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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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