is an essential concept of professional nursing practice and the law.
Accountability
Laws are needed for two reasons:
To ensure that the nurse’s decisions and actions are consistent with current legal principles.
To protect the nurse from liability.
FIVE VALUES ESSENTIAL IN NURSING
ALTRUISM
AUTONOMY
HUMAN DIGNITY
INTEGRITY
SOCIAL JUSTICE
Is a concern for the welfare and well-being of others.
Altruism
s the right to self-determination. when the nurse respects patients’ rights to make decisions about theirhealth care.
Autonomy
is respect for the inherent worth and uniqueness of individuals and populations. reflected when thenurse values and respects all patients and colleagues.
HUMAN DIGNITY
is acting in accordance with an appropriate code of ethics and accepted standards of practice; when the nurse is honest and provides care based on an ethical framework
INTEGRITY
is acting in accordance with fair treatment regardless ofeconomic status, race, ethnicity, age, citizenship, disability, or sexual orientation.
Social justice
“Let the master answer”; Employer assumes responsibility for employee
Respondeat superior
Nurse’s role• Client gave consent voluntarily.• Signature is authentic.• Client appears competent to give consent.• Client has right to refuse even after signing consent form.• Documentation important aspect
if individuals have the ability to make choices
INWARD AUTONOMY
if choices are not limited or imposed by others
OUTWARD AUTONOMY
The duty to “do no harm.” - Harm can mean intentionally causing harm, placing someone at risk for harm, or unintentionally causing harm.
Nonmaleficence (MORAL PRINCIPLES)
MEANS "DOING GOOD" The client and family may expect healthcare providers to promote client well-being and hope, and provide treatment that will help prolong life.
BENEFICENCE
Is frequently referred to as fairness
JUSTICE
Means to be faithful to agreements and promises
FIDELITY
Refers to telling the truth. - Although this seems straightforward, in practice, choices are not always clear.
VERACITY
Refers to “the blameworthiness or praiseworthiness that one bears for one’s conduct or the performance of duties” - Specific accountability or liability associated with the performance of duties of a particular role