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Chapter 2

NURSING 2MM3 Chapter Notes - Chapter 2: Primary Nursing, Global Health, Workplace Bullying

Course Code
Tracey Jewiss

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- Nurses bear the ethical responsibilities identifies under each of the seven primary nursing
o Responsibilities are intended to guide them in applying the Code to their practices
Providing Safe, Compassionate, Competent and Ethical Care
- Ethical responsibilities
o Nurses have a responsibility to conduct themselves according to the ethical
responsibilities and in practice standards in what they do and how they interact with
persons receiving care and other members of the health-care team
o Nurses engage in compassionate care through speech, body language, and efforts
to understand health care needs
o Nurses build trustworthy relationships with persons receiving care
o Nurses question, intervene, report and address unsafe, non-compassionate,
unethical or incompetent practice or conditions that interfere with their ability to
provide safe, compassionate, competent and ethical care
o Nurses are honest and take all actions to prevent/minimize patient harm
o Nurses practice within their own level of competence and seek appropriate help
o When resources are not available to provide appropriate or safe care, nurses
collaborate with others to adjust priorities and minimize harm
o Nurses planning to take job action or practicing in environments where job action
occurs take steps to safeguard the health and safety of persons receiving care
o During a natural or human-made disaster, including a communicable disease
outbreak, nurses provide care using appropriate safety precautions in accordance
with legislation
o Nurses support, use and engage in research and other activities that promote safe,
competent, compassionate and ethical care
o Nurses who are involved in research respect the well-being of persons receiving
care above all other objectives, including the search for knowledge
o Nurses foster a safe, quality practice environment
o Nurses work toward preventing and minimizing all forms of violence by anticipating
and assessing the risk of violent situations and by collaborating with others to
establish preventive measures
o When differences among members of the health-care team affect care, nurses seek
constructive and collaborative approaches to resolving them
o Nurses support each other in providing person-centered care
Promoting Health and Well-Being
- Ethical responsibilities:
o Nurses provide care directed first and foremost toward the health and well- being of
persons receiving care
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o Explore the range of health-care choices available to patient, recognizing that some
have limited choices because of social, economic, geographic or other factors that
lead to inequities
o When a community health intervention interferes with the individual rights of
persons, nurses use and advocate for the use of the least restrictive measures
possible for those in their care
o Collaborate with other health-care providers and others to maximize health benefits
o When the integrity of nurses is compromised by patterns of institutional behavior or
professional practice that erode the ethical environment and the safety of persons
receiving care (generating moral distress), nurses express and report their concern
Promoting and Respecting Informed Decision Making
- Ethical responsibilities:
o Nurses provide persons receiving care with the information they need to make informed
and autonomous decisions related to their health and well-being
o Nurses respect the wishes of capable persons receiving care to decline to receive
info about their condition
o Ensure that nursing is provided with the personʼs informed consent, and recognize
right to refuse care
o Nurses are sensitive to inherent power differentials between care providers and
person receiving care. Donʼt misuse power
o Advocate for patients if they think the health of patient is being compromised by
factors beyond their control
o Provide education to support informed decision making of capable persons and
respect the decisions they make
o When family disagrees with patient, help family understand patientʼs decisions
o If patient is incapable of consent, respect the law on capacity assessment and
substitute decision making
o For any person that is considered incapable of consenting, promote that personʼs
participation in discussions and decisions regarding their care in a way that is
adapted to the persons capabilities
o Nurses, other HCPs and substitute decision makers should consider and respect
the best interests of the person receiving care and previously known wishes or
advance care planning that applies in the situation
Honoring Dignity
- Ethical responsibilities:
o Relate to all patients with respect
o Nurses support patients in maintaining their dignity and integrity
o Work should take into consideration the patients values, beliefs, and socioeconomic
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