Chapter 5 Worksheet for: Alfaro-LeFevre, R. (2020) Critical Thinking, Clinical Reasoning, and Clinical Judgment: A Practical Approach, 7th Ed. (http://www.alfaroteachsmart.com/books.html) 

Ethical Reasoning, Professionalism, Evidence-Based Practice, and Quality Improvement

This chapter at a glance….

Sweeping Changes
Moral and ethical reasoning
Moral versus ethical reasoning
Clarifying values
How do you decide?
Five ethics principles
Ethics approaches
Standards, ethics codes, and patients’ rights
ADPIE applied to ethical reasoning
Advocacy, professionalism, and boundaries
Leadership 
Research, evidence-based practice, and quality improvement
Nursing research
How research, EBP and QI are related
Transforming knowledge to EBP
Stevens Star Model® of knowledge transformation
Clinical summaries and practice Alerts
Research, EBP, and QI: All nurses play a part
Students and staff nurses’ roles
Reading research articles efficiently
Promoting inquiry and creativity
Quality improvement
Value-based programs
Three approaches to QI studies
Nursing-sensitive indicators: Improving Patient Outcomes
You can make a difference

Learning outcomes

After completing this chapter, you should be able to:

1.	Compare and contrast moral reasoning and ethical reasoning.
2.	Describe 5 ethical principles.
3.	Determine how well your personal values align with your school or employment values. 
4.	Compare and contrast the utilitarian and deontological ethics approach.
5.	Address how patients’ and nurses’ bills of rights affect healthcare delivery. 
6.	Apply ADPIE principles to make ethically sound decisions. 
7.	Describe your role in relation to advocacy, professionalism, and leadership.
8.	Explain the relationships among research, evidence-based practice (EBP), and quality improvement (QI).
9.	Compare and contrast qualitative research and qualitative research.
10.	Address the relationships among clinical outcomes, patient satisfaction outcomes, and QI 
11.	Explain why QI studies should examine outcomes, process, and structure.
12.	Describe your responsibilities for research, evidence-based practice, and QI

Key concepts
ethical reasoning; leadership; moral reasoning; values clarification; research; evidence-based practice; quality improvement; patient satisfaction; professionalism; nursing-sensitive indicators; value-based care. See also previous chapters.