Ethics Legal N 110

8/6/2019 Ethics Legal N 110

1/29

Ethical & Legal ImplicationsEthical & Legal Implicationsof Nursingof Nursing

Kerri Austin, MSN, RN, BCKerri Austin, MSN, RN, BC

N 110N 110ARIA Health School of NursingARIA Health School of Nursing


2/29

What is the difference betweenWhat is the difference betweenethics and morality?ethics and morality?

Ethics Theories:Ethics Theories:-- UtilitarianismUtilitarianism

-- Deontologic or FormalistDeontologic or Formalist


3/29

Question

QuestionTrue or false:True or false:

In the deontologic framework, actions areIn the deontologic framework, actions areright when they contribute to the greatestright when they contribute to the greatestgood and are wrong when they detract fromgood and are wrong when they detract fromthe greatest good.the greatest good.


4/29

Approaches to EthicsApproaches to Ethics

MetaMeta--ethicsethics

Applied ethicsApplied ethics


5/29

Ethical PrinciplesEthical Principles

AutonomyAutonomy

BeneficenceBeneficence

ConfidentialityConfidentialityDouble EffectDouble Effect

FidelityFidelity

JusticeJustice


6/29

Ethical Principles contEthical Principles cont

NonmaleficenceNonmaleficence

PaternalismPaternalism

Respect for peopleRespect for peopleSanctity of lifeSanctity of life

VeracityVeracity


7/29

Moral SituationsMoral Situations

DilemmasDilemmas

ProblemsProblems

UncertaintyUncertainty

DistressDistress


8/29

Ethical Problems for NursesEthical Problems for Nurses


9/29

Resolving Ethical DilemmasResolving Ethical Dilemmas

StrategiesStrategies

Validate feelings and valuesValidate feelings and values

Conduct a case analysisConduct a case analysis

Identify outcomesIdentify outcomes

Identify shortIdentify short-- and longand long--term goalsterm goals


10/29

Resolving Ethical DilemmasResolving Ethical Dilemmas

(Contd)(Contd)

StrategiesStrategiesClarify accountabilitiesClarify accountabilities Follow throughFollow throughResolve reactionsResolve reactions

Ethics committeesEthics committeesAdditional actionsAdditional actions


11/29

ConfidentialityConfidentiality


12/29

RestraintsRestraints


13/29

TrustTrust


14/29

Refuse to give careRefuse to give care


15/29

End of Life IssuesEnd of Life Issues

PainPain

DNR OrdersDNR Orders

Advance DirectivesAdvance DirectivesLiving WillsLiving Wills

Withholding Nutrition/fluidsWithholding Nutrition/fluids


16/29

QuestionQuestion

True or false:True or false:

The living will is an advanceThe living will is an advancedirective.directive.


17/29

AnswerAnswer

True.True.

Rationale: A living will is an advanceRationale: A living will is an advancedirective that specifies the types of medicaldirective that specifies the types of medicaltreatment clients do and do not want totreatment clients do and do not want toreceive should they become unable to speakreceive should they become unable to speak

for themselves in a terminal or permanentlyfor themselves in a terminal or permanentlyunconscious condition.unconscious condition.


18/29

CommitteesCommittees

EthicsEthics members, purpose, contactmembers, purpose, contact


19/29


20/29

The Law and NursingThe Law and Nursing

Sources of lawSources of law

LicensureLicensure

Standards of careStandards of care

Informed consentInformed consent


21/29

Torts and CrimesTorts and Crimes

Intentional tortsIntentional tortsAssault and batteryAssault and batteryDefamation of characterDefamation of character FraudFraud

Invasion of privacyInvasion of privacy False imprisonmentFalse imprisonment


22/29


23/29

AnswerAnswer

b. Batteryb. BatteryRationale: Battery is touching anotherRationale: Battery is touching anotherperson without his or her consentperson without his or her consent

(unlawful touching). Assault is the(unlawful touching). Assault is thethreat of touching another personthreat of touching another personwithout his or her consent. Defamationwithout his or her consent. Defamationof character is false communicationof character is false communicationthat results in injury to a personsthat results in injury to a personsreputation by means of print (libel) orreputation by means of print (libel) orspoken word (slander).spoken word (slander).


24/29

Torts and Crimes (Contd)Torts and Crimes (Contd)

Unintentional tortsUnintentional tortsNegligenceNegligence

Duty and breach of dutyDuty and breach of dutyProximate causeProximate causeDamagesDamages

Trends in nursing malpracticeTrends in nursing malpractice


25/29

Torts and Crimes (Contd)Torts and Crimes (Contd)

LiabilityLiability

Respondeat superiorRespondeat superior

CrimesCrimes


26/29

Legally Sensitive Areas ofLegally Sensitive Areas of

PracticePractice

Controlled substancesControlled substances

Death and dyingDeath and dyingWithholding or withdrawing lifeWithholding or withdrawing life--sustaining treatmentsustaining treatment

Assisted suicideAssisted suicideEuthanasiaEuthanasia


27/29


PracticePractice

Death and dying (Contd)Death and dying (Contd)

Terminal sedationTerminal sedation

Advance directivesAdvance directives

ResuscitationResuscitationDeath certificateDeath certificate


28/29


PracticePractice

Death and dying (Contd)Death and dying (Contd)Care of the bodyCare of the bodyOrgan donationOrgan donationAutopsyAutopsy

WillsWillsGood Samaritan lawGood Samaritan law


29/29

Protecting Yourself LegallyProtecting Yourself Legally

Professional practiceProfessional practice

Professional liability insuranceProfessional liability insuranceDocumentationDocumentation

Ethics Legal N 110

Documents

Transcript of Ethics Legal N 110