Code of ethics in Nursing

CODE OF ETHICS AND
PROFESSIONAL CONDUCT
PRESENTED BY:
MS. PREETI MANOJ BAGUL

ETHICS
Ethics are the rules or the
principles that governs right
conduct and its design to
protect right of the human
beings.

TYPES OF ETHICS
Descriptive
Normative
Analytical

DEFINITON
A code of ethics is a formal
statement of group’s ideals and
values.
OR
It the set principles that are
accepted by all the members of
profession.

PURPOSES
 Standards for the behaviours of nurse& provide
general guidelines for nursing action
 Helps to distinguish between right& wrong
 Enables a correct decision
 Protect the rights of individual
It helps the student and the register nurses
to practice ethically

USES
Acknowledges the rightful place of
Individuals in health care delivery
system.
Contributes towards empowerment of
individuals to become responsible for
their health and well-being.
Contributes to quality care.
Identifies obligations in practice,
research and relationships.

USES CONTI…
Informs the individuals, families,
community and other professionals
about expectations of a nurse.
Guide for professional behavior
Helps the teachers to plan education
prevents below standard practices

PRINCIPLE OF ETHICS
NON-MALFICENCE
BENEFICENCE
JUSTICE FIDELITY
VERACITY
AUTONOMY

INTERNATIONAL COUNCIL OF
NURSING
The international council of Nurses (ICN)
was established in 1899.
Nurses from Great Britain, the United
States, and Canada were among the
founding members.
The Council is a federation of national
Nurses’ association, Such as the American
Nursing Association (ANA) and Canadian
Association for Nurses (CAN).

INTERNATIONAL CODE OF NURSING
ETHICS
An international code of ethics for nurses
was first adopted by the International
Council of Nurses (ICN) in 1953. It has
been revised and reaffirmed at various
times since, most recently with this review
and revision completed in 2012.
Nurses have four fundamental
responsibilities
Inherent in nursing is respect for human
rights.

ELEMENTS
OF
I.N.C.
NURSES AND
PEOPLE
NURSES AND
PRACTICE
NURSES AND
THE
PROFESSION
NURSES
AND
SOCIETY
NURSES
AN CO-
WORKERS

•The nurse’s primary professional responsibility is to
people requiring nursing care.
•In providing care, the nurse promotes an
environment in which the human rights, values,
customs and spiritual beliefs of the individual, family
and community are respected.
•The nurse ensures that the individual receives
sufficient information on which to base consent for
care and related treatment.
1. NURSES AND PEOPLE

CONTI…
• The nurse holds in confidence personal information and
uses judgement in sharing this information.
• The nurse shares with society the responsibility for
initiating and supporting action to meet the health and
social needs of the public, in particular those of
vulnerable populations.
• The nurse also shares responsibility to sustain and
protect the natural environment from depletion,
pollution, degradation and destruction

•The nurse carries personal responsibility and
accountability for nursing practice, and for
maintaining competence by continual learning.
•The nurse maintains a standard of personal health
such that the ability to provide care is not
compromised.
•The nurse uses judgement regarding individual
competence when accepting and delegating
responsibility.
2.NURSES AND PRACTICE

CONTI…
The nurse at all times maintains standards
of personal conduct which reflect well on
the profession and enhance public
confidence.
The nurse, in providing care, ensures that
use of technology and scientific advances
are compatible with the safety, dignity and
rights of people.

•The nurse assumes the major role in determining and
implementing acceptable standards of clinical nursing
practice, management, research and education.
•The nurse is active in developing a core of research-based
professional knowledge.
•The nurse, acting through the professional organisation,
participates in creating and maintaining safe, equitable
social and economic working conditions in nursing.
. NURSES AND THE PROFESSION

The nurse sustains a co-operative
relationship with co-workers in nursing and
other fields.
The nurse takes appropriate action to
safeguard individuals, families and
communities when their health is
endangered by a co- worker or any other
person.
4. NURSES AND CO-WORKERS

5. NURSES AND SOCIETY
Participate and share responsibility with
other citizens & other health professionals.
Recognize and perform the duties of
citizenship
Aware of laws and regulations which affect
the practice of medicine and nursing.

UNIQUENESS OF INDIVIDUAL IN
PROVISION OF CARE
1. Equal
2. Consider belief, values
3. Appreciate place in family and participate in others
care
4. Develop truthful relationship
5. Recognize responses

2.THE NURSE RESPECTS THE RIGHTS OF
INDIVIDUALS AS PARTNER IN CARE AND HELPS
IN MAKING INFORMED CHOICES
Informed choices
Respect decision
Protect from misinformation &
misinterpretation
Advocates special provisions to protect vulnerable

3) THE NURSE RESPECTS INDIVIDUAL’S RIGHT TO
PRIVACY, MAINTAINS CONFIDENTIALITY, AND
SHARES INFORMATION JUDICIOUSLY.
Respects the individual’s right to
privacy
Maintains confidentiality

ORDER TO RENDER QUALITY NURSING
CARE
Care only by the registered nurses
 Nurse strives to maintain quality nursing
care
Nurse values continuing education,
initiates and utilizes all opportunities for
self development.
Nurse values research

5) THE NURSE IS OBLIGED TO PRACTICE WITHIN
THE FRAMEWORK OF ETHICAL, PROFESSIONAL
AND LEGAL BOUNDARIES
 Adheres to code of ethics and code of professional
conduct
 Familiarizes with relevant laws and practices

HARMONIOUSLY WITH THE MEMBERS OF
THE HEALTH TEAM.
 Appreciates the team efforts in
rendering care.
Cooperates, coordinates and
collaborates with the members of the
health team to meet the needs of the
people.

TRUST INVESTED IN NURSING PROFESSION
BY SOCIETY
Demonstrates personal etiquettes in all
dealings.
Demonstrates professional attributes in all
dealings.

ETHICAL DILEMMA
Occurs when there is conflict
between two or more ethical
principles.
No correct decision exists.
Ethical reasoning

STEPS FOR RESOLVING ETHICAL
DILEMMA
STEP 1- Collect , analyze and interpret the
data
STEP2- state the dilemma
STEP3- consider the choice of action
STEP4- Analyze an advantage and
disadvantages of each course of action
STEP5- Make a decision and act on it

1.Professional Responsibility and accountability
• Self worth, personal conduct
• carries responsibility
2. Nursing Practice
• Care with all aspects
• set standard, respect culture
• ensure safe practice
3. Communication and Interpersonal Relationships
• Establish I.P.R., appreciate role of team members,
• co- operate

4. Valuing Human Being
• Protect from harmful ethical practice
• Relevant facts while taking conscience decisions
• Respects and supports choices
5. Management
• utilization of available resources
• Participates in supervision
• Uses judgment6. Professional Advancement
• Contributes to the development
• Takes responsibility for updating own knowledge

AUTONOMY
Autonomy means that individuals are able
to act for themselves to the level of their
capacity.
Professional nurse autonomy is defined as
belief in the centrality of the client when
making responsible discretionary decisions,
both independently and interdependently,
that reflect advocacy for the client.

ACCOUNTABLITY
According to Sullivan and Deekan,
“accountability is being responsible for
ones actions and accepting the
consequences of one’s behaviour”.

Nurses are accountable for;
Providing safe and therapeutic
environment for the patients.
Delivering component and personalized
care.
Maintaining adequate supplies of
materials and equipments for smooth
functioning of ward.
Maintaining accurate and up-to-date
records and reports.

CONTI…
Protecting client’s legal rights and privacy.
Maintaining good interpersonal
relationships.
Working within ethical and legal
boundaries.
Delegating responsibility appropriately.
Contributing to the development of
profession.

 Assertiveness is a style of behaviour to interact
with people while standing up for your rights. It is a
tool for expressing ourselves confidently and a way
of saying yes and no in an appropriate way.
1. Helps to create healthy and meaningful
relations.
2. Less friction and conflicts.
3. Enhances the self esteem.
4. Increases the productivity.
5. Improves emotional and physical health.
6. Lessen the stress at work.

Care provider
Communicator /
Helper
Teacher/
educator
Counselor
Client advocate
Change
agent
Leader
Manager
Researcher

1.THE AMERICAN NURSES ASSOCIATION CODE OF ETHICS: A REFLECTION ON
THE ETHICS OF RESPECT AND HUMAN DIGNITY WITH NURSE AS EXPERT.
 The American Nurses Association Code of Ethics for Nurses
calls for the nurse to practice with compassion and respect
for every individual. What are the ethics and challenges of
practicing professional nursing with expertise and educating
a new generation of nurses while incorporating the
interpretive statements into practice? This column
differentiates the traditional biomedical views on human
dignity and respect while exploring the embedded ethics of
respect and self-determination and what it truly means to be
an expert of nursing from the theoretical perspective of the
human becoming school of thought.

2. PRACTICAL USE OF THE NURSING CODE OF ETHICS (U.S.A.)
 The first provision calls for honoring the human dignity in
all patients and colleagues. It lays the groundwork for the
importance of the essential ethical principle of autonomy,
the right to self-determination. The second provision
describes the importance of interdisciplinary collaboration
and significance of appropriate nurse-patient boundaries.
The importance of privacy and confidentiality in the nurse-
patient relationship is the focus of the third provision.
Without the nurse's honoring of privacy, the patient would
be hesitant to share important information necessary to
design an effective plan of care. The fourth provision
primarily focuses on the importance of accountability for
personal actions and for the actions of those to whom the
nurse has delegated. By meeting these obligations, the
nurse will remain the most trusted health care professional.

CONCLUSION
The Code of Professional Conduct for
Nurses in India is supported by the
Code of Ethics for Nurses in India.
This Code of Professional Conduct for
Nurses sets the minimum standards
for practice a professional person is
expected to uphold both within and
outside of professional domains in
order to ensure the ‘good standing’ of
the nursing profession.

BIBLIOGRAPHY
 S.N. Nanuet Gouda’s “Foundation of nursing “
1st edition 2010, Jayvee Brothers Medical
Publisher( p) L.T.D. pg.no.14-21
 B.T. Baswanthappa’s “ Nursing Administration”
2nd edition 2009 Jaypee Brothers Medical
Publisher( p) L.T.D. Pg. no. 16-20
 Carol, Taylor, Carol Lillis, Priscilla Lemon’s
“Fundamentals of nursing The Art and science
of nursing care.” Lippincott Williams & wikis a
welters clawer 6th edition 2006. Pg no.486-452
 Potter and Perry’s “Fundamentals of Nursing”
6th edition 2006 Mosby & Elsevier P (L.T.D.) Pg
no. 1152-1161
 Elvis’s “Medical and Surgical Nursing
Assessment & Management of Clinical
Problems” 4th edition pg no.425-432.

Code of ethics in Nursing

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