1. Foundations of Community Health Nursing
Unit III
Foundations of Community Health Nursing
Delmar Learning
Copyright © 2003 Delmar Learning, a Thomson Learning company

2. Philosophical and Ethical Perspectives
Chapter 7
Philosophical and Ethical Perspectives
Delmar Learning
Copyright © 2003 Delmar Learning, a Thomson Learning company

3. Philosophical and Ethical Perspectives
Ethics
Client rights
Health care is a basic human right
Chapter 7
Copyright © 2003 Delmar Learning, a Thomson Learning company

4. Professional Responsibilities in Community Health
Caring
Veracity
Advocacy
Moral accountability
Chapter 7
Copyright © 2003 Delmar Learning, a Thomson Learning company

5. Classical Ethical Theories
Deontology
Moral obligation
Teleology
Utilitarianism
Chapter 7
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6. Basic Ethical Principles
Beneficence
Non-maleficence
Justice
Autonomy
Fidelity
Veracity
Chapter 7
Copyright © 2003 Delmar Learning, a Thomson Learning company

7. 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

8. Ethical Principles Influencing Health Care Decisions
Beneficence
Non-maleficence
Justice
Autonomy
Fidelity
Veracity
Chapter 7
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9. Copyright © 2003 Delmar Learning, a Thomson Learning company
Accountability
Responsibility
Answerability
Autonomy
Authority
Chapter 7
Copyright © 2003 Delmar Learning, a Thomson Learning company

10. Ethical Decision-Making
Principlism
Ethical dilemmas
Chapter 7
Copyright © 2003 Delmar Learning, a Thomson Learning company

11. 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

12. External Factors that Affect Decision Making
Multiple allegiances
Type of decision
Environmental factors
Resources for decision-making
Personal and professional values
Chapter 7
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13. 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
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14. 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
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15. 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

16. 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