Advanced Medical-surgical Nursing 1 3e5p5j

PREPARED BY: Ms. Irene Aquino Ms. Bernadette Endaya

1. How is confidentiality (of their medical file, etc.) explained/presented to your patients? Are there any limits to their confidentiality? 2. What do you have privilege in knowing about a patient? 3. What would you do if your nursing records/charts were subpoenaed? 4. How are the right's of minors treated differently?

5. What ethical dilemmas do you face in your everyday nursing practice?

Nursing Ethics is concerned with the principles and right conduct as they apply to the nursing profession.

Nursing Jurisprudence is that department of law which comprises all the legal rules and principles affecting the practice of nursing.

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A. Teleological Approach or Act of Utilitarianism

Teleology comes from the Greek word “telos” or “goal or end.” This is expressed as “the right thing to do is the good thing to do.” The teleological approach is also termed as act utilitarianism where the good resides in the promotion of happiness or the greatest net increase of pleasure over pain.

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B. Deontological Approach or DutyOriented Theory

The basic rightness or wrongness of an act depends on the intrinsic natures rather than upon the situation or its consequences. The word deontology came from the Greek word “deon” which means duty.

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C. Virtue Ethics Approach

Virtue Ethics, known as aretaic ethics (from the Greek word “arête”) is focused primarily on the heart of the person performing the act. It focused on the traits and virtues of a good person such as courage, temperance, wisdom and justice. Intellectual virtue is the power to deliberate about things good for oneself. Moral virtues must be lived over time in order to be learned.

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D. Divine Command Ethics

Is based on the theory that there is a Supreme or Divine being that sets down the rules to provide guidance to moral decisions.

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Autonomy  Comes from the Greek word “autos” meaning self and “nomos” meaning governance. Veracity  To maximize the efficiency of health care, the patient and the health care providers are bound to tell the truth. Beneficence / Peace Education  The principle of beneficence promotes doing acts of kindness and mercy that directly benefit the patient. Nonmaleficence  Is stated as a caution in the negative form to remind health practitioners to do no harm. Justice  Refers to the right to demand to be treated justly, fairly and equally.

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Etymology: L, nutrix, nurse; Gk, ethikos, character

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the values or moral principles governing relationships between the nurse and patient, the patient's family, other of the health professions, and the general public

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It strongly emphasizes the four-fold responsibility of nurse, the universality of the nursing practice, the scope of their responsibilities to the people they serve, to their co-workers, to society and environment, and to their profession.

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Nurses and People Nurses and Practice Nurses and Co-Workers Nurses and the Society  Contributing of the society  Awareness for the call for change Nurses and the Profession Responsibility of the Nurse to Patient Responsibility of the Nurse to the Physician Responsibility of the Nurse to her Colleagues Responsibility of the nurse toward themselves

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Holistic Nursing care

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Responsibility and ability for nursing practice and the maintenance of competence

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Assume the major role in determining and implementing acceptable standards in practice, management, education and research

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Cooperation and collaboration

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Give him/her the kind of care his/her condition needs regardless of his/her race, creed, color, nationality or status.

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Provide nursing care through utilization of the nursing process (Section 28(a) of RA 9173 )

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Establish good working relationships with co-workers.

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They shall endeavor to live a life that will uphold their self-respect.

The Golden Rule (ethic of reciprocity) 

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One should treat others as one would like others to treat oneself (positive form) One should not treat others in ways that one would not like to be treated (negative/prohibitive form, also called the Silver Rule)

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The Two-fold Effect The principle that says it is morally allowable to perform an act that has at least two effects, one good and one bad

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The Principle of Totality An individual may not dispose of his organs or destroy their capacity to function, except to the extent that this is necessary for the general well-being of the whole body

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Epikia Exception to the General Rule

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Five Legal Doctrines to Describe Professional Negligence Res Ipsa Loquitor Doctrine of Force Majeure Doctrine of Respondeat Superior Captain of the Ship Doctrine Doctrine of Corporate Liability

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International Labor Organization Convention 149 ILO Recommendation 1977 International Council of Nurses Code of Ethics for Nurses Magna Carta for Health Workers (RA 7305) Philippine Nursing Law Philippine Constitution

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an act providing for a more responsive nursing profession repealing for the purpose RA # 7164, otherwise known as the Philippine Nursing Act of 1991.

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Parricide Murder Homicide Infanticide Abortion Giving assistance to suicide Illegal Detention Simulation of birth, substitution of one child for one another, or abandonment of a legitimate child. Criminal Negligence

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Be very familiar with the Philippine Nursing Law. Beware of laws affect nursing practice. At the start of employment, get a copy of your job description, the agency’s rules, regulations and policies. Upgrade your skills and competence. Accept only such responsibility that is within the scope of your employment and job description. Do not delegate your responsibility to others.

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NURSING ETHICS & JURISPRUDENCE NF Cañizares, BSN, RN, MAN Lydia M. Venzon, RN, MAN, PhD, FPCHA and Ronald M. Venzon Professional Nursing in the Philippines 11th Edition, C&E Publishing Corp., 2010 10th Edition, C&E Publishing Corp., 2005 Rustico T. De Belen and Donna Vivian De Belen Nursing Law, Jurisprudence & Professional Ethics 1st Edition, C&E Publishing Corp., 2007 DOH Nursing Service Manual, 2005 Kozier, Erb, Berman and Snyder Fundamentals of Nursing: Concepts, Process and Practice 8th Edition, C&E Publishing Corp Commission on Higher Education CHED Memorandum Order (CMO) no. 14, S. 2009 Commission on Higher Education CHED Memorandum Order (CMO) no. 30, S. 2001