1 / 12

Chapter 19

Chapter 19. Ethical Issues. Understanding Ethics. What are your values? Clarify your values Choosing Prizing Acting on your value choice Values may change over time. Moral/Ethical Principles. What is the best decision? How will I know? Autonomy Beneficence Nonmaleficence Fidelity

chase-ochoa
Download Presentation

Chapter 19

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 19 Ethical Issues

  2. Understanding Ethics • What are your values? • Clarify your values • Choosing • Prizing • Acting on your value choice • Values may change over time

  3. Moral/Ethical Principles • What is the best decision? How will I know? • Autonomy • Beneficence • Nonmaleficence • Fidelity • Justice • Veracity

  4. Moral/Ethical Principles • Which principle or rule is most important? • Autonomy and nonmaleficence? • Consider relative benefits and burdens • Abstract ideas about right and wrong are not helpful “enough” at the bedside • Nursing ethicists • Emphasize an ethic of caring—preserve humanity and dignity and promote well-being

  5. Moral/Ethical Principles • So how do I make an ethical decision? Many approaches to decision making • Deontological—All life is worthy of respect • Teleological—That which causes a good outcome is a good action • Situational—Decisions made in one situation cannot be generalized to another situation

  6. Moral/Ethical Principles • What other resources are available to help resolve ethical dilemmas? • ANA Code of Ethics for Nurses • ICN Code for Nurses • Your Rights as a Hospital Patient • Home Care Bill of Rights for patients • Nuremberg Code

  7. Controversial Ethical Issues Confronting Nursing • Abortion • When does life begin? • Does the fetus have rights? • Do the rights of the fetus take precedence over the right of the mother to control her reproductive functions? • When is abortion morally justified? • Should minors have the right to abortion without parental consent or awareness?

  8. Controversial Ethical Issues Confronting Nursing • How does the abortion issue affect nursing? • What are your values and beliefs, and how can you apply these values to your work and possible political action? • ANA’s Code of Ethics for Nurses Statement One outlines your responsibility to care for all patients • You do not have to sacrifice your own values and principles, but you cannot abandon your patients • Conscience clauses

  9. Controversial Ethical Issues Confronting Nursing • Euthanasia • “Mercy killing,” “good death,” “right to die” • Classified as active, passive, or voluntary • Durable Power of Attorney for Health Care, living wills, Advance Medical Directives

  10. Controversial Ethical Issues Confronting Nursing • Futile care and physician-assisted suicide • Futility—medical intervention (beyond comfort care) without reasonable hope of benefit to patient • PAS—AMA opposes (doctors do no harm)

  11. Controversial Ethical Issues Confronting Nursing • The use of reproductive technology • Artificial insemination • Surrogate motherhood • Use of fetal tissue • In vitro fertilization • Diagnosis of genetic defects prenatally

  12. Controversial Ethical Issues Confronting Nursing • Allocation of scarce resources • Do all individuals merit the same care? • Is health care a right or a privilege? • Possible solutions • Rationing for elderly • Uninsured children given more equitable share • Emphasize preventive care • Health care rationing

More Related