NURS 1098 Week 7 Ethics PDF

NURS 1098 Week Philadelphia Hospital School of Nursing, first graduating class, 1886. 7 Professional Values and Ethics This Photo by Unknown Author is licensed NURS 1098, 2024...

NURS 1098 Week Philadelphia Hospital School of Nursing, first graduating class, 1886. 7 Professional Values and Ethics This Photo by Unknown Author is licensed NURS 1098, 2024 under CC BY 1   Define ethics, values and value clarification.  Examine and clarify personal values.  Discuss how personal values influence patient care.  Determine ethical values in providing nursing care.  Describe the National Interprofessional Agenda Competency Framework related to ethics and collaborative practice.  Understand the importance of ethics as defined by the CNO and the CNO Professional Standards and CNA Code of Ethics.  Explain the relationship between ethics and professional nursing practice.  Understand the influence of culture on values and belief systems. NURS 1098, 2024 2   A value is an ideal that has meaning or importance to an individual, a group, or society  Canadian society values freedom, health, fairness, honesty, and integrity  Evidence of these values can be Values found in  Canadian laws  the Charter of Rights and Freedoms  the structure of the Canadian health system This Photo by Unknown Author is licensed under CC BY-SA-NC 7 NURS 1098, 2024 Value  A strong personal belief  An ideal that a person or group believes has merit  Influences behaviour  Reflects cultural and social influences, relationships, and personal needs  Varies among people; develops and changes over time NURS 1098, 2024 4   Arise when personal actions or the actions of others are at odds with beliefs  Can arise when professionals disagree on how a situation Value should be managed Conflicts  May result in moral distress, so it is important to establish processes to  understand personal values  clarify and articulate values to others 9 NURS 1098, 2024   The process of appraising one’s values helps a person decide priorities and make decisions.  Values may change, and a person may modify attitudes and behaviour.  Values may conflict between Values people and between societies. Clarificatio  This process can be enhanced if n consistent language and terminology are used  The process requires  open discussion  active listening  mutual respect NURS 1098, 2024 6  Values clarification Very important to identify Leads to better Plays a key one’s own understanding role in values and of others communication beliefs Personal Reflection Need to be aware of values of employers, patients, physicians, and other groups NURS 1098, 2024 7   Family experience  Moral development  Cultural, ethnic, and religious communities (cultural values)  Religion, culture, values, and Value ethnic customs can influence how patients understand Formation health concepts, how they take care of their health, and how they make decisions related to their health.  Individual experiences NURS 1098, 2024 8   Values influence  individual beliefs and opinions Influenc  behaviours, rituals, rules, and laws as a collective society e of  decisions and responses as Values nurses on  Values can shift over time. Ethical Examples of this shift include a focus on: Decision  quality of life over prolonging Making life  individual rights over health care decisions 8 NURS 1098, 2024   Have an obligation to serve the public interest and the common good  Possess a unique body of knowledge  Have multiple Profession accountabilities als  Are trusted to engage in decisions that This Photo by Unknown Author is licensed under CC BY-ND influence and shape public policy, law, and societal norms NURS 1098, 2024 3   Nurses should study ethics because  morality and care is at the heart of nursing practice  nurses practise as part The Need of a team, but with different perspectives to Study  ethics plays a role in the context of Ethics  nurse–client relationships  health care policy  health care organizations  the health care system NURS 1098, 2024 5   The study of good conduct, character, and motives  Philosophical ideals of right and wrong  A reflection of Ethics what matters most to people or professions  Nurses in Canada This Photo by Unknown Author is licensed under CC BY guided by the Canadian Nurses Association’s Code of Ethics (2017) NURS 1098, 2024 12 Code of Ethics  A code of ethics represents:  a key characteristic of a professional body  a public declaration of a profession’s societal mission  a formal expression of a profession’s values and responsibilities NURS 1098, 2024 13 Code of Ethics  Statement of the ethical values of nurses and nurses’ commitments to persons with health care needs  Intended for nurses in all contexts  Provides guidance when nurses are working through an ethical challenge  Includes responsibility, accountability, and advocacy NURS 1098, 2024 14 Offers nurses a framework for ethical practice Providing safe, compassionate, competent, and ethical care Promoting health and well-being Values in Promoting and respecting informed decision making the CNA Code of Honouring dignity Ethics Maintaining privacy and confidentiality (2017) Promoting justice Being accountable NURS 1098, 2024 15 CNA believes that interprofessional collaboration is consistent with the primary values in its Code of Ethics for Registered Nurses, particularly the nurse’s The CNA responsibility to acknowledge, Code of respect, and integrate other health-care providers’ Ethics knowledge for the betterment of the patient (Canadian Nurses Association [CNA] 2017). NURS 1098, 2024 7  The CNA Code of Ethics for Registered Nurses  was first published in 1980 and has been periodically revised, most recently in The CNA 2008  offers nurses a framework Code of for ethical practice Ethics  consists of two parts I. Nursing Values and Ethical Responsibilities II. Ethical Endeavours 7 NURS 1098, 2024  Part I of the Code is organized around seven values: 1. providing safe, compassionate, competent, Nursing and ethical care Values 2. promoting health and well- being and 3. promoting and respecting Ethical informed decision making 4. preserving dignity Responsi 5. maintaining privacy and bilities confidentiality 6. promoting justice 7. being accountable 8 NURS 1098, 2024  Ethical responsibilities in this section include:  using speech and body language to demonstrate compassion 1. Providing Safe,  questioning unsafe care Compassionate,  collaborating with others Competent and to provide safe care Ethical Care  providing care during a natural or human-made disaster  preventing and minimizing all forms of violence NURS 1098, 2024 9  Ethical responsibilities in this section include: 2.  providing care directed first and foremost to the person, Promotin family, or community in their g Health care  advocating for the least and restrictive measures possible Well- for those in their care  collaborating with others to Being maximize health benefits 10 NURS 1098, 2024  When caring for a capable person, ethical responsibilities include 3.  providing information needed for informed decisions Promotin  recognizing that individuals g and may choose to defer to family or community values in Respecti decision making ng  supporting the right to refuse Informed or withdraw consent for treatment Decision  respecting the choice to Making engage in unhealthy lifestyles or treatments 11 NURS 1098, 2024  Ethical responsibilities in this section include:  relating to all persons with respect  intervening when others fail to do so  taking into account a person’s 4. unique values, customs, and Preservin beliefs, as well as their social circumstances g Dignity  providing care in a discreet manner  maintaining professional boundaries  advocating for a dignified and peaceful death NURS 1098, 2024 12  Ethical responsibilities in this section relate to the collection, use, access to, and disclosure of personal and health information, and include:  respecting information and 5. adhering to privacy laws Maintaining  taking reasonable measures to Privacy and avoid being overheard when conversing with patients Confidential  taking care not to access ity information inappropriately  intervening if others inappropriately access or disclose information NURS 1098, 2024 13  Ethical responsibilities in this section include:  avoiding discrimination (on any grounds) when providing care  refraining from judging, 6. stigmatizing, or demeaning behaviours Promotin  refusing to engage in any g Justice inhumane or degrading action, and intervening with others do so  making fair decisions and advocating for fair allocation of resources 14 NURS 1098, 2024  Ethical responsibilities in this section are met by:  practising with honesty and integrity, in accordance with the Code  practising within the limits of competence 7. Being  protecting the safety of Accountab others when a colleague is le unable to perform his or her duties  clearly and accurately representing themselves by name, title, and role  identifying and addressing conflicts of interest 15 NURS 1098, 2024 Part II: Ethical Endeavours Nurses have a role in the provision of social justice, including advocating for:  policies to address the social determinants of health  accessible, universal, comprehensive health care services  environmental preservation  positive, healthy work environments  the resolution of global health issues NURS 1098, 2024 16 Part II: Ethical Endeavours This section of the Code challenges the profession of nursing to work collectively with others to:  recognize the diversity of the Canadian population  consider the challenges that influence the health and well-being of the world population  strive to reduce health disparities due to  poverty  homelessness  vulnerability NURS 1098, 2024 17 Who Is Vulnerable? The Code draws attention to those who are vulnerable in our society, including children the elderly visible minorities the homeless This Photo by Unknown Author is licensed under CC BY NURS 1098, 2024 18   Promoting the values of client well- being  Respecting client choice CNO  Assuring privacy and confidentiality Ethical  Respecting quality of life Nursing  Maintaining commitments Care is…  Respecting truthfulness  Ensuring fairness in the use of resources. NURS 1098, 2024 29  Client Well- Being Maintaining Commitmen ts Privacy and Confidentiality Ethical CNO Care Ethical Values Respect for Life Truthfulne ss Fairness NURS 1098, 2024 30   When an actual or potential conflict occurs regarding principles, duties, or rights  Conflict between two sets of human values Ethical  Cause of distress and confusion Dilemma for patients and caregivers  May necessitate descriptive analysis and conceptual analysis  Documentation of ethical process can take a variety of forms. NURS 1098, 2024 31   It is important for the health care team, the patient, and the family to work together to address difficult ethical issues  Ethical dilemmas arise Ethical when  the best course of Dilemmas action is unclear  strong moral reasons support each position This Photo by Unknown Author is licensed under CC BY-SA  those involved must choose between the most right and the least wrong NURS 1098, 2024 6  Ethical conflict or dilemma: Occurs when two or more values conflict in a situation Ex. Ethical Issues Ethical distress: As a nurse you know the right thing to do, but do to various constraints/barriers, it is difficult to do the ‘right’ thing Ex. NURS 1098, 2024 33   During an influenza pandemic, Ada Kelly, RN, is reassigned to work on an unfamiliar respiratory intensive care unit. Patients there have a severe form of infectious flu with respiratory complications and are receiving mechanical Case ventilation. She worries that if she refuses to care for Example these assigned patients, she could lose her job or even her license. But she also fears carrying this infection home to her two preschool children.  What should Ada do? This Photo by Unknown Author is licensed under CC BY-NC-ND NURS 1098, 2024 34 Next Week (Week 8) Intersession (Reading Week) Nursing students studying in the library, St. Patrick Hospital, Missoula, 1940s. Photo by Providence Archives, Seattle on flickr · · · Image ID: 44.F1.41 Photographer: Jeanne Mueller, Missoula NURS 1098, 2024 35   Arnold, E. C. & Boggs, K. U. (2020). Interpersonal relationships: Professional communication skills for nurses (8th ed.). St. Louis, MO: Elsevier.  College of Nurses of Ontario. (2002). Professional Standards, Revised. Retrieved from: http://www.cno.org/globalassets/docs/prac/41006_pr ofstds.pdf Referenc  College of Nurses of Ontario. (2015). QA program. es Retrieved from http://www.cno.org/en/myqa/  National Interprofessional Competency Framework, 2010 https://www.cihc.ca/files/CIHC_IPCompetencies_Feb1 210.pdf  Potter, P. A., Perry, A.G., Stockert, P.A., & Hall, A.M. (Eds.). (2019). Canadian Fundamentals of Nursing (6th Canadian ed.) (J. C. Ross-Kerr, M. J. Wood, B. J. Astle & W. Duggleby, Canadian Adapt.). Toronto, ON: Elsevier NURS Canada. 1098, 2024 36