Lets get ethical!
In what theory would Joe receive less time with the nurse because he is not seen as a benefit to society?
What is
Utilitarianism
True or False
These are examples of Personal Preferences:
The patient is seeking out care as he is continuously readmitted to the hospital.
The patient is competent, yet still engages in self-harm.
Patients' wishes are unknown.
The Health Care Providers are divided as to whether or not to take part in Joes care due to discomfort and moral distress
What is
True
Joe is purposely engaging in self-harm to ensure that his wound becomes infected resulting in constant readmission to the hospital.
What Type of Crisis is Joe experiencing?
What is:
An Internal Crisis
What law protects Joe if he was being neglected or not properly cared for in the hospital
Is this civil or criminal law
What is Civil Law
Before report, the nurse overhears gossiping amongst the HCT about their previous experiences with Joe, as well as stigmatizing myths and other rituals about his previous admissions.
The nurse is conducting what kind of assessment:
Visible, Audible, or Underlying Assumptions
What is
Visible Assessment
In what theory would Joe receive the time he needed for care regardless of the circumstances due to the duty to provide him with the time he needs no matter what the consequences are?
What is
Deontology
True or False
These are examples of Legal Factors:
We must keep in mind the interests of other patients, security and healthcare
There are extra costs of security, staffing, and hospital beds
We must recognize that stigma, BCCNP, CNA Code of ethics, and procedure and policies influence our decisions.
False
These are contextual factors
Which phase of crisis is Joe experiencing when he engages in self-harm to prolong his hospital admission?
Stressor exposed
OR
Resources and stress coping mechanism fail to alleviate the stressor
What is:
Resources and stress coping mechanism fail to alleviate the stressor
Common Law or Criminal Law
Which law is in place if Joe is harassing staff or being inappropriate?
What is
Criminal Law
True or False
This a Values Assessment:
When assessing if Joe will be treated with the same standard of care as the other patients, there are mixed beliefs amongst the nurses regarding Joe's care.
What is True
Values assessment
The nurse feels uneasy helping someone who has harmed children.
She feels she is unable to provide care for Joe without violating her morals.
She goes home and contemplates her decisions on performing care for Joe.
What 3 moral issues is she facing?
What is
1. Moral Violation
2. Moral Distress
3. Moral Residue
True or false
We assume Joe has poor coping and is engaging in self-harm due to a good quality of life.
False - Joe has a poor Quality of Life
These are examples of:
Quality of Life and Death
Are the Following Barriers to Empathy or Sympathy?
Burnout
Ethical disengagement
Vulnerability
Lack of compassion
What is
Empathy
True or False
These are all examples of Advocacy
Protecting Joe’s right to choose treatment,
Providing him with education about his choices and the consequences.
Providing Joe access and information to appropriate resources (ie. support groups)
Equal treatment isn't a priority
FALSE
Equal treatment is a Priority for Advocacy
True or False
Underlying assumptions are guides to behaviour that are deeply held and are not open to challenge when discussing Joes care.
Example: Ethics (BCCNP, CNA)
What is TRUE
In order to provide Joe with the care he needs, which 2 resource allocation principles will the nurses consider?
Autonomy, Equity, and/or Societal need
What is:
Autonomy and Equity
True or False
These are examples of Clinical Issues
The patient has an Infection d/t Self harm
Do we allocate equitable time (or less time)
There is a possibility that he does not adhere to treatment
True
What are Clinical Issues
True or False
Before advocating for Joe, nurses do not need to know their own personal values and beliefs or talk about it with the health care team.
False
Self-reflection and dialogue with other nurses and health-care providers can facilitate effectively advocating.
Implicit or Explicit Workplace Culture
Specific policies and procedures written out that will determine and guide Joe's care.
What is
Explicit Workplace Culture
Explicit or Implicit Workplace Culture
It is acceptable for employees on the unit to treat prisoners poorly.
The Nurses are disciplined by management for treating these individuals differently, but the nurses all feel prisoners hold less value and are treated with less respect than the other patients.
What is
Implicit Workplace culture