Seven Bioethical Principles

7/28/2019 Seven Bioethical Principles

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SEVEN

BIOETHICAL PRINCIPLES

Felipe A. Merano, RN, MSN


2/19

Watch your thoughts,

they become words.

Watch your words,they become actions.

Watch your actions,

they become habits.

Watch your habits,

they become character.

Watch your character,

they becomes your destiny.

Frank Outlaw


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The most important human endeavor isthe striving for morality in our actions.

Our inner balance, and even our very

existence depends on it. Only moralityin our actions can give beauty and

dignity to life.

ALBERT EINSTEIN


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Non-Male

ficence

Justice

VeracityRole

Fidelity

Benefi

cence

Confiden

tiality

Autonomy

Universal

Principle


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AUTONOMY

Birth of Informed Consent

Elements of Informed Consent.

Knowledge: Patient should know theprocedure, the risk and possibilities.

Understanding: Explain carefully with full

understanding of the procedure.

Voluntariness: no coercion, no treats, withfreedom and free will.

Signing of Informed Consent:


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AUTONOMY

Types of Informed Consent.

Legal: Oral & Written

Verbal

Implied: I will give you injection & the patient

participate.

AUTONOMY is not applicable in EmergencyCases.


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CONFIDENTIALITY

Keeping in secret or in private all

information about the patient.

The ethical principles that requires

nondisclosure of private or secret

information with which one is interested.

The ability to maintain privacy in ones life

is an expression of autonomy.


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CONFIDENTIALITY

Threats to confidentiality:

Obligation to documents

Use of Electronic Recording

Limits of Confidentiality

The harm principles can be applied whenthe nurse or other professional recognizesthat maintaining confidentiality will result inpreventable wrongful harm to innocent

others.


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CONFIDENTIALITY

Limits of Confidentiality

The right of society overrides the privacy

of the individual privacy.

The obligation to protect the innocent party

supercede the obligation to maintain

confidentiality.


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ROLE FIDELITY

Faithfulness to our call as a nurse, to our

profession, to our duty.

Fidelity is often related to the concept of

faithfulness and the practice of keeping

promises.

Society has granted nurses the right to

practice nursing through the process of

licensure and certification.

Licensure ensures that no other group can

perform its right to practice.


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ROLE FIDELITY

To accept licensure mandates that nursesuphold responsibility inherent in the contrast with

society.

Members are called to be faithful to the society

that grants the right to practice. To keep the promise of upholding the professional

code of ethics.

To practice within the establish scope of practice &

definition of nursing.

To remain competent in the practice of nursing.

To abide by the policies of employing institution.

To keep promise to individual patients.


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ROLE FIDELITY

TO BE A NURSE IS TO MAKE PROMISE. Fidelity also relates to loyalty within the

nursing profession. Problems also arise

when there is conflict of promises thathave been made in which carrying

themout will cause harm in other ways.

We must be faithful to 1) scope of practice,2) Co-profession, nurse, physician &

allied, 3) Patient, community & society


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ROLE FIDELITY

ISSUES INVOLVED IN ROLE FIDELITY.1. Whistle Blowing

2. Disparagement

3. Sexual Harassment4. Conflict of Interest

5. Impaired Colleagues


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Whistle Blowing

Is when an employee tells on an employeewho is breaking the law.

Employee who blow the whistle on their

employers are protected by the law. If they are fired or terminated or retaliated

against whistle blow, they can sue.


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It takes courage to blow the

whistle.

To actually WB the employee must tell of

the illegal act to someone outside the

company. It must be the government or

law enforcement.

If the employee complain to someone

inside the company, that is not WB but

he/she is protected by the law.


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Disparagement - To bring discredit to a

co-profession in public.

Sexual Harassment Bring discredit to a

profession.

Conflict of Interest Prescription Pads /

Goods in Return. Violation of Fidelity.

Vested Interest.

Impaired Colleagues Interest of public /

patient. It should be reported to the

authority for the good of public.


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DISPARAGEMENT

In oldEnglish Law, an injury resulting from

the comparison of a person or thing with

an individual or thing of inferior quality; to

discredit oneselfby marriage below one'sclass. A statement made by one person

that casts aspersions on another person's

goods, property, or intangible things.
http://legal-dictionary.thefreedictionary.com/English+Lawhttp://legal-dictionary.thefreedictionary.com/English+Law


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DISPARAGEMENT

Disparagement of goods is a false or misleadingstatement by an entrepreneur about acompetitor's goods. It is made with the intentionof influencing people adversely so they will notbuy the goods.

Disparagement of title is a false or maliciousstatement made about an individual's title to realorPersonal Property. Such disparagement mayresult in a pecuniary loss due to impairment ofvendibility that the defamatory statements mightcause.
http://legal-dictionary.thefreedictionary.com/Personal+Propertyhttp://legal-dictionary.thefreedictionary.com/Personal+Property


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VERACITY

Truth Telling

Documents

Seven Bioethical Principles