PRINCIPLES OF NURSING ETHICS
Kamis, 12 Januari 2023
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The principles of nursing ethics are divided into 7 categories, namely:
1. Autonomy (self determination).
Autonomy can be described as follows:
a. Form of respect for someone or seen as approval.
b. Don't force and act rationally
c. Autonomy is the right to be independent
d. individual freedom that demands self-defense.
e. Nurses respect clients' rights in making decisions about their own care.
According to Curtin, autonomy is defined as: that part of what is required in the idea of one's respect. According to this principle is to accept an individual's choice regardless of whether such a choice is in his or her interests.
Meanwhile, the problems that often arise, according to Priharjo, are variations in patient autonomy that are influenced by many things, such as level of consciousness, age, illness, hospital environment, economy, availability of information and others.
a. Balancing the things that are beneficial and detrimental / harmful from the actions taken.
b. Doing good things for others.
c. It is the principle to do good things and not harm other people/clients.
d. Difficult to apply in nursing practice.
e. Various actions often have a detrimental impact on patients/clients.
f. And there is no clear certainty whether the nurse is responsible for all the ways that benefit the patient/client.
a. Does not cause harm/injury either physically or psychologically to the client/patient.
b. Do something carefully, carefully, carefully and not haphazardly.
According to Aiken, nonmaleficence is behavior that does not cause accidents or harm others. For example, if a client is treated with decreased consciousness, a side drill must be installed.
4. Justice.
Justice can be described among others:
a. It is a moral principle to treat all individuals fairly.
b. Get action, relatively equal contribution to the good and one's life.
c. Beauchamp and Chilldres who are equal must be treated as equals while those who are unequal are treated unequally according to their needs.
5. Fidelity.
Commitment from fidelity/keeping promise), namely:
a. This principle relates to the obligation to be faithful.
b. Loyal to agreements or responsibilities carried.
c. Nurses will be seriously responsible for the tasks they carry out.
d. Fulfilling obligations and duties with full responsibility, fulfilling promises.
e. Veatch and fry posits it is a responsibility to stay true to an agreement.
f. Responsibilities so that the nurse-patient relationship includes the responsibility of keeping promises and providing attention/care.
g. Caring for patients is one of the principles of obedience.
h. Caring for patients is the most important component of nursing practice. Especially in patients in terminal condition (Fry, 1991.)
i. Nurses' concern is manifested in providing nursing care with an individual approach, being kind, providing comfort and demonstrating professional abilities. For example, if the nurse has promised to give an action. So, you can't break that promise.
6. Veracity.
Veracity/truth telling can be described as follows:
a. An obligation not to lie to others.
b. Truth is fundamental to trust with patients.
c. Nurses sometimes do not tell the true events of severe illness.
d. Terminal patient research so that patients want to be told about their condition honestly (veatch, 1978)
7. Confidentiality.
a. Confidentiality principle.
b. Patient privacy is maintained.
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