MODULE 24 Ethics RPN2023.pdf

MODULE 24: Ethics in Perioperative Nursing Suggested Readings ORNAC Standards 2023 College of Nurses Practice Standard: Ethics (2019) Learning Outcomes Describe the purpose of ethics and ethical conduct in the perioperative...

MODULE 24: Ethics in Perioperative Nursing Suggested Readings ORNAC Standards 2023 College of Nurses Practice Standard: Ethics (2019) Learning Outcomes Describe the purpose of ethics and ethical conduct in the perioperative setting. Differentiate the five focal virtues as they relate to the perioperative client. Ethics can be surmised as a system of moral principles that affect how an individual makes decisions and lives their lives. Ethics is also known as a moral philosophy and is a systematic understanding of right and wrong as it relates to rules or standards of conduct, and good character. Component of Ethical Frameworks Ethical frameworks assist the nurse in providing a therapeutic nurse-client relationship. Ethical conflict can occur in a variety of ways in the operating room. Whether it be patient, staff, or interdisciplinary related. The perioperative nurse should have an understanding and ability to communicate beliefs and values to prevent ethical conflicts. It is imperative the perioperative nurse considers decisions that are made to serve the best interest of the patient and should have a family-centered approach. Five Focal Virtues 1. Compassion (Beneficence) – An active regard or focus on the best interests of the person being cared for. 2. Discernment – Understanding brought to action that is most helpful (insight, judgement, understanding). 3. Trustworthiness – A relationship built between the care provider and the patient/family 4. Integrity – Practicing with integrity and respecting the dignity of oneself and others. 5. Conscientiousness – Ensuring the best actions are for the patient without biased opinions. Module 24: Ethics All health care professionals need to be aware of the importance of: - Identifying goals and purpose of treatment and means to achieve goals (Perioperative Nursing Data System [PNDS]) - Determine and respect patient and family values - Identify conflict and resolution CNO Ethical Values (2019) These values are implemented daily in perioperative nursing care practice: - Client well-being - Client choice - Privacy and Confidentiality - Respect for Life - Maintaining Commitments - Truthfulness - Fairness Perioperative Nurse Practice Standards include: 1. Knowledge from nursing, the sciences and the humanities. 2. Effective use of the nursing process for clinical decision-making. 3. Professional responsibility and accountability. 4. Provision of safe patient care through collaboration with multidisciplinary team members. Activity Critically reflect on the ethical scenarios below and how you may address them in the clinical setting. Apply the Ethical Values from the CNO to the Perioperative Nursing Practice Standards (ORNAC, 2023). 1. Consent 2. Communication practices in the operating room. 3. Surgical Safety Checklist 4. Surgical count and ethical duties if the count is incorrect. 5. Patient Safety – Harmful, No Harm, and Near Miss 6. Credentialing in the OR to ensure verification of observerships. Module 24: Ethics