Show Menu
Cheatography

Theory - Ethical considerations Cheat Sheet (DRAFT) by

Ethical Considerations in APN

This is a draft cheat sheet. It is a work in progress and is not finished yet.

What is Ethics

 
Ethics is standards that govern one's actions in profes­sional practice.
Ethical behaviour serves to protect rights of humans.
Bioethics is when the choices involve health­care.

Ethical Dilemma

Stem from conflict regarding what is right
Can be between:
-two actions that both seem right
-demand for action and need for relfection
-two unsati­sfa­ctory altern­atives

Philos­ophical skills

1. In-depth questi­oning
2. Ability to understand different points of view
3. Debate point in logical manner:
important to all parties can learn

Ethical Theories

Deontology
Teleology
-treat others how you want to be treated
-Helps meet specific goals intended to achieve
-act the same in similar situations (unive­rsal)
-Greatest amount of happiness or least amount of harm
-Specific duties that we cannot breach
-Community oriented

Ethical Theories

Deontology
Teleology
-treat others how you want to be treated
-Helps meet specific goals intended to achieve
-act the same in similar situations (unive­rsal)
-Greatest amount of happiness or least amount of harm
-Specific duties that we cannot breach
-Community oriented
 
-human­ita­rians, Utilit­ari­anism
Several different viewpo­ints; always regard other peoples views.

Principles of Ethics

-Autonomy:
Pts make indepe­ndent decisions
-Benef­icence:
Porividing positive benefits to pt
-Nonma­lef­icence:
Do no harm (not inflict harm on pts)
-Veracity:
Telling the truth, ensure pt unders­tanding
-Confi­den­tia­lity:
Protect clients privacy
-Fidelity:
Mainta­ining promises to gain trust
-Justice:
Fair and equitable distri­bution of HC

CNA Code of Ethics

Developed by nurses
Self evalua­tion, feedback, peer review
Basis for advocacy
All areas of practice
Guidance for decision making
Not used alone
 

Code of Ethics part 1.

Nursing Values and Ethical Respon­sib­ility
1. Provide safe, competent ethical care
2. Promote health and well-being
3. Promote informed DM
4. Honour dignity
5. Privacy and confid­ent­iality
6. Promoting justice
7. Being accoun­table
Shows our values to public and employers

Code of Ethics part 2.

Ethical Endeavours Related to Broad Societal Issues
-Activ­ities to address social inequities
-looking at broad aspect of social justice
-Better equity for all
-UTD on issues and concerns
-Advocate for fair policies
Focused on improving systems and societal structures to create health care for all

Truth and reconc­ili­ation ethical engagement

Ways to include into practice:
-Tradi­tional healing
-Practice culturally sensitive care
-Self education
-Parti­cipate in research
-Become a mentor
-Advoc­ating to improve systems and societal struct­ures: health for all
-Learning about another culture increases unders­tanding and decreases stigma­tiz­ation

ETHICAL framework

E- Examine data/s­itu­ation
T- Think about who should make decision
H-Humanize with decision tree
I- incorp­orate ethical principles
C- Choose an option
A- Act
L- Look back and evaluate

Decision- making frameworks

Identify stakeh­olders involved
Know your point of view and principles involved
Most involve self-r­efl­ection

standards

Profes­sional standards:
framework for practice
Practice standards:
builds off prof. additional info
Scope of practice
standards, limits, condit­ions; further breakdown of guidelines

Canada Health Act

Public admini­str­ation:
not-fo­r-p­rofit
Access­ibi­lity:
services offered under uniform condit­ions, no financial burden
Compre­hen­siv­eness:
cover all medically necessary services
Univer­sality:
equal access­ibility to services
Portab­ility:
covered under their provincial insurance when in other province
 

SDOH

Income and status
Employ­men­t/w­orking conditions
Educat­ion­/li­teracy
Childhood experience
Physical enviro­nment
Suppor­t/c­oping
Health behaviours
Access to HC
Biolog­y/g­enetics
Gender
Culture
Race/r­acism
Areas we see the most dispar­ities in health

Public v Private HC

 
Will further impact the SDOH by creating barriers to accessing health care due to financial burden

Will also pull more staff to private HC; may have the better staff with incent­ives;

Ethical consid­eration - abortion

Ethically complex:
rights of both mother and fetus
Argument on when the fetus becomes a living­-being
Advanc­ement in abortion care increases role of the NPs
-provide safe and profes­sional care

Role of NP in ethical abortion

-pre-post abortion care/c­oun­selling
-presc­ribing medical abortion
-estab­lishing trust
-referrals for compli­cated procedures
provide options - informed DM
-follow up
-recog­nizing violen­ce/­trauma

Abortion through ethical lense

Autonomy
#2 Promoting health and wellbeing
#3Resp­ecting informed decision making
accurate unbiased inform­ation
#4Hono­uring dignity
Consci­entious objection
if withdr­awing care- care for pt until alternate care establ­ished

What to do in ethical situation

Ethical self-r­efl­ection t/o care
Indentify personal values and belief
Utilize ethical frameworks
Identify conflict early
Consci­entious objection
CNPS