Continuing Education Instructions and Disclosure Information:
Contact hours available until 12/31/2023.
Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation. You will be able to print your CNE certificate at any time after you complete the evaluation.
Faculty, Planners, and Authors Conflict of Interest Disclosure:
There are no disclosures to declare
Commercial Support and Sponsorship:
No commercial support or sponsorship declared
This educational activity is jointly provided by Anthony J. Jannetti, Inc. (AJJ) and AAACN.
Anthony J. Jannetti, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
AAACN is a provider approved by the California Board of Registered Nursing, provider number CEP 5366.
After completing this learning activity, the learner will be able to identify ethical principles and professional standards that form the basis for ethical decision making in ambulatory care practice.
Learning Engagement Activity:
Ambulatory care is becoming increasingly complex. Patients who would previously have been hospitalized are now receiving care in a wide array of outpatient settings. Reflecting on this change, identify an example of an ethical issue that could occur in an ambulatory care setting and how you would apply ethical decision making steps to address the issue.
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5/4/19 1:36 pm
Excellent and well written chapter on a troubling subject! Thanks June!
5/4/22 8:49 pm
Ethics in the realm of advanced directives seems to be my greatest concern when it comes to advocating for patients rights simultaneously with their safety and well being. . As a telephone triage nurse, I find myself in so many dilemmas when it comes to patients whose capacity to make decisions is questionable, however the patient nor family have prepared any advanced directives. Often more than not, the family identifies the need for intervention but has the expectation that is it the healthcare providers and system are responsible for assuming control over the patient's rights. As a nurse, I have to constantly remind myself that the family's report alone of the patients behavior and decisions cannot be used as a physician or nursing assessment. Families may have preconceived notions on how they expect an elderly family member to behave, and acting against those notions does not necessarily mean the patient does not have capacity. I find it most helpful to revert to the state law to identify who has legal right to assume healthcare surrogacy over the patient, then guide the family in the direction towards securing documents to support this. By doing so, it allows the patient/ family to acknowledge the role and limitations of the family, the healthcare providers and system when it comes to advanced directives and capacity decisions.