In Bearskin article "critical lens on culture in nursing practice" removal of the medicine pouch is an example of
Cultural iatrogenisis
What Act provides broad protection to enable review of documents for quality improvement purposes?
The Ontario Quality of Care Information Act
Providing free flu vaccinations follows which ethical theorist
Utilitarian
What is Kohlberg's stages of moral reasoning
Preconventional - obedience & punishment
Conventional - Right thing to do and begin to think of others
Postconventional Move beyond feelings and needs by searching for principles of justice
A client questions why you are asking questions about eating habits, employment, living conditions. What would the client be worried about?
Value 5 Maintaining Privacy & Confidentiality
According to Suby (2013) "Social media in health care: Benefits, concerns & Guidelines for use. What were the primary concerns of social media?
Personal use during work hours
Breach of privacy (posting/video)
Reputation-need to respond to complaints includes discovery of employees doing inappropriate posts/pics when not working
Define Gross negligence
conscious and voluntary disregard
Kantian ethics fall under what overarching theory and what his some main points of his view
Deontological
Not based on consequences of action but on fulfilling duty
•People are free to make choices & moral choices need to be based on “reason” not “emotion”
•Our duty is determined from Maxims (rule of conduct)
•Ways to determine rules of conduct is to consider categorical imperatives (a rule that has no exceptions)
•Golden rule “Do onto others only that which you are prepared to have them do unto you.”
What does fiduciary mean
upholding the trust of the patient
Describe value 6 in the code of ethics & provide an example of not following this value
Promoting & Respecting Informed Decision making
eg. Woith "lessons learned from the homeless" nurses disrespect homeless
What were the major themes that were found in Engel, Salfi, Micsinszki & Bodnar "Informed strangers: Witnessing and responding to unethical care as students nurses?
Good employee bad nurse-Focus on self within the context of the organization and work relationships
Damage care-Potential or actual harm done to the patient as a result of nursing actions or neglect
Negotiating the gap-How nursing students and eventual graduates react to the ethics and care that they witness being provided and how they make sense of it
Which law is being broken if a nursing student posts details about a patient on an anonymous website
Statue Law
Based upon capacity to feel pleasure & pain a vegetative state would NOT impact dignity because they can experience suffering. Which ethical theory would support this statement
Utilitarian
A surgeon who is getting consent from a client and promises that the procedure has 100% successful rate can be describe as what?
A critique of the Romanow Report is
Value 2 Promoting Health & Well Being
Overemphasis on individual responsibility
In the article by Mitchell, Therapeutic lying to assist people with dementia in maintaining medication adherence. What ethical principles does he claim are adhered to when lying but are in opposition to what other principles
principles of beneficence and non-maleficence are fulfilled by telling a lie but is in opposition to the principles of veracity, dignity and autonomy.
Describe the difference between intentional and unintentional tort and give examples
unintentional tort - unintended accident that leads to injury (pt falls because nurse forgot to make call bell accessible)
intentional
Fraud, misrepresentation, slander, libel and false imprisonment intentional infliction of emotional distress (Nurse talks poorly and degrading to a client)
What is the major difference between Gilligan's theory and Kohlberg's theory of moral development
Gilligian's theory is grounded in relationships
phase 1 focus on self & survival
phase 2 goodness as self sacrifice - rely on others and social acceptance
phase 3 heightened understanding of choice between own needs and care of others
According to Two models of mistake-making in professional practice (Crigger , 2005), a culture of perfectionism in health care has what impact?
discourages rectification of errors
A nurses walks into a patients room and says laughingly "I am off in 15 minutes so you better not press that call bell again" The family can sue which would fall under what law
Civil Law - Slander
If your personal values and beliefs conflict with the patients choice of treatment, what might you experience
moral distress