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Ethics and profession

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Ethics and professional concerns in nursing profession

Ethics and professional concerns in nursing profession

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  • 1. NURSING AS A PROFESSION MR.PRASANTH.K Nursing tutor SNI
  • 2. Professional Nursing Today Legal Implications for Nursing Practice Healthcare Delivery System
  • 3. What is a Nurse?
  • 4. How are nurse’s portrayed in the media?
  • 5. What makes a nurse a professional? http://www.youtube.com/watch?v=z1-uMKg86Ck
  • 6.  Extended education  Theoretical body of knowledge  Provides a specific service  Autonomy in decision making and practice  Code of ethics Nursing as a Profession
  • 7. Scope & Standards of Practice  Standards of Practice  Standards of Professional Performance  Code of Ethics
  • 8. ANA Standards of Professional Performance  Quality of practice  Professional Practice Evaluation  Education  Collegiality  Ethics  Collaboration  Research  Resource Utilization  Leadership
  • 9. Professional Nursing Practice  Nurse Practice Acts  Licensure and Certification  Science and Art of Nursing practice
  • 10. Nursing Today  Registered Nurse  Licensed Practical Nurse  Nurse Practitioner  Clinical Nurse Specialist  Nurse Midwife  CRNA
  • 11. Current Trends & Issues in Healthcare  Nursing Shortage  Patient Satisfaction  Managed Care  Transcultural Nursing  National Patient Safety Initiatives  Evidence-Based Practice  Information Age  Genetics  Globalization of Health  Aging Population  Legal & Ethical Issues  Terrorism/Bioterrorism/Disaster Nursing
  • 12. Nursing Roles  Caregiver  Clinical Decision Maker  Client Advocate  Rehabilitator  Comforter  Communicator  Collaborator  Teacher
  • 13. Professional Roles & Responsibilities  Autonomy & Accountability  Caregiver  Client Advocate  Educator  Manager/Clinical Decision Maker  Communicator  Collaborator  Career Development
  • 14. Autonomy & Accountability  Autonomy is the essential element of professional nursing  Person is reasonably independent and self- governing in decision making & practice  Increased autonomy=Increased responsibility  Accountability- nurse is responsible professionally & legally for type & quality of care provided  Regulated through Standards of Practice and Nurse Practice Act
  • 15. Clinical Decision Maker  Utilizes critical thinking skills and the nursing process  Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation
  • 16. Client Advocate  Nurse protects the clients human and legal rights  Providing information to assist in decision making  Patient Bill of Rights
  • 17. Rehabilitator Role  Assist client to return to optimal level of functioning  Nurse helps client to adapt physically and emotionally to changes in lifestyle, body image
  • 18. Comforter Role  Caring for client as a human being  Role is traditional to nursing  Care is directed to whole person, not just a body part  Demonstration of care and concern
  • 19. Communicator Role  Role is central to all other roles  Involves communication with client, family, healthcare team members, resource people, and the community  Without clear, concise communication it will be difficult to give effective care
  • 20. Teacher/Educator Role  Explains concepts and facts about health, demonstrates procedures, reinforces learning, determines understanding, and evaluates progress of learning  Unplanned or informal education  Planned or formal education
  • 21. Nursing Career Roles  Clinician  Nurse Educator  Advanced Practice Nurse  Nurse Administrator  Nurse Researcher  Military Nurse  Forensic Nursing
  • 22. Healthcare Team Members  Nurses  Physicians  Physician Assistant  Therapists and Technicians  Pharmacist  Nutritionist/Dietitian  Case Manager/Social Worker  Pastoral Care  Nursing Assistant  Unit Secretary  Ancillary Staff
  • 23. PROFESSIONAL ORGANIZATIONS
  • 24. MEANING ACCREDITATION: Official approval given by an organization stating that organization (nursing college) has achieved a required standard. STANDARD: It is an established norm or requirement. It usually establishes uniform criteria, methods , processes and practices.
  • 25. INDIAN NURSING COUNCIL The Indian nursing council is an autonomous body under the government of India, ministry of Health and Family welfare was constituted by the central government, under section 3(1) of the Indian nursing council Act-1947 of parliament in order to establish a uniform standard of training for nurses, midwives and health visitors.
  • 26. AIMS,OBJECTIVES AND FUNCTIONS OF INC  To establish and monitor a uniform standard of Nursing education for nurses, midwives, auxiliary nurse- midwives and health visitors by doing inspection of institution.  To recognize the qualification under section 10(2) (4) of the Indian nursing council act 1947 for the purpose of registration and employment in India and abroad.  To give approval for registration of Indian foreign nurses possessing foreign qualification under section 11(2)(a) of the Indian nursing council act 1947.
  • 27. AIMS,OBJECTIVES AND FUNCTIONS OF INC (conti…)  To prescribe the syllabus and registration for nursing programmes.  Power to withdraw the recognition of qualification under section 14 of the act in case the institution fails to maintain its standards under section 14(1)(b) that an institution recognized by state council for the training of nurse, midwives or health visitors does not satisfy the requirement of the council.
  • 28. ORGANIZATIONAL STRUCTURE  PRESIDENT VICE- PRESIDENT SECRETORY ASSIS.SECRETORY OFFICE STAFF
  • 29. COMMITIES  EXECUTIVE COMMITE  THE NURSING EDUCATION COMMITE  EQUIVALENCE COMMITE
  • 30. INDIAN NURSING COUNCIL ACT- 1947
  • 31. STATE NURSING COUNCIL
  • 32. FUNCTIONS 1.Regulation of training programme of the diploma, Graduate and Post Graduate Courses. 2. Supervision of the practice of the profession by its Member. 3. Granting recognition to the training institutions and periodical Inspection there on, as the Council is governing authority of physical and clinical facilities in almost all the nursing courses conducted in the institution.
  • 33. FUNCTIONS  4. Proscribing syllabus and curriculum for various nursing courses and conducting qualifying examination there for. 5. Registration and granting certificate to qualified persons to practice their profession and to watch and take action against practice of profession by quacks and check mal-practice as well and to take action.
  • 34. ORGANIZATIONAL STRUCTURE  PRESIDENT  VICE-PRESIDENT MEMBERS ADMINISRATIVE STAFF
  • 35. PROFESSIONAL ASSOCIATIONS  TRAINED NURESES ASSOCIATION OF INDIA
  • 36. Establishment and Formation (TNAI)  The Association had its beginning in the Association of Nursing Superintendents which was founded in 1905, at Lucknow. The organisation was composed of nine European Nurses holding administrative posts in hospitals.
  • 37. There was a need to develop Nursing as a profession and also to provide a forum where professional Nurses could meet and plan to achieve these ends. The movement gathered momentum and soon Nurses, other than Nursing Superintendents, were seeking to share in:  upholding in every way the dignity and honour of the Nursing profession;  promoting a sense of esprit de corps among all Nurses; and  enabling members to take counsel together on matters relating to their profession.
  • 38. THE STUDENT NURSES ASSOCIATION PURPOSES AND FUNCTIONS  To help students nurses learn how the professional organizations serve  To promote a close rapport  To furnish student nurses advice in their coures of study leading up to professional qualifications  To encourage leadership ability
  • 39. Cont,,,  To increase the student nurses social contacts and general knowledge  To encourage both professional and recreational meeting games and sports  To provide a special section in the nursing journal of india for the benefit of students  To encourage students to compete for prizes in the student nurses exihibition and to attend national and conferences
  • 40. Cont,,,  To help student nurses develop a co operative spirit with other student nurses which will help them in future professional relationships  To provide a means of having a voice in what the association stands for the does
  • 41. INTERNATIONAL COUNCIL FOR NURSES (I C N)  OBJECTIVES:  1. Promote-development strong national nurses associations. 2. Assist national nurses association- improve the standards of nursing, competence of nurses. 3. Assist national nurses associations improve the
  • 42. INTERNATIONAL COUNCIL FOR NURSES (I C N)  ACTIVITIES:  1. Makes policy statements - health and social issues. 2. Offers - variety of seminars 3. Maintaining and improving the status of Nursing around the world
  • 43. THE COMMONWEALTH NURSES FEDERATION  AIMS:  1. Promote sharing, better communications closer relationships- member associations. 2. Expert professional advice. 3. Scholarships-advanced study.
  • 44. LEGAL AND ETHICAL ISSUES IN NURSING
  • 45. LAW
  • 46. REASON FOR LAW SUITS  Need to blame  Expectation of perfection  Lack of personalism  Well educated public  Nurses are more responsible and accountable  Increased independence  Autonomy
  • 47. LEGAL ISSUES
  • 48. ETHICS
  • 49. Introduction:-Introduction:-  Ethics is the science relating to moral actions and one’s value systems.  In a professional practice like nursing, Ethical decisions is the part of the daily nursing care.  Nursing code of ethics provides the guidelines for safe and compassionate care.
  • 50. Definition:- “Ethics is the study of the good conduct, character and good motives. It will also determine what is good and valuable for nursing”.
  • 51. Code of ethics: -  An international code of ethics for nurses was first adopted by the International Council of Nurses (I C N) in 1953.  Reaffirmed at various times since, most recently with this review and revision completed in 2005  In India, nurses are following the International Council of Nurses Codes for Nurses 1993.
  • 52. I C N code of Ethics:-I C N code of Ethics:-
  • 53. I C N CODE: -  The I C N Code of Ethics for Nurses has four principal elements  1) Nurses and people,  2) Nurses and practice,  3) Nurses and the profession,  4) Nurses and co-workers.
  • 54. VERACITY  Veracity refers to telling the truth  It requires the health care provider to tell the truth & not intentionally deceive or mislead clients
  • 55. FIDELITY  Fidelity is the duty to keep promises .  It is the individual’s obligation to keep the commitments he/she has made.  It is the strict observance of promises or duties.  It is the faithfulness to agreements and responsibilities one has undertaken
  • 56. CONFIDENTIALITY  It means that information entrusted to professionals in the line of duty should not be revealed to others.  Share private information on a ‘need to know basis’  In the course of caring for a patient, nurses get to know many things about that person.  The patient must feel that he or she and the nurse are in a relationship of trust and confidence for such information to be shared  “Elevator talk” is the most common spoken breach of confidentiality.
  • 57. JUSTICE  It is the professional obligation to provide fair, equitable and appropriate treatment to all individuals regardless of their sex, race, social class or religion.  It includes  Not favouring some individuals/groups over others  Acting in a non–discriminatory / non- prejudicial way  Respect for peoples rights  Respect for the law
  • 58. PURPOSE OF ETHICAL PRINCIPLES  To establish common ground between nurse, patient, family, other health care professionals, and society  To discuss ethical questions and make ethical decisions  To permit people to take a consistent position on specific or related Issues  To provide an analytical framework by which moral problems can be evaluated
  • 59. Ethical Principles:- Respect for persons: -
  • 60. Ethical Principles:- Respect for persons: -  Autonomy: -
  • 61. Ethical Principles:- Respect for persons: -  Autonomy: -  Freedom:-
  • 62. Ethical Principles:- Respect for persons: -  Autonomy: -  Freedom:-  Beneficence:-
  • 63. Ethical Principles:- Respect for persons: -  Autonomy: -  Freedom:-  Beneficence:-  Justice: -
  • 64. Ethical Principles:- Respect for persons: -  Autonomy: -  Freedom:-  Beneficence:-  Justice: -  Rights:-
  • 65. Ethical Principles:- Respect for persons: -  Autonomy: -  Freedom:-  Beneficence:-  Justice: -  Rights:-  Fidelity: -
  • 66. Ethical Principles:- Respect for persons: -  Autonomy: -  Freedom:-  Beneficence:-  Justice: -  Rights:-  Fidelity: -  Confidentiality: -
  • 67. Ethical Principles:- Respect for persons: -  Autonomy: -  Freedom:-  Beneficence:-  Justice: -  Rights:-  Fidelity: -  Confidentiality: -  Veracity: -
  • 68. Ethical Principles:- Respect for persons: -  Autonomy: -  Freedom:-  Beneficence:-  Justice: -  Rights:-  Fidelity: -  Confidentiality: -  Veracity: -
  • 69. Ethical Principles:-  Respect for persons: -  Autonomy: -  Freedom:-  Beneficence:-  Justice: -  Rights:-  Fidelity: -  Confidentiality: -  Veracity: -  Nonmaleficence:-
  • 70. ETHICAL PRINCIPLES  Ethical principles are rules ,standards or guidelines for action that are derived from theoretical propositions about what is good for humans PURPOSES  Establishes standards for the behavior of nurses  Provides a general guidelines for nursing actions in ethical dilemmas.  Helps to distinguish between right and wrong at a given time.  Enables to take correct and uniform decision within groups.  Helps to protect the rights of individuals ,families ,community and the nurses
  • 71. 1. Ann.J.Zwemier, Professional Adjustments and Ethics for Nurses in India, Page no: 232-254. 2. Zerwekh C Laborn, Nursing Today,Transition and Trends, Lippincott Publishers, Page no: 262-267,401-424. 3. Patricia, Leadership and Management, Elsevier Publishers, Page no: 475-476,80,183,376. 4. Lancastar, Nursing issues in leading and managing change, Page no: 305-312. BIBLIOGRAPHY
  • 72. 5. Professional Nursing,Concepts and Challenges, Fifth edition, Page no: 393-419. 6. Advanced Nursing Practice,an integrative approach, Fourth edition, Page no: 267-268. JOURNAL: 7. Article “Nursing and their professional organisations” AJN American Journal of Nursing, April 1946 - Volume 46 - Issue 4 - pages 229-232.
  • 73. WEBSITES: 7. Topic Professional Organisations and Regulatory Bodies at www.contemporarynurse.com 8. Topic The Current State of Nursing Empowerment Related to Nursing Care www.medscape.com