Ethical Principles
-accepted by society
-values based on priniciples
-these are the building blocks used to form our nursing values
-can change over time , or from culture to culture, place to place, region to region
Ethical Principle: sanctity of life
preserve life
Ethial Principle: Autonomy
promote freedom of choice
non-maleficence
do not harm
Beneficence
do good
Veracity
be truthful
Fidelity
be faithful/be loyal
Justice
treat all fairly
Sancitity of Life
-all life is worth living
-life is valued above all else
-the duty to preserve life
Autonomy
self rule
-the right of an individual to make his/her decisions
Ethical Principles
-basic and obvious moral truths that guide deliberation and action
-presupposes a basic respect for the value and uniqueness of the person
-guides our behavior as nurses
Autonomy
-self governing
-one has the freedom to make decision about issues that affect ones life
-the autonomous person must be respected, be able to make goals, be able to formulate a plan of action to meet goals, be able to reflect on the values and beliefs in
Barriers to Autonomy
Autonomy exists within the confines of the world and the contexts of our relationship with others
-there are social , relational , political contexts that affect autonomous choices
-nurses must be aware of these constraints placed on others that might aff
Benefices
-requires one to act in a way that benefits others
-Has two major components, do or promote good, prevent harm
Nonmalfeficence
-requires one to avoid causing harm including:
-deliberate harm
-risk of harm
-inadvertent harm that occurs during the performance of beneficial acts
Prevent Harm
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Veracity
Truth telling
-the duty to tell the truth
-not to lie or decieve others
-our society seems to think there are times is is okay to lie and times it is not
-implies respect for autonomy and dignity of others
-moral obligation for health care providers
-auth
Fidelity
-faithfullness and promise keeping
-Nurses must faithfully:
-uphold the professional code of ethics
-practice within established scope of practice
-practice competently
-keep promises to patients
Jutice
relate to fair , equitable, and appropriate treatment in light of what is due or what owed to a person.
-recognized that giving to some will deny receipt to others who might of otherwise received these things.
Distributive Justice
application of the principles of justice that focuses on distribution of goods and services
Confidentiality
nondisclosure or private or secret information about another person
-a traditional tenet of nursing and medical ethics
-a legal mandate in nearly all cases
-there is a disagreement about absolute confidentiality in some cases
-a reasonable limit to confid
Paternalism
Not an ethical principle- sub principle
-"father knows best"
-the intentional overriding of one persons preference by another
-conflicts with the principles of autonomy
-most often done for the purpose of doing good
-a patient refuses treatment based on r
In Canada the allocation of health resources is based on the egalitarian model.
-one in which everyone receives an equal share of the available resources.
-this is known as universal health care
-the Canada health act outlines the values and practical app
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Principles of the Canadian Health Act
The criteria include:
-public administration
-comprehensiveness
-universality
-portability
-accessibility