This document discusses ethical and cultural issues in pediatric nursing. It defines pediatric nursing as dealing with children from conception to adolescence, focusing on holistic and preventative care. Key principles that govern ethical decisions are discussed, including non-maleficence (do no harm), beneficence (advocate for patients), parental autonomy, providing correct medical facts, and justice (equal treatment). Issues that can present ethical dilemmas are also covered, such as refusing immunization or treatment, genetic therapy, and withdrawing life support. The document stresses the importance of cultural considerations like socioeconomic factors, customs, and the needs of migrant families.

2. ETHICAL AND
CULTURAL ISSUES
IN PEDIATRIC NURSING

3. PEDIATRIC NURSING
The word Pediatric has derived from two Greek words
‘PEDIS’ MEANS CHILD ‘Iatrike’ means treatment

4. DEFINITION OF
PEDIATRIC NURSING
It is the branch of Medical Science
that deals with children from
conception to adolescence in
health & illness. It is driven by the
holistic approach and concerned
with preventive, promotive,
curative and rehabilitative care
of the child.

5. ETHICS:
Greek work:
‘ETHIKOS’
Meaning:
Character
DEFINITION:
Distinction between
RIGHT & WRONG
based on the body of
knowledge.

6. Ethics are influenced by:
Laws
Religion
Scientific Study
Philosophy
Moral

7. PRINCIPLES
GOVERNING
ETHICAL DECISIONS

11. NON MALEFICENCE
◦Based on principles of ‘do no harm’ or ‘Prima
noncore’.
◦Designed to protect patients.
◦Nurse bound to perform selfless beneficial act.
◦Protects Nurse from ill treatment from co-workers.
◦Good effect must not be result of wrongdoing.

12. BENEFICENCE
◦ Obligation of Nurse to advocate patient’s right & interest.
◦ Must remove every harm coming to the patient’s way.
◦ Nurse must invest time and effort towards ethical selfless
acts.
◦ Hurdle lies in different personal perspective, ethnic diversity.
◦ Above all patient’s need to be given priority.

13. PARENTAL AUTONOMY
◦Fundamental rights of parents to take full command of
child’s treatment.
◦Parents have freedom to raise concern.
◦Nurse cannot persuade parents but must educate
them.
◦Helps in Evidence based practice.

14. CORRECT MEDICAL FACTS
◦Helps parents to take informed decision based on
facts.
◦Nurse must maintain well recorded, unaltered,
unmanipulated medical facts.
◦Accurate medical records facilitate better treatment
plan and benefits the patients.
◦Helps maintaining standards of nursing.

15. justice
◦Every child deserves advanced medical sevices.
◦Nurse distributes health resources without any pre-
occupational ideas.
◦Nurse must ensure cost-effectiveness of therapeutic
measures.
◦Saving life is top priority.

16. VERACITY
o Truth telling is a core professional principle.
oMust tell truth even it causes distress to family.
oHelps maintaining trusted relationship with parents.
oGuide patient to take informed decision.
oTruth telling earns the respect towards the
profession.

17. ISSUES

18. REFUSAL TO IMMUNIZATION

19. REFUSAL OF CARE

20. GENETIC THERAPY

21. WITHDRAWAL OF TREATMENT

23. RESTRAINING A CHILD

24. ACCEPTING REALITY

27. EMOTIONAL ATTACHMENT

29. NURSE’S HEALTH

30. CORRECT
BUT
CONTRADICTORY
EQUALLY
UNSATISFACTORY
ALTERNATIVE

31. o Nursing is a science of uncertainty and art
of probability.
Common Ethical Dilemma:
Inappropriate medication order.
Unresponsive physician
Assignment of tasks before proper exposure
Patients Autonomy Vs Life Threatning condition.

32. CULTURAL ISSUES

33. SOCIO ECONOMIC FACTORS

34. MIGRANT FAMILIES

35. CUSTOMS AND FOLKWAYS

36. FOOD CUSTOMS

37. THANK
YOU