Professional Documents
Culture Documents
13/01/2024 GN 1
Objective
After this session, the participants
can apply fundamental ethical
principles and professional codes of
conduct in their nursing practice.
13/01/2024 GN 2
Introduction
That’s
wrong!
That is • No, it’s fine
cheating!
• No it is not
13/01/2024 GN 3
TPS
13/01/2024 GN 4
KNOWN TO
BEHAVIOR OTHERS 10 %
KNOWLEDGE &
SKILLS
SEA LEVEL
13/01/2024 GN 5
www.kennisgroup.com
Value
13/01/2024 GN 6
The drive of individual value
Culture
Religious
Family background
Value
Peer Societal
groups traditions
13/01/2024 GN 7
Professional values
• Altruism
• Autonomy
• Human dignity
• Integrity
• Social justice
13/01/2024 GN 8
Values clarification
• The process of becoming more conscious of and naming what one
values or considers worthy.
• Nursing Values
o Strong commitment to serve
o Compassion
o Commitment to education
o Autonomy
13/01/2024 GN 10
Attitude
13/01/2024 GN 11
Behavior
13/01/2024 GN 12
Human conduct
13/01/2024 GN 13
Character
13/01/2024 GN 14
Morality
• Learned
13/01/2024 GN 15
Moral distress
• Inability to follow personal moral beliefs because of
institutional or other restriction
13/01/2024 GN 16
Moral outrage
• Occurs when someone else in the health care setting performs an
act the nurse believes to be immoral.
• Nurses not responsible for wrong but perceive that they are
powerless to prevent.
• How many of you have seen this? Why you were powerless?
Any attempt? To what extent? Were you morally, right? How ?
13/01/2024 GN 17
Ethics
• Comes from the Greek word “ethos,” meaning character, different thing to
different people
13/01/2024 GN 18
Nursing Ethics
13/01/2024 GN 19
Fundamental
13/01/2024
Ethical Principles
GN
20
Breakout: Brainstorming
questions
13/01/2024 GN 21
Fundamental Principles of Ethics
Ethical principles Central concept
Autonomy Self-determination
Beneficence Doing good
Non-maleficence Avoiding harm
Veracity Truth-telling
Confidentiality Keeping secret
Fidelity Keeping promises
Justice Treating people fairly
13/01/2024 GN 22
1.Autonomy
• The freedom to make decisions about
oneself
• The right to self-determination
• Must have the capacity to make decisions
independently:
o Developmental considerations
o Health-related challenge
• Involves Informed consent
13/01/2024 GN 23
Breakout
Informed consent?
13/01/2024 GN 24
Informed consent
13/01/2024 GN 25
Breakout
Informed consent
Who cannot give
consent?
13/01/2024 GN 26
Those who
can't consent
Legally underaged
Mentally
incapacitated
13/01/2024 GN 27
Obtaining consent:
Responsibility of
Nurses/Midwives
1. Witness
3. Advocacy
13/01/2024 GN 28
Breakout
Informed consent
Who should obtain
consent?
13/01/2024 GN 29
Breakout
Informed consent
Forms of consent?
13/01/2024 GN 30
Forms of Consent
1. Written consent
2. Verbal consent
13/01/2024 GN 31
2.Beneficence
13/01/2024 GN 32
• Above all, do not harm, either
unintentionally or deliberately
3.Nonmaleficence
13/01/2024 GN 33
Implies “truthfulness”
4.Veracity
Nurses must not withhold the whole
truth from patients, even if they believe
the truth will cause distress.
13/01/2024 GN 34
5.
Confidentiality
Anything stated to nurses by
patients must remain confidential
Safeguarding the client’s
information, health records,
and privacy
Maybe violated if it
o May inflict harm to themselves
or others
13/01/2024 GN 35
13/01/2024
6.Fidelity
GN
commitments
36
7. Justice
13/01/2024 GN 37
Ethical/Moral
dilemmas
13/01/2024 GN 38
Ethical/Moral
dilemmas
• A situation that requires an individual to
choose between two equally unfavorable
alternatives, neither of which resolves the
situation in an ethically acceptable fashion
13/01/2024 GN 39
Ethical Dilemmas
Right Right
value, value,
goal goal
and and
ethical ethical
ideals ideals
13/01/2024 GN 40
Ethical Dilemmas
13/01/2024 GN 42
Moral/ethical dilemma Example#2: Sophie’s choice
13/01/2024 GN 44
How do you
resolve a moral
dilemma?
• Is it always a matter of
the consequences or
results?
13/01/2024 GN 45
Ethical Decision-
Making Process
13/01/2024 GN 46
Ethical Decision-Making
Process Framework
1. Step One: Describe the problem
2. Step Two: state the Ethical dilemma
3. Step Three: Clarify Values
4. Step Four: Gather your information
5. Step Five: Review Code of Ethics and ethical principles
6. Step Six: Determine the options
7. Step Seven: Select a course of action
8. Step Eight: Put your plan into action.
9. Step Nine: Evaluate the results.
13/01/2024 GN 47
Clinical Ethics Grid system/model
1. Review the ethical principles
2. Medical indications:
• Patient medical problem, history, diagnosis, and goals
of treatment.
3. Patient preference for treatment
4. Quality of life:
• What are the prospects, with or without treatment, for a
return to the patient's normal life?
5. Contextual factors:
• Are there family issues that might influence treatment
decisions
13/01/2024 GN 48
Potential Malpractice Situation in Nursing
1. Medication error( violating the 5’s )
13/01/2024 GN 50
Maintaining Standards of
Nursing
13/01/2024 GN 51
NURSING STANDARDS OF
CARE
13/01/2024 GN 52
Nursing standards of care
1. Standard I: Assessment
2. Standard II: Nursing Diagnosis/Problem Identification
3. Standard III: Outcome Identification
4. Standard IV: planning
5. Standard V: Implementation/intervention
Standard V-A: Intervention-Therapeutic Alliance
Standard V- B: Intervention-Counseling
Standard V-C: Intervention- Self-Care Activities
Standard V-D: Intervention- Psychobiological Interventions
Standard V-E: Intervention- Health Teaching
Standard V-F: Intervention- Case Management
Standard V-G: Intervention-Health Promotion and Health Maintenance
Standard V-H: Intervention-Therapeutic Environment, As Appropriate
nursing practice.
profession.
interpretative
13/01/2024 statement GN 55
NPA
• Ethiopia has no NPA but governed by health
13/01/2024 GN 56
Nursing code of ethics
Policy makers
Society as a whole
13/01/2024 GN 57
Principles of nurses’ Code of Conduct
1. Quality and excellence
2. Continuous professional development
3. Human rights
4. Equitable access to quality healthcare
5. Compliance with Code of ethics and conduct
6. Honesty and integrity
7. Relationships with others
8. Information
9. Informed consent
10. Confidentiality
11. Conflict with moral and ethical beliefs
12. Delegation to and supervision
13/01/2024 GN
of staff 58
Top 10 Qualities of a Professional and Ethical Nurse
1. Communication skills
2. Emotional stability
3. Empathy
4. Flexibility
5. Good attention to detail
6. Interpersonal skills
7. Physical endurance
8. Problem solving skills
9. Quick response
10. Respect
13/01/2024 GN 59
13/01/2024 GN 60