[HE] LESSON 1 (F)

• Described as the ability to reason and operate within a sound ethics system and to do so with clarity, consistency, and relevance in support of a company or institution’s performance to the good of all concern.

  quality of ethics
• The concept of quality of ethics encompasses several key principles and considerations:

  • Patient-Centered Care
  • Beneficence and Non-Maleficence
  • Equity and Justice
  • Transparency and Accountability
  • Continuous Improvement
  • Respect for Professional Integrity
  • Respect for Stakeholder Rights
• healthcare quality ethics emphasizes the importance of focusing on the needs, preferences, and values of patients. This involves respecting patients' autonomy, involving them in decisionmaking processes, and considering their unique circumstances and goals when planning and delivering care.

  Patient-Centered Care
• Healthcare providers have a moral obligation to act in the best interests of their patients (beneficence) while minimizing harm (non-maleficence). This entails providing evidence-based care that is likely to benefit patients while avoiding unnecessary risks and adverse effects.
• Quality healthcare should be accessible and equitable, regardless of patients' socioeconomic status, ethnicity, gender, or other factors. Ethical considerations include addressing disparities in healthcare access and outcomes and ensuring fair distribution of resources and services.

  Equity and Justice
• Quality healthcare should be accessible and equitable, regardless of patients' socioeconomic status, ethnicity, gender, or other factors. Ethical considerations include addressing disparities in healthcare access and outcomes and ensuring fair distribution of resources and services.
• Healthcare organizations and providers have a duty to be transparent about their practices, outcomes, and performance data. Transparency fosters trust and allows patients to make informed decisions about their care. Additionally, healthcare providers should be accountable for their actions and decisions, including acknowledging and addressing errors or lapses in quality.

  Transparency and Accountability
• Healthcare organizations and providers have a duty to be transparent about their practices, outcomes, and performance data. Transparency fosters trust and allows patients to make informed decisions about their care.
• Quality ethics in healthcare emphasizes the importance of continuous quality improvement efforts. This involves systematically monitoring and evaluating the effectiveness, safety, and patient-centeredness of healthcare practices and implementing changes to enhance quality and outcomes over time.


  Continuous Improvement
• Healthcare professionals are expected to uphold high standards of professional integrity, including honesty, competence, and ethical conduct. This includes providing accurate information to patients, maintaining confidentiality, and avoiding conflicts of interest that could compromise patient care.

  Respect for Professional Integrity
• Healthcare professionals are expected to uphold high standards of professional integrity, including honesty, competence, and ethical conduct.
• Quality healthcare ethics also involves respecting the rights and interests of various stakeholders, including patients, families, healthcare providers, and the broader community. This may include respecting patients' right to refuse treatment, involving families in care decisions (where appropriate), and considering the impact of healthcare decisions on the community's health and well-being

  Respect for Stakeholder Rights
• Quality healthcare ethics also involves respecting the rights and interests of various stakeholders, including patients, families, healthcare providers, and the broader community.
• Patient-centered care is about treating a person receiving healthcare with dignity and respect and involving them in all decisions about their health. This type of care is also called:

  person-centered care
• Patient-centered care is more than just how your healthcare professional treats you. It is also about how healthcare services and governments create and support policies to put healthcare users, not healthcare organizations, at the center of care.
• A key part of patient-centered care is becoming involved in your healthcare. This means you choose to be included in all decision-making, healthcare planning, and goal-setting.
• You should provide an environment where you and your patient feel safe. This includes, for example, providing care and treatment that includes personal privacy, such as separate treatment rooms, screens, or curtains.
• Refers to the recognition and adaptation of healthcare practices, policies, and approaches to align with the evolving cultural beliefs, values, and preferences of diverse patient populations.


  patient cultural evolution
• Healthcare providers and institutions must strive to develop __________, which involves understanding and respecting the cultural backgrounds, norms, and practices of the patients they serve. This includes recognizing cultural diversity within patient populations and being sensitive to how cultural factors may influence health beliefs, treatment preferences, and healthcare decision-making.

  cultural competence
• ____________ goes beyond cultural competence and involves a lifelong commitment to self-reflection, learning, and humility in engaging with patients from diverse cultural backgrounds.

  cultural humility
• Healthcare providers practicing cultural humility acknowledge the limitations of their own cultural perspectives and actively seek to understand and honor the cultural perspectives of their patients.
• Effective communication is essential for providing culturally competent care. Healthcare providers should strive to overcome language barriers by providing interpretation services and ensuring that medical information is presented in a culturally sensitive and understandable manner. This may involve using plain language, visual aids, and culturally relevant metaphors or examples to facilitate communication.

  Language and Communication -
• This requires a commitment to understanding the social determinants of health and addressing systemic barriers to healthcare access, affordability, and quality that contribute to disparities.

  Addressing Health Disparities
• This approach fosters trust, mutual respect, and shared decision-making between healthcare providers and patients.

  Collaborative Decision Making
• Healthcare providers must navigate __________ ___________related to cultural diversity, such as respecting patients' autonomy while considering the influence of cultural norms and values on healthcare decision-making.

  ethical considerations
• Ethical dilemmas may arise when cultural practices conflict with medical recommendations, and providers must strive to find culturally sensitive and ethically sound solutions.
• Patient empowerment is both a process and outcome in which nurses have an active role.
• We can facilitate empowerment in others by being role models of self-empowerment.
• Suggests that choosing implies having both the freedom and the courage to choose from different options.

  Connelly et al., 1993
• An important part of the encouraging process.

  Support
• An important element of nursing care that derives from an appreciation that patients can discern their needs and make decisions about their lives and health.

  Patient empowerment
• It revolves around ensuring that patients receive appropriate, effective, and safe care that meets their needs and respects their rights and autonomy.

  Quality of ethics
• healthcare professionals are expected to uphold high standards of professional integrity, including honesty, competence, and ethical conduct
• You have the right to be treated with respect and dignity. This includes respect for your privacy and the confidentiality of your health information.
• You have the right to be treated without discrimination based on your age, gender, gender identity, sexual orientation, disability, employment status, cultural background or religious beliefs.
• High-quality healthcare is based on open and effective two-way communication between you and your healthcare professional. This means understanding what your healthcare professional says and if you prefer a language other than English, it may include using a professional interpreter.
• You should provide an environment where you and your patient feel safe. This includes, for example, providing care and treatment that includes personal privacy, such as separate treatment rooms, screens, or curtains.
• The patient cultural evolution reflects an understanding that culture plays a significant role in shaping individuals' health beliefs, behaviors, and experiences with healthcare systems.
• Healthcare providers practicing cultural humility acknowledge the limitations of their own cultural perspectives and actively seek to understand and honor the cultural perspectives of their patients.

• Being an enabler of empowerment requires that nurses learn to relinquish power and embrace the patient as an equal partner.