nursing ethics i
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Raymund Christopher R. dela Peña, RN, RM
Clinical FacultyUNP-College of Nursing
NURSING ETHICS
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ETHICS- study of the norm of human acts as guided by human reason.
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BIOETHICS- is the study of human conduct in
the area of the life sciences and health care using moral values and principles.
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PRINCIPLES IN BIOETHICS
BENEFICENCE- means to do good and not to do harm.
NON- MALEFICENCE- one ought not to inflict evil or harm.
AUTONOMY- means self-determination
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JUSTICE- refers to the obligation to be fair to other people.
FIDELITY- refers to the obligation to be faithful to the agreements, commitments and responsibilities that one has made to oneself and others
VERACITY- refers to telling the truth or not intentionally deceiving or misleading patients
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CODE OF ETHICS FOR REGISTERED
NURSES
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Four basic ethical principles:
1. Fundamental responsibility of the nurse is four fold
2. Nurse renders service regardless of race, creed, nationality or political belief.
3. Nurse protects life and respects the dignity of man.
4. Nurse works in collaboration with members of the health team
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REGISTERED NURSES AND PEOPLE
Ethical Principles:1.Values, customs and spiritual beliefs
shall be respected2.Individual freedom to make decisions3.Personal information acquired must
be held in confidence
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Guidelines to be observed:a.individuality and totality of patientsb.respectc.uphold the rights of individualsd.take into consideration culture and
values- in the event of conflict, welfare and safety take precedence
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REGISTERED NURSES AND PRACTICE
Ethical Principles:a.Human life is inviolableb.Quality and excellence in the care of
patientsc.Accurate documentation- nursing
accountability
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Guidelines to be observed:a.know the definition and scope of
nursing practiceb.be aware of duties and
responsibilitiesc.acquire and develop competence
in knowledge, skills and attitude
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d.optimum standard of safe nursing practice
e.be morally and legally responsible
f.patient’s records considered confidential
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REGISTERED NURSES AND CO-WORKERS
Ethical Principles:1.work in solidarity with other
members of the health team2.maintains collegial and collaborative
working relationships
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Guidelines to be observed:a.maintain professional identityb.conform with group activitiesc.contribute to professional growthd.actively participate in prof
organizationse.respect rights of co-workers
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REGISTERED NURSES, SOCIETY AND ENVIRONMENT
Ethical Principles:1.preservation of life, respect for
human rights and promotion of a healthy environment
2.establishment of linkages
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Guidelines to be observed:a.be conscious of obligations as citizensb.equipped with knowledge of health
resources within the communityc.actively participate in programs,
projects and activities d.right conduct and proper decorume.project image that will uplift nursing
profession
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REGISTERED NURSES AND THE PROFESSION
Ethical Principles:1.maintain loyalty2.compliance with by laws of accredited prof
organizations3.commitment to continual learning4.contribute to the improvement of the socio-
economic conditions and welfare of nurses
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PATIENT’S BILL OF RIGHTS
1. Right to considerate and respectful care
- nurse avoids discriminating acts that tends to bring the appearance of favoritism
- “ tender loving care attitude”
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2. Right to information about diagnosis, treatment and prognosis
3. Right to informed consent - refers to the capacity of the patient to
accept or refuse treatment options offered by the health care provider.
Elements: Voluntariness Information Capacity
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6. Right to confidentiality - all records and communications
held in confidencewhen to divulge information: 1. patient placed in serious danger 2. public welfare 3. legal proceeding
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7. Right to go over records8. Right to services and to
transfer - referrals9. Right to know relationship with
other health care and educational institutions
10. Right not to be subjects of research or experimentation
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11. Right to expect reasonable continuity of care
- follow up consultations12. Right to examine and receive
an explanation of his bill, Right to know what hospital rules and regulations apply to his conduct as a patient
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PATIENT’S RESPONSIBILITIES:1. Providing information2. Complying with instructions3. Informing the physician of
refusal to treatment4. Paying hospital charges5. Following hospital rules and
regulations6. Showing respect and
consideration