ETHICS NOTES - Ethics: [OCTOBER 5TH] * Read articles in the...

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Ethics: [OCTOBER 5TH] ** Read articles in the course document section for October 5th and Sept 30th. Paper one due on Thursday. Concepts: Veracity: Devotion to the truth. Privacy: Confidentiality: Fidelity: Institutional Ethics: Institution of nursing. Concept of gate keepers: Who allows information in/out? What happens when you have a "whistle blower" who sees something that isn't in the best interest of the patient and "blows the whistle"? What's the institution's role in these situations, and what are the ethics involved? Questions: Whose job is it to "police" a profession? Whose job is it to NOT "police" a profession? What is the role of the institution in policing professional behavior? The overarching, the "highest" legal authority is the board of nursing. The board of nursing is different in every state. They are independent. What constitutes ethical behavior in one state may not be the same behavior in another state. ANA (american nurses association) is a voluntary organization that many Rn's belong to. It sets standards for ethical behavior and legal criteria in terms of licenser in other states/moving from state to state/in state compacts. They help to give guidance, so that you don't have a disjointed kind of situation. This helps establish the roles of nurses in different areas. It helps define what "ethical" behavior is. Therefore, it is the institution's job to set
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the guidelines for what constitutes informed consent/what has to be included in informed consent/who has to sign. [informed consent forms differ from institution to institution.] They can decide who is eligible to receive information and who is not. Institutions have a strong "gate keeping" influence. They have a strong say on who receives information and who does not. The role of the individual in policing ethical behavior is to act ethically. It is our responsibility to report unethical behavior of student colleagues. It is our moral obligation. Volker and Clark: Taking the high road. What you should do when an adverse event occurs. [It is an excellent article that argues for the ethical principles that require that we inform individuals and families when an adverse event happens. An adverse event is a reportable, significant incident. Such as a medication error, something that is done to the patient, something that happens even if it is beyond the control of the hospital. It is a sentinel event that needs to be reported. Boker and Clark give a great argument for why this is important. Why WE as nurses, need to report.] Both authors are in our faculty. --Sentinel Events. Veracity and Confidentiality: The principle of veracity requires that health care professionals: tell the truth. Veracity is in essence, telling the truth. -Diff. between lying and falsehood.
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ETHICS NOTES - Ethics: [OCTOBER 5TH] * Read articles in the...

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