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Lecture 4

NSG 4415 Lecture Notes - Lecture 4: Paternalism, R-S-T System, Deontological Ethics

Course Code
NSG 4415
Dr. Cleveland

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Monday, August 26, 2019
Chapter 4: Ethical Issues
A system of moral conduct and principles that guide a person’s actions in regard to right
and wrong and in regard to oneself and society at large
The systematic study of what a person’s conduct and actions should be with regard to
self, other human beings and the environment
The justification of what is right or good and the study of what a person’s life and
relationships should be, not necessarily what they are
Nurses as Agents:
Nurses are often placed in situations where they are expected to be agents for patients,
physicians, and the organization simultaneously, all of which may have conflicting
needs, wants, and goals
Competencies for Making Ethical Decisions as a Nurse-Manager:
Having knowledge of ethical principles and frameworks
Using a professional approach that eliminates trial and error and focuses on proven
decision making models
Using available organizational processes to assist in making such decisions
Types of Ethical Issues:
Moral indifference = an individual questions why mortality in practice is even necessary
Moral uncertainty or conflict = an individual is unsure which moral principles or values
apply and may even include uncertainty as to what the moral problem is
Moral distress = occurs when the individual knows the right thing to do but
organizational constraints make it difficult to take the right course of action
Moral outrage = occurs when an individual witnesses the immoral act of another but
feels powerless to stop it
Ethical dilemmas = described as being forced to choose between two or more
undesirable alternatives
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