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Published on : Aug 01, 2018 | Views : 1522 | Downloads : 0

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DEVELOPING PRINCIPLED BEHAVIOR Krishna B. Balsarza MAN - NURSING SERVICE
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VALUES ideals, beliefs, customs, modes of conduct, or goals that are highly prozed or preferred by individuals, groups or society a subjective, strongly motivational preference or disposition toward a person, object or idea that is more likely to be manifest in an affective situation... and is more likely to be mobilized by the individual in an hierachial order
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MORAL VALUES preferences or dispositions reflective of right or wrong, should or should not, in human behavior MORAL THOUGHT is the individual's cognitive evaluation of right and wrong, good and bad
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ACQUIRING VALUES Personal ethical behavior flows from values held by an individual that develop over time. "The most important step in values formation is one's freedom to choose those values that are most cherished and to relinquish those that have little meaning" (Seroka, 1994)
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SELF - AWARENESS an ongoing, evolving process that requires us to make a commitment to know the truth about ourselves VALUES CLARIFICATION refers to the process of becoming more conscious and naming what we value or consider worthy
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Valuing process includes three areas: Prizing and cherishing one's beliefs and behaviors Choosing one's beliefs Acting on these beliefs JOURNALING Records that are kept on a periodic or regular basis and contain factual material and subjective interpretations of events, thoghts, feelings and plans
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VALUES CONFLICT Dealing in an effective way with values conflict requires conscious awareness of our own values as well as awareness of the perceived values of others
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IMPACT OF INSTITUTIONAL VALUES Overt Values - explicitly communicated through philosophy and policy statements Covert Values - identified only through participation or controversies within the setting
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Primary ways to approach patient care: focus on meeting patient needs focus on doing all the tasks focus on following the rules Moral Distress is the reaction to a situation in which there are moral problems that seem to have clear solutions, yet we are unable to follow our moral beliefs because of external restraints.
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VALUES DEVELOPMENT is a product of the sociocultural environment in which we live and develop "We are formed in social communities and that our ways of seeing the world are profoundly shaped by the shared images and construcitons of our group or class" Fowler, 1981
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Piaget's Stages of Cognitive Development
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Kohlberg's Theory of Moral Development
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Gilligan's Study of the Psychological Development of Women
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Fowler's Stages of Faith Development
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MORAL PROBLEMS Moral Uncertainty Moral Dilemma Moral Distress Moral Outrage
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MORAL UNCERTAINTY Occurs when we sense that there is a problem, but unsure of the morally correct action, when we are unusere what the moral principle or values apply, or when we are unable to define moral problems
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MORAL DILEMMA Occurs when a difficult problem seems to have no satisfactory solutions to a problem appear to be equally favorable Occurs when there are conflicting moral claims
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MORAL DISTRESS Situations that present moral problems which sem to have clear solutions , yet they are unable to follow their moral beliefs because of institutional or other restraints
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MORAL OUTRAGE Occurs when someone else in the health care setting performs an act the nurse believes to be immoral WHISTLEBLOWING may be a response to moral outrage
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ETHICAL DECISION MAKING Gather Data & Identify Conflicting Moral Claims Identify Key Participants Determine Moral Perspective and Phase of Moral Development of Key Participants Determine Desired Outcomes Identify Options Act on the Choice Evaluate Outcomes of Action
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