Influences to nursing Social need Role of women Spirituality ReligionPrinciples of ethics Beneficence Nonmalfiesence Justice Veracity ConfidentialityHow is a profession defined? Autonomy Grounded in science Practical application Specialized education Responds to public interest OrderlyBarriers to ethical practice Organization High cost of insurance Bullying/incivility Moral distress Access to care No autonomy No knowledge of ethical principles Misplaced loyaltyName morally important traits/values when practicing ethics Compassion Trustworthiness Integrity Discernment VirtueHow are values developed? Culture Beliefs Traditions Faith Logic Society