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Ethics in nursing

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Moral practical activities. Three aspects: Moral cognition. Moral criterion. Moral behavior ... Nursing morality is a summation of behavioral guild line and ... – PowerPoint PPT presentation

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Title: Ethics in nursing


1
Ethics in nursing
Li Xiaohan
Nursing School China Medical University
2
Unit1 Morality and ethics Unit2 Occupational
morality and life ethics Unit3
Nursing morality and nursing ethics
3
Unit1 Morality and ethics
  1. Morality
  2. Ethic and ethics

4
1. Morality
1.1 Meaning of morality 1.2 Function of morality
5
1.1 Meaning
1.1.1 Definition 1.1.2 Two fields and three
aspects
6
Definition of morality
The morality is a social consciousness, which
established based on definite economic
foundation. It is the summation of behavior guide
line (rule) and criterion that adjusts the
relationship between human being and human being,
human being and society, and human being and
naturalness.
7
Two fields and three aspects
Two fields
  • Moral consciousness field
  • Moral activity field

8
Moral consciousness field
Moral cognition
Moral affection
Moral conception
Moral ideal
Moral will (volition)
Moral belief
Moral judgment
9
Moral activity field
  • Moral cultural activities
  • Moral educational activities
  • Moral evaluation activities
  • Moral practical activities

10
Three aspects
  1. Moral cognition
  2. Moral criterion
  3. Moral behavior

11
1.2 Function of morality
1.2.1 Regulative function 1.2.2 Educational
function 1.2.3 Cognitive function
12
2. Ethic and ethics
2.1 Ethic 2.2 Ethics
13
Ethic
  • Meaning
  • Relationship between
  • morality and ethic

14
Ethics
  1. Definition
  2. Fundamental problem

15
Definition of ethics
Ethics is a science that studies the morality
16
Fundamental problem
The relationship between morality and benefit is
the fundamental problem of morality
17
Unit 2 Occupational morality and life ethics
  1. Occupational morality
  2. Life ethics

18
1. Occupational morality
  1. Definition
  2. Characteristics

19
Definition
It is the important component of social morality.
It is the summation of moral criterions formed by
persons , who engages in a definite occupation,
in their specific occupational activities and
these moral criterions will be used to guide
their behavior.
20
Characteristics
  1. Content
  2. Format
  3. Regulative scope
  4. Efficacy

21
2. Life ethics
  1. Definition
  2. Relevant theories
  3. Some problems in life ethics

22
Definition of life ethics
It is a science that studies human behaviors in
the fields of life science and health care
according to the moral values and moral principles
23
Foundation of medical behaviors is to choose
the best value
24
Relevant theories
  1. Commonweal theory
  2. Obligation theory
  3. Virtue theory
  4. Value theory

25
Some problems in life ethics
  • Reproductive technique and
  • reproduction control
  • Organ transportation
  • Euthanasia
  • Experiment on human body

26
(A)Reproductive technique and reproduction control
  • Reproductive technique
  • Reproduction control
  • Dealing with the defective newborn

27
Reproductive technique
  • Definition
  • Elementary forms
  • Principles

28
Definition
Reproductive technique is a means that uses
artificial techniques and methods to substitute
some steps or whole steps of the natural
reproductive process of human being
29
Elementary forms
  • Artificial fertilization
  • Fertilization out of body
  • Asexual reproduction

30
Principles
  • Biological principle
  • Sociological principle

31
Reproduction control
  • Definition
  • Means
  • Ethic problem

32
Definition
Reproduction control is to interfere human
beings reproductive process by using biological,
medical, social, and legal means to avoid or
terminate pregnancy in order to control the
increase of population and enhance the quality of
population.
33
Means
  • Conception control
  • Sterilization
  • Induced abortion

34
Ethic problem
a) Whether need to know the inside story and
consent or not b) Attitude toward to fetus and
his/her right for birth
35
Dealing with the defective newborn
  • Definition
  • Target for dealing with
  • Related to ethic problem

36
(B)Organ transportation
  • Definition
  • Related to ethic problem

37
Definition
Organ transportation is to use a healthy organ to
substitute another being destroyed and be
unable to be treated organ in order to achieve
the goal of certain treatment or save the life of
patients.
38
Related to ethic problem
  • Donor
  • receptor

39
Donor
Source of donor (1) Dead person (2) Live
person
40
Receptor
Choose of patients
(1) Medical standards (2) Social standards
41
Medical standard
(1) Indication (2) Contraindication
42
Social standards
  1. Age
  2. Social value
  3. Personal ability to cope

43
(C)Euthanasia
  • Concept
  • Ethic problem

44
Concept of euthanasia
  1. Basic meaning
  2. Forms
  3. Methods

45
Basic meaning
  1. State of death no pain
  2. Method of death terminal skill with no pain

46
Forms of euthanasia
  1. Active euthanasia
  2. Passive euthanasia

47
Active euthanasia
Medical personnel or other persons adopt some
measures to end patients pain or accelerate the
process of death.
48
Passive euthanasia
To stop all medical measures used on patients and
let them die naturally
49
Methods of euthanasia
  • To give up treatment
  • To perform by himself/herself
  • To perform by relatives
  • To perform directly by medical
  • personnel

50
Ethic problems
  1. Supporter
  2. Objector ( opponent )
  3. Make a difference between

51
(D)Experiment on human body
  1. Concept
  2. Ethic judgment
  3. Moral principles

52
Concept of experiment on human body
  1. Definition
  2. Classification

53
Definition of experiment on human body
It is a method in which the researcher does
studies and observations on testee (human being)
under the control of artificial techniques.
54
Classification
  1. Savageness experiment
  2. Auto experiment
  3. Experiment with free will
  4. Forced experiment

55
Ethic judgment
  1. Whether the medical experiment should do on the
    human body or not
  2. The basis, method, and scope of development of
    experiment on human body
  3. To prescribe the ethic criterion and principles
    that experiment on human body should follow.

56
Moral principles
  1. Principle of medical scientific purpose
  2. Principle of being informed consent
  3. Principle of maintaining testees benefit
    (interest)
  4. Principle of experimental contradistinction

57
Unit 3 Nursing morality and
nursing ethics
1. Introduction 2. Basic principles, criterion,
and category 3. Patientsright and obligation
4. Moral culture of nurses
58
1. Introduction
  1. Concept
  2. Studied objects
  3. Studied content
  4. Particularity

59
(1)Concepts
  1. Nursing morality
  2. Nursing ethics

60
Nursing morality
Nursing morality is a summation of behavioral
guild line and criterion that deals with rightly
the relationship between a person and another
person, individual and society during
occupational activities.
61
Nursing ethics
Nursing ethics is a new independent science that
studies nursing ethics guided by the essential
principle of general ethics.
62
(2)Studied object
  • Relationship between nurse
  • and patient
  • (2) Relationship between nurse
  • and other medical personnel

63
(3) Relationship between nurse and nursing
science and medical science (4)
Relationship between nurse and society
64
(3) Studied contents
  • Basic theories of nursing morality
  • Criterion of nursing morality
  • Culture, education and evaluation
  • of nursing morality

65
(4) Particularity
(1) Multidimensional (2) Enterprising (3) Good
moral culture (4) Unification between nursing
morality and nursing practice
66
2. Basic principles, criterion, and category
  1. Basic principles
  2. Basic criterion
  3. Category

67
(1) Basic principles
  • Principle of autonomy
  • Principle of beneficence
  • Principle of harmlessness
  • Principle of justice
  • Principle of being informed
  • consent

68
(2) Basic criterion
  1. Moral criterion
  2. Basic criterion in nursing morality
  3. Main representation of criterion in nursing
    morality
  4. Concrete prescriptions

69
(3) Category
1) Obligation 2) Emotion 3) Conscience 4) Glory
(honor) 5) Utility
70
3. Patients right and obligation
  1. Patients right
  2. Patients obligation

71
Patients right
  1. Definition
  2. Content

72
Definition
The patients right is the legal and reasonable
power and interest taken by patients after they
suffer from some diseases.
73
Contents of patients right
  • Right of taking medical treatment, nursing, heath
    care, and healing.
  • Right of cognition on disease and right of being
    informed consent
  • 3) Right of choosing freely

74
4) Right of keeping secrete 5) Right of
releasing partial social responsibilities and
obligations 6) Right of supervising
accomplishment in medical and nursing rights
and interests
75
Patients obligation
  1. Self-health care
  2. Finding medical assistance and cooperating with
    medical treatment and nursing actively
  3. Supporting the development of medical science

76
4. Moral culture of nurses
  1. Concept
  2. Purpose
  3. Tasks
  4. Significance
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