Advanced Medical-Surgical Nursing 1

8/4/2019 Advanced Medical-Surgical Nursing 1

1/31

PREPARED BY:Ms. Irene Aquino Ms. Bernadette Endaya


2/31

1. How is confidentiality (of their medical file, etc.)explained/presented to your patients? Are there any limits to theirconfidentiality?

2. What do you have privilege in knowing about a patient?

3. What would you do if your nursing records/charts weresubpoenaed?

4. How are the right's of minors treated differently?

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


3/31

Nursing Ethics is concerned with the principlesand right conduct as they apply to the nursingprofession.

Nursing Jurisprudence is that department of lawwhich comprises all the legal rules and principlesaffecting the practice of nursing.


4/31

A. Teleological Approach or Act ofUtilitarianism

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 promotionof happiness or the greatest net increase of pleasureover pain.


5/31

B. Deontological Approach or Duty-Oriented Theory

The basic rightness or wrongness of an act depends onthe intrinsic natures rather than upon the situation or itsconsequences.

The word deontology came from the Greek word deonwhich means duty.


6/31


7/31

D. Divine Command Ethics

Is based on the theory that there is a Supreme or Divinebeing that sets down the rules to provide guidance tomoral decisions.


8/31

Autonomy

Comes from the Greek word autos meaning self and nomosmeaning governance.

Veracity

To maximize the efficiency of health care, the patient and thehealth care providers are bound to tell the truth. Beneficence / Peace Education

The principle of beneficence promotes doing acts of kindness andmercy that directly benefit the patient.

Nonmaleficence

Is stated as a caution in the negative form to remind healthpractitioners to do no harm. Justice

Refers to the right to demand to be treated justly, fairly and equally.


9/31

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

the values or moral principles governingrelationships between the nurse and patient,

the patient's family, other members of thehealth professions, and the general public


10/31

It strongly emphasizes the four-foldresponsibility of nurse, the universality of the

nursing practice, the scope of theirresponsibilities to the people they serve, totheir co-workers, to society and environment,and to their profession.


11/31

Nurses and People

Nurses and Practice

Nurses and Co-Workers Nurses and the Society

Contributing members 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


12/31

Holistic Nursing care


13/31

Responsibility and accountability for nursing practiceand the maintenance of competence


14/31

Assume the major role in determining andimplementing acceptable standards in practice,

management, education and research


15/31

Cooperation and collaboration


16/31

Give him/her the kind of care his/her condition needs

regardless of his/her race, creed, color, nationality orstatus.


17/31

Provide nursing care through utilization of the

nursing process(Section 28(a) of RA 9173 )


18/31

Establish good working relationships with co-workers.


19/31

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


20/31

The Golden Rule (ethic of reciprocity)

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 calledtheSilver Rule)
http://en.wikipedia.org/wiki/Silver_Rulehttp://en.wikipedia.org/wiki/Silver_Rule


21/31

The Two-fold Effect

The principle that says it is morally allowable to performan act that has at least two effects, one good and onebad


22/31

The Principle of Totality

An individual may not dispose of his organs or destroytheir capacity to function, except to the extent that thisis necessary for the general well-being of the wholebody


23/31

Epikia

Exception to the General Rule


24/31

Five Legal Doctrines to Describe ProfessionalNegligence

Res Ipsa Loquitor

Doctrine of Force Majeure

Doctrine of Respondeat Superior

Captain of the Ship Doctrine

Doctrine of Corporate Liability


25/31


26/31

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


27/31

an act providing for a more responsive nursingprofession repealing for the purpose RA # 7164,

otherwise known as the Philippine Nursing Act of 1991.


28/31

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


29/31

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 agencys rules, regulations andpolicies.

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.


30/31


31/31

NURSING ETHICS & JURISPRUDENCE NF Caizares, 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

Documents

Advanced Medical-Surgical Nursing 1