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Ethics Exam 1

Ethical Assessment Framework

QuestionAnswer
EAF first step: Identify the problem
aka Issues, conflicts and/or uncertainties Nurses must be able to identify when a problem, which may be an ethical dilemma, is present
identifying the problem can be difficult and elusive and often begins with uncertainty, uneasiness, or a sense that something is just not right
critical factor in identifying the problem moral courage, the nurse must be willing to step up, address the issue, and initiate discussion with all involved
EAF second step: Gather relevant facts The nurse must collect all relevant data to determine if an ethical dilemma is present
what relevant data must the nurse collect Medical (Objective Data) Contextual (Subjective Data)
EAF third step: Identify methods of ethical justification Consequentialism or Utilitarianism (outcomes) Deontology (duty) Principlism (principles) Virtue (character)
Deontology (duty) not everyone has the same highest duty
Virtue (character) what behaviors should a virtuous nurse do
EAF fourth step: clarify Consciously clarify relevant values, rights, and duties of patient, self and significant persons associated with the issue(s) Identify whose rights are strongest
EAF fifth step: identify Moral judgment requires a choice between conflicting options, when neither option can be distinguished as definitely right or wrong
EAF sixth step: identify guidelines Identify guidelines from nursing and professional codes of ethics Consult other professions
ANA Code for Nurses pt 1 Respect for human dignity & uniqueness Advocate for pt rights Safeguard privacy & confidentiality Safeguard client/public
ANA Code for Nurses pt 2 Responsibility & accountability for actions/ delegation Maintain competence in nursing, safety/ duty to self Community/professional improvement
Nightingale Pledge Purity Faithful practice of profession Not take/knowingly administer any harmful drug Patient confidentiality Loyalty to aid physician Welfare of patients
Institutional Policies Policies and Procedures Behavioral Rules
Consult Identify and use relevant interdisciplinary resources
List possible plans Identify and prioritize alternative actions/options
Choose the plan Select a morally justified action/option from alternatives identified
Created by: leh195
 

 



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