Upload
zafieys-jehan
View
1.823
Download
8
Tags:
Embed Size (px)
Citation preview
CODE OF PROFESSIONAL CONDUCT FOR NURSES
Hjh Ajimah Hassan AMN; PPN
5/3/2007 @ 1054am 2
Definition
Code : Systematic collection of statutes, body of laws so arranged as
to avoid inconsistency and overlapping ; set of rules on any subject
5/3/2007 @ 1054am 3
Ethics
The term ethics derives from the Greek ‘ethos’ meaning custom or character.Ethics refers to the practices, beliefs and standards of behaviour.Nurses are accountable to their ethical conduct.
5/3/2007 @ 1054am 4
Nursing Codes of Ethics
A code of ethics is a formal statement of a groups ideals and values. It is a set of ethical principles that is shared by members of the group, reflects moral judgments over time, and serves as a standard for their professional actions.
5/3/2007 @ 1054am 5
Purposes
To inform the public about the minimum standardTo provide a sign of the profession’s commitment to the public it serves.To outline the major ethical considerations of the professionTo provide general guidelines for professional behavior.To guide the profession in self-regulation.To remind nurses of the special responsibility they assume when caring for clients.
5/3/2007 @ 1054am 6
KEY WORDS
Autonomy is an essential element to professional nursing.Autonomy means that a person is reasonably independent and self governing in decision making and practice.Nurses attain increased autonomy through higher levels of education.
5/3/2007 @ 1054am 7
Cont’d autonomy
Through clinical competence and diverse practice settings, nurses are increasingly taking on independent roles in nurse-run clinics, collaborative practice, and advanced nurse practice settings.Autonomy refers to self-determination and the right to make ones own decision.
5/3/2007 @ 1054am 8
Accountability
Accountability means that the nurse is responsible, professional and legally for the type and quality of nursing care provided.The nurse is accountable for keeping abreast of technical knowledge needed to perform nursing care.The nursing profession itself regulates accountability through nursing audits and standard of practice.
5/3/2007 @ 1054am 9
CaringCaring is about people – with people, for people, to people and as people. This makes caring unique. Benner and Wrubel (1989) proposed caring
as the central goal of nursing as well as a basis for nursing ethics.An ethic of caring is based on relationships.Caring theories stress courage, generosity, commitment and responsibility.Caring is a force for protecting and enhancing client dignity. E.g nurse use touch and truth telling.
5/3/2007 @ 1054am 10
An Ethic of Care
Rita Maning (1998) describe five elements of caring that constitute a care ethics.
1. Moral attention.2. Sympathetic understanding.3. Relationship awareness.4. Accomodation5. Response Caring helps our clients to understand their
illness and how to cope with it.
5/3/2007 @ 1054am 11
Milton Mayerroff (1972) identified eight major components necessary for caring.Knowledge
Alternating rhythmsPatienceHonestyTrustHumilityHopeCourage
5/3/2007 @ 1054am 12
According to Mayerroff :
Commitment is essential to caring. For nurses, commitment can be perceived as a duty to care and directed by an ethic of care
5/3/2007 @ 1054am 13
The FIVE C’s of Caring
1. Compassion2. Competence3. Confidence4. Consience5. Commitment
5/3/2007 @ 1054am 14
Nursing Measures That Protect Nurses and Clients
Know your job descriptionFollows the policies and procedures (IPP)Always identify clients before implementing nursing activities.Report all incidents or accidents involving clients.Maintain your clinical competence.Know your own strength and weakness.
5/3/2007 @ 1054am 15
Cont’d
Question any order if a client’s condition has changed since it was written.Question and record verbal orders to avoid miscommunication.Question standing orders if you are inexperienced in the particular area.
5/3/2007 @ 1054am 16
Types of Regulation
Health care is regulated in many ways and influenced to varying, degrees by several types of rule or ‘law’. These can be broadly divided as follows :-
a) Objectives rulesLaw as commonly identified (i.e
civil law and criminal law)Nursing registrationCode of Professional Conduct
5/3/2007 @ 1054am 17
Cont’d
2) Subjectives Rules
Social StandardsCultural StandardsMoral StandardsPersonal Standards
5/3/2007 @ 1054am 18
Objective
Code of Professional Conduct is classified under Objective rules, which are characterized by being imposed, enforced and obligatory and applied to areas of professional work where a clear statement of guidance and control is required for reasons of safety and public policy.
5/3/2007 @ 1054am 19
Cont’d Each Registered Nurse shall act, at all
times to :-Safeguard and promote the interests of individual patients and clients.Serve the interests of society.Justify public trust and confidenceUphold and enhance the good standing and reputation of the profession.
5/3/2007 @ 1054am 20
Code of Ethics
Examples :-1. American Nurses Association : Code for
Nurses2. Australian Nursing Council Inc. Code of
Ethics3. California Nurses Association : Code for
Registered Nurses4. International Council of Nurses : Code
for Nurses5. Lembaga Jururawat Malaysia : Code of
Professional Conduct For Nurses, 1998
5/3/2007 @ 1054am 21
Code of Ethics1. American Nurses Association : Code for Nurses
“ The Code for Nurses is based on belief about the nature of individuals, nursing, health and society. Nursing encompasses the promotion and restoration of health the prevention of illness and the alleviation of suffering. The statements of the Code and their interpretation provide guidance for conduct and relationship in carrying out nursing responsibilities consistent with the ethical obligations of the profession and quality in nursing care”
5/3/2007 @ 1054am 22
Code of Ethics
2. Australian Nursing Council Inc : Code of Ethics“ The purpose of this Code of Ethics is to : identify the fundamental moral commitments of the profession, provide nurses with the basis for professional and self reflection and a guide to ethical practice ; and indicate to the community the values which nurses hold. Nurses support and enable individual, families and group to maintain, restore or improve their health status, or to be cared for and comforted when deterioration of health has become irreversible.”
5/3/2007 @ 1054am 23
Code of Ethics
3. California Nurses Association : Code For Registered Nurses“ CNA recognizes the importance of a code for registered nurses that will foster high standards of nursing practice and promote quality patient care. The CNA code for Registered Nurses reflects the principles inherent in the Florence Nightingale Pledge ”
5/3/2007 @ 1054am 24
Code of Ethics4. International Council of Nurses : Code for
Nurses“ The fundamental responsibility of the nurse is fourfold : to promote health, to prevent illness, to restore health and to alleviate suffering. The need for nursing is universal. Inherent in nursing is respect for life, dignity and rights for man. It is unrestricted by considerations of nationality, race, creed, color, age, sex, politics or social status. Nurses render health services to the to the individual, the family and the community and coordinate their services with those of related groups.”
5/3/2007 @ 1054am 25
CODE OF PROFESSIONAL CONDUCT FOR NURSES (1998) NURSING BOARD MALAYSIA
PREAMBLE
Nursing contributes to the health and welfare of society through the protection, promotion and restoration of health; the prevention of illness, and the alleviation of suffering in the care of individuals, families and communities.
5/3/2007 @ 1054am 26
In carrying out the above responsibilities, the nursing profession strives to safeguard the interest of society by ensuring that is practitioners abide by a code of professional conduct.
Every registered nurse has a moral obligation to adhere to the profession's code of conduct. It offers guideline for professional behavior and practice and can be used as a standard against which complaints of professional misconduct are considered. It complements the Nurses’ Act and Regulations, 1985 ( Part V Practice and Part IV on Disciplinary Proceedings).
5/3/2007 @ 1054am 27
5/3/2007 @ 1054am 28
5/3/2007 @ 1054am 29
5/3/2007 @ 1054am 30
5/3/2007 @ 1054am 31
5/3/2007 @ 1054am 32
5/3/2007 @ 1054am 33
5/3/2007 @ 1054am 34
5/3/2007 @ 1054am 35
5/3/2007 @ 1054am 36
5/3/2007 @ 1054am 37
5/3/2007 @ 1054am 38
5/3/2007 @ 1054am 39
5/3/2007 @ 1054am 40
NURSING BOARD MALAYSIAMinistry of Health3rd Floor, Block E1,Parcel EFederal Government Administrative
Centre,62250 Putrajaya
Tel:03 – 8883 1336Fax:03 – 8883 1346Email : [email protected]