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OBJECTIVES
At theend of this session learner will be able to,
Define ethics, nursing ethics
Types of ethics
Elaborate ethical principles
Practical application of code of ethics
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The sciencethat deals with the principles of
Right & wrong,
Good & bad,
Govern our relationship with others,
Personal beliefs & values.
(Sullivan & Decker, )
(derived from Greek word ethos which means customs or guiding rules)
ETHICS
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BELIEF, VALUE,ATTITUDE
BELIEF A belief is an internal feeling that something is true, even though
that belief may be unproven or irrational
e.g I believe that there is life after death
VALUE Value is a measure of the worth or importance a person
attaches to something; our values are often reflected in the way we live our
lives.
e.g I value freedom of speech, or I value my family
ATTITUDE An attitude is the way a person expresses or applies
their beliefs and values, and is expressed through words and
behavior .e.g I hate school.
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YOUR VALUE
(WHAT ISIMPORTANT TO YOU)
YOUR BELIEF
(IDEAS YOU HOLDS TO BE TRUE)
YOUR ATTITUD
(HOW YOU TREAT OTHERS AND APPROACH SITUATION)
YOUR BEHAVIOUR
(HOW YOU ACT)
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CODE OFETHICS
The code of ethics states the kind of
conduct expected from the members of
profession and the responsibilities of its
members towards those whom they serve,
their coworkers, the profession, and the
society as a whole.
(clement 2013)
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TYPES OFETHICS
METAETHICS
Means understanding the concepts of ethics.
(About how we learn and understand ethics).
Its focus is logical positivism
NORMATIVE ETHIC
Also known as moral theory of ethics
Deals with principles of right and wrong, it helps to solve difficult issues
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CONT…
MILITARY ETHICS
Branchof ethics having own set of practices and philosophy that guides to act
consistently with values and standards as established by the military traditions
RELATIONAL ETHICS
Used in qualitative research
( it helps the researchers to discuss the issues, understand the values, and show
respect to other researchers and the communities in which they live and work)
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CONT….
DESCRIPTIVE ETHICS(Situational ethics)
Describe the aesthetic, beauty, and art of living, give more importance to social
science than humanity
Based on observations of the people activities and choices made in practiced
EVOLUTIONARY ETHICS
Focus on evolution and its framing the human psychology and behavior
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NURSING ETHICS
Nursingethics concerned with a professional conduct and
behavior that helps a nurse to carry out the nursing care in a
manner that result in good to the mankind and community.
(clement 2013)
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18 AMERICANNURSES ASSOCIATION CODE OF
ETHICS
Practices with compassion and respect for inherent dignity
Commitment is to the patient
Promotes, advocates for and strives to protect the health, safety
and rights of the patients
Responsible and accountable for nursing practice & delegation of
tasks to provide optimum care
Owns the same duties to self as to others; preserve integrity,
maintain competence & professional growth
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• TOTHE PATIENT
PROFESSIONAL ACCOUNTABILITY
WITH REFERENCE TO THE PATIENT
Assist
Patient to attain
maximum level
of health
Avoid
Any abuse of
the privileged
relationship
with the patient
Respect
The patient’s
rights
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PROFESSIONAL ACCOUNTABILITY
WITHREFERENCE TO COLLEAGUE
ACKNOWLEDGE
The pressure and
work load of
professional
colleagues and
supervisors
WORK
In open and
cooperative manner
with health care
professionals and
other health care
team members
RECOGNIZE
And respect their
particular
contribution with in
the health care
system
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PROFESSIONAL ACCOUNTABILITY
WITHREFERENCE TO SELF
MAINTAINS
and improves
professional
knowledge and
ability
ACKNOWLEDGES
any short comings
DOES NOT
refuse any duties or
responsibilities
unless , not able to
perform them in a
safe and skilled
manner
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ETHICAL PRINCIPLES
•The ethical principle s that a nurse should consider when making decision are as follows
Respect for person
Respect for autonomy
Respect for freedom
Beneficence
Nonmaleficence
clients right to take decision(consent)
About treatment, discharge etc
Doing good
Avoiding harm to others
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30 Practicalapplication of code of ethics
The ethical principles guide the nurses to,
Delegate work responsibilities as per need requirement of the patients
Practice nursing care as per the nursing care standard
Provide good judgment ability
Uplift self determination
Help to be accountable and responsible in nursing care
Help to alleviate pain and suffering of the patients
Never ignore a patient and meet all the needs of the patients
#9 IN EARLIER DAYS SKILLS LIKE BRAVERY ND COURAGE were considered to be principle qualities e.g. Mesopotamian epic of gilgamesh, islandic eddas define ethics as not obeying moral values but developing and framing themselves. then some Greek philosopher like Socrates ,plato , aristottle define ethics as a person having good ethical sense achieves,” internal harmony “of the parts of the soul whereas doing evil things damage the soul.so honesty, truth and justice are considered good thing.BIBLICAL ETHICS:ten commandmentsNATURAL LAW AND ETHICS:In the middle ages a catholic philosopher Thomas said ethical principles followed in the human life are determined by the natural behavior of the humans KANTIAN ETHICS:according to Immanuel kant moral values are achieved through the principle of universality .it must be your sense of duty to accomplish right things.UTILITARIAN ETHICS: some philosophers for 20th centuary explain that moral values can be achieved through right action which leas to great happiness and it increase the joy in human life.20TH CENTURY : meta ethics
Consequentialism they think right activity with good intention leads to good for others a persons actions are judged based on consequences and outcomes of given act
• . Deontology • they speak about obeying and following rules doing the duty rightly and being bounded by moral obligations
16. Utilitarianism • Utilitarianism is an ethical theory that determines right from wrong by focusing on outcomes. It is a form of consequentialism. 16
18. Ethical egoism • Ethical egoism is the normative ethical position that moral agents ought to act in their own self- interest.
Virtue school of ethics: according to it if an individuals thoughts, ideas, and views are ethically good then his/her actions will also be good so character building is important.
#11 Metaethics, it was introduced by G. E Moore in 1903in his book principia ethica, , by the 20th century metaethics were start gaining more popularity than normative ethics. In 1971 John Rawls published, A Theory of justice, it created a renewed interest inn normative ethics
#21 The code makes it clear that inherent in nursing is respect for human rights including the right to life, to dignity and to be treated with respect. Nursing care is unrestricted by consideration of age, color, creed, culture, disability or illness, nationality,politics, race or social status.
#23
The PNC Code of Conduct is a product of Deontological ethics – it guides action based on a set of principles/duties.