Values & Beliefs that May Affect the Healthcare Services
Values & Beliefs that May Affect the Healthcare Services
Write a 2-3 page paper on the topic of Values Clarification
Provide examples of values/beliefs that may or may not affect the ability to deliver health care.
Discuss moral and ethical dilemmas that may occur in various health care settings (related to values
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VALUE CLARIFICATION N221 PROFESSIONAL NURSING DR. GOULD Value Clarification Everything: •Everything we do, every decision we make and course of action we take, is based on our consciously or unconsciously held beliefs, attitudes and values. •Simon et al., 1978, p. 13 Value Clarification We take value in our beliefs values what we believe to be important •clarification to identify and make clear what is important •Values are •individual •subject to change •are demonstrated by the way we live (time, money, and energy) Watch and listen to his view Value Clarification What is Values Clarification? Intervention consisting of Form of questioning A set of activities or strategies and An approach toward subject content Purpose Assist individual become more clear about their values/lives Values Clarificatiom and its Criticism Criticism theory not grounded in empirical research Theory opening our minds anticipating consequences sensing our inner guidance no scope and sequence to the curriculum teacher neutrality and values relativism choosing acting no distinction between values and personal taste persisting speaking up Value Clarification Values Values -your value system Freely chosen Types Enduring attitudes or beliefs Components Clarification About worth of a person, object, idea or action Nurses values Value Clarification:attitudes A feeling or emotion Positive or negative— Judgement toward a person, object, idea or action Charlottesville rally –racial Catholic faith, Holiness faith, Muslims Abortion Value System The organization of a persons values in which each value is ranked along a continuum of relative importance Your personal code of ethics Value Clarification Value a set internally—forming a value system It is the behavior that is based o behaviors and choices Value neutrality Essential to the practice of professional nursing A nurse should strive to be aware of his/her own and a patient’s values and not assume that his/hers own values are SUPERIOR to those of a patient/client Value Clarification Types of values Religious beliefs Theorectical (holds truth, rationality in high esteem) Political (values power) Econonmic (values usefulness, practicality) Aesthetics (values beauty, harmony, and form) Social (values human interaction, is kind, unselfish, sympathetic) Value Clarification Professional values According to Jean Watson Nursing Theorist: 1. Strong commitment to service 2. Belief in dignity and worth of each person 3. Commitment to education 4. Professional autunomy Value Clarification Nursing in altruism Concern for the welfare of others—patients, other nurses and health care providers Caring, commitment, compassion, generosity, perseverance Value Clarification Equality Sees everyone having the same rights , privileges, or status Acceptance, assertiveness, fairness, self-esteem, tolerance Nurse provide care based on the individual patient needs irrespective of his/her personal characteristics Value Clarification Freedom/autonomy Human Dignity Capacity to exercise choice both to patients and fellow nurses Inherent worth and uniqueness of an individual Act in accordance with an appropriate code of ethics Consideration-respectfulnesshumanness, trust Nurses safeguard the patients right to privacy Confident, hope, independence Openness, self-discipline Nurse honors a patient’d right to refuse treatment Value Clarification Justice Upholding of moral, legal and humanistic principles Courage-integrity-morality-objectivity Act like no one is looking… Nurses allocate nursing care fairly…equal access to quality health care Value Clarification Truth Faithfulness to fact and reality Accountability, honesty, authenticity, rationality Nurse documenting nursing care accurately and honestly Value Clarification A process by which people including both nurses and patients, identify, examine, and develop their own values and value system Remember: One set of values may not be right for everyone. Value Clarification opening our minds Beliefs are chosen anticipating consequences (cognitive component (choosing) sensing our inner guidance choosing Freely, with out struggle from outside pressure acting After reflecting and considering persisting consequences speaking up Value Clarification Affective component (prizing) Chosen beliefs are prized and cherished
Behavioral component (acting) Affirmed to others Incorporated into one’s behavior Repeated consistently in one’s life Value Clarification Nurses values Nurses and nursing students gaining awareness of personal values On life, health, death and illness Class discuss Strategy Consider one’s attitude specific issues Value Clarification Clarifying Nurses’s values Anticipate Client’s values Value Clarification Conflicting or unclear values Ignoring health professionals advice Having numerous admissions to health agency for the same problem Value Clarification Process of value clarification You list alternatives Examine possible consequences of choices (think) Choose freely, then Feel good about the choice Affirm the good choice Act on the choice Act with a pattern Value Clarification (examples) Societal Values Personal Values Human life Family unity Your rights Worth of others Liberty Democracy Independence/physical activity Equal opportunity Religion Honesty/Fairness/Love Health Education/intelligence Sense of humor Technology Safety Family Peace Courage Material things/Property Compassion Leisure time/work Value Clarification VC is a process by which people
identify, Examine Develop their own values Value Clarification Principle: There is no one set of values that is right for everyone When people are able to identify their values, they can retain or Change them, meaning they can act on the basis of freely chosen rather than unconscious values. VC promotes personal growth by fostering awareness-empathy-insight References Raths, harmin & Simon, (2011)Theory of value clarification Wk 3 Values Clarification & Ethics Chapter 8 Dr. Gould, DNP,COI MIE,MPAH,MSN/ED,BSN, RN This Photo by Unknown Author is licensed under CC BY-SA After completing this segment, the student should be able to: Discuss the concepts of ethics and morality and how to apply it in healthcare service field. Explain how nurses and their clients benefit from understanding these bioethical issues Describe four (4) ethicl theories and ethical decision –making Understand the process of becoming more conscious of ones values as values clarification; believe what is good or bad; self-though Understand an ethical dilemma.
Values Clarification Ethical Concerns in Nursing Practice Values Clarification Is the following statement true or false? Ethics is a branch of philosophy referred to as moral philosophy. You are correct True Rationale: Ethics is a branch of philosophy referred to as moral philosophy. It seeks to provide answers to some of the questions of human conduct that arise in our life, Attempts to determine what is right or good. What is right verus wrong thing to do (in a situation. Values Clarification Inherent in the study of ethics: is an appreciation of individual values that are derived from societal norms, religion, and family orientation. One can better understand our own value system through the process of values clarification Values Clarification BASIC ETHICAL The basic ethical concepts of : beneficence, nonmaleficence,
autonomy, justice, fidelity, veracity, and the standard of best interest underlie ethical decision making and may be in conflict in an individual situation Values Clarification ETHICAL THEORIES (know the definitions) The ethical theories of : utilitarianism, deontology, natural law, social equity and justice may be used to examine the implications of ethical decisions. Values Clarification Applying Basic Concepts The concept of justice has been expanded to include distributive justice that is applied in situations requiring the allocation of scarce resources. The problems associated with the allocation of scarce resources are expected to increase in the near future Q. Who will get the Covid19 immunization first? Why them? Q. If we do nothing, then what? Q. INFLUENZA Vaccine—required in healthcare workers, is a demnd or choice? Values Clarification Is the following statement true or false? Ethical decision-making may be based on personal religious and philosophic viewpoints. You are correct True Rationale: Ethical decision-making may be based on personal religious and philosophic viewpoints, but must always be grounded in professional standards seen in the Codes for Nurses and the statements of client rights. Values Clarification Is the following statement true or false? Nurses have ethical obligations to the client and to the employer, and must maintain an objective stance regarding other healthcare providers, and when confronting substandard care. You are right -Values Clarification True Rationale: Nurses have ethical obligations to the client and to the employer, and must m intain an objective stance regarding other healthcare providers, and when confronting substandard care. Values & Beliefs that May Affect the Healthcare Services
Commitment to the personal excellence and to the profession of nursing are also desired characteristics of the professional nurse. Values Clarification End-of-life issues are some of the most common ethical and bioethical dilemmas routinely faced by nurses. While state laws may support assisted suicide, the ANA code of ethics guides nurses to relieve suffering and despair to support quality end-of-life care instead. Surrounding the discussion of right to die are many issues, including those related to client self-determination, futile treatment, withholding or withdrawing treatment, assisted death, and the right to refuse treatment Values Clarification-explained Values Clarification Boundary Violations Boundary violations, a situation in which the nurse moves beyond a professional relationship and becomes involved with clients and their families, **have become a concern in nursing. WHY IS THAT OCCURRING? CLASS, explain. Educational programs to increase understanding of this problem and to help avoid its occurrence are being conducted. Values Clarification SPECIFIC ETHICAL ISSUE In serious situations, when using the chain of command does not invoke response to voiced concerns, one might use whistleblowing to bring attention to the circumstances. This should be used as a last resort because of the possible ramifications to the individual blowing the whistle. Values Clarification SITUATION IMPAIRED PROFESSIONAL The chemically impaired nurse is a concern to the profession and a danger to clients. All nurses have an obligation to report those who demonstrate chemical impairment and to assist impaired colleagues in finding treatment and rehabilitation. In case of taking medications from patient? Values Clarification References Alexander, S. (1962) They decide who lives, who dies, LIFE, 53, 102125 Values & Beliefs that May Affect the Healthcare Services
American Nurses Association (1990) Suggested state legislation: Nursing Practice Act, Nursing Disciplinary Diversion Act. Wshingotom, DC Author Little,K & Brownstein, J. (2014). Primer on whistleblowing in healthcare.The Ambulatory Advisor. Retrieved from http://www.ambulatoryadvisor.com/primer-on-healthcarewhistleblowing Stegen & Sowerby (2019). Nursing I today’s world: trends, issues.and management Wolters Kluwer: Philadelphia Values Clarification Values Clarification Values Clarification Values Clarification Values Clarification Values Clarification Values Clarification Values Clarification Values Clarification Values & Beliefs that May Affect the Healthcare Services