of the Nursing Code of Ethics

1. NURSES AND PRACTICE: maintain a standard of personal health and conduct, competent, innovative, responsible, and accountable for personal growth in nursing practice through continuous learning
1. NURSES AND PROFESSION: active in determining and implementing acceptable standards of clinical nursing practice, management, research, and education
1. NURSES AND CO-WORKERS: collaborate and maintain respectful relationships with colleagues and co-workers in other fields

Code of Ethics for Filipino Nurses

Article I: Preamble - Health is a fundamental right of every individual
Article II: Registered Nurses and People - individual's values, customs, and spiritual beliefs should be represented in the delivery of care
Article III: Registered Nurses and Practice - human life is inviolable; the goals of the nursing practice are to provide quality and excellence patient care

Institutional Ethics Committee

Interdisciplinary body of health care providers, community representatives, and non-medical professionals
Address ethical questions within health care institution, especially on care of patients
Committees play an advisory role; often multidisciplinary group including physicians, nurses, social workers, philosophers, laypersons, lawyers, administrators, and religious leaders

Conclusion

Many of the legal and ethical issues faced by health care providers are new
Practitioners expected to conduct themselves in a manner that protects patients and institutions they serve
As practitioners of health professions, we have an obligation to our patients, colleagues, and professions to perform necessary, albeit unpleasant, gatekeeping tasks
The profession of nursing, collectively through its professional organization, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy

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Description

Test your knowledge on codes of ethics and professional conduct related to appropriate scope of practice, conflicts of interests, patient autonomy, privacy, obligations beyond patients, ethics of research, and informing on unethical behavior.