Chapman Maternal-Newborn Nursing Ch 2

Duties and obligations of obstetric and neonatal nurses outlined by…
American Nurses Association ANA Code of Ethics and
specialty practice standards from AWHONN Association of Womens Health, Obstetrics and Neonatal Nurses

ANA Code of Ethics for Nurses
describes the most fundamental values and commitments of the nurse; boundaries of duty and loyalty; and aspects of duties beyond individual patient encounters

Autonomy
right to self determination

Respect for Others
principle that all persona are equally valued

Beneficence
obligation to do good

Nonmaleficence
obligation to do no harm

Justice
principle of equal treatment or that others be treated fairly

Fidelity
faithfulness or obligation to keep promises

Veracity
obligation to tell the truth

Utility
the greatest good for the individual or an action that is valued

Rights Approach
The focus is on the individual’s right to choose, and the rights include the right to privacy, to know the truth, and to be free from injury or harm.

Utilitarian Approach
This approach posits that ethical actions are those that provide the greatest balance of good over evil and provides for the greatest good for the greatest number.

Ethical Dilemma
is a choice that has the potential to violate ethical principles

Advocacy
action taken in response to our ethical responsibility to intervene on behalf of patients in our care

Ethics
determining what is good, right, and fair.

Paternalism
system under which an authority makes decision for others

Four Topics Method
Three ethicists Jonsen, Siegler and Winslade developed method with which to work through difficult clinical situations with ethical dilemmas.

Four Topics Method include
1. Medical Indications
2. Patient Preferences
3. Quality of Life
4. Contextual Features

Medical Indications
A review of diagnosis and treatment options

Patient Preferences
Clinical patients values preferences are integral to all clinical situations

Quality of Life
Objective is to improve, or at least address, quality of life for the patient

Contextual Features
In the wider societal context beyond care providers and patient, to include family, the law, hospital policy, insurance companies and so forth

Most litigious of all nursing fields
Maternity nursing

Risk Management
identify systems, analysis and treatment risks before a suit is brought

The organization that publishes standards and guidelines for maternity nursing is
Association of Women’s Health, Obstetrics and Neonatal Nursing

Autonomy is defined as the right to
self determination

Ethics involves determining what is
correct

Evidence based decision making should include consideration of
patients clinical state, clinical setting, clinical circumstances

Risk management is an approach to the prevention of
morbidity and mortality

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