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FoN 2
| Question | Answer |
|---|---|
| morals and values in action | ethics |
| a system of principles that govern the actions of nurses | nursing ethics |
| advantages of nursing ethics | helps determine what should be done, helps balance and cultivate an end result |
| tell us what is important and help make decisions on what is right and wrong | values |
| guide behavior and influence decision making | personal values |
| rules for what is wrong/right | morals |
| scope of nursing ethics focuses on... | character, conduct and duties/obligations |
| what is the definition of character in the scope of nursing ethics | what kind of person one ought to be |
| what is the definition of conduct in the scope of nursing ethics | how one should act |
| what are the obligations and duties in the scope of nursing ethics | patients, other healthcare professionals, the profession, society, global humanity |
| why do ethics matter in nursing | nurses serve vulnerable people, promise to protect patients and impact their well-being, depend on public trust, have moral relationships with patients |
| in what three areas do ethics happen | cases, policies/standards, and implicit values/behaviors |
| what is ethical care | care based on what should be done in keeping with the values of the patient guided by that of the nursing profession |
| why are ANA's code of ethics important | tells society what to expect, informs new professionals, provides a framework for decisions |
| what are the AACN 5 core nursing values | altruism, autonomy, human dignity, integrity, and social justice |
| concern for the welfare of others | altruism |
| self determination | autonomy |
| respect for individuals | human dignity |
| honesty, truthfulness, and accuracy | integrity |
| fair treatment, advocate, resource allocation, reporting unfair practices | social justice |
| examples of bioethical issues in health care | stem cells, brain death, organ donation, hospice care, surogacy |
| what are bioethics? | the study of controversial ethics brought about by advances in biology and medicine |
| how many provisions are there in the ANA code of ethics | 9 |
| describe provision 1 | focused on respecting every patient as a unique human being, nothing about the patient without the patient |
| describe provision 2 | the patient comes first over family, employer, or anyone else |
| describe provision 3 | protect the patient's rights and safety |
| describe provision 4 | you are responsible for your actions, you can't blame the doctor |
| describe provision 5 | care for yourself so you can care for others |
| describe provision 6 | nurses must help create a safe, ethical workplace |
| describe provision 7 | participate in research/EBP to advance the profession |
| describe provision 8 | work with others to reduce disparities and protect human rights, everyone deserves care |
| describe provision 9 | nurses must shape policy and uphold social justice |
| what are the core concepts of ethical principles | autonomy, beneficence, nonmaleficence, justice, veracity, and fidelity |
| help to establish ground for discussions of ethical questions/decision making | ethical principles |
| respect patient decisions, informed consent, confidentiality | autonomy |
| practicing in ways that benefit the patient | beneficence |
| do no harm, weigh risks vs benefits | nonmaleficence |
| providing impartial, fair and equitable care to all patients | justice |
| providing truthful and accurate info to patients | veracity |
| agreement to keep promises, loyal to patients | fidelity |
| what are two ethical theories | utilitarianism and deontology |
| describe utilitarianism | the end justifies the means, outcome focused, what does the most good for the greatest number of people |
| describe deontology | the end does not justify the means, duty focuses, focused on actions not consequences |
| what are some main issues and topics in health care ethics | quality of life, care at the end of life, social media, access to health care, informed consent, and confidentiality |
| involve clear right and wrong actions based on established principles | ethical issues |
| present conflicting moral principles - neither right or wrong | ethical dilemmas |
| individual disputes that can arise from personal values, beliefs, or expectations | personal conflicts |
| what are the three criteria to be considered an ethical dilemma | 1. a debate b/w two moral principles where 2 sides can argue right/wrong 2. cannot be solved by scientific data 3. the answer will have a profound effect on the situation/client |
| how many steps are there in ethical decision making | 7 |
| step 1 in ethical decision making is | ask: is this an ethical problem |
| step 2 in ethical decision making is | gather all relevant information |
| step 3 in ethical decision making is | identify the ethical elements in the problem and your own values |
| step 4 in ethical decision making is | name the problem |
| step 5 in ethical decision making is | identify possible courses of action |
| step 6 in ethical decision making is | create, implement, and carry out an action plan |
| step 7 in ethical decision making is | evaluate the action |
| what are the three standards for patient education | 1. part of the nurse's legal/professional role 2. patients have the right to make informed decisions 3. education must match patient's needs and obligations |
| one of the most important predictors of health outcomes | health literacy |
| ability to find, understand, and use health information | personal health literacy |
| how well the healthcare system supports patient understanding | organizational health literacy |
| what are ways to assess health literacy | use health literacy measurement tools, health literacy video, ask questions, observations |
| what are signs of low health literacy | missed appointments, incomplete forms, unable to follow through meds- can't explain their purpose- or say names, asks few or too many questions |
| when does learning/teaching begin | when a person identifies a need for knowing or aquiring an ability to do something |
| aquiring new knowledge, attitudes, behaviors, or skills through an experience or external stimuli | learning |
| imparting knowledge through a series of directed activities | teaching |
| signs learning has occured | when a change in behavior is supported |
| when is teaching most effective | when it responds to the learner's needs |
| what are the three purposes of patient education | 1. maintenance and promotion of health/illness prevention 2. restoration of health 3. coping with impaired functions |
| what are nursing roles in patient education | starting with an assessment (what does your patient know), identify readiness to learn, teach so patients can make informed decisions |
| what are the three domains of learning | cognitive, affective, and psychomotor |
| explain the cognitive domain of learning and strategies | thinking and understanding. use lectures, discussions, handouts |
| explain the affective domain of learning and strategies | feelings/attitudes. Have open discussions, role-play |
| explain the psychomotor domain of learning and strategies | motor control. Use demonstrations |
| describe key aspects of Knowles's Adult Learning Theory | adults learn best when learning is relevant, experience based, self-directed, task centered, motivated, and when they are ready |
| What are some health literacy teaching tips | use plain language, use pictures/models/handouts, chunk and check info, be culturally sensitive |
| describe both hindering and promoting factors that affect learning ability | hinder: fear/anxiety, no motivation, environmental distractions, cognitive/sensory/motor deficits, cultural barriers Promote: quiet environments, repetition, perceived benefits, motivation, nonjudgemental support |
| Key implementations to a good learning environment | use knightingales theory, set an intention, use SOLER |
| describe SOLER | sit squarely, open posture, lean forward, eye contact, relax |
| describe the teach back method | is used to evaluate understanding, ask the patient to explain info in their own words and evaluate your teaching based on their responses |
| describe the teaching process | assessment: learning needs diagnosis: knowledge deficits planning: learning outcomes implementation: teaching evaluation: outcomes met? |
| Describe smart outcome goals | specific, measurable, achievable, relevant, timed |