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Fundamentals of Nursing, 11th Edition Patricia A. Potter, RN, MSN, PhD, FAAN Anne Griffin Perry, RN, MSN, EdD, FAAN Patricia A. Stockert, RN, BSN, MS, PhD Amy Hall, RN, BSN, MS, PhD, CNE Chapter 22 Ethics and Values Basic Terms in Health Ethics Morals Value Bio...
Fundamentals of Nursing, 11th Edition Patricia A. Potter, RN, MSN, PhD, FAAN Anne Griffin Perry, RN, MSN, EdD, FAAN Patricia A. Stockert, RN, BSN, MS, PhD Amy Hall, RN, BSN, MS, PhD, CNE Chapter 22 Ethics and Values Basic Terms in Health Ethics Morals Value Bioethics Autonomy Beneficence Nonmaleficence Justice Fidelity 3 Professional Nursing Code of Ethics Code of ethics Set of guiding principles that all members of a profession accept Code of Ethics for Nursing Key principles Advocacy Responsibility Accountability Confidentiality 4 Values Value Deeply held belief about the worth of an idea, attitude, custom, or object that affects choices and behaviors Values clarification To resolve ethical conflicts, one needs to distinguish among value, fact, and opinion. Clarifying values—your own, your patients’, your co- workers’— is an important and effective part of ethical discourse. 5 Approaches to Ethics Deontology Utilitarianism Casuistry Feminist ethics Ethics of care 6 Nursing Point of View (1 of 2) Types of ethical problems Ethical dilemma Moral distress Ethics committees 7 Nursing Point of View (2 of 2) Processing an ethical problem Step 1. Ask: Is this an ethical problem? Step 2. Gather information that is relevant to the case. Step 3. Identify the ethical elements in the problem and examine your values. Step 4. Name the problem Step 5. Identify possible course of action Step 6. Create and implement an action plan and carry it out. Step 7. Evaluate the action plan. 8 Issues in Health Care Ethics Social media Quality of life Care at the end of life Access to health care 9