NURS 201: Unit 4 - Global Ethics and Interprofessional Collaboration

Considerations for IPE

- Inclusion, access, and equity

- Complexity

- Care and service settings

Bioethics

- The study of ethics related to issues that arise in health care

- Obligation

- Reason-based

- Outcome-oriented

Principles of Bioethics

- Autonomy

- Nonmaleficience

- Beneficience

- Justice

Autonomy

The principle of respecting a capable and competent person's free will to determine a self-chosen plan or course of action

2 Conditions that Need to be Met for Autonomy

- Liberty

- Agency

Liberty

The ability to be free from controlling influences

Agency

The capacity for intentional action

Nonmaleficience

The principle of not causing harm to others

Beneficience

The principle of producing good or benefit for another person

Justice

The fair treatment of individuals and groups within society

Western Context of Autonomy

- Self-determination in decision-making and care

- Individual rights

- Recognizing and respecting personal values and beliefs

- Right to make choices based on own values and beliefs

- To interfere is opressive

Global Context of Autonomy

- An environment that respects human rights, values, customs, beliefs, family, and community

- Remove constraining forces that impact health

- Relative to setting

- Requires broader view that includes knowledge of social, economic, and political constraints, and culture

Western Context of Benficience

A moral obligation to those in close proximity

Global Context of Beneficience

Wealthy countries have a duty to assist those in poverty

Western Context of Nonmaleficience

- Intellectual property rights protections

- Benefit large, wealthy companies

Global Context of Nonmaleficience

- International policies that perpetuate a lack of access to resources

- Harm those who could be helped with resources

- Poverty is equal to a lack of access

- Cultural imperialism

- Paternalism

Cultural Imperialism

Type of imperialism that forces people to make a choice between violating their traditional norms and practices for a greater good or not (Ex. Blood transfusion)

4 Traditional Theories of Justice

1. Egalitarianism

2. Utilitarianism

3. Libertarianism

4. Communitarianism

The ICN Code of Ethics is lacking the . . .

Acknowledgement of colonization

Parts of Global Health Advocacy

- Define the problem

- Gather evidence

- Formulate and propose a possible solution

- Build alliances

- Challenge the status quo

- Seize opportunities

- Build consensus

- Support implementation

Global health advocacy is missing a very important part, which is . . .

Community input

Characteristics of Global Health Nursing

- Reaches beyond local boundaries

- Addresses health needs and delivers ethical, evidence-based, and holistic interventions to many people

- Considers cultural humility and equitable partnerships within political, economical, and historical environments

- Centered on examining western practices and views in a different culture perspective

- Involves critical self-reflection and engaging stakeholders

It's the professional responsibility of a nurse to safeguard human rights even when in conflict with their employer (True/False)

True

4 Ethical Guidelines for Global Health Nursing Practice

- Professional practice

- Preparation for global health nursing practice

- Donations in a global health setting

- Global health nursing practice

Politics

The process of trying to influence decision-makers to implement changes that improve the lives of clients, communities, and populations

Health is very much political (True/False)

True

Interprofessional Education (IPE)

- When students from two or more professions learn about, from, and with each other

- Prepares people for collaborative practice

3 Effects of Collaborative Practice

1. Optimizes health-services

2. Strengthens health systems

3. Improves health outcomes

Interprofessional Competency Framework

- A guide for inteprofessional education and collaborative practice

- The goal is to enhance healthcare and human services through collaborative practices

- Includes learners, educators, researchers, administrators of health organizations, and care/service partners

Language Used by the Interprofessional Competency Framework

- Person and persons

- Care/service partners

Characteristics of Relationship Focused/Care Services

- All team members must collaborate

- Fostering purposeful relationships

- Coordinating and cooperating in shaping person-driven care/services

- Information sharing in a culturally safe manner

- Developing and continuing to foster trusting relationships

Characteristics of Team Communication

- Communicating in a cooperative, responsive, and respectful manner

- Attention to content and relational elements of communication

- Clear, shared language

- Listening actively and respectfully

- Use of technology

- Information sharing and documentation

6 Competency Domains of IPE

1. Relationship focused/care services

2. Team communication

3. Role clarification and negotiation

4. Team functioning

5. Collaborative leadership

6. Team differences and disagreements processing

Characteristics of Role Clarification and Negotiation

- Understanding one's role and negotiation own role and roles of everyone

- Understanding the knowledge, skills, expertise, and values of others

- Integrating care partners/persons roles in service delivery

- Adapting as needed

Characteristics of Team Functioning

- Working interdependently

- Cooperating, coordinating, and collaborating toward shared goals and decision-making

- Optimizing team member's time, expertise, and contributions

- Adapting to evolving needs

- Continuous quality improvement

Characteristics of Collaborative Leadership

- Valuing member's knowledge, skills, and expertise

- Bringing different strengths and perspectives

- Supporting shared decision-making

- Co-creating practice culture that values team members

- Promoting leadership development

Characteristics of Team Differences/Disagreements Processing

- Actively addressing disagreements

- Acknowledging differences

- Setting guidelines to address conflict

- Establishing safe environment to express differing views

- Working to reach cooperative solutions

Considerations for the Interprofessional Competency Framework

- Inclusion, access, and equity

- Complexity

- Care and service settings