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Ethical Principles In Nursing Practice
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Definition of Ethics: A system of moral principles that influence how people make decisions and lead their lives. Why Ethics Matter in Nursing: o Nurses make life-impacting decisions. o They advocate for vulnerable populations. o They face dilemmas where there is no clear right or wrong.
Definition: Respecting a patient's right to make their own decisions. Example: Supporting a patient's decision to refuse treatment—even if you disagree.
Definition: Acting in the best interest of the patient. Example: Providing pain relief even if the prognosis is poor.
Definition: "Do no harm." Avoiding actions that can cause unnecessary suffering. Example: Not administering a medication known to have adverse effects without a clear indication.
Definition: Fairness in care delivery and resource allocation. Example: Providing equal care to all patients, regardless of socioeconomic status or background.
Definition: Being loyal, truthful, and keeping commitments.
Example: Following through on what you tell your patient you will do.
Definition: Being honest and transparent. Example: Informing a patient about a medical error, even when it's uncomfortable.
3. The ANA Code of Ethics Developed by the American Nurses Association (ANA). A guide for carrying out nursing responsibilities in a manner consistent with quality care and ethical obligations. Key provisions include: o Compassion and respect for every person. o Commitment to the patient. o Advocacy for patient rights. o Accountability and integrity. 4. Common Ethical Dilemmas in Nursing
DNR orders, palliative care vs. aggressive treatment.
Patients not understanding or being pressured to agree.
When disclosing information is necessary to protect others (e.g., suicidal patients).
ICU beds, ventilators, or medication shortages—especially during crises like pandemics.
5. The Role of the Nurse in Ethical Decision-Making