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Nursing
Legal and Ethics
69
Medical
Undergraduate 1
04/29/2009

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Term
deontology
Definition
related to the term duty; deontology is a group of ethical theories based upon the rationalist view that the rightness or wrongness of an act depends upon the nature of the act, rather than the consequences that occur as a result of it
Term
ethics
Definition
a formal process for making logical and consistent decisions based upon moral belifes
Term
utilitarianism
Definition
a moral theory which holds that an action os judged as good or bad in relation to the consequences, outcome, or end result derived from it
Term
autonomy
Definition
an ethical principle that literally means self-governing; it denotes having the freedom to make independent choices
Term
beneficence
Definition
the ethical principle that requires one to act in ways that benefit another; in research, this implies the protection from harm, discomfort, including a balance between the benefits and risks of a study
Term
justice
Definition
an ethical principle that relates to fair, equitable, and appropriate treatment in light of what is due or owed to persons, recognizing that giving to some will deny receipt to others who might otherwise have received these things
Term
nonmaleficence
Definition
an ethical principle related to beneficence that requires one to act in such a manner as to avoid causing harm to another, including deliberate harm, risk of harm, and harm that occurs during the performance of beneficial acts
Term
moral distress
Definition
the reaction to a situation in which there are moral problems that seem to have clear solutions, yet one is unable to follow one's moral beliefs becuase of external restraints; this may be evidenced in anger, frustration, dissatisfaction and poor performance of beneficial acts
Term
prizing choices
Definition
values are ideals, beliefs, customs, and modes of conduct, qualities, or goals that are highly prized or preferred by individuals, groups, or society
Term
values clarification
Definition
refers to the process of becoming more conscious of and naming what one values or considers worthy
Term
values conflict
Definition
internal or interpersonal conflict that occurs in circumstances in which personal values are at odds with those of patients, collegues, or the institution
Term
ethic of care
Definition
an approach to ethical decision making grounded in the relationship and mutual responsibility, in which choices are contextually bound and strategies are focused on maintaining connections and not hurting anyone
Term
ethic of justice
Definition
an approach to ethical decision making, based on objective rules and principles in which choices are made from a stance of separateness
Term
human values
Definition
human values development, often referred to as moral development is a produce of the sociocultural environement in which we live and develop
Term
morals
Definition
preferences or dispositions, reflective of right or wrong, should or should not, in human behavior
Term
Piaget
Definition
describes stages of cognitive development addressing how the mind works, that is the development of intellectual capacities through the time of childhood from birth to about 15 years
Term
ethical dilemmas
Definition
occur when options include conflictiong moral claims; a conflict can be experienced when there is evidence to indicate that a certain act is morally right and evidence to indicate that that act is morally wrong, but no evidence is conclusive
Term
ethical situations
Definition
exist when there is a conflice between what is done and what should be done
Term
fidelity
Definition
an ethical principle related to the concept of faithfulness and the practice of promise-keeping
Term
moral outrage
Definition
a state which occurs when someone else int eh health care setting performs an act the nurse believes to be immoral; the nurse does not participate in the act and therefore does not feel responsible for wrong, but feels powerlessness to prevent it
Term
boundary violations
Definition
actions that overstep established boundaries to meet the needs ot the nurse
Term
good professional character
Definition
-is able to distinguish right from wrong
-is able to think and act rationally
-is able to keep promises and honor obligations
-is accountable for his or her own behavior
-is able to practice nursing in an autonomous role
-is able to recognize and honor the interpersonal boundaries appripriate to any therapeutic relationship or health care setting
-is able to promptly and fully self-disclose faces, circumstances, events, errors, and omissions when such disclosure could enhance the health status of patients or the public or could protect patients or the public from unnecessary risk of harm
Term
Nurse Practice Act
Definition
to protect and promote the welfare of the people by ensuring that each person holding a license as a nurse is competent to practice safely
Term
professional boundaries
Definition
the space between the nurse's power and the client's vulnerability
Term
veracity
Definition
truth-telling
Term
assault
Definition
the unjustifiable attempt or threat to touch a person without consent that results in fear of immediately harmful or threatening contact
Term
false imprisonment
Definition
the unlawful, unjustifiable detention of a person within fixed boundaries, or an act intended to result in such confinement
Term
felonies
Definition
serious crimes that carry significant fines and jail sentences
Term
negligence
Definition
the omission to do something that a reasonable prudent person, guided by those ordinary considerations that ordinarily regulate human affairs, would do, or doing something that a reasonable and prudent person would not do
Term
unintentional tort
Definition
torts that occur when an act or omission causes unintended injury or harm to another person
Term
accountability
Definition
the state of being anwerable to someone for something one has done
Term
code of nursing ethics
Definition
explicit declaration of the primary goals and values of the profession that indicate the profession's acceptance of the responsibility and trust with which it has been invested by society
Term
expertise
Definition
the characteristic of having a high level of specialized skill and knowledge
Term
Americans with Disability Act
Definition
the act ensures that people with disabilities are not excluded from job opportunities or adversely affected in other aspects of employment unless they are unqualified or unable to perform the job
Term
nurse's obligations
Definition
each licensed nurse upholds his/her duty to maintain client safety by practicing within the parameters of the NPA and Board rules as the apply to each licensee
Term
delegation
Definition
-verifies the training of the unlicensed person
-verifies that the unlicensed person can properly and adequately perform the delegated task without jeopardizing the client's welfare
-adequately supervises the unlicensed person
Term
practice dilemma
Definition
moral claims have greater weight than nonmoral claims
Term
sexual harassment
Definition
all unwelcome sexual advances, requests for sexual favors, and other conduct of a sexual nature
Term
confidentiality
Definition
the ethical principle that requires nondisclosure of private or secret information with which one is entrusted
Term
DNR orders
Definition
written directives in a patient's chart indicating that CPR is to be avoided
Term
palliative care
Definition
a comprehensive, interdisciplinary, and total care approach, focusing primarily on comfort and support of patients and families who face illness that is chronic or not responsive to curative treatment
Term
quality of life
Definition
a subjective appraisal of factors that make life worth living and contribute to a positive experience on living
Term
advanced directives
Definition
instructions that indicate which health care interventions to initiate or withhold, or which designate someone who will act as a surrogate in making such decisions, in the event that person loses decision-making capacity
Term
informed consent
Definition
process by which patients are informed of the possible outcomes, alternative, and risks of treatment and required to give their consent freely; this implies legal protection of a patient's right to personal autonomy by providing the opportunity to choose a course of action regarding plans for health care, including the right to refuse medical recommendations and to choose from available theraputic alternatives
Term
patient competence
Definition
a person's ability to make meaningful life decisions; a declaration of incompetence involves legal action with a ruling by a judge that the person is unable to make such life decisions
Term
barriers to patient empowerment
Definition
paternalistic attitudes and sociocultural role expectations, lack of knowledge of resources of stratigies that promote empowerment, dependency, apathy, mistrust, being labeled unwilling to share decision-making power, economic or political factors
Term
enable patient empowerment
Definition
ethical principles and decision making processes, values development, and their impact on choices
Term
paternalistic behavior
Definition
gender-biased term that literally means acting in a "fatherly" manner, the traditional view of which implies well-intended actions of benevolent decision making, leadership, protection, and discipline, which, in the healthcare arena, manifest in the making of decisions on behalf of patients without their full consent or knowledge
Term
civil law
Definition
the law that determines a person's legas rights and obligations in many kinds of activities involving other people
Term
informed consent-emergency
Definition
assumes the patient would want the intervention if he were able to give consent
Term
living will
Definition
legal documents developed voluntarily by persons giving directions to healthcare providers related to withholding or withdrawing life support if certain conditions exist
Term
witnessing informed consent
Definition
the nurses witnesses that the patient has signed the consent willingly
Term
grassroots lobbying
Definition
lobbying efforts that involve mobilizing a committed constituency to influence the opinions of policy makers
Term
lobbying
Definition
the art of persuasion; attempting to convince a person to comply with a request, whether it is convincing them to support a position on an issue or to follow a particular course of action
Term
partisan
Definition
adherence to the ideology of a particular political party
Term
policy formulation
Definition
a phase of the policy-making process that includes such actions as agenda setting and the subsequent development of legislation
Term
fee for service
Definition
allows the person to choose which provider/hospital, etc they want
Term
managed care
Definition
an integrated form of healthcare delivery and financing that represents attempts to control costs by modifying the bahavior of providers and patients
Term
universal health insurance
Definition
a government run health insurance program
Term
victim blaming
Definition
holding people burdened by social conditions accountable for their own situations and responsible for needed solutions
Term
gender discrimination
Definition
occurs when a person is subjected to different or unequal treatment in any munber of situations, when that treatment is based on the person's gender
Term
nursism
Definition
a form of sexism that maligns the caring role in society and leads to discrimination in nursing by virtue of the role undertaken, regardless of gender
Term
sexism
Definition
the assumption that members of one sex are superior to those of the other
Term
nursing as a commodity
Definition
nursing is considered a commodity purchased by the healthcare system
Term
nursing empowerment
Definition
the ability to facilitate empowerment in others requires us to attent to personal empowerment
Term
personal empowerment
Definition
requires growth of personal strengthand power and includes the ability to enact our own will and love for ourselves in the context of love and respect for others
Term
whistle-blowing
Definition
publicly speaking out, with sound moral justification about questionable or unsafe practices affecting patient care or nursing working conditions
Term
Lunsford v. BON
Definition
the court held that a nurse has a duty to the patient which cannot be superceded by hospital policy or physician's order
Term
mission of the BON
Definition
to protect the health, safety, and welfare of the people; emphasizes the nurse's responsibility and duty to the client to provide safe, effective nursing care
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