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Ethico Moral Aspects

of Nursing
ETHOS

• From the Greek word character /


culture
• Branch of philosophy-
• Right and wrong
Moral
• Personal or private interpretation
from what is good and bad
• Concerned with principles of right &
wrong or confirming to standards of
behaviour & character based on
those principles
• “do unto others what you
would like others do unto
you”
Treat kindly, with respect
• The whole is grater than its
parts
 BKA of DM client
• Exception to the general rule
• Instrument to the crime
• Accomplice
• Refuse acts like abortion, but
recommends someone
• You cannot betray yourself
• In court
• No one can force any person to
answer a question if such will
incriminate him/her
• Assisting/facilitating suicide/death
to CA/HIV/Chronically ill patient
• Cleft Lip/palate
• Person subjects himself willingly to a
clinical trial & has been told of possible
effects, is of right age, & is sane, there
is no violation of human rights
• Taking without permission large or small
quantity, still be guilty of theft
• To promise that a patient with heart transplant
will live may be an impossibility. Yet, such
procedures are done in the hope of saving or
prolonging a patient’s life. Doctors & nurses
cannot be held to the impossible if they have
done their best to take care of the patient &
the latter dies. (Venzon, 2010)
• When a nurse is faced with a
situation which may have both
good & bad effects, how should she
choose which one to follow?
(Venzon, 2010)
Basis of action may be the following:
a) The action must be morally good
b) The good effect must be willed & the bad
effect merely allowed
c) The good effect must not come from an evil
action but from the initial action itself directly
d) Good effect must be greater than the bad
effect
• The greater majority of the
population shall be considered
rather than the isolated few.
• Utilitarian principle
• Formal cooperation in an evil act is
never allowed.
• Abortion should not be participated
by the nurse even if the doctor
commands it
Ethico Moral Aspects of
Nursing
a) Code of Ethics for Nurses in the
Philippines
b)International Council of Nursing
(ICN) Code of Ethics for Nurses
CODE of ETHICS
 Systematic guide for developing ethical
behaviours
 Provides direction to Filipino nurses to
act morally
 What beliefs & values should be
morally accepted
 Not perfect
October 23, 2003
After consultation on _________________at
Iloilo City
________________with the accredited
professional organization of registered nurses,
the code was adopted under the Republic Act
9173 and promulgated by the Board of Nursing
Resolution No. 220
under ___________________________Series of
2004
July 14, 2004
last_________________.
Article 1: PREAMBLE (sections 1-3)
Article 2: REGISTERED NURSES & PEOPLE (sections 4-5)
Article 3: REGISTERED NURSES & PRACTICE (sections 6-10)
Article 4: REGISTERED NURSES & CO-WORKERS
(sections 11-12)
Article 5: REGISTERED NURSES, SOCIETY & ENVIRONMENT
(sections 13-14)
Article 6: REGISTERED NURSES & THE PROFESSION
(sections 15-16)
Article 7: ADMINISTRATIVE PENALTIES, REAPPEALING
CLAUSE & EFFECTIVITY, (sections 17-19)
ARTICLE I
Preamble
Article 1: PREAMBLE

Sec. 1. Health is a fundamental right


of every individual.
• Filipino nurse believes in the worth
and dignity of each human being,
• primary responsibility is to
.
Article 1: PREAMBLE
This responsibility encompasses
promotion of health, prevention of
illness, alleviation of suffering, and
restoration of health. However,
when the foregoing are not
possible, assistance towards a
peaceful death shall be his/her
obligation.
Article 1: PREAMBLE
Sec 2. To assume this responsibility,
A registered nurses have to gain
R knowledge and understanding
T
I
of a man’s cultural, social,
C spiritual, psychological, and
L ecological aspects of illness,
E utilizing the therapeutic
process.
I
A Cultural diversity and
R political and socio-economic
T status are inherent factors to
I
C
effective nursing care.
L
E

I
Article 1: PREAMBLE
Sec 3. The desire for the respect and
A confidence of clientele,
R
colleagues, co-workers, and the
T
I members of the community
C provides, the incentive to attain
L and maintain the highest
E possible degree of ethical
conduct.
I
ARTICLE II
REGISTERED NURSES
AND PEOPLE
Article 2: REGISTERED NURSES AND PEOPLE

A Sec.4 Ethical Principles


R 1. Values, customs, and spiritual
T
beliefs held by individuals shall be
I
represented.
C
L
E
2. Individual freedom to make
rational and unconstrained
2 decisions shall be respected.
Article 2: REGISTERED NURSES AND PEOPLE

3. Personal information
acquired in the process of
giving nursing care shall
be held in strict
confidence.
Article 2: REGISTERED NURSES AND PEOPLE
Sec 5. Guidelines to be observed
REGSTERED NURSES MUST:
a. Consider the individuality and
totality of patients when they
administer care;
b. Respect the spiritual beliefs and
practices of patients regarding diet
and treatment;
Article 2: REGISTERED NURSES AND PEOPLE

c. Uphold the rights of individuals;


and
d. Take into consideration the
culture and values of patients in
providing nursing care. However,
in the conflicts, their welfare and
safety must take precedence.
ARTICLE III
REGISTERED NURSES
AND
PRACTICE
Article 3: REGISTERED NURSES AND PRACTICE

Sec. 6. Ethical Principles


1. Human life is inviolable (must be kept sacred).
2. Quality and excellence in the care of
patients are the goals of nursing
practice.
3. Accurate documentation of actions
and outcomes of delivered care is
the hallmark of nursing accountability.
Article 3: REGISTERED NURSES AND PRACTICE
Sec.7. Guidelines to be observed
Registered Nurses must:
a. Know the definition and scope of nursing
practice which are in the provisions of
R.A. No. 9173, known as the “Philippine
Nursing Act of 2002” and Board Res. No.
425, Series of 2003, the “Rules and
Regulations Implementing the Philippine
Nursing Act of 2002”, (the IRR);
Article 3: REGISTERED NURSES AND PRACTICE

b. Be aware of their duties and responsibilities


in the practice of their profession as defined
in the “Philippine Nursing Act of 2002” and
the IRR;
c. Acquire and develop the necessary
competence in knowledge, skills and
attitudes to effectively render appropriate
nursing services through varied learning
situations;
Article 3: REGISTERED NURSES AND PRACTICE

d. If they are administrators, be responsible in


providing favorable environment for the
growth and development of Registered
Nurses in their charge;

e. Be cognizant that professional programs for


specialty certification by the BON are
accredited through the Nursing Specialty
Certification Council (NSCC);
Article 3: REGISTERED NURSES AND PRACTICE

f. See to it that quality nursing care and


practice meet the optimum standard
of safe nursing practice;

g. Ensure that patient’s records shall be


available only if they are to be issued
to those who are professionally and
directly involved in their care and when
they are required by law.
Article 3: REGISTERED NURSES AND PRACTICE
h. Insure that modification of practice
shall consider the principles of safe
nursing practice;
i. If in position of authority in a work
environment, be normally and
legally responsible for devising a
system of minimizing occurrences of
ineffective and unlawful nursing
practice; and
Article 3: REGISTERED NURSES AND PRACTICE

Sec. 8. Ethical Principle


4. Registered Nurses are the advocates of
the patients: they shall take appropriate
steps to safeguard their rights and
privileges. AUTONOMY, FIDELITY
BENEFICENCE, NON-MALEFICENCE
& VERACITY
• Ensuring patients’ SAFETY
Article 3: REGISTERED NURSES AND PRACTICE
Sec. 9. Guidelines to be observed
Registered Nurses must:
a. Respect the “Patient’s Bill of Rights” in the
delivery of nursing care;
b. Provide the patients or their families with all
pertinent information except those may be
deemed harmful to their well-being and
c. Uphold the patient’s rights when conflict
arises regarding management of their care.
Article 3: REGISTERED NURSES AND PRACTICE

Sec.
A
10. Ethical Principle
R
T
5. Registered Nurses are aware that their
I actions have professional, ethical,
C moral and legal dimensions. They strive
L to perform their work in the best
E interest of all concerned.

3
Article 3: REGISTERED NURSES AND PRACTICE

Sec. 11. Guidelines to be observed


Registered Nurses must
a. Perform their professional duties in
conformity with existing laws, rules,
regulations, measures, and generally
accepted principle of moral conduct
and proper decorum;
ARTICLE IV
REGISTERED NURSE
AND
CO-WORKERS
Article 4: REGISTERED NURSES AND CO-WORKERS

Sec.12. Ethical Principles


1. The Registered Nursebyis or
Characterized in having
solidarity with
authorityofvested
other members equally
the healthcare team
among colleagues
in working for the patient’s best interest.
NO ONE MAN SHOW!
2. The Registered Nurse maintains collegial
and collaborative working relationship
with colleagues and other health care
providers.
Article 4: REGISTERED NURSES
Knowing
ANDone’s
CO-WORKERS
place professionally in
the workplace
Sec.13. Guidelines to be observed
Registered Nurse must
a. Maintain their professional role/identity
while working with other members of the
health team; Teamwork, working for the same goal
–patient wellness
b. Conform with the group activities as
those of a health team should be based
in acceptable, ethico-legal standards;
Article 4: REGISTERED NURSES AND CO-WORKERS
c. Contribute to the professional growth
and development of other members of
the health team;• Support & encourage professional
growth
• Give justice to other disciplines
d. Actively participate in professional
organization;
e. Not act in any manner prejudicial to
other professions;
• Back
Article 4: REGISTERED NURSES ANDbiting
CO-WORKERS
co-workers – personally
& professionally
f. Honor and safeguard the reputation and
dignity of the members of nursing and other
profession; refrain from making unfair and
unwarranted comments or criticisms on their
competence, conduct, and procedures; or
not do anything that will bring discredit to a
colleague and to an member of other
professions; and
g. Respect the rights of their co-workers.
ARTICLE V
REGISTERED NURSE,
SOCIETY, AND ENVIRONMENT
Article 5: REGISTERED NURSES, SOCIETY, AND ENVIRONMENT

Sec.14. Ethical Principles


1. The preservation of life, respect for
human rights, and promotion of
healthy environment shall be a
commitment of a Registered
Nurse.
Article 5: REGISTERED NURSES, SOCIETY, AND ENVIRONMENT

2. The establishment of linkages with


the public in promoting local,
national, and international efforts to
meet health and social needs of
the people as a contributing
member of society is a noble
concern of a Registered Nurse.
• Providing
Article 5: REGISTERED NURSES, SOCIETY,
theAND
rightENVIRONMENT
information
professionally
Sec.15. Guidelines to be • Noobserved
misleading information esp.
to health concerns like drugs,
Registered Nurse must supplements, procedure and
diagnosis
a. Be conscious of their obligations as
citizens and, as such, be involved in
community concerns;
b. Be equipped with knowledge of health
resources within the community, and
take active roles in primary health care;
• Do SOCIETY,
Article 5: REGISTERED NURSES, not dishonour
ANDyour
ENVIRONMENT
profession;
• Conduct – esp in electronic age
• Inappropriate actions &
c. Actively participate in programs,
comments (sng)
projects, and activities that respond to
• Vices
• Sexual preferences
the problems of society;
d. Leads their lives in conformity with the
principles of right conduct and proper
decorum; and
e. Project an image that will uplift the
nursing profession at all times;
ARTICLE VI
REGISTERED NURSE
AND
THE PROFESSION
Article 6: REGISTERED NURSES AND THE PROFESSION

Sec.16. Ethical Principles


1. Maintenance of loyalty to the nursing
profession and preservation of its
integrity are ideal.
2. Compliance with the by-laws of the
accredited professional organization
(PNA), and other professional
organizations of which Registered Nurse
is a member is a lofty duty.
Article 6: REGISTERED NURSES AND THE PROFESSION

3.Commitment to continual learning and


active participation in the development
and growth of the profession are
commendable obligations.

4.Contribution to the improvement of the


socio-economic conditions and general
welfare of nurses through appropriate
legislation is a practice and visionary mission.
Article 6: REGISTERED NURSES AND THE PROFESSION
Sec.17. Guidelines to be observed
Registered Nurse must
a. Be members of the accredited
professional organization which is the
PNA.
b. Strictly adhere to the nursing
standards;
c. Participate actively in the growth and
development of the nursing profession;
Article 6: REGISTERED NURSES AND THE PROFESSION

d. Strive to secure equitable-


economic and work conditions in
nursing through appropriate
legislation and other means; and

e. Assert for the implementation of


labor and work standards.
ARTICLE VII
ADMINISTRATIVE PENALTIES,
REPEALING CLAUSE
AND
EFFECTIVITY
Article 7: ADMINISTRATIVE PENALTIES, REPEALING
CLAUSE, AND EFFECTIVITY

Section 18
The Certificate of Registration of the
Registered Nurse shall either be revoked
or suspend for violation of any provisions
of this Code pursuant to Sec. 23 (f), Art.IV
of R.A. No. 9173 and Sec.23 (f), rule III of
Board Res. No. 425, Series of 2003, the IRR.
Thank
you
END

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