The document discusses several concepts relating to nursing ethics and practice, including: - Nurses must sometimes choose between promoting individual or collective good when caring for multiple patients. They are responsible for decisions made within the environment. - When caring for patients of different cultures, nurses must create a caring environment that respects values, customs, and spiritual beliefs. - National nursing associations provide standards to ensure appropriate delegation of nursing duties to other personnel based on their skills and the patient's condition. - Nurses are responsible for accepting duties only within their scope of competence and informing supervisors if unable to care for an assigned patient. Continual learning is important to maintain standards.

2. Nurse and People

3. Individual vs collective good
• Generally, nurses do care for more than
one patient and nurse has to chose which
need to be met first
• Some times nurse has to decide whether
to promote individual good or to promote
collective good. E.g: patient with TB wants
to be with his children

4. Respecting values, customs and
spiritual beliefs
• What are the expectation from nurse when
caring for patient of different culture?
• nurse are expected to create a caring
environment.
• What does caring environment include?
• The caring environment should include
consideration of patient’s values, customs
and spiritual believes.

5. • Does the nurse is responsible about every
thing in patient’s environment that
potentially might affect the patient?
• No, and they are not responsible to
develop these resources although they
are responsible about the decision they
make within this environment.

6. • Nurse supports value of individual good and he
value of collective good
• Service to individual means the nurse ensure
the individual receive sufficient information and
appropriate care
• Does the nurse has role in front of the
community in relation to their care?
• The nurse shares with community the
responsibility for initiating and supporting actions
to meet health and social needs of public

7. Serving people who need nursing
care?
• If nurse has to give care for more than one patient, s/he
should see whose care has to be met first
• Is there any external factors which might affect
the given nursing care to clients?
• Yes, Some times nursing care to people is influenced by
external factors as: access to healthcare, or ability to
pay, available resources…………. This can cause that
some of the needs might not be met.

8. • The ICN code of ethics for nurses states
that nurse primary responsibility is to
“people requiring nursing care”
• What does this nursing care include other
than the physical needs of individuals?
• This care should include consideration to:
human rights, values, spiritual beliefs of
individuals, family and community

9. NURSE AND
PRACTICE

10. Does nursing practice needs to define
? some ethical concepts to be followed
• Yes, Nursing practice should include
moral and ethical concepts e.g: advocacy,
accountability, cooperation and caring.
• Why it is needed?
• It helps to provide the frame of care to
individual, family and community.

11. • How did ICN code of ethics provide ethical
standards to ensure accountability of
nursing practice and maintaining
competence?
• It is by continual learning

12. What are the points nurse should
keep in mind when accepting or
?delegating responsibilities
• The nurse should use judgment regarding
individual competence.

13. Did national nurse association
provide professional practice model
to ensure appropriate delegation of
?nursing care to assistive nurse
• Yes, delegation of nursing care to
assistive nurse should be according to
model. This model ensure there is:
preparation, standards, and practice of
assistive nurse are defined, monitored,
and directed by registered nurse.

14. In general what are the
consideration for delegating nursing
?authority to others
• Consideration to education, knowledge,
and capabilities of the person
• Severity of and complexity of patient’s
condition,
• Availability of supervision for the delivered
care
• Nature of the required nursing care

15. Why do you think laws of allowing
unlicensed personnel to give
?medication to elderly is wrong

16. Why do you think laws of allowing
unlicensed personnel to give
?medication to elderly is wrong
• Licensed nurse are best qualified to administer
medications to nursing home residents
• Licensed nurse can monitor the side effect of medication
in each person
• Unlicensed personal can not be responsible for their
practice and can not be expected to be skillful to care for
complex conditions in elderly
•
It is not the function of unlicensed personnel.

17. Accepting responsibilities for
?nursing care
• It is according to knowledge, competence,
education and practice experience
• What if the nurse does not have the skills
to give care to the assigned patient?
• s/he is responsible to inform the
supervisor and refuse the assignment

18. In summary
• Nurse should attend educational program
to learn knowledge and clinical skills
• It helps them to carry out nursing
measures and plan patient care
• Every nurse bears primary responsibility
for her/his level of practice for safety of
nursing interventions and supervising
other giving nursing care.

19. How to ensure nursing practice
safety if there is shortage of supply
?or in unsuitable environment
• Nurses are asked to provide care for
clients and they are responsible about
their actions under these constrains.