Nursing Ethics: Ethical Decision-Making for Nurse Leaders | Maryville Online (2022)

Nursing Ethics: Ethical Decision-Making for Nurse Leaders | Maryville Online (1)

At a time of unprecedented change, one constant remains: Nurses rate the highest of all professionals for honesty and ethics.

According to a 2019 Gallup poll of U.S. residents, 85% of respondents rated nurses’ ethical standards and honesty as “very high” or “high.” That marked the 18th year in a row that nurses received the highest rating in the survey of consumer impressions of various professions’ ethics. The next highest-rated professions for honesty and ethics were engineers (66%), medical doctors (65%), and pharmacists (64%).

The trust patients put in their nurses has only grown stronger as a result of the ongoing COVID-19 pandemic. A Harris Poll conducted in August 2020 found that 88% of U.S. adults surveyed trust the COVID-19 information they receive from doctors and nurses, compared to 73% who trust information from the U.S. Centers for Disease Control and Prevention (CDC).

Ethics are a cornerstone of the nursing profession. Their importance highlights the role nurses play as advocates for patients’ rights and equitable patient outcomes. This guide explains the genesis of nursing ethics and how nurses put ethics into practice daily to promote the health and well-being of all their patients.

What Are Nursing Ethics?

Ethics are defined as the moral principles that determine how a person or group of people will act or behave in specific situations. Strong ethics are vital to nursing, as moral dilemmas can frequently arise while attending to patients. Nurses and other healthcare professionals must recognize these ethical problems when they occur and apply the profession’s ethics and core values in their judgment and decision-making.

Nursing Ethics and Equitable Care

Health equity’s goal is to ensure that all have the opportunity to “live the healthiest life possible,” as the Robert Wood Johnson Foundation explains, regardless of who they are, where they live, or how much money they make. Daily Nurse describes the four interrelated factors that influence how nurses approach health equity:

  • Health disparities are the variations in health and healthcare among segments of the population, including ethnic minorities, immigrants, and people with low income.
  • Social determinants of health are the nonmedical and nongenetic factors that account for about 80% of individual health outcomes, according to the National Academy of Medicine.
  • Culturally competent healthcare involves respecting and understanding how a segment of the population’s beliefs, language, customs, and behaviors affect disease epidemiology and manifestation. It also considers medication’s effects on various ethnic, cultural, and sexual minorities.
  • Social justice highlights nurses’ professional responsibility to respond to systemic injustice and promote and protect human rights.

How Ethics Improve Patient Care Across Demographic Groups

To address health inequity factors, nurses are encouraged to be aware of health disparities that could impair treatment outcomes. They can then refer patients to social workers, case managers, and other healthcare team members for additional services. Nurses should be mindful of the social and economic factors that affect patient and community health.

Trust is key to ensure that patients are comfortable sharing information about their culture and socioeconomic status with nurses and other healthcare professionals. This can be especially challenging when the patient and nurse come from different racial, gender, or ethnic backgrounds.

Principles of Nursing Ethics

Ethical principles are general by nature because they’re intended to serve as a framework that people use to weigh the facts of a situation that presents a moral or an ethical dilemma. The Oncology Nursing Society describes the principles of nursing ethics that serve as guideposts for ethical decision-making in healthcare settings.

Nonmaleficence

Nurses have an obligation not to inflict harm and not to allow others to inflict harm. They must also promote good actions on behalf of their patients. Examples of nonmaleficence are always being truthful to patients and never allowing one patient to be harmed for the benefit of another.

(Video) Ethics in Healthcare: Dilemmas, Impact of Morals and Values & Moral Distress | Lecturio Nursing

Beneficence

Nurses have a strong duty to act in ways that benefit individuals, communities, and society. Beneficence is rooted in the innate love we feel for humanity and the drive to demonstrate that love through our actions. Beneficence is exemplified by the kindness nurses show their patients in all their interactions and in the willingness to abide by a patient’s wishes, as long as the patient is competent and fully informed.

Autonomy

Nurses must respect their patients at all times, but they’re not required to accept the actions their patients take and the consequences of those actions. Autonomy is the ability to explain one’s needs and make fully informed decisions about one’s health. Illness may threaten a patient’s autonomy. However, nurses are obligated to honor a patient’s autonomous actions.

Justice

Nurses are responsible for ensuring that healthcare benefits and burdens are distributed fairly throughout the population. The uneven distribution of healthcare resources is related to societal inequities and personal prejudices. An example is patient triage: when a nurse must decide which of several needy patients requires immediate attention. That decision may depend on where the nurse can do the most good, or where the need is greatest, depending on the nurse’s determination of the most just course of action.

Examples of Nursing Ethics in Action

Technology has impacted healthcare as much as any field, and like other industries, healthcare must address new technologies in ways that don’t threaten patients’ rights and the safety and confidentiality of patient data. These are among the most common ethical dilemmas that nurses face.

Respecting a Patient’s Personal Healthcare Decisions

The concept of self-determination is deeply ingrained in healthcare: As long as patients have sufficient decision-making capacity, they have the right to accept or decline the treatment that their healthcare providers prescribe. As the Journal of Medical Ethics points out, some time must pass between the moment the physician or other healthcare professional determines that some course of action should be taken and the moment the patient is competent enough to decide whether to follow the physician’s advice. Temporizing is the practice of waiting until a patient has sufficient decision-making capacity before advising on the matter.

Being Responsible for Decisions That Result in Suboptimal Care

Nurses make decisions based on the information available to them in the current situation. The more relevant information they have, the more likely their decision will have a positive outcome. When a nurse’s decision leads to a negative outcome, the question becomes: What critical pieces of information were lacking at the time of the decision? Nurses must take responsibility for their decisions and strive to understand why some decisions have negative outcomes.

The Nurse’s Role in End-of-Life Decisions

Early palliative care has been shown to improve the dying experience for patients at the end of their lives as well as for their families. The AMA Journal of Ethics points out the variation in end-of-life care and an underappreciation of the social, political, and cultural issues that underlie decisions about the dying process. The researchers call for a more systemic implementation of communication guidelines for advanced care planning and competent patient-focused end-of-life care.

Following the Nursing Code of Ethics

The American Nurses Association’s nursing code of ethics serves as a guide for nurses to practice with competence and integrity. People’s own set of ethics and morals influence their actions and decision-making, as well as how they perceive the consequences of those actions. In healthcare, ethics allow nurses and other professionals to identify moral dilemmas and apply good judgment to their decisions.

ANA’s nursing code of ethics also ensures that nurses abide by all regulations and policies that apply to their profession and their employment. The code’s nine provisions guide nurses to act ethically in their daily duties and responsibilities. The provisions are based on the four main principles of nursing ethics — nonmaleficence, beneficence, autonomy, and justice — as explained in the book Nursing Ethical Considerations.

Nursing Ethics: Ethical Decision-Making for Nurse Leaders | Maryville Online (2)

The nine provisions of the American Nurses Association’s Code of Ethics can guide nurses to deliver care in a manner motivated by integrity and moral principles. These provisions are commonly divided into three distinct parts: Provisions 1-3: Upholding nurses’ fundamental commitments and values; Provisions 4-6: Identifying nurses’ parameters of loyalty; and Provisions 7-9: Defining duties beyond direct nurse-patient encounters.

Overview of the ANA Code of Ethics

ANA describes the nursing code of ethics as “non-negotiable in any setting.” The code serves as the foundation for “nursing theory, practice, and praxis” in expressing the “values, virtues, and obligations that shape, guide, and inform nursing as a profession.”

(Video) Ethical Decision Making

1. Compassion

Nurses recognize the dignity, worth, and uniqueness of all people. They understand that the right to healthcare applies to everyone, and they respect at all times their patients, co-workers, and everyone else they interact with.

2. Commitment

Nurses’ primary commitment is to their patients. They have a duty to recognize and address potential conflicts of interest that may jeopardize their commitment to their patients. This commitment extends to individuals, families, groups, and communities.

3. Advocacy

Nurses promote and protect patients’ rights, health, and safety by understanding privacy guidelines, consent, and the need for full disclosure and honesty when dealing with patients. Misconduct or other threats to patients’ well-being must be reported in a timely manner.

4. Responsibility

Nurses are accountable for the care they provide their patients. They must ensure that their care aligns with professional guidelines, ethical concerns, and patients’ rights.

5. Self-Regard

Nurses must apply the same care standards their patients receive to self-care. Their responsibility to promote health and safety extends beyond the workplace to their homes and other settings. They have a duty to improve and adapt to maintain competence and grow in their profession.

6. Safety

Nurses have a duty to maintain a safe work environment that promotes quality care to all patients. Institutions are responsible for outlining safety standards and enforcing ethical obligations of care to ensure optimal patient outcomes.

7. Healthcare Advancement

In all the roles they play, nurses are charged with advancing the profession through research, development of professional standards, and creation of nursing and health policy. They must ensure that professional practice standards evolve as new healthcare approaches are developed.

8. Human Rights

In collaboration with other healthcare professionals, nurses protect human rights, foster health diplomacy, and address healthcare inequities. As part of this process, nurses are obliged to commit to constant learning and preparation to respond appropriately to novel and unusual situations.

9. Social Justice

Social justice principles must be integrated into a nurse’s practice and advocacy for equitable healthcare policies. By taking part in organizations and committees that acknowledge and address ethics issues, nurses strengthen their voices in calling for social justice.

A Nurse’s Core Values and Commitments

ANA describes the nursing code of ethics as “self-reflective, enduring, and distinctive.”

  • It restates the nursing profession’s fundamental values and commitments.
  • It identifies the boundaries of duties and loyalty.
  • It explains how nurses’ roles extend beyond individual patient interactions.
  • It addresses the many relationships nurses have with other healthcare professionals, patients’ families, and the public.
  • It makes nurses more aware of the sociopolitical, economic, and environmental context of their profession.

Identifying Duty and Loyalty Boundaries

The fourth, fifth, and sixth principles in the nursing code of ethics address the boundaries that nurses must identify in their work.

  • Limits are applied in their personal relationships with patients and co-workers.
  • The boundaries can be difficult to maintain because nurses become involved in their patients’ lives at very stressful times.
  • Nurses have a duty to ask co-workers and supervisors for help when unsure how to respond to situations that threaten professional boundaries.

A Nurse’s Duties Beyond Patient Care

Advocacy for patients and for healthcare equity extends nurses’ roles into politics and policy. The COVID-19 pandemic has illustrated the often-heroic effort nurses put forth for patients. Michigan Medicine describes how nurses have adapted to new roles and have had their lives turned upside down by the coronavirus.

  • Nurses have put together care packages and organized meals for their colleagues to boost morale.
  • Reader’s Digest describes how school nurses are creating masks for students and teachers, while other nurses have traveled hundreds or thousands of miles to assist where the need is greatest.
  • Home care nurses are finding their roles expand as they comfort their patients, many of whom are older people, as they struggle with isolation during COVID-19 lockdowns, as Fox 13 (KSTU-TV) reports.

Importance of Ethics in Nursing

Until the middle of the 20th century, healthcare ethics received little attention. However, the importance of ethics in nursing came to the fore following World War II, as Medscape explains. The horrors of medical experiments that German doctors conducted during the war led to the Nuremberg Code and the birth of modern medical ethics, as the United States Holocaust Memorial Museum describes.

(Video) CASN Lunch and Learn - Covid-19: What did we learn about methodologies,...

History of ANA’s Code of Ethics

The need for ethical guidance for healthcare providers was one factor that led to ANA being created in the late 1880s. The first version of the code was adopted in 1950, and the most recent update was published in 2015. The code is continually updated to address changes in the art, science, and practice of nursing and as awareness grows of the link between global health and social, political, and cultural equality.

Nursing Ethics in the Context of Medical Ethics

Medical ethics involve issues that may arise in treating individuals based on values, facts, and logic, as Medscape describes. Doctors in particular face ethical issues that relate to legal and economic issues, such as whether to withhold treatment because of cost, whether to cover up a mistake, or whether to practice defensively to avoid potential malpractice suits.

By contrast, nursing ethics focus on patients’ rights and well-being, the healthcare environment’s safety and quality, and the community’s public health needs. Ultimately the arbiter of what’s ethical in any healthcare situation is the caregiver, in consultation with the patient. Ethical decisions are as integral to patient care as clinical and technical ones.

Ethical Dilemmas Facing Nurses

Even the most extensive code of ethics can’t account for all the potential dilemmas that nurses may encounter in their work. That’s the reason that one of the duties stated in the nursing code of ethics is to seek the advice and counsel of others whenever a nurse is uncertain about a medical decision’s ethical aspects.

Nursing Ethics: Ethical Decision-Making for Nurse Leaders | Maryville Online (3)

Even with a code of ethics in place, nurses may still encounter scenarios that make adhering to these principles difficult. It’s important for nurses to recognize the potential for the following situations, so they’re prepared to make the most ethically sound decisions possible: protecting a patient’s rights, receiving fully informed consent to treatment, patient confidentiality breaches, respecting a patient’s cultural or religious beliefs, and life event decision-making.

Informed Consent

Nurses must obtain a patient’s informed consent before any medical procedure. As Medical Records Info explains, in addition to explaining all of a procedure’s risks and benefits, nurses must ensure that the patient is sufficiently competent to grant informed consent. Even being medicated can impair a patient’s ability to understand a medical decision’s consequences, which usually means the patient’s family or caretaker will decide on the patient’s behalf.

Protecting Patients’ Rights

Sometimes the advocacy role nurses perform becomes second nature. However, this can cause problems if nurses are overworked or unprepared, despite their best intentions. Advocacy extends to the duty of healthcare administrators to ensure that nurses are working in an environment that allows them to provide patients with the quality care they deserve.

Breaches of Patient Confidentiality

Often a nurse may inadvertently breach patient confidentiality by misunderstanding an action’s consequences. Nurses have a duty to protect sensitive health information, such as medical history, and in the course of dealing with family members, co-workers, and law enforcement officials, they must preserve patient autonomy and avoid oversharing personal information.

Cultural Competency and Nursing Ethics

In recent years, much more attention has been paid to the need for nurses to understand the cultural implications of their interactions with patients. Nurse Advisor highlights the many benefits nurses realize by improving their cultural competence.

  • They pay closer attention to the verbal and nonverbal messages that patients and their families send.
  • The more contact nurses have with people from different cultures and socioeconomic backgrounds, the higher quality care they can provide as they come to understand new social norms and belief systems.
  • By communicating more clearly with patients from diverse backgrounds, nurses engender a sense of trust that allows patients to feel more confident in opening up to healthcare providers.
  • As the pace of societal change increases, nurses are better equipped to adapt and modify the care they provide to meet the ever-changing needs of their patients.

Resources on the Importance of Nursing Ethics

How Do Ethics Affect Nursing?

The ethical issues that nurses face can increase work-related stress. For example, at Nurse.com, one intensive care unit nurse describes the “moral distress” doctors and nurses feel when a patient’s requests or refusal of treatment are inconsistent with best medical practice and against the patient’s best interest. That nurse sees ethics expressed in the goal of finding the solution that brings about the optimal patient outcome. The solution must also be in line with the patient’s wishes.

Correlating Ethical Patient Care and Optimal Patient Outcomes

Understaffing and other issues beyond a nurse’s control can threaten the responsibility to ensure patient safety. Plos One reports on a study that connected a hospital’s financial performance with its performance in quality and safety analyses. The researchers found that hospitals with the highest financial performance scores had the lowest rates of 30-day readmissions and 30-day mortality, among other quality and safety benefits.

(Video) Recognizing and Dealing with Moral Distress

Nurses and other healthcare professionals have little control over their employers’ financial management; yet the responsibility to provide ethical care and treatment as equitably as possible becomes more important when treating disadvantaged populations and those with limited access to healthcare resources.

How Ethics Shape a Nurse’s Daily Responsibilities

Nurses must be aware of the breadth of their responsibilities, and they must determine their readiness to accept those responsibilities. Collegian presents a framework of nurses’ responsibilities where seven domains are intended to promote safety and quality in healthcare.

  • Promotion of safety
  • Evidence-based practice
  • Medical/technical competency
  • Person-centered care
  • Positive interpersonal behaviors
  • Clinical leadership and governance
  • Patient perceptions of quality

To validate the domains, researchers solicited nurses’ descriptions of their responsibilities for safe and high-quality care to ensure that nurses’ perceptions match the expectations of their organization and profession.

The Link Between Nurse Ethics and Patient Advocacy

A nurse’s duty to serve as an advocate for patients is stated in the nursing code of ethics’ third provision, as well as in provisions 9.3 and 9.4, which extend patient advocacy outside the workplace to promote social justice in nursing and health policy. Nurse.com explains that advocating for patients includes raising alarms about the climate crisis, food safety, and violence prevention.

ANA encourages nurses to participate in community groups, join neighborhood organizations, or support candidates for local political office. Often it seems progress on matters related to community health comes slowly or not at all, but nurses are trusted and well-respected members of their communities, and their advocacy efforts can be fruitful in many ways.

How Ethics in Nursing Aligns with Ethics in Other Healthcare Professions

The nursing code of ethics closely resembles the American Medical Association’s Code of Medical Ethics, which covers patient-doctor relationships, consent and medical decision-making, privacy, genetics, end-of-life care, and many other issues. A burgeoning area of ethical concern is bioethics, which attempts to promote knowledge and awareness of connections between human life, science, and technology.

Bioethics combines philosophy, theology, history, and law with medical science, emphasizing the application of ethical principles in nursing and health policy. The Center for Practical Bioethics focuses on four domains:

  • Aging and end of life
  • Clinical and organizational ethics
  • Life sciences
  • Disparities of health and healthcare

Promoting Ethics in Nurse Education

The earlier nurses begin thinking about nursing ethics, the more aware they become of the importance of integrating ethics into all aspects of the nursing profession. However, a recent study reported in BMC Nursing found that many nursing students minimize the importance of specific ethical values in nursing, such as discussing public policy decisions affecting healthcare funding, and participating in peer reviews.

Just as nurses have many ethical duties to their patients, co-workers, and communities, nurse educators and nurse leaders have a duty to prioritize training nursing students on the importance of ethics in all aspects of nursing practice.

Infographic Sources

American Nurses Association, Ethics and Human Rights

BMC Nursing, Increasing Cultural Awareness: Qualitative Study of Nurses’ Perceptions About Cultural Competence Training

StatPearls, Nursing Ethical Considerations

(Video) Critical Inquiry and Evidence-Informed Practice Webcast

FAQs

What are four 4 common ethical issues faced by nurses today? ›

The 5 Current Ethical Issues in Nursing
  • Informed Consent.
  • Protecting Patient Privacy and Confidentiality.
  • Shared Patient Decision-Making.
  • Addressing Advanced Care Planning.
  • Inadequate resources and staffing.
Sep 8, 2021

What factors should direct a nursing leaders ethical decision-making? ›

The nursing leader's ethical decision making should involve factors such as reflection on intended outcomes, resources available, and unintended consequences. A leader should not make an ethical choice based on opinion or bioethics.

What are the 7 major ethical issues in nursing practice? ›

The ethical principles that nurses must adhere to are the principles of justice, beneficence, nonmaleficence, accountability, fidelity, autonomy, and veracity.

How nurse leaders can improve on their Ethico moral decision process? ›

Exemplifying Ethics in Nursing Leadership

Develop ethics-friendly policies and procedures. Provide continuing education and training in ethical decision making. Promote open discussions among staff nurses and managers regarding ethical patient care.

What are some examples of ethical decision making in healthcare? ›

An example of ethical decision-making in healthcare includes choosing between patient autonomy and beneficence. Another example is choosing between being honest to the patient and withholding information that the patient's close family might have requested.

What is the biggest ethical issue in healthcare today? ›

Patient Confidentiality

One of the biggest legal and ethical issues in healthcare is patient confidentiality which is why 15% of survey respondents noted that doctor-patient confidentiality is their top ethical issue in practicing medicine.

What do you think is the importance of ethics in nursing leadership and management? ›

The nursing code of ethics helps caregivers consider patient needs from several viewpoints and maintain a safe recovery environment. Ethical guidelines remind caregivers to treat all people equitably and individually, while protecting the privacy rights of patients in ways that may not seem overtly obvious.

Why are decision-making skills important in nursing? ›

The decisions nurses make while performing nursing care will influence their effectiveness in clinical practice and make an impact on patients' lives and experiences with health care regardless of which setting or country the nurse is practicing in.

Why should nurses be involved in decision-making? ›

They can use critical thinking skills to identify when a patient's treatment needs to be adjusted. The research increasingly shows that clinical decision-making by nurses can improve quality of care and patient satisfaction.

What are the steps in ethical decision making in nursing? ›

Here's how the nurse could use the steps of the PEDM model to deal with this ethical dilemma.
  1. Step 1: Is there a concern with no solution to which all parties can agree? ...
  2. Step 2: Who is involved, what is the concern, and when is a decision needed? ...
  3. Step 3: What professional standards are associated with the issue?
Dec 21, 2021

What are the 9 nursing code of ethics? ›

What Are The 7 Ethical Principles On Which The Nursing Code Of Ethics Is Based? The 7 ethical principles the Nursing Code of Ethics is based upon include beneficence, nonmaleficence, justice, accountability, autonomy, fidelity, and veracity.

What are some ethical concerns faced by leaders? ›

Ethical Leadership: Circumstances, Challenges and Conflict
  • Disparate treatment of employees.
  • Customary practices applied to the detriment of official policy.
  • Policies applied inconsistently.
  • Hiring, performance, and termination practices based on something other than merit.
Mar 28, 2018

Why is it so important that nursing leaders be perceived as honest? ›

Although nurses must often choose between being honest and dishonest, being dishonest violates the trust placed in the nurse and undermines the nursing profession; dishonesty is never justified.

What is an example of ethical leadership? ›

Holding respect for others and equally around the team and company is another example of ethical leadership. Egalitarian treatment of their peers is key, there is no favoritism being played out and no ill treatment of any member of staff through any form of discrimination.

Why do you think ethic in healthcare are important to consider when making decisions? ›

Ethics within healthcare are important because workers must recognize healthcare dilemmas, make good judgments and decisions based on their values while keeping within the laws that govern them.

What is the most important ethical principle in nursing? ›

Beneficence is one of the essential ethical principles in nursing. Because beneficence involves promoting the best interests of others, the lack of the principle can have far-reaching, serious consequences.

How do nurses deal with ethical dilemmas? ›

Experts contacted for this article suggested several strategies organizations can implement to address ethical issues and reduce nurses' and other clinicians' moral distress:
  1. Support the nursing code of ethics. ...
  2. Offer ongoing education. ...
  3. Create an environment where nurses can speak up. ...
  4. Bring different disciplines together.
Mar 3, 2014

What are some examples of ethical dilemmas in nursing? ›

Common Examples of Ethical Dilemma in Nursing
  • Pro-life vs. pro-choice.
  • Empirical knowledge vs. religious beliefs.
  • Autonomy vs. beneficence.
  • Parent refuses to vaccinate their child.
  • Being honest vs. withholding information.
  • Healthcare needs vs. resource allocation.
May 31, 2022

How do you determine if something is ethical or unethical? ›

Unethical behavior can be defined as actions that are against social norms or acts that are considered unacceptable to the public. Ethical behavior is the complete opposite of unethical behavior. Ethical behavior follows the majority of social norms and such actions are acceptable to the public.

How can ethical leadership skills be improved? ›

Here's how to become an ethical leader.
  1. Define and align your values. ...
  2. Hire people with similar values. ...
  3. Promote open communication. ...
  4. Beware of bias. ...
  5. Lead by example. ...
  6. Don't be afraid to admit mistakes. ...
  7. Find your role models. ...
  8. Embed corporate social responsibility into your business strategy.

Can a leader be effective without ethics? ›

Leaders are generally more effective when they are smart and ambition is a critical catalyst of success, but the absence of ethics will fuel leaders' selfish agenda at the expense of their teams, followers, and subordinates.

What is the ultimate goal of ethical leadership? ›

In the end, the main goal of an ethical leader is to create a world in which the future is positive, inclusive and allows the potential for all individuals to pursue and fulfill their needs and meet their highest potential.

What is decision-making in nursing leadership? ›

Decision making is the essence of leadership and not a new concept for nurse managers. Managers and leaders are expected to make decisions, which are the visible outcome of their leadership and management process.

What influences decision-making in nursing? ›

Key findings
  • Nurse experience and associated factors. Experience relates to time spent in clinical practice. ...
  • Organization and unit culture influences on decision-making. ...
  • Education. ...
  • Understanding patient status. ...
  • Situation Awareness. ...
  • Autonomy.
Jan 23, 2018

Why are decision-making and problem solving important for professional nurses? ›

Problem-solving and decision-making are complex and difficult processes for nurses, because they have to care for multiple patients with different problems in complex and unpredictable treatment environments [9, 10].

How will you make effective decisions as a health care leader? ›

4 Key Components of Effective Decision Making for Leaders
  1. Identify the Problem—Then Simplify It. ...
  2. Embrace the Pre-Mortem. ...
  3. Welcome the Pivot. ...
  4. Think Differently.
Feb 14, 2019

How can a nurse support patient decision-making? ›

Nurses can enhance the shared decision‐making process by checking the decision quality and by complementing and facilitating shared decision‐making.

How nurses can empower patients in decision-making? ›

Facilitators of empowerment included establishing a therapeutic relationship, fostering communication, providing education, respecting patient autonomy, engaging support systems, and lifting spirit/giving hope.

What are the 8 ethical issues related to healthcare? ›

The major 10 ethical issues, as perceived by the participants in order of their importance, were: (1) Patients' Rights, (2) Equity of resources, (3) Confidentiality of the patients, (4) Patient Safety, (5) Conflict of Interests, (6) Ethics of privatization, (7) Informed Consent, (8) Dealing with the opposite sex, (9) ...

What is the first step in the ethical decision-making process? ›

Step 1: Identify the Facts

Given that ethical issues often arise because of a lack of sufficient information or evidence, as well as disagreements about the facts, the first step in the ethical decision-making process is an explicit call for identification of the facts.

What are four 4 common ethical issues faced by nurses today? ›

The 5 Current Ethical Issues in Nursing
  • Informed Consent.
  • Protecting Patient Privacy and Confidentiality.
  • Shared Patient Decision-Making.
  • Addressing Advanced Care Planning.
  • Inadequate resources and staffing.
Sep 8, 2021

What factors should direct a nursing leaders ethical decision making? ›

The nursing leader's ethical decision making should involve factors such as reflection on intended outcomes, resources available, and unintended consequences. A leader should not make an ethical choice based on opinion or bioethics.

What are the 7 principles of ethical decision making? ›

In brief these are: 1) modify human practices when possible; 2) justify the need for control; 3) have clear and achievable outcome-based objectives; 4) cause the least harm to animals; 5) consider community values and scientific information; 6) include long-term systematic management; and 7) base control on the ...

What are the 7 major Ethical issues in nursing practice? ›

The ethical principles that nurses must adhere to are the principles of justice, beneficence, nonmaleficence, accountability, fidelity, autonomy, and veracity.

What are the 10 nursing ethical values? ›

The search yielded 10 nursing ethical values: Human dignity, privacy, justice, autonomy in decision making, precision and accuracy in caring, commitment, human relationship, sympathy, honesty, and individual and professional competency.

What are the five codes of ethics in nursing? ›

What are the five codes of ethics in nursing? The 5 nursing ethic codes are: nonmaleficence, beneficence, autonomy, justice, and privacy/confidentiality.

What are the 4 main ethical principles in nursing? ›

Nurses are advocates for patients and must find a balance while delivering patient care. There are four main principles of ethics: autonomy, beneficence, justice, and non-maleficence. Each patient has the right to make their own decisions based on their own beliefs and values. [4].

What are the 4 ethical dilemmas? ›

In LDRS 111 you were introduced to four different ethical dilemma paradigms: truth vs loyalty, short-term vs long-term, individual vs community, and justice vs mercy.

What are the 5 code of ethics in nursing? ›

What are the five codes of ethics in nursing? The 5 nursing ethic codes are: nonmaleficence, beneficence, autonomy, justice, and privacy/confidentiality.

What are the steps in ethical decision-making in nursing? ›

Here's how the nurse could use the steps of the PEDM model to deal with this ethical dilemma.
  1. Step 1: Is there a concern with no solution to which all parties can agree? ...
  2. Step 2: Who is involved, what is the concern, and when is a decision needed? ...
  3. Step 3: What professional standards are associated with the issue?
Dec 21, 2021

What are the 10 nursing ethical values? ›

The search yielded 10 nursing ethical values: Human dignity, privacy, justice, autonomy in decision making, precision and accuracy in caring, commitment, human relationship, sympathy, honesty, and individual and professional competency.

How do nurses handle ethical dilemmas? ›

Experts contacted for this article suggested several strategies organizations can implement to address ethical issues and reduce nurses' and other clinicians' moral distress:
  1. Support the nursing code of ethics. ...
  2. Offer ongoing education. ...
  3. Create an environment where nurses can speak up. ...
  4. Bring different disciplines together.
Mar 3, 2014

How do you handle ethical issues in the workplace? ›

Build a culture of integrity — from the top down.
  1. Talk about the importance of ethics.
  2. Keep employees adequately informed about issues that impact them.
  3. Uphold promises and commitments to employees and stakeholders.
  4. Acknowledge and reward ethical conduct.
  5. Hold accountable those who violate standards, especially leaders.
Oct 25, 2021

What is the examples of digital ethical behavior? ›

Asking for permission to collect and store data about users. Asking for permission to sell any personal data that has been stored. Giving users the right to request that data about them is deleted. Giving users access to personal data that has been collected and stored.

What is ethical issue example? ›

Some examples of ethical dilemma include: Taking credit for others' work. Offering a client a worse product for your own profit. Utilizing inside knowledge for your own profit.

What is an unethical leader? ›

Unethical leadership can be defined as “behaviors conducted and decisions made by organizational leaders that are illegal and/or violate moral standards, and those that impose processes and structures that promote unethical conduct by followers” (Brown and Mitchell, 2010: 588).

What are the 8 ethical issues related to healthcare? ›

The major 10 ethical issues, as perceived by the participants in order of their importance, were: (1) Patients' Rights, (2) Equity of resources, (3) Confidentiality of the patients, (4) Patient Safety, (5) Conflict of Interests, (6) Ethics of privatization, (7) Informed Consent, (8) Dealing with the opposite sex, (9) ...

What are the 9 code of ethics for nurses? ›

What Are The 7 Ethical Principles On Which The Nursing Code Of Ethics Is Based? The 7 ethical principles the Nursing Code of Ethics is based upon include beneficence, nonmaleficence, justice, accountability, autonomy, fidelity, and veracity.

What should you consider when making an ethical decision? ›

Ethical decision-making is based on core character values like trustworthiness, respect, responsibility, fairness, caring, and good citizenship. Ethical decisions generate ethical behaviors and provide a foundation for good business practices.

Videos

1. COVID-19 Vaccines: Ethical Considerations for Nurses
(American Nurses Association)
2. Ethics and values - Fundamental of nursing
(Exam practices for Nursing)
3. Ethical Dilemmas Facing Nurses During the Coronavirus Crisis Addressing Moral Distress
(Sigma Headquarters)
4. Pandemic Ethics: The Conversation Continues
(Penn Nursing)
5. Ethical Decision Making Model
(HBU Online Course Development)
6. What’s Love Got to Do With It? Leadership in New Era of Healthcare | Susan Carter | TEDxNashville
(TEDx Talks)

Top Articles

Latest Posts

Article information

Author: Rubie Ullrich

Last Updated: 12/24/2022

Views: 5568

Rating: 4.1 / 5 (52 voted)

Reviews: 83% of readers found this page helpful

Author information

Name: Rubie Ullrich

Birthday: 1998-02-02

Address: 743 Stoltenberg Center, Genovevaville, NJ 59925-3119

Phone: +2202978377583

Job: Administration Engineer

Hobby: Surfing, Sailing, Listening to music, Web surfing, Kitesurfing, Geocaching, Backpacking

Introduction: My name is Rubie Ullrich, I am a enthusiastic, perfect, tender, vivacious, talented, famous, delightful person who loves writing and wants to share my knowledge and understanding with you.