Nurse Ethics, Values, and Laws

What is Provision 1?

Dignity and Respect

What does Provision 1 say?

The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.

What is Provision 2?

Primary Commitment

What does Provision 2 say?

A nurse's primary commitment is to the recipient of the nursing care, whether an individual, family, group, community or population.

What is Provision 3?

Trust and Advocacy

What does Provision 3 say?

The nurse establishes a trusting relationship and advocates for the rights, health, and safety of recipients of nursing care.

What is Provision 4?

Responsibility and accountability for practice

What does Provision 4 say?

Nurses have authority over nursing practice and are responsible and accountable for their practice consistent with their obligations to promote health, prevent illness, and provide optimal care.

What is Provision 5?

Duties to self

What does Provision 5 say?

The nurse has moral duties to self as a person of inherent dignity and worth including an expectation of a safe place to work that fosters flourishing, authenticity of self at work, and self-respect through integrity and professional competence.

What is Provision 6?

Ethical Work Environments

What does Provision 6 say?

Nurses, through individual and collective effort, establish, maintain, and improve the ethical environment of the work setting that affects nursing care and the well-being of nurses.

What is Provision 7?

Knowledge Development and Social Policy

What does Provision 7 say?

Nurses advance the profession through multiple approaches to knowledge development, professional standards, and the generation of policies for nursing, health, and social concerns.

What is Provision 8?

Collaborative Relationships

What does Provision 8 say?

Nurses build collaborative relationships and networks with nurses, other healthcare and nonhealthcare disciplines, and the public to achieve greater ends.

What is Provision 9?

Commitment to society and social justice

What does Provision 9 say?

Nurses and their professional organizations work to enact and resource practices, policies, and legislation to promote social justice, eliminate health inequities, and facilitate human flourishing.

What is Provision 10?

NEW: A global nursing community

What does Provision 10 say?

Nursing, through organizations and associations, participates in the global nursing and health community to promote human and environmental health, well-being, and flourishing.

What are the six ethical concepts?

Autonomy, Beneficence, Nonmaleficence, Veracity, Fidelity, Justice

What is Autonomy?

freedom from external control

How can patients exemplify autonomy?

Informed consent and decision making

How can providers exemplify autonomy?

Institutions respecting providers values/beliefs

What is beneficence?

taking positive actions to help others

What is nonmaleficence?

avoiding harm or hurt

What is veracity?

Providing truthful and accurate information

What is fidelity?

agreement to keep promises

What is justice?

provide treatment, care, and resource allocation that is impartial, fair, and equitable for all clients

What are the four specific ethical principles?

Advocacy, Responsability, Accountability and Confidentiality

What is advocacy?

Supporting a cause (either health, safety, privacy, and rights of patients)

What is responsibility?

Owning up to actions, following through on professional obligations

What is accountability?

Being able to answer for actions/choices, oversight (TJC), standards

What is confidentiality?

HIPAA, protecting data (challenges of the social media age)

How does ethical behavior builds trust?

Trust is a gift. Earn it. Maintain it. Effective nurse-patient relationships are built on trust.

What is EMTALA stand for? What does it mean?

Emergency Medical Treatment and Labor Act. This requires a medical screening exam (MSE) for everyone regardless of ability to pay. They care must be provided to stabilize the patient.

What does HIPAA stand for? What do they do?

Health Insurance Portability and Accountability Act of 1996. They encourage efficiency in healthcare through electronic data sharing while protecting private health info (PHI) in all forms and situations.

What is a value in a patient?

A personal belief about the worth of an idea, attitude, custom, or object that sets standards that influence behavior.

What is APU SON's Values? (SON Handbook: Philosophy of Person)

We believe that God is our Creator, Redeemer, and Sustainer and that "in Christ all things hold together." We believe in the sacredness of life and that each person is a unique and unified whole with the capacity to grow and develop within a dynamic environment of interaction with God, self, and others. Each person may be viewed as a system of biological, psychosocial, and spiritual dimensions. We recognize each individual within a family and community as having specific, unique, cultural, spiritual, psychological, sociological, and personal characteristics.

What is APU SON's Values? (SON Handbook: Philosophy of Nursing)

- Caring profession concerned with meeting the needs of individuals, families and communities for biological, psychosocial, and spiritual health.

- Grounded in our relationship with Jesus Christ, who has called us to glorify God through compassionate service to others.

- Nurse‐patient relationship utilizes the unique cultural, spiritual, psychological, sociological, and personal characteristics of the nurse coupled with and empowered by their faith in Jesus Christ and the work of the Holy Spirit.

What are the key steps in the resolution of an ethical dilemma?

Step 1: Ask the question: Is this an ethical dilemma?

Step 2: Gather information relevant to the case.

Step 3: Distinguish among fact, opinion, and values.

Step 4: Verbalize the problem.

Step 5: Identify possible courses of action.

Step 6: Negotiate a plan.

Step 7: Evaluate the plan over time.