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Ethical Committee, Code of ethics and Professional conduct In Nursing

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Ethical Committee, Code of ethics and Profssional conduct

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Ethical Committee, Code of ethics and Professional conduct In Nursing

  1. 1. ETHICAL COMMITTEE
  2. 2. INTRODUCTION Most Indian hospitals have instituted a committee for the purpose of checking whether proposals submitted for research meet established guidelines. It improve not only the quality of research undertaken by the institution but also the care of patients in the institution.
  3. 3. ‘Mission statement of the committee’ Care of the patient in this institution. Research. Education of the staff on biomedical ethics.
  4. 4. COMMITTEE Administration Clinicians - medical, surgical, other disciplines Social workers Nurses Rehabilitation personnel Priests/philosophers Lawyers Statisticians
  5. 5. SUBCOMMITTEES Monthly meetings of a large, single committee once a month over an hour and a half or two hours Frequency of meetings will depend on the goals set for the committee. Most ethics committees meet at least once a month Each member must attend at least 75% of all meetings.
  6. 6. CARE OF PATIENTS The art of bedside medicine Relief of suffering Cure of disease Cost to patient: tests, drugs, other costs. Can these be lowered? Prompt attention to needs of the patient. Care of the seriously ill Care of the dying patients Care of the dead patient
  7. 7. EDUCATION OF THE STAFF • Produces guidelines on a broad range of topics. Eg Disclosure of diagnosis, diagnosis of brain death,truly informed consent etc. • Sets up of a forum for receiving complaints from patients and families in writing and taking action to solve the problem.
  8. 8. Contd…. • Produces a document for the benefit of patients and their families informing them about services provided by the institution(rights of patients and relatives, their responsibilities) • Continuing surveys practices within the institution(standards of patient care,unnecessary expenditure,obtaining truly informed consent)
  9. 9. Contd…. • Obtains feedback from faculty, other staff on the functioning of the ethics committee and perceived deficiencies and suggestions on how it might function more effectively. • Conducts seminars/ workshops/ mini-conferences on biomedical ethics and research.
  10. 10. WHY DO SOME ETHICS COMMITTEES FAIL GOALS THAT ARE TOO AMBITIOUS. LACK OF SUPPORT BY THE INSTITUTION. POOR SELECTION OF MEMBERS ON THE COMMITTEE.
  11. 11. INSTITUTIONAL ETHICS COMMITTEE Institutional Ethics Committee (IECs)help to strengthen the human rights reserved exclusively for all members of society which the individual physicians and research workers may not be able to do alone.
  12. 12. COMPOSITION OF IEC 1. 2 medical/ non medical scientists . 2. All members should be non-institutional except the secretary . 3. The chairman should be an outsider . 4. 2 lady members. 5. 5 members for a quorum . 6. No senior administrative officer of the institution. 7. Office staff(for secretary).
  13. 13. THE ROLES OF IECS 1. Secretary should be available for clarifying ethical problems that may arise from the project. 2. Make sure that "informed consent "has been properly obtained. 3. Multi-center trials require a uniform protocol and a unified assessment system.
  14. 14. Contd…. 4.Periodic follow up should be made by the IEC 5. Informed consent obtained from volunteers who are to participate in a field trial must be properly executed. 6. Clinical trials of drugs or therapy conducted by clinicians.
  15. 15. LEGAL ROLE OF THE NURSE 1) Provider of Service Ensure that client receives competent, safe, & holistic care . Supervise/evaluate the care provider. Documentation of care. Maintain clinical quality of care.
  16. 16. Contd…. 2) Responsibility of appointing and assigning . 4) Responsibility for equipment . 5) Responsibility for observation and reporting. 6) Responsibility to protect public . 7) Responsibility for record keeping and reporting . 8) Responsibility for death and dying . ===
  17. 17. CODE OF ETHICS AND PROFESSIONAL CONDUCT
  18. 18. introduction Ethics refers to the moral code for nursing and is based on obligation to service and respect for human life. –Melanie and Evelyn. Ethics are the rules or principles that govern right conduct and are designed to protect the rights of human beings. - Sister Nancy.
  19. 19. CODE OF ETHICS A code of ethics is a set of ethical principles that are accepted by all members of a profession. -Potter and Perry Code of ethics is a guideline for performance and standards and personal responsibility. -LillieM S and Juanita Lee
  20. 20. NEED Helps the students/ RN to practice ethically Helps the nurse to identify the ethical issues in her work place Protecting patients right and dignity Providing care with minimum risk to the nurses health Ethical reasoning
  21. 21. Contd…. Helps the nurse to respond to ethical conflicts Helps to differentiate right /wrong . Guide for a professional behavior . Help teachers to plan education. Prevent below standard practice. Protect a nurse if falsely accused for legal action .
  22. 22. ETHICAL PRINCIPLES  ETHICAL PRINCIPLES OF RESPECT AND AUTONOMY.  PRINCIPLE OF BENEFICENCE  PRINCIPLE OF JUSTICE  PRINCIPLE OF VERACITY
  23. 23. Contd…. PRINCIPLE OF FIDELITY FREEDOM NON- MALEFICENCE RIGHTS CONFIDENTIALITY
  24. 24. INTERNATIONAL CODE OF NURSING ETHICS The body of code is divided into 5 sections. 1)NURSES AND PEOPLE 2)NURSES AND PRACTICE 3)NURSES AND PROFESSION 4)NURSES AND CO-WORKERS 5)NURSES AND SOCIETY
  25. 25. ETHICAL DILEMMA
  26. 26. Contd…. An ethical dilemma occurs when there is conflict between two or more ethical principles. No correct decision exists Need to obtain patients informed consent for care treatment orders and measures such as With holding/with drawing nutrition and fluids Starting / discontinuing life support system
  27. 27. Contd…. The nurse must make a choice between two alternatives that are equally unsatisfactory. Such dilemmas may occur as a result of differences in cultural or religious beliefs. Need to protect autonomy rights of children. Need to make treatment and care of decisions for terminally ill patients.
  28. 28. STEPS FOR RESOLVING ETHICAL DILEMMA Step – I: Collect, Analyze and interpret the data Step – II: State the Dilemma Step – III: Consider the choices of action Step – IV: Analyze the advantage and disadvantages of each course of action Step – V: Make the decision and act on it.
  29. 29. ROLES AND FUNCTIONS OF ADMINISTRATOR He or she is self aware regarding own values and basic beliefs about their rights and duties. Be a part of all ethical decision-making. Accepts that negative outcomes occur in ethical decision making and use high quality problem solving and decision-making. Actively advocates for clients, subordinates and the profession
  30. 30. Contd…. Clearly communicates the ethical standards with the health personnel. Uses problem-solving or decision making when faced with management problems. Identify outcomes in ethical decision-making that should always to be avoided. He should aware of legal procedures that may guide ethical decision making and accountable for it.
  31. 31. Contd…. Continuously re-evaluate quality of ethical decision making based on the present of decision making. Recognizes and rewards ethical conduct of subordinates. Takes appropriates actions when subordinates use unethical conduct.
  32. 32. CODE OF PROFESSIONAL CONDUCT FOR NURSES 1)PROFESSIONAL RESPONSIBILITY AN ACCOUNTABILITY Nurses:  Carries out responsibilities within the professional boundaries.  Is accountable for maintaining practice standards set by Indian Nursing Council.  Is responsible for own decisions and actions.  Is responsible for continuous improvement of current practices.  Provides adequate information to individuals that allow them informed choices.  Practices healthful behaviors.
  33. 33. 2)NURSING PRACTICE NURSES:  Provides care in accordance with set standards of practice.  Respects individuals and families need to promoting healthy practices and discouraging harmful practices.  Treat all individuals and families with human dignity to providing physical,psychological,spiritual,emotional and social aspects of care.  Promotes participation of individuals and significant others in the care.
  34. 34. 3)COMMUNICATION AND INTERPERSONAL RELATIONSHIP NURSES: Esablishes and maintains effective interpersonal relationship with individuals,families and communities. Uphold the dignity of team members and maintains effective interpersonal relationship with them. Co-operates with other health professionals to meet the needs of the individuals,families and communities.
  35. 35. 4)VALUING HUMAN BEING NURSES:  Takes appropriate action to protect individuals from harmful unethical practice.  Encourages and supports individuals in their right to speak for themselves on issues affecting their health and welfare.  Respects and supports choices made by individuals.
  36. 36. 5)MANAGEMENT NURSE: Ensures appropriate allocation and utilization of available resources. Participates in supervision and education of students. Communicates effectively following appropriate channels of communication. Participates in evaluation of nursing services.
  37. 37. 6)PROFESSIONAL ADVANCEMENT NURSES: Ensures the protection of the human rights while pursuing the advancement of knowledge.  Contributes to the development of nursing practice.  Contributes to care professional knowledge by conducting and participating in research.
  38. 38. PROFESSIONAL MISCONDUCT
  39. 39. Contd…. 1. Any failure to uphold personal and professional integrity in one’s practice,such as a. falsifying records b. abusing clients verbally, physically or emotionally c. abusing the nurse-client relationship d. signing or issuing a document containing false and misleading information
  40. 40. Contd…. e.Misappropriating property from clients or workplace f. Involving in inappropriate relationships with clients
  41. 41. Contd…. 3. Any contravention of statutory requirements, such as: a. Practicing without any valid nursing registration and/or licences. b. Using another nurse/midwife’s name and/or registration in the course of providing or offering services to clients.
  42. 42. Contd…. c. being found guilty of professional misconduct by other nursing regulatory bodies. d. failure to appear before an inquiry convened by the SNB and/or co-operate with investigations carried out by the SNB.
  43. 43. SUMMARIZATION
  44. 44. ANY DOUBT
  45. 45. BIBLIOGRAPHY 1. Basavanthappa BT. Management of Nursing Services & Education. New Delhi: JAYPEE publication.1st ed;2011.p539-586 2. Jogindra Vati.Principles & Practice of Nursing Management & Administration. New Delhi: JAYPEE publication.1st ed;2013.p 46-63 3. Shebeer BP,Khan SY. A concise text book of advanced nursing practice. Bangalore: Emmess medical publishers.1st ed;2012.p 9 -13. 4. Basavanthappa BT. Fundamental of nursing. New Delhi: JAYPEE publication.2nd ed;2004.p 173-179 5. Kaur L,Kaur M. A text book of nursing foundation. Jalandhaa: PV books.2nd ed;2009.p 37-39 6. Kozier,Erb. Fundamental of nursing concepts,process and practice. Dorling Kindersley(India)Pvt.Ltd.8th ed;2009.p 85-95 7. http:/www.nursingworld.org . 8. http:/www.ehow.com. 9. http:/www.nursingcouncil.org.in 10. http:/www.ezinearticles.com

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