STUDENT NOTES - Foundation and Principles of Bioethics in NursingFull description
ETHICAL RESPONSIBILITY OF INDEPENDENT AUDITORS SEMINAR AUDITDeskripsi lengkap
Green Business.Full description
Ethical values of Corporate movieFull description
Full description
Fundamentals of nursing notes f you have questions please email me> [email protected]
FUNDAMENTALS OF NURSING I. Nursing Theorists
nursing reviewer (funda)
To download this document visit http://nursingstudentreviewers.blogspot.com/Full description
Nursing OrganizationsFull description
Fundamentals of nursing notes f you have questions please email me> [email protected]
Group 2 – Presentation
Class 3B – Ilmu Keperawatan (S-1)
Nur Indah Puspitasari (21311!") Indah Sari #e$rian% (21311!"") Sae&ul 'ardani (21311!") u*man ati& Nurha*im (21311!+") Sinta ,iana aha%u (21311!.")
/thi0al Prin0iples o& Nursin The ethical principles provide a foundation for nursing practice. Ethical principles are defin defined ed as basis basis for nurse nurse’s ’s decis decision ions s on consi consider derat ation ion of cons conseq equen uences ces and and of universal moral principles when making clinical judgments. utonom% - agreement to respect another's right to self-determine a course of action; support of independent decision making. nformed consent is a method that promotes and respects a person’s autonom!. "or a client to make an autonomous decision and action# he or she must be offered enough information and options to make up his or her mind free of coercion or e$ternal and internal influences. n clinical settings# this is promoted b! proving informed consent to the client.
E$ample E$ample%% n clinical clinical situatio situations ns nurses nurses respect respect a patient patient’s ’s autonom! autonom!## where where the patient is allowed the freedom of choice regarding treatment# such as in deciding wheth whether er he&s he&she he wish wishes es to be intuba intubate ted d durin during g an e$ace e$acerb rbati ation on of ()* ()*## or deciding deciding when he&she wishes to forgo further dial!sis. f a patient lacks capacit! for such a decision and has an advance directive# the person who has the durable power of attorne! can make the decision. avoidance ce of harm harm or hurt; core of medical oath Nonmale&i0en Nonmale&i0en0e 0e +no harm, - avoidan and nursing ethics. (ften in modern times# nonmaleficence e$tends to making sure !ou are doing no harm harm in the the bene benefi fice cent nt act act of usin using g tech techno nolo log! g! to e$te e$tend nd life life or in usin using g e$perimental treatments that have not been well tested. This is promoted b! doing the following nursing interventions% . voidin voiding g deliberate deliberate harm# harm# risk of harm that occurs occurs during the perform performanc ance e of nursing actions. /. onside onsidering ring the the degree degree of risk risk permis permissibl sible. e. *etermining whether the use of technological advances provides benefits that outweigh risks.
E$ample% 0hen this elderl! person above received pain medication +an act of beneficence, there are complications that could arise. )ractitioners recogni1e that using a narcotic ma! cause confusion. 0hen obtaining the consent for her hip surger!# we want to make certain that the patient is alert enough to understand the risks and benefits of the procedure. 0e must balance the beneficence of providing the medication quickl! with the possible maleficence of obtaining a consent when patient does not have the capacit! to make the decision for surger!. Bene&i0ien0e +doing good , - compassion; taking positive action to help others; desire to do good; core principle of our patient advocac!. 2eneficence is doing or active promotion of good. This is done b!%
. )roviding health benefits to the clients. /. 2alancing the benefits and risks of harm. 3. onsidering how a client can be best helped. E$ample% n elderl! patient falls at home and has a fractured hip. n the emergenc! room# the nurse acts to provide pain medication as soon as possible in an act of beneficence. usti0e - this principle refers to an equal and fair distribution of resources# based on anal!sis of benefits and burdens of decision. 4ustice implies that all citi1ens have an equal right to the goods distributed# regardless of what the! have contributed or who the! are. "or e$ample# in the 56# we all have rights to services from the postal service# firefighters# police# and access to public schools# safe water# and sanitation. 4ustice is the promotion of equit! or fairness in ever! situation a nurse encounters. The following nursing implications promote justice%
. Ensuring fair allocation of resources. +e$ample% appropriate staffing or mi$ of staff to all clients, /. *etermining the order in which clients should be treated. +e$ample% priorit! treatments for the clients in pain, E$ample% hospital organi1ation wishes to donate low or no-cost pediatric dental services to the communit!. There are openings for 78 children per month. 4ustice requires a fair method# that is free from bias# to determine who will receive these services.
4era0it% + honesty , - the principle of truth telling# and it is grounded in respect for persons and the concept of autonom!. n order for a person to make full! rational choices# he or she must have the information relevant to his or her decision. 9oreover# this information must be as clear and understandable as possible. Truth telling is violated in at least two wa!s. The first is b! the act of l!ing# or the deliberate e$change of erroneous information.
E$ample% 9easures infusion must be conducted in accordance with standard operating procedures that appl! where the client was treated. Con&identialit% + secrecy , : respect privileged information; information about the client must be maintained client privac!. *ocumentation about the state of health of clients can onl! be read for the purposes of treatment and health improvement of clients. *iscussion on clients outside the service area should be avoided
E$ample% urses should not be confiding client to someone else# unless the permission of the client or the permission of the famil! for the sake of the law. #idelit% +keeping promises, - this principle requires lo!alt!# fairness# truthfulness# advocac!# and dedication to our patients. t involves an agreement to keep our promises. "idelit! refers to the concept of keeping a commitment and is based upon the virtue of caring.
E$ample% patient asks the nurse not to reveal the fact that she is d!ing or give her diagnosis to his famil!. The nurse asks wh! she does not want her famil! advised. The patient e$plains that her famil! is ver! emotional and has stated the! would do ever!thing to keep her alive# even if it required long-term mechanical ventilation. The patient has e$plained multiple times that she does not want mechanical ventilation. The nurse recogni1es that keeping of this information in confidence# while supporting the famil!# is an e$ample of e$ercising fidelit!. 00ounta$ilit% : definite standard that measures a professional can be assessed in a situation that is unclear or signs e$ception.
E$ample% urses are accountable for themselves# the profession# clients# fellow colleagues# emplo!ees# and communities. f the nurse gave the wrong dose of medication to clients nurse ma! be sued b! clients who received the drug# ph!sicians who provide discretionar! task# and communities demanding professional skills.
