NSC 385 Week 5 - Eastern Kentucky University · NSC 385 Week 5 Ethics and Professional Nursing...
Transcript of NSC 385 Week 5 - Eastern Kentucky University · NSC 385 Week 5 Ethics and Professional Nursing...
NSC 385 Week 5Ethics and Professional Nursing Practice
What is Personhood?• Immanuel Kant the
philosopher gave us one of the first definitions of personhood: “A person is a Rational agent , who alone is capable of exercising freedom as Autonomy”
• Assumes Persons are rational and self –conscious or thinking
Nursing and Personhood• Respect for all people
and patients
• Forming therapeutic relationships with patients and staff
• Nurses must work to “understand our patients and create a respectful, trusting relationship”
Code of Ethics• Defined as a written element for the profession
(Nursing) that provides a Self-declaration of how
the profession (Nursing) and its Members should
function in their duties and responsibilities and what
the public should expect as a Competent level of
safe service (American Nurses Association, 2003)
ANA Code of Ethics• Based on 4 Principles:
• 1) Do no harm to patients
• 2) Benefit Others
• 3)Loyalty to Patients
• 4)Being Truthful in all facets of practice.
• Also stressed the Autonomy of the patient and Social Justice for all people
Moral Duties based on Respect for Persons
• Veracity or Speaking
Truth
• Loyalty or Fidelity
• Justice or Respecting
Equality
• (Zerwekh, 2006)
• Beneficence or Doing
Good
• Non-maleficence or
Avoiding Harm
• Autonomy or
Respecting Freedom
Ethical Decision Making• Ethical decisions
are made based on
the Moral Duties.
Good ethical
decisions are based
on Critical
Reflection and On-
going Dialogue
about ethical issues
presented in the healthcare setting.
Organizational Ethics Defined
• Best described as the integration of values into
clinical decision making, hospital policies, and
behavior throughout the multi-disciplinary
environment of the healthcare setting ( Roux &
Halstead, 2009).
• Pertains to Both: A) Clinical Practice & Business
Practices
Organizational Ethics• WE know that the profession of Nursing is guided by
strict Ethical Standards, but what do Healthcare
Organizations do to ensure that patients receive
Ethical care?
• Formulating Patient Bills of Rights
• Using and respecting Advance Directives
• Being Patient Advocates: using Nurse Navigators or
Case Managers
• Using Ethics Committees
Ethics Committees• An Ethics Committee is
“ideally a multidisciplinary group of healthcare professionals (and clergy) charged with Ethics education, policy formation, and review and consultation within an organizational setting”
• (Roux & Halstead, 2009, p. 351)
Goals of Ethics Committees
• 1. Promote and Protect the Rights of patients
• 2. Promote shared decision making between patients and their clinicians.
• 3. To promote fairness and procedures that maximize the likelihood of achieving good, patient-centered outcomes.
• 4. Promote Ethical conduct of healthcare professionals and healthcare institutions (Roux & Halstead, 2009).
Four Ethical Directives for Professional Nurses
• Confidentiality
• Competence
• Relationship Centered
• Truthfulness
• (Roux & Halstead, 2009,
pp 352-353).
Reflective Thoughts• We must all as nurses continually examine and
Reflect on our values, beliefs, thoughts, and actions
as we strive diligently to provide therapeutic,
holistic, evidence-based care for our complex
clients.
• Nursing is Ethically challenging but is our individual
responsibility to “Self-Check” and make sure our
personal issues and thoughts do not cloud our
ability to be caring, compassionate , effective
nurses (Hart, 2014).