Foundations of Community Health Nursing Unit III Foundations of Community Health Nursing Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company
Philosophical and Ethical Perspectives Chapter 7 Philosophical and Ethical Perspectives Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company
Philosophical and Ethical Perspectives Ethics Client rights Health care is a basic human right Chapter 7 Copyright © 2003 Delmar Learning, a Thomson Learning company
Professional Responsibilities in Community Health Caring Veracity Advocacy Moral accountability Chapter 7 Copyright © 2003 Delmar Learning, a Thomson Learning company
Classical Ethical Theories Deontology Moral obligation Teleology Utilitarianism Chapter 7 Copyright © 2003 Delmar Learning, a Thomson Learning company
Basic Ethical Principles Beneficence Non-maleficence Justice Autonomy Fidelity Veracity Chapter 7 Copyright © 2003 Delmar Learning, a Thomson Learning company
Community Health Nursing Moral Framework Recognizes client’s decision-making authority and autonomy Recognizes client’s right to self-determination Chapter 7 Copyright © 2003 Delmar Learning, a Thomson Learning company
Ethical Principles Influencing Health Care Decisions Beneficence Non-maleficence Justice Autonomy Fidelity Veracity Chapter 7 Copyright © 2003 Delmar Learning, a Thomson Learning company
Copyright © 2003 Delmar Learning, a Thomson Learning company Accountability Responsibility Answerability Autonomy Authority Chapter 7 Copyright © 2003 Delmar Learning, a Thomson Learning company
Ethical Decision-Making Principlism Ethical dilemmas Chapter 7 Copyright © 2003 Delmar Learning, a Thomson Learning company
Components of Decision-Making Models Determining Involvement Gathering Data Outlining Options and Consequences Process for Resolving Conflict Planning for Action/Implementation Evaluation Chapter 7 Copyright © 2003 Delmar Learning, a Thomson Learning company
External Factors that Affect Decision Making Multiple allegiances Type of decision Environmental factors Resources for decision-making Personal and professional values Chapter 7 Copyright © 2003 Delmar Learning, a Thomson Learning company
Copyright © 2003 Delmar Learning, a Thomson Learning company Examples of Multiple Allegiances That Affect Decision Making for Nurses Client Client Family Employer of Agency Third Party Payors Physician Chapter 7 Copyright © 2003 Delmar Learning, a Thomson Learning company
Copyright © 2003 Delmar Learning, a Thomson Learning company Examples of Multiple Allegiances That Affect Decision Making for Nurses (cont.) Government Regulations Society Self Collegial Interdisciplinary Relationships Chapter 7 Copyright © 2003 Delmar Learning, a Thomson Learning company
Copyright © 2003 Delmar Learning, a Thomson Learning company Ethical codes Serve as basis for guiding professional behavior American Nurses Association Code for Nurses Delineates the nurse’s obligations to clients International Council of Nurses Code for Nurses Chapter 7 Copyright © 2003 Delmar Learning, a Thomson Learning company
Ethical Dilemmas in Community Health Client Abandonment Decisional Capacity Substituted judgment Best interest judgment Client/Provider Abuse Lifestyle Diversity and Compliance Chapter 7 Copyright © 2003 Delmar Learning, a Thomson Learning company