Nursing ethics


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this a lectuer on nursing ethics that have ben given on the corrce of quality managment for nurses held by the MCH in jeddah on 2009

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Nursing ethics

  1. 1. 04/17/10
  2. 2. <ul><li>-Ethics are a systematic philosophical method of inquiry that assists people in understanding the morality of human behavior and social policies </li></ul><ul><li>The study of philosophical ideals of right and wrong behavior. </li></ul>04/17/10
  3. 3. - Involve principles and values with universal application and standards of conduct in all situations. 04/17/10 - Are what each person hold as true for himself or herself.
  4. 4. Four principles and values that are integral to the professional nurse’s practice: 1- Respect the patient’s autonomy. (Independence) 2- Act with beneficence. (Be a benefit self and others) 3- Act with non malfeasances. (Not harmful) 4- Act with justice. (Fairness) 04/17/10
  5. 5. Code of Ethics: Is a set of ethical principles that are accepted by all members of a profession. The core principles of nursing ethics are: 04/17/10
  6. 6. <ul><li>The ability to answer for one’s own actions. </li></ul><ul><li>The nurse balances accountability to the client, profession, employer, and society. </li></ul><ul><li>Accountability is best ensured and measured when quality of care has been defined. </li></ul>04/17/10
  7. 7. <ul><li>Refers to the characteristics of reliability and dependability. </li></ul><ul><li>(An ability to distinguish between right and wrong). </li></ul><ul><li>In professional nursing responsibility includes a duty to perform action well and thoughtfully. </li></ul>04/17/10
  8. 8. <ul><li>e.g When administering a medication the nurse is responsible for assessing the client’s need for it & making sure that it is given in a right and a correct manner and evaluating the response to it. </li></ul><ul><li>The nurse gains trust from clients, colleagues a& society when act responsibly. </li></ul>04/17/10
  9. 9. <ul><li>Information about a client must be kept private. </li></ul><ul><li>Client’s record is accessible only to those providing care to that client. </li></ul><ul><li>Discussing clients outside the clinical setting, telling friends or family about clients must be avoided. </li></ul><ul><li>Medical records may not be copied or forwarded without a client’s consent. </li></ul>04/17/10
  10. 10. *** Breaking confidentiality can be if there is a well-defined reason to share information. (Benefit outweigh harm). 04/17/10
  11. 11. 04/17/10
  12. 12. <ul><li>( e.g.. Privacy of P.T is cared for when closing the room door when performing nursing care , confidentiality is cared for by not discussing that care with some one that is not a member of that P.T health care team) </li></ul>
  13. 13. Means telling the truth. Or Accuracy or conformity to truth. - Truthfulness may be challenged during the delivery of health care. 04/17/10
  14. 14. Means being faithful to one’s commitments and promises. - Nurse’s commitments to clients include providing safe care and maintaining competence in nursing practice. 04/17/10
  15. 15. <ul><li>Is the avoidance of harm. </li></ul><ul><li>When work with client nurses must not cause injury or suffering by maintaining competency in clinical practice. </li></ul><ul><li>Promote balance of potential risk included harms with benefits </li></ul>04/17/10
  16. 16. Refers to taking positive actions to help others. Or Means doing or promoting good. Nurses duty to help promote the well-being of others. e.g Administer pain medication and dressing and emotional support and Child’s immunization. 04/17/10
  17. 17. Means independence and the ability to be self-directed. ** Incorporates principles of freedom of choice, self-determination, and privacy. e.g Consent (How) 04/17/10
  18. 18. <ul><li>It respects the P.T choice of accepting or refusing medical or surgical treatment </li></ul>
  19. 19. Refers to fairness (treat all clients equally and fairly). - Relates to the distribution of services and resources (resource allocation throughout a society of group). 04/17/10
  20. 20. <ul><li>Nurses commonly face issues of justice when organizing care for a group of clients </li></ul><ul><li>how much time is spent with each client? </li></ul><ul><li>(Based on client need). </li></ul><ul><li>Fair distribution of resources. </li></ul><ul><li>Dilemmas arise when resources are insufficient to meet the needs of everyone. </li></ul>04/17/10
  21. 21. 04/17/10
  22. 22. <ul><li>Are the legal guidelines for nursing practice. </li></ul><ul><li>Breach of standards of care is one element that must be proven in tort of nursing negligence or malpractice. </li></ul><ul><li>Used to determine whether the nurse acted appropriately or not. </li></ul>04/17/10
  23. 23. <ul><li>Elements of standards : </li></ul><ul><li>Scope of nursing practice. </li></ul><ul><li>Licensure. </li></ul><ul><li>Good Samaritan Laws. </li></ul>04/17/10
  24. 24. Is a civil wrong made against a person or property. 04/17/10
  25. 25. <ul><li>Assault: Is the threat to bring about harmful of offensive contact. </li></ul><ul><li>Battery: Is actual carrying out of such threat. </li></ul>04/17/10
  26. 26. <ul><li>Defamation of Character. </li></ul><ul><li>Fraud. </li></ul><ul><li>Invasion of Privacy. </li></ul>04/17/10
  27. 27. <ul><li>Negligence: Is conduct that falls below the standard of care. </li></ul><ul><li>Malpractice: Referred to professional negligence. </li></ul>04/17/10
  28. 28. 1- A duty to the plaintiff. 2- A failure to meet the standard of care or a breach of duty. 3- Causation (breach of duty produced the injury). 4- Damages, which require an injury to the client. 04/17/10
  29. 29. <ul><li>Thank you and have a nice day </li></ul>