ethics, professional conduct and management - learninglearning.ufs.ac.za/fst409_on/resources/2...
TRANSCRIPT
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J. Human
2012
Core ethical
values and
standards
Ethics, professional
conduct and management
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• Brief review of ethical cornerstones
• HPCSA: 13 core ethical values and
standards for good practice
• How to resolve ethical dilemmas
(WMA & HPCSA)
Skeleton for this lecture:
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Vow of Graduands in Physiotherapy at UFS
On receiving my degree in Physiotherapy at the University of the Free State, and
my entrance to the profession of Physiotherapy, I hereby solemnly declare that:
• I shall dedicate myself to serve humanity;
• I shall maintain the integrity and honourable traditions of my
profession conscientiously and with dignity;
• I shall consider the promotion of the health of my patients as my
primary duty;
• I shall carefully protect all confidential information regarding my
patients;
• I shall always conduct myself honourably towards colleagues at all
times;
• I shall continue to promote the status of my University, and treat
those who had taught me with respect and gratitude.
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Registration at HPCSA right and
privelege to practise our profession.
HPCSA – booklet 1
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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Correspondingly,
practitioners have moral
or ethical duties to others
and society.
(According to principles of the
SA Constitution (Act no. 108 of
1996) and obligations by law.)
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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Impossible to prescribe a set of rules for every
real life ethical situation.
Ethical reasoning
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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Ethical cornerstones in Physiotherapy –review
Ethics
• Autonomy • Beneficence • Non-maleficence • Justice
Human
rights
Medical
ethics
Medical
law
Rational
approach by
individual
Principlism
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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13 core ethical values and standards for good
practice
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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1. Respect for persons
Patients as persons
Acknowledge their instrinsic
worth
Dignity
Sense of value
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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2. Best interests or well being (Non-maleficence)
Not harm
Not act against best
interests of patients
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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3. Best interests or well being (Beneficence)
Act in the best interest of the patient
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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4. Human rights
Recognise the human rights of all
individuals
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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5. Autonomy
Honour the right of
patients to self-
determination and to
make their own
informed choices and to
live their lives by their
own beliefs, values and
preferences.
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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6. Integrity
Incorporate these core
ethical values and
standards as the foundation
for their character and
practise as responsible
health care professionals.
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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7. Truthfullness
Truth and truthfullness
should be regarded as the
basis of trust in their
professional relationships
with patients
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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8. Confidentiality
All personal or
private information
should be regarded
as confidential in
professional
relationships with
patients
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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9. Compassion
Sensitive to and
empathise with the
individual and social
needs of patients and
seek to create
mechanisms for
providing comfort and
support where
appropriate and possible
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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10. Tolerance
Respect the rights
of people to have
different ethical
beliefs
May arise from
deeply held
personal, religious
or cultural
convictions
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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11. Justice
Treat all individuals and
groups in an impartial, fair
and just manner
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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12. Professional competence and self-
improvement
Highest level of
knowledge and skills
required within their area
of practice.
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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13. Community
Strive to contribute to the
betterment of society in
accordance with your
professional abilities and
standing in the community
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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How to resolve ethical dilemmas
Ethical reasoning
• Formulate the problem
• Gather information
• Consider options
• Make a moral assessment
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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Decide if the issue at hand is an
ethical issue
Is there a better way of
understanding it
How to resolve ethical dilemmas
• Formulate the problem
• Gather information
• Consider options
• Make a moral assessment
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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• Clinical, Personal and
Social data
• Consult
• Guidelines
• Assosiations (SASP)
• Respected colleagues
(determine how similar
matters are dealt with)
How to resolve ethical dilemmas
• Formulate the problem
• Gather information
• Consider options
• Make a moral assessment
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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Alternative solutions in light of the
principles and values they uphold
How to resolve ethical dilemmas
• Formulate the problem
• Gather information
• Consider options
• Make a moral assessment
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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What are the likely consequences of each
option?
How to resolve ethical dilemmas
• Formulate the problem
• Gather information
• Consider options
• Make a moral assessment
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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What are the most important values,
duties and rights? Which weighs the
heaviest?
How to resolve ethical dilemmas
• Formulate the problem
• Gather information
• Consider options
• Make a moral assessment
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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What are the weaknesses of the health
core practitioner ‘s individual view
concerning the correct option?
How to resolve ethical dilemmas
• Formulate the problem
• Gather information
• Consider options
• Make a moral assessment
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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How would the health care practitioner
himself or herself want to be treated
under similar circumstances – that is,
apply the Golden Rule?
How to resolve ethical dilemmas
• Formulate the problem
• Gather information
• Consider options
• Make a moral assessment
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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How does the health care practitioner
think that the patient would want to be
treated in the particular circumstances.
How to resolve ethical dilemmas
• Formulate the problem
• Gather information
• Consider options
• Make a moral assessment
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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Discuss your proposed solution with those
whom it will affect
How to resolve ethical dilemmas
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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Act with sensitivity
How to resolve ethical dilemmas
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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Evaluate your decision and be prepared to
act differently in the future
How to resolve ethical dilemmas
HPCSA. 2008. General Ethical Guidelines for the Health Care Professions – booklet 1. Pretoria
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• Brief review of ethical cornerstones
• HPCSA: 13 core ethical values and
standards for good practice
• How to resolve ethical dilemmas
(WMA & HPCSA)
Meat for this lecture: