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NCM 107NURSING

LEADERSHIP

ANDMANAGEMENT

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JURISPRUDENCE theory &

philosophy of law which aimstoa.To understand the

fundamental nature of thelaw & to analyze its purpose,

structure & applicationb.Acquire a deeper meaning of the law, the kind of powerthat it exercises & its role in

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Nursing law, jurisprudence & ethics arevery vital components in the practice

of the nursing profession becausethey serve as guides for satisfyingboth the human & health needs of

the patients for total quality &efficient care & the professionalneeds of nurses for advancement,professionalism & autonomy.

It assists nurses in the decision makingprocess & protect them in the legal

rocess.

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3 impt. Legal principles inNursing Professional Ethics

AUTONOMY INFORMED CONSENT CONFIDENTIALITY

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AUTONOMY

Self governing It denotes having the

freedom to makeindependent choices

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INFORMED CONSENT Means that the person understands

fully the implications &consequences of having/ allowing orrefusing a treatment.

Basic elements of Informed Consent:a.Voluntaryb.Legal capacityc.Sufficient understanding

d.Enlightened decision

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One exception is in absolutelyemergency cases.

Another limitation toinformed consent is when the

patient is a minor or isincapacitated or afflicted withmental illness that couldaffect his judgment.

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CONFIDENTIALITY

It means that nurses areprohibited to share the

information they obtainedfrom the patient in theprocess of nursing service unless it is in compliance witha higher duty such as

preserving life, following

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3 major approaches in NursingEthics

Deontological

approach Ethical skepticism utilitarianism

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DEONTOLOGICALAPPROACH

Upholds the use of universal code & principlewhen making ethicaldecisions in nursing

practice.

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ETHICAL SKEPTICISM

Follows the principle of relativity in which ethical

standards are considered notuniversal but are related toones particular belief,culture, time and evenindividual ideology or

persuasion.

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UTILITARIANISM

Espouses the practicalapproach to nursing ethicsin which the ethicalstandards are based on

the assessment of thecosts and benefits of nursing action.

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END JUSTIFIES THE MEANETHIC

It is a case of either goodmeans, bad end or bad

means, good end Human happiness.

Considered are the nursinggoals, the rights and beliefsof the patients, & the dutiesof the nurse.

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2 PROFESSIONAL CODES:

1. CODE OF ETHICS consists of declaration of faith, beliefs & idealswhich the profession upholds & themembers conform to & follow.

2. CODE OF CONDUCT a paradigmof moral action or a framework of behavior.

- it is a statement about how theprofession considers its membersshould behave towards the client

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HISTORY OF THE CODE OFETHICS IN THE PHILIPPINES

1982 year when PNA unanimouslyapproved its first Code of Ethics forNurses

March 21, 1984 - year when the PRC-BON adopted the ICN Code of Ethicsas an integral part of the Code of

Ethics for Nurses in the Phil.October 18, 1989 Code of Ethics was

amended and on the same date the

said code was approved by the PRC

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July 14, 2004 New Code of Ethics wasfinally promulgated.

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Important features of the NewCode of Ethics:

1.Adoption of the Code of Goodgovernance

2.Recognition of the Patients Bill of Rights

The most important articles of theNew Code of Ethics:

a.RN & peopleb.RN & practicec.RN & co-workers

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RN & PEOPLE

Respect the values, customs& spiritual beliefs Respect individual freedom to

make rational &unconstrained decisions

Hold in strict confidencepersonal information acquiredin the process of givingnursin care

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RN & PRACTICE Inviolability of human life Goal of quality & excellent patient

care The accountability for accurate

documentation of action & outcomes Advocates of patients by respecting

the Patients Bill of Rights The awareness of the professional,

ethical, moral & legal dimensions of

their actions

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RN & co-workers

In solidarity w/ othermembers of the health team

for the best interest of thepatient

Maintain collegial &collaborative workingrelationships w/ colleagues &

other health care providers

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RN, SOCIETY &ENVIRONMENT

Preservation of life, respectfor human rights &

promotion of a healthyenvironment The establishment of

linkages w/ the public inpromoting local, national &international efforts to meet

health & social needs of the

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RN & THE PROFESSION

Maintenance of loyalty to thenursing profession

Compliance w/ the by laws of the

PNA Commitment to continual

learning & active participation in

the development & growth of theorganization Contribution to the improvement

of the socio-economic conditions

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SANCTION

ANY VIOLATION OF ANYPROVISION OF THIS CODE &

RA 9173 & ITS IRR, thecertificate of registration of nurses is subject tosuspension or revocationafter due proceedings.

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ICN Code of Ethics

4 fundamental responsibilitiesof Nurses:

To promote health To prevent illness To restore illness To alleviate suffering

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2 Impt Universal Principlesin ICN preamble

That the need fornursing is universal

Respect for humanrights is inherent in

nursing

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4 principal elements of ICNCode of Ethics for Nurses

Nurses & people Nurses & practice Nurses & the profession Nurses & co-workers

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ETHICO-LEGAL RIGHTS &DUTIES

EXCEPTIONS:

1.Right to appeal toconscience

2.Right to endsuffering

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5 CHRISTIAN HEALTHETHICS PRINCIPLES

1.STEWARDSHIP2.INVIOLABILITY OF HUMAN

LIFE3.TOTALITY

4.PRINCIPLE OF DOUBLEEFFECT

5.SEXUALITY AND

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