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Effective Leadership Effective Leadership

Effective Leadership - PowerPoint Presentation

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Uploaded On 2017-09-24

Effective Leadership - PPT Presentation

Ethical amp Legal Issues Autonomy Justice Fidelity Veracity Beneficence Nonmaleficence Ethical Principles Ethical Theories Deontology Kant Conform with the rules Dutybased ethics ID: 590351

act ethical check errors ethical act errors check knowledge nurses code patient decision assure power informed determined ethics abilene laws samaritan durable

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Presentation Transcript

Slide1

Effective Leadership

Ethical &

Legal IssuesSlide2

Autonomy

Justice

FidelityVeracityBeneficenceNonmaleficence

Ethical PrinciplesSlide3

Ethical Theories

Deontology

(Kant)

Conform with the rulesDuty-based ethicsFocuses on the “rightness of the action” and adherence to the rules

Utilitarianism

(Mill)

Do

the most good for the most people

The end justifies the means

Focuses on the outcomeSlide4

Current revised code developed

by the ANA (2001)

1893 – The “Nightingale Pledge” is considered the firstThere has been 10 revisions since the Nightingale Pledge

Code of Ethics for Nurses

http

://

www.nursingworld.org/MainMenuCategories/EthicsStandards/

CodeofEthicsforNurses

/Code-of-Ethics.pdfSlide5

Recognize that there is a problem

Determine the actor

Gather the relevant factsTest for right-versus-wrong issuesTest for right versus-right values

Apply the ethical standards and perspectives

Look for a third way

Make the decision

Revisit and reflect on the decision

Kidder’s Ethical Checkpoints for decision MakingSlide6

Action anxiety

Negative fantasies

Real riskFear of separationPsychological refusal of risk and certainty

False Agreement: The Abilene ParadoxSlide7

Ethical Climates

Healthy

Zero tolerance for destructive behaviors

IntegrityJustice

Focus on process

Focus on structural reinforcement

Unhealthy

Pressure to maintain numbers

Fear & silence

Young ‘ums and bigger-than-life CEOs

Weak board

Conflicts

Innovation like no other

Goodness is some areas; atones for evil in othersSlide8

Which organizational culture is best?

Placing blame

Punitive approach

Focus is on the individual committing the error

Discourages reporting of errors due to fear of consequences

Just culture

Encourages voluntary reporting

Learn from errors

Reward those who report errors or “near errors”

Focuses on needed organizational modificationsSlide9

Knowledge Check Multiple ChoiceSlide10

Knowledge Check Answer

What lesson does the Abilene Paradox teach us?

Voice our concern if there is something we think is illegal, wrong, or unethical in our organization.Go the extra miles to make an ethical decision.Ethical behavior is determined by the masses, not administration.

The rightness or wrongness of a situation is determined by what the majority think.Slide11

Responsibility for Legal Issues

Assure nurses are properly charting and communicating

Assure incident reports are written objectively and in a non-incriminating manner

Encourage nurses to report errors right away

Do not tolerate any form of harassment, abuse, or bullying

Follow laws such as HIPAA, ADA, etc.Slide12

Examples of Laws

Americans with Disability Act (1991)

Patient Self-Determination Act (1991)Advanced directives (dialysis, ventilators, feeding tubes)Durable power of attorney

Good Samaritan LawsHealth Insurance Portability and Accountability Act (1996)

Informed Consent

Violating informed consent is batterySlide13

Knowledge Check MatchingSlide14

KNOWLEDGE check

LAW

DESCRIPTION

Good Samaritan

Encourages

a nurse to stop at the scene of the accident and provide care

American Disabilities

Act

Protects

employees with disabilities

Patient

Self-Determination Act

Patients

must be given information on advanced directives and durable power of attorney

HIPAA

Protects the confidentiality of patient informationSlide15

Use your resources

Be knowledgeable

Set an exampleBe deliberate and transparent in your decisions

Be Smart!!!