This document discusses the importance of ethics and ethical codes for nurses in India. It outlines the objectives of reviewing knowledge of ethical codes, the national code of ethics for nurses, and their purposes. The national code of ethics for nurses in India is then presented, which establishes seven principles for nurses including respecting individuals, maintaining competence, and committing to society's trust in the nursing profession. The roles of nurse managers and administrators in addressing ethical issues are also overviewed.

1. ” NURSE ! LEADING
TOWARDS THE BIOETHICS”
BR.TUTOR. MARKAD RAVINDRA
SCHOOL OF NURSING, KEM HOSPITAL
PAREL, MUMBAI-12.

2. TOPIC - PROFESSIONAL CODE OF
ETHICS FOR NURSES IN INDIA
(NATIONAL CODE OF ETHICS FOR
NURSES)

3. OBJECTIVES
AT THE END OF THE SESSION PARTICIPANTS
SHOULD ABLE TO –
1) REVISE KNOWLEDGE OF ETHICAL CODES IN NURSING.
2) KNOW ABOUT PURPOSE, NEEDS, IMPORTANCE AND
USES NURSING CODE OF ETHICS.
3) REVIEW NATIONAL CODE OF ETHICS FOR NURSES.

4. ETHICS
DEFINITION- ”THE BRANCH OF PHILOSOPHY THAT DEALS
WITH MORALITY. ETHICS IS CONCERNED WITH
DISTINGUISHING BETWEEN GOOD AND EVIL IN THE WORLD,
BETWEEN VIRTUOUS AND NON-VIRTUOUS
CHARACTERISTICS OF PEOPLE.”

5. ETHICAL CODES
• ETHICAL CODES:- ARE SYSTEMIC GUIDELINES FOR SHAPING
ETHICAL BEHAVIOUR.
• IT ANSWER THE NORMATIVE QUESTIONS OF WHAT ARE BELIEFS AND
VALUES, WHICH SHOULD BE MORALLY ACCEPTED.
• IT IS A FORMAL STATEMENT OF A GROUP’S IDEALS AND VALUES.
• A CODE OF ETHICS IS A SET OF ETHICAL PRINCIPLES THAT ARE
ACCEPTED BY ALL MEMBERS OF A PROFESSION.

6. ETHICAL CODES (BY BARBARA
KOZIER)
• IT IS A SET OF ETHICAL PRINCIPLES THAT:
(a) IS SHARED BY MEMBERS OF THE GROUP .
(b) REFLECTS THEIR MORAL JUDGMENTS OVER TIME, AND
(c) SERVES AS A STANDARD FOR THEIR PROFESSIONAL ACTIONS.

7. “ NURSING ETHICS IS A BRANCH OF APPLIED ETHICS THAT CONCERNS
ITSELF WITH ACTIVITIES IN THE FIELD OF NURSING.
NURSING ETHICS SHARES MANY PRINCIPLES WITH MEDICAL ETHICS,
SUCH AS BENEFICENCE, NON-MALEFICENCE AND RESPECT FOR
AUTONOMY.”

9. NURSING CODE OF ETHICS HAVE THE
FOLLOWING PURPOSES
• STANDARDS FOR THE BEHAVIOURS OF NURSE & PROVIDE
GENERAL GUIDELINES FOR NURSING ACTION.
• HELP TO DISTINGUISH BETWEEN RIGHT AND WRONG.
• ENABLES A CORRECT DECISION
• PROTECT THE RIGHT OF INDIVIDUAL.
• INFORM THE PUBLIC ABOUT STANDARDS OF THE PROFESSION AND
HELP THEM TO UNDERSTAND PROFESSIONAL NURSING CONDUCT.

10. PURPOSES
• PROVIDE A SIGN OF THE PROFESSION’S COMMITMENT TO THE
PUBLIC IN PROVIDING SERVICES.
• OUTLINE IN MAJOR ETHICAL CONSIDERATIONS OF THE PROFESSION.
• GUIDE THE PROFESSION IN SELF REGULATION.
• REMIND NURSES OF THE SPECIAL RESPONSIBILITY THEY ASSUME
WHEN CARING FOR THE SICK.
• THE PRIMARY VALUE CONSIDERATION IN NURSING ETHICS HAS BEEN
THE DETERMINATION OF THE FOCUS OF NURSE’S WORK.

11. INC- CODE OF ETHICS FOR NURSES IN
INDIA
1) THE NURSE RESPECTS THE UNIQUENESS OF INDIVIDUAL IN
PROVISION OF CARE.
1.1) PROVISION CARE FOR INDIVIDUALS WITHOUT
CONSIDERATION OF CASTE, CREED, RELIGION, CULTURE, ETHNICITY,
GENDER, SOCIO-ECONOMIC & POLITICAL STATUS, PERSONAL
ATTRIBUTES (PERSONAL QUALITIES) OR ANY OTHER GROUNDS.

12. CONTD…
1.2) INDIVIDUALIZES THE CARE CONSIDERING THE BELIEFS, VALUES
& CULTURAL SENSITIVITIES.
1.3) APPRECIATES THE PLACE OF THE INDIVIDUAL IN FAMILY &
COMMUNITY & FACILITATES PARTICIPATION OF SIGNIFICANT OTHERS IN
THE CARE.
1.4) DEVELOPS & PROMOTES TRUSTFUL RELATIONSHIP WITH
INDIVIDUALS.
1.5) RECOGNIZES UNIQUENESS OF RESPONSE OF INDIVIDUALS TO
INTERVENTIONS AND ADAPTS ACCORDINGLY.
1.6) APPRECIATES THE PLACE OF THE INDIVIDUAL IN FAMILY &
COMMUNITY & FACILITATES PARTICIPATION OF SIGNIFICANT OTHERS IN
THE CARE.

13. CONTD………..

14. INC- CODE OF EHICS FOR NURSES IN
INDIA
2) THE NURSE RESPECTS OF INDIVIDUALS AS PARTNERS IN CARE &
HELPS IN MAKING INFORMAL CHOICES.
2.1) APPRECIATES INDIVIDUALS RIGHT TO MAKE DECISIONS
ABOUT THEIR CARE AND THEREFORE GIVES ADEQUATE AND
ACCURATE INFORMATION FOR ENABLING THEM TO MAKE INFORMED
CHOICES.
2.2) RESPECT THE DECISIONS MADE BY INDIVIDUAL (S)
REGARDING THEIR CARE.
2.3) PROTECTS PUBLIC FROM MISINFORMATION AND
MISINTERPRETATION.
2.4) ADVOCATES SPECIAL PROVISIONS TO PROTECT VULNERABLE
INDIVIDUAL/GROUPS.

15. CONTD…
3) THE NURSE RESPECTS INDIVIDUAL’S RIGHT TO PRIVACY, MAINTAINS
CONFIDENTIALITY, AND SHARES INFORMATION JUDICIOUSLY.
3.1) RESPECT THE INDIVIDUAL’S RIGHT TO PRIVACY, OF THEIR
PERSONAL INFORMATION.
3.2) MAINTAINS CONFIDENTIALITY OF PRIVILEGED INFORMATION
EXCEPT IN LIFE THREATENING SITUATIONS AND USES DISCRETIONS IN
SHARING INFORMATION.

16. CONTD…
4) NURSE MAINTAINS COMPETENCE IN ORDER TO RENDER QUALITY
NURSING CARE
4.1) NURSING CARE MUST BE PROVIDED ONLY BY REGISTERED
NURSE.
4.2) NURSE STRIVES TO MAINTAIN QUALITY NURSING CARE AND
UPHOLDS THE STANDARDS OF CARE.
4.3) NURSE VALUES CONTINUING EDUCATES, INITIATES AND
UTILIZES ALL OPPORTUNITIES FOR SELF DEVELOPMENT.
4.4) NURSE VALUES RESEARCH AS A MEANS OF DEVELOPMENT OF
NURSING PROFESSION AND PARTICIPATES IN NURSING RESEARCH
ADHERING TO ETHICAL PRINCIPALS.

17. CONTD…
5) THE NURSE IS OBLIGED TO PRACTICE WITHIN THE FRAMEWORK OF
ETHICAL, PROFESSIONAL AND LEGAL BOUNDARIES
5.1) ADHERES TO CODE OF ETHICS AND CODE OF PROFESSIONAL
CONDUCT FOR NURSES IN INDIA DEVELOPED BY INC.
5.2) FAMILIARIZES WITH RELEVANT LAWS AND PRACTICES IN
ACCORDANCE WITH THE LAW OF THE STATE.

18. CONTD…
6) NURSE IS OBLIGED TO WORK HARMONIOUSLY WITH THE MEMBERS
OF THE HEALTH TEAM.
6.1) APPRECIATES THE TEAM EFFORTS IN RENDERING CARE.
6.2) COOPERATES, COORDINATES AND COLLABORATES WITH THE
MEMBERS OF THE HEALTH TEAM TO MEET THE NEEDS OF THE
PEOPLE.

19. CONTD…
7) NURSE COMMITS TO RECIPROCATE THE TRUST INVESTED IN
NURSING PROFESSION BY SOCIETY
7.1) DEMONSTRATES PERSONAL ETIQUETTES IN ALL DEALINGS.
7.2) DEMONSTRATES PROFESSIONAL ATTRIBUTES IN ALL
DEALINGS.

20. ROLE OF NURSE MANAGER IN ETHICAL
ISSUES
-FOLLOWING ARE THE IMPORTANT ROLES THE NURSE MANAGER ARE
EXPECTED TO PERFORM.
 CREATES AN AWARENESS/SENSITIZE THE NURSES AT FIRST AND
SECOND LEVEL ABOUT THE VALUES, ETHICS AND ETHICAL ISSUES.
 BE SELF AWARE REGARDING OWN VALUES, AND BASIC BELIEF
ABOUT RIGHTS, DUTIES AND GOALS OF HUMAN BEINGS.
 BE ROLE MODEL AS ETHICAL DECISION-MAKING IS CONGRUENT
WITH THE CODE OF ETHICS AND INTER-RESPECTIVE STATEMENTS.
 FACILITATES TO DEVELOP, IMPLEMENT, MONITOR AND EVALUATE
THE GUIDELINES OF ETHICS.

21. CONT.…
• PARTICIPATE IN THE INSTITUTIONAL ETHICAL COMMITTEE MEETINGS
AND ACT AS LESION BETWEEN NURSING DEPARTMENT AND
INSTITUTION.
• MONITOR THE INSTITUTIONAL AND DEPARTMENTAL POLICIES
RELATED TO ETHICS.
• DEVELOP AN EFFECTIVE INTER PROFESSIONAL RELATIONSHIP.
• DEVELOP AND IMPLEMENT COLLABORATIVE TEAM APPROACH.
• PROVIDES THE OPPORTUNITIES FOR VALUE CLARIFICATION.
• USES APPROPRIATE ETHICAL DECISION-MAKING MODEL TO
RESOLVE THE ETHICAL DILEMMA.
• BE AWARE OF LEGAL PRECEDENTS.
• CONTINUOUSLY RE-EVALUATE THE QUALITY OF OWN ETHICAL
DECISION-MAKING USED TO SOLVE THE PROBLEM.

22. ROLES AND FUNTIONS OF
ADMINISTRATOR IN ETHICAL ISSUES
• SHE IS SELF-AWARE REGARDING OWN VALUES AND BASIC BELIEFS
ABOUT THE RIGHT, DUTIES AND GOALS OF HUMAN BEINGS.
• ACCEPTS THAT SOME AMBIGUITY AND UNCERTAINTY MUST BE A PART
OF ALL ETHICAL DECISION-MAKING.
• ACCEPTS THAT NEGATIVE OUTCOMES OCCUR IN ETHICAL DECISION-
MAKING DESPITE HIGH QUALITY PROBLEM-SOLVING AND DECISION-
MAKING.
• DEMONSTRATES RISK TAKING IN ETHICAL DECISION-MAKING.

23. COTD…
• ROLES MODELS ETHICAL DECISION-MAKING, WHICH ARE
CONGRUENT WITH THE CODE OF ETHICS AND INTER-RESPECTIVE
STATEMENTS.
• ACTIVELY ADVOCATES FOR CLIENTS, SUBORDINATES AND THE
PROFESSION.
• CLEARLY COMMUNICATION EXPECTED ETHICAL STANDARDS OF
BEHAVIOUR.
• USES A SYSTEMATIC APPROACH TO PROBLEM-SOLVING.
• IDENTIFY OUTCOMES IN ETHICAL DECISION MAKING THAT SHOULD
ALWAYS BE SOUGHT OR AVOIDED.

24. COTD…
• USES ESTABLISHED ETHICAL FRAMEWORKS TO CLARIFY VALUES
AND BELIEFS.
• APPLIES PRINCIPLES OF ETHICAL REASONING TO DEFINE WHAT
BELIEFS OR VALUES FORM THE BASIS OF DECISION-MAKING.
• IS AWARE OF LEGAL PRECEDENTS THAT MAY GUIDE ETHICAL
DECISION-MAKING.
• CONTINUOUSLY RE-EVALUATE QUALITY OF OWN ETHICAL DECISION-
MAKING BASED ON THE PROCESS OF PROBLEM SOLVING USED.
• RECOGNIZES AND REWARDS ETHICAL CONDUCT OF SUBORDINATES.
• TAKE APPROPRIATE ACTION WHEN SUBORDINATES USE UNETHICAL
CONDUCT.