TAILIEUCHUNG - Ebook Ethical competence in nursing practice: Part 2

Part 2 book “Ethical competence in nursing practice” has contents: Applying ethics in research and evidence-informed practices, applying ethics to the leadership role, public health ethics and social justice in the community, exploring ethical issues encountered with the older adult, and other contents. | III Emerging Ethical Issues in Nursing Practice 6 Exploring Ethical Issues Related to Person- and Family-Centered Care MARY K. WALTON LEARNING OBJECTIVES AND OUTCOMES Upon completion of this chapter, the reader will be able to: n■ n■ n■ Identify three ethical issues arising for clinical nurses in the provision of personand family-centered care (PFCC) Describe three nursing competencies that support PFCC in the acute care setting Describe one approach to eliciting the preferences, values, and needs of patients A s a registered nurse, you have seen the degree of patient and family involvement in decision making regarding nursing care varies depending on the patient’s individual needs, preferences, and values. Nursing practice has always centered on the care of the patient, although the relationship has varied, ranging from the nurse providing total care and making all the decisions to one that can be accurately characterized as a full partnership where the expertise of the patient and family, if the patient wishes, is valued equally with that of the nurse. In such a partnership the patient and nurse jointly identify the problem, establish goals, create a plan of care, and evaluate the success of the plan. The term patient centeredness, introduced in medical literature (Balint, 1969) to characterize the concept of understanding each patient as a unique human being, is now recognized as an essential concept to achieve quality in health care (IOM, 2001). As you read this chapter, think about relationships and concerns you have experienced in caring for patients and families regarding decision making in their nursing care. 139 140  PART III    Emerging Ethical Issues in Nursing Practice n Case Scenario Mr. Charles Jones is 35 years old and hospitalized for a severe genetic cardiopulmonary condition. He has survived long past the average life expectancy for an individual with his diagnosis. Hospitalizations are increasingly necessary as his disease has .

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• Ethical competence
• Nursing practice
• Applying ethics in research
• The older adult
• Exploring ethical issues encountered
• Social justice in the community
• Competent ethical practice
• Ethical competence in nursing practice
• Recognizing ethical terms
• Developing ethical skills
• Addressing moral distress
• Organizational factors
• Informed practices
• Applying ethics
• Exploring ethical issues related
• Health care
• Using ethical decision making
• Communication skills