legal/ethical aspects of nursing care!

what is values?

beliefs about the worth of something. act as a standard to guide one's behavior

what is the value system?

an organization of values in which each is ranked according to important. aka personal code of conduct

what is value clarification?

understanding one's own values and value systems. choosing, prioritizing, and acting

what does modes of value transmission include?

modeling, moralizing, laissez-faire, rewarding and punishment, and responsible choice

what is modeling?

the process of observing and imitating a specific behavior

what is moralizing?

complete value system taught by parents or institution; little opportunity to weigh different values

what is laissez-faire?

policy of minimum governmental interference in the economic affairs of individuals and society.

what is responsible choice?

encourage to weigh consequences of various values

what are professional values?

altruism, autonomy, human dignity, integrity, and social justice

What is altruism?

unselfish regard for the welfare of others

what is ethics?

systemic study or principles of right and wrong conduct, virtue and vice, and good and evil as they relate to conduct and human flourishing

examples of ethics?

ANA nursing code of ethics

what are morals?

personal or communal standards of right and wrong

examples of morals?

religion, law, custom, and institutional practices

what are the ethical theories?

utilitarianism and deontology

what is utilitarian?

the rightness or wrongness of an action depends on the consequences of the action

what is deontological?

an action if right or wrong based on a role, independent of its consequences

what are the ethical principles?

Autonomy

Nonmaleficence

Beneficence

Fidelity

Veracity

Justice

what is nonmaleficence?

do no harm

what is beneficence?

doing good

what is fidelity?

agreement to keep promises

what are ethical dilemmas?

situations in which none of the available alternatives seems ethically acceptable

how to solve ethical dilemmas?

ADPIE!

what does combating moral distress do?

builds resiliency

how to combat moral distress?

reflective practice, practice self care, cultivating a growth mindset

what are the four sources of law?

federal regulations, criminal and civil laws, state laws, and licensure

examples of federal regulations?

health insurance portability and accountability, American with disabilities act

what is criminal?

relationship of individual and gov't

what is civil?

protect individual rights

what are state laws?

each state defines the parameters of nursing practice

what is licensure?

allow nurses to practice in the given state

what are crimes?

violation punishable by the state. misdemeanor and felony

what are examples of a crime?

violating a client's right to refuse treatment or informed consent

what are torts?

intentional or unintentional acts of wrongdoing

examples of intentional torts?

assault, battery, false imprisonment, and invasion of privacy

what are the unintentional torts?

negligence and malpractice

why are there legal safeguards for nurses?

to promote competent practice

what are the legal safeguards for nurses?

recognition of and action against issues that affect competent practice: nurse fatigue and impaired nurses

what to do for recognizing signs of impairment?

behavioral changes and narcotic discrepancies

what to do for reporting signs of impairment?

report impairment suspicions to the appropriate manager, employee assistance programs, criminal changes could apply

what is informed consent?

providers must obtain, nurses witness. given for invasive procedures or surgeries

who can give informed consent?

competent adults, free from impairment

who cannot give informed consent?

unemancipated minors

what occurs in refusal of treatments?

competent clients can refuse medications, procedures, and elect the right to leave against medical advice

what are examples of advanced directives?

living will, durable power of attorney, provider's orders

what does it mean that nurses are mandated reporters?

legal obligation to report abuse and communicable disease