Ebook Ethical competence in nursing practice (edition): Part 2

Part 2 book “Ethical competence in nursing practice” has contents: Applying ethics in research and evidence-informed practices, applying ethics to the leadership role, public health ethics and social justice in the community, exploring ethical issues related to emerging technology in health care,… and other contents.

94 defined, 296 developing, 194 function of, 295–297 meta-­analy­sis, 186 ethical motivation, 33–36 ethical outcome, and evaluation, 39–40 ethical princi­ple(s), 35 ethical research, components of, 163–171 ethical sensitivity, 26–30 ethical situations, responses to, 77–79 ethical skills strategies to develop, 41–42 and values, 24–26 ethics, brief history of nursing, 10–11 of care, 14–15 clinical, 115–133 committees, 118–120 con­sul­tants, 120–123 consultation, 115–116, 288 defined, develop and utilize resources of, 198–199 and evidence-­informed practice, 172–175 levels of quality of, 284–287 preventive, function of, 291–293 princi­ples, 216–222, 308–312 priority, 195 public health, 211–215 quality, 279, 285 quandary, 142 role model and communicate expectations, 197–198 and technology, 268–269 Index  333 theories, 13–14 violation, ethics cases, 291 ethics education, 89 engage in continuing, 194–195 ethics hotline, 121 ethics police, ­121 evidence-­informed practice, ethics and, 172–175 expert patient, 258 fabrication, 170 fair subject se­lection, 165 falsification, 170 ­Family Caregiver Alliance, 245 fatigue, 28–29 Florence Nightingale Pledge, ­10 four-­component model, James Rest’s, 24, 58 Gadow’s existential advocacy concept, 144 Ge­ne­tic Information Nondiscrimination Act (2008), 256 Georgia Institute of Technology, 261 Gilligan, Carol, 14 goals establishment, 62–63 Golden Rule, 10 Gretter, Lystra E., 10 hard paternalism, 218–219 health defined, 220 disparities and social determinants of, 223 health care and decision making, 49–50 ethics domain, 286–287 ­factors influence decision making of, 51–60 and ­human right, 219–220 importance and types of decisions, 50–51 provider, decision making, 55–57 health disparities, 221 health equity, 221 Health Insurance Portability and Accountability Act (HIPAA), 145 health ser­vices, access to, 222 Healthy Nurse Health Risk Appraisal survey, 95 Heller, Jean, HIPAA See Health Insurance Portability and Accountability Act Hippocratic Oath, 10 Hospital Ethical Climate Survey, 200–203 ­human ele­ment, technology and, 259–264 ­human right, 219 health, and health care, 219–220 ­human subjects committees, 166 ICJME See International Committee of Medical Journal Editors implied consent, 168 INANE See International Acad­emy of Nurse Editors incivility, 82, 86–89, 97, 99, 102 in­de­pen­dent review, 166–167 inequalities, 221 inequities, 221 informed consent, 167–169 Institute of Medicine (IOM), 35, 157, 211, 304 instrumental values, 25 Integrated Ethics model, 284, 296 goal of, 287 International Acad­emy of Nurse Editors (INANE), 171 International Committee of Medical Journal Editors (ICMJE), 171 Internet, 262–263 IOM See Institute of Medicine ISSUES approach, 293–295 John J Reilly Center, 256, 257, 264, 267, 270–271 Johns Hopkins University, 97 Jonsen, Albert, 122 Journal of the American Geriatrics Society, 236 justice, 18 patient and ­family care, 321–322 practice and leadership, 322–324 justificatory conditions, 217 Kant, Immanuel, 15 knowledge, skills, attitude (KSA), 146 KSA See knowledge, skills, attitude lateral or horizontal vio­lence, 87 See also bullying; incivility; workplace vio­lence leadership au­then­tic, 184 collaborative, 315 defined, 182–183 ethical, 83, 186–194 and nursing practice, 182–183, 314–317, 318, 319–321, 322–324 theories, 184–186 transactional, 184 transformational, 184 WalkRounds (WR), 321 libertarian theory, 216 liberty theory, John Stuart Mill’s, 217 Maimonides Medical Center in Brooklyn, 91 Markkula Center for Applied Ethics, 265 MDCS See Moral Distress Consult Ser­vice MDS See Moral Distress Scale medical ethics, 79 microethics, 90, 142 misconduct, 171 misinterpretation, 242 moral certainty, 30 moral community, 30 moral conflict, 78 moral conscience, 29 moral courage, 34 components of, 35 334  Index moral distress, 77 bullying, lateral vio­lence, incivility, and workplace vio­lence, 86–89 ­causes, 80–105 and Code of Ethics, 97 defined, 79–80 effective communication and conflict engagement competencies, 91–93 emotional stability, 81–82 inadequate and incompetent staff, 84 orga­nizational ­factors, 82–89 orga­nizational policies and support ser­vices, 97–105 past experiences, 80–81 personal and professional competencies, 89–90 personal and professional ­factors of, 80–82 self-­care competencies, 93–96 Moral Distress Consult Ser­vice (MDCS), 103 Moral Distress Scale (MDS), 84 moral motivation, 18 moral princi­ples See codes of conduct moral residue, 81 moral suffering, 82 morality, 7–8 See also ethics morbidity, among older adults, 235–236 NAQC See Nursing Alliance for Quality Care National Center for Ethics in Health Care, 278, 279, 284, 287, 295 National Council on Aging, 235 National Institute for Nursing Research (NINR), 160 National Institute for Occupational Safety and Health (NIOSH), 88 National Quality Forum (NQF), 305 National Research Act (1974), 160, 166 NEC See Nursing Ethics Council New York Times, The, NINR See National Institute for Nursing Research nonmaleficence, 16, 18 patient and ­family care, 318–319 practice and leadership, 319–320 NQF See National Quality Forum Nuremberg Code, 160 nurse bedside shift report, 148–149 Nursing Alliance for Quality Care (NAQC), 144 Nursing Ethics Council (NEC), 42, 89 nursing practice, and leadership, 314–317 older adults advance care planning, 248–249 ­causes of morbidity among, 235–236 growing population, 235 lack of caregiver support for, 244–246 medically futile care among, 243–244 oppressed group theory, 87 orga­nizational competencies, 96–105 orga­nizational culture, 320 orga­nizational policies, 97–105 See also support ser­vices overidentification, 30 past experiences, moral distress and, 80–81 paternalism versus autonomy, 216–219 Pathway for Fostering Or­gan­i­za­tional Civility (PFOC), 102 patient centeredness, 139 patient experience, 143 Patient Protection and Affordable Care Act, 236 patient quality, 304–305 Patient and Quality Safety Initiative, 306 patient safety, 304–305 patient-­centered care, 238 PDSA See Plan-­Do-­Study-­Act perception gap, 52, 69 per­for­mance appraisal, Code of Ethics, 188 peripherally inserted central venous catheter (PICC), 282 person- and ­family-­centered care (PFCC), 142 defined, 142 ethical issues, 142–143 KSA See knowledge, skills, attitude skills and practices using selected key, 147–149 Pew Research Center, 52 PFCC See person- and ­family-­centered care PFOC See Pathway for Fostering Or­gan­i­za­tional Civility PICC See peripherally inserted central venous catheter plagiarism, ­171 Plan-­Do-­Study-­Act (PDSA), 293 PPM See Professional Practice Model practice, and leadership, 182–183, 314–317, 318, 319–321, 322–324 preferences and needs, strategies to elicit patient’s value, 149–152 preventive ethics, 291–293 Primacy of the Patients’ Interests, 69 Princi­ples of Biomedical Ethics, The, 16 principlism, 16–17 pro­cess consent, 168 Professional Practice Model (PPM), 315–316 prognosis establishment, 61–62 public health, 211–212 defined, 211 emergencies, 224–225 ethics, 211–215 ethics versus clinical ethics, 215 ethics, princi­ples of, 216–222 ethics, theoretical foundations and, 215–216 frameworks for ethics of, 224 Purtilo, Ruth, 122 QSEN See Quality and Safety Education for Nurses quality care, 304 nursing and ethics, 305–307 Quality and Safety Education for Nurses (QSEN), 26, 37, 50, 87, 141, 279 quandary ethics, 142 questionnaires, 311 Index  335 real­ity shock, 79–80 Registered Nurse Safe Staffing Act (2014), 187 research integrity, 170–171 research misconduct, 170 re­spect for potential and enrolled subjects, 169–170 Rest, James, 11, 19 Rest’s model, defined, 11–12, 19, 24, 58, 302 Right to Self Determination, 35 rigor, 93 risk–­benefit ratio, 160, 163, 165–166 See also Nuremberg Code Robot Kingdom, 260 robotic walkers, 260 Robotics Institute’s Quality of Life Technology Center, 261 scientific validity, 164–165 self-­care competencies, 93–96 self-­determination, ­256 self-­governance, ­17 self-­reflection, ­40 self-­soothing, 36 sensitivity, 12 Silver Tsunami, 245 Slater Nursing Competencies Rating Scale, 306 social justice, 220–222 social value, 163–164 Spectrum Health in West Michigan, 91 substituted judgment standard, 168 support ser­vices, 97–105 See also orga­nizational policies supportive leadership, 96–97 surrogate, role in decision making, 54–55 Systemic Mindfulness Model of Proactive Patient Safety, 315 TeamSTEPPS, 91 technology competence in workforce, 267–268 devices, 263–264 ethical use, 268–269 and ­human ele­ment, 259 Internet, 262–263 robots as caregivers, 260–262 telenursing, 268 terminal values, 25 theories, ethical, 13–14 transformational leadership, 184 TRUST, 323–324 University of California at San Francisco, 122 University Health System in San Antonio, 90, 97, 103, 193 University of Kansas School of Nursing, 307 University of Kentucky, 90 University of Nebraska, 122 University of Reading in ­Eng­land, 261 University of ­Virginia Health System, 103 U.S Department of Veterans Affairs National Center for Ethics in Health Care, 278, 279, 284, 287, 295 Utilitarianism, 16, 216 values defined, 24 and ethical skills, 24–26 instrumental, 25 strategies to elicit patient’s preferences, needs, and, 149–152 terminal, 25 Vanderbilt University Wellness Center, 95–96, 97 Veterans Health Administration, 194 virtue, nurse, 17 vulnerability, 168 WalkRounds (WR), leadership, 320 WHO See World Health Organ­ization workforce, technology competence, 267–268 workplace vio­lence, 82, 86–89, 99 World Health Organ­ization (WHO), 220 ... ­human ele­ment, 25 9 Internet, 26 2 26 3 robots as caregivers, 26 0 26 2 telenursing, 26 8 terminal values, 25 theories, ethical, 13–14 transformational leadership, 184 TRUST, 323 – 324 University of... Nurse Editors incivility, 82, 86–89, 97, 99, 1 02 in de­pen­dent review, 166–167 inequalities, 22 1 inequities, 22 1 informed consent, 167–169 Institute of Medicine (IOM), 35, 157, 21 1, 304 instrumental... 16 principlism, 16–17 pro­cess consent, 168 Professional Practice Model (PPM), 315–316 prognosis establishment, 61– 62 public health, 21 1 21 2 defined, 21 1 emergencies, 22 4 22 5 ethics, 21 1 21 5 ethics