Ethics

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Ethics Values

• NRS 101

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About Ethics

• Ethics
• System of moral principles governing behaviors
  and relationships
• Standards of right and wrong
• Morality
• Private, personal standards of right and wrong
• Laws reflect moral values of society
• Nurses have ethical responsibility to be client
  advocates

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Values

• Values
• Personal beliefs about truth and worth of
  behaviors, thought, objects
• Beliefs
• Interpretations or conclusion that one accepts as
  true

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Values

• Personal values develop from
• Individual social traditions
• Cultural, ethnic religious norms
• Professional values develop from
• Socialization into nursing profession
• Established code of ethics
• Faculty and other nurses
• Clinical and life experiences
• Values clarification

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Professional Values

• Altruism
• Autonomy
• Human dignity
• Integrity
• Social justice

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Clarifying Client Values

• Purpose
• Clients values influence, relate to problem
• Processes
• List alternatives
• Examine possible consequences of choices
• Choose freely feel good about choice
• Affirm choice act on choice
• Act with pattern

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Principles of Ethical Decision Making

• Autonomy
• Beneficence
• - Nonmaleficence
• Justice
• Veracity

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Nursing Codes of Ethics

• General codes of ethics
• American Nurses Association (ANA) Code of Ethics
  for Nurses
• International Council of Nurses Code of Ethics

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Models of Ethical Decision Making

• Responsible decision making
• Rational
• Systematic
• Based on ethical principles and codes
• Ethical obligations to clients, agency, primary
  care provider
• First step determine whether moral dilemma
  exists

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Figure 42-1 When there is a need for ethical
decisions of client advocacy, many different
people contribute to the final outcome. A.
Ramsey/PhotoEdit
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Strategies

• Strategies to help nurses
• National Guideline Clearinghouse
• Joint Commission