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Managerial Ethics Managerial Ethics

Patient Rights & Patient Rights & Nursing EthicsNursing Ethics

Prepared by: Miss Samah Ishtieh

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Patient RightPatient Right

1.1. A Healthy and Safe A Healthy and Safe

EnvironmentEnvironmentEveryone has the right to a Everyone has the right to a healthy and safe environment healthy and safe environment that will ensure their physical that will ensure their physical and mental health or well-and mental health or well-being,being,

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2. Participation in Decision-Making2. Participation in Decision-Making

Every citizen has the Every citizen has the Right to participate in the Right to participate in the development of healthdevelopment of healthpolicies and everyone haspolicies and everyone hasthe right to participate inthe right to participate indecision-making ondecision-making onmatters affecting one’s matters affecting one’s health. health.

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3. 3. Access to Health CareAccess to Health Care

Everyone has the right ofEveryone has the right of

access to health careaccess to health care

services that include:services that include: Receiving timely Receiving timely

emergency care regardless emergency care regardless of one's ability to pay;of one's ability to pay;

Treatment and Treatment and rehabilitation.rehabilitation.

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Provision for special needs in the case of newborn Provision for special needs in the case of newborn infants, children, pregnant women, the aged, disabled infants, children, pregnant women, the aged, disabled persons, patients in pain, person living with HIV or persons, patients in pain, person living with HIV or AIDS patients.AIDS patients.

Counseling without discrimination. Counseling without discrimination. Palliative care that is affordable and effective in cases Palliative care that is affordable and effective in cases

of incurable or terminal illness. of incurable or terminal illness. A positive disposition displayed by health care A positive disposition displayed by health care

providers. providers. Health information that includes the availability of Health information that includes the availability of

health services and how best to use.health services and how best to use.

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4. Knowledge of one’s Health Knowledge of one’s Health Insurance / Medical Aid Insurance / Medical Aid SchemeScheme

A member of a health A member of a health insurance or medical insurance or medical aid scheme is entitledaid scheme is entitledto information. to information.

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5. Choice of Health Services5. Choice of Health Services

Everyone has the rightEveryone has the rightto choose a particular to choose a particular health care providerhealth care providerfor services or a for services or a particular healthparticular healthfacility for treatment.facility for treatment.

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6. Be Treated by a Named Health 6. Be Treated by a Named Health Care ProviderCare Provider

Everyone has the right to Everyone has the right to know the person that is know the person that is providing health care and providing health care and therefore must be attended therefore must be attended to by clearly identified to by clearly identified health care providershealth care providers..

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7. Confidentiality and Privacy7. Confidentiality and Privacy

Information concerning Information concerning one’s health, including one’s health, including information concerninginformation concerningtreatment may only be treatment may only be disclosed with informeddisclosed with informedconsent, except when consent, except when required in terms of any required in terms of any law or an order of the law or an order of the courtcourt..

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8. Informed Consent8. Informed Consent

Everyone has the right Everyone has the right to be given full and to be given full and accurate information accurate information about the nature of about the nature of one’s illnesses, one’s illnesses, diagnostic procedures, diagnostic procedures, the proposed treatment the proposed treatment and the costs involved.and the costs involved.

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9. Refusal of treatment9. Refusal of treatment

A person may refuse A person may refuse treatment and such treatment and such refusal shall be verbal or refusal shall be verbal or in writing provided that in writing provided that such refusal does not such refusal does not endanger the health of endanger the health of othersothers..

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1010 . .Be Referred for a Second OpinionBe Referred for a Second Opinion

Every one has the Every one has the right to be referred for right to be referred for a second opinion on a second opinion on request to a health request to a health provider of one’s provider of one’s choicechoice..

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11. Continuity of care11. Continuity of care

No one shall be No one shall be abandoned by a health abandoned by a health care professional care professional worker or a health worker or a health facility which initially facility which initially took responsibility for took responsibility for one’s healthone’s health..

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12. Complain about health services12. Complain about health services

• Everyone has the right Everyone has the right to complain about to complain about health care services and health care services and to have such complaints to have such complaints investigated and to investigated and to receive a full response receive a full response on such investigationon such investigation..

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Every patient or client has the following Every patient or client has the following responsibilities: responsibilities: to advise the health care providers on his or her wishes to advise the health care providers on his or her wishes

with regard to his or her death. with regard to his or her death. to comply with the prescribed treatment or to comply with the prescribed treatment or

rehabilitation procedures. rehabilitation procedures. to enquire about the related costs of treatment and/or to enquire about the related costs of treatment and/or

rehabilitation and to arrange for payment. rehabilitation and to arrange for payment. to take care of health records in his or her possession.to take care of health records in his or her possession.

Responsibilities of The PatientResponsibilities of The Patient

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to take care of his or her health.to take care of his or her health. to care for and protect the environment. to care for and protect the environment. to respect the rights of other patients and health to respect the rights of other patients and health

providers. providers. to utilize the health care system properly and not abuse to utilize the health care system properly and not abuse

it. it. to know his or her local health services and what they to know his or her local health services and what they

offer. offer. to provide health care providers with the relevant and to provide health care providers with the relevant and

accurate information for diagnostic, treatment, accurate information for diagnostic, treatment, rehabilitation or counseling purposes. rehabilitation or counseling purposes.

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Nursing EthicsNursing Ethics

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Nursing EthicsNursing Ethics

Ethical Values Include:Ethical Values Include:

1.1. Client well being.Client well being.

2.2. Client choice.Client choice.

3.3. Privacy and confidentiality.Privacy and confidentiality.

4.4. Respect for life.Respect for life.

5.5. Maintaining commitment.Maintaining commitment.

6.6. Truthfulness and fairness.Truthfulness and fairness.

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Client WellbeingClient Wellbeing

Facilitating good health.Facilitating good health. Preventing and removing harm.Preventing and removing harm. Differentiate between client and nurses view Differentiate between client and nurses view

of what is beneficial.of what is beneficial. Respect well being in research.Respect well being in research. During data collection look for adverse During data collection look for adverse

responses.responses.

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ScenarioScenario

Debridement causes pain Refusal of medication Listen Support , find solution Maintain relationship

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Client ChoiceClient Choice

The right to information necessary to make The right to information necessary to make choices and to consent.choices and to consent.

Decide on what is best for them.Decide on what is best for them. When incompetent limitations should be When incompetent limitations should be

identified for substitute decision maker.identified for substitute decision maker. Limits to choices by patient such as Limits to choices by patient such as

endangering others (smoking).endangering others (smoking).

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ScenarioScenario

Concern about safety Dislike of type of food Considerations of choices may be difficult. When values differ ask for substitute Advocate to acquire information before

consent (cultural)

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PrivacyPrivacy

Privacy includes limited access to a person’s:Privacy includes limited access to a person’s: BodyBody Conversation Conversation Bodily functionsBodily functions Objects related to the personObjects related to the person

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ConfidentialityConfidentiality

Confidentiality involves:Confidentiality involves: Keeping personal information private.Keeping personal information private. All information related to physical, social All information related to physical, social

and psychological health.and psychological health. Any information collected during the course Any information collected during the course

of care provision. of care provision.

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ScenarioScenario

Manager requests to see patient record Patient with HIV + Child with Hepatitis + All information is private to patient and care

givers

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Respect for LifeRespect for Life

Includes consideration of quality of life.Includes consideration of quality of life. Understanding of own belief about human Understanding of own belief about human

life.life. Make every effort to preserve human life.Make every effort to preserve human life. Some professionals believe that preservation Some professionals believe that preservation

of life at the expense of it’s quality is of life at the expense of it’s quality is questionable.questionable.

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ScenarioScenario

CPR Intubation Respect wishes within values, religion, and

law. Advocate for palliative measures.

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Maintaining CommitmentMaintaining Commitment

To oneself.To oneself. To nursing colleagues.To nursing colleagues. To nursing profession.To nursing profession. To team members.To team members. To quality practice settings.To quality practice settings.

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ScenarioScenario

Right to die peacefully at home When values conflict between nurse /patient Difference of nurse education level Competency decline of colleague Clarify values Explore alternatives Use different forms of communication strategies to

break barriers among colleagues (diploma , BSc.) Contribute to CQI and accountability

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TruthfulnessTruthfulness

Speaking without intention to deceiveSpeaking without intention to deceive Ensure client is informedEnsure client is informed Benefit of full disclosure ( cultural issue )Benefit of full disclosure ( cultural issue ) Honesty to build trustHonesty to build trust

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ScenarioScenario

Choice not to be told Choice not to have family know Consult about what is necessary for consent Consider patients point of view and impact ,

how harmful

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FairnessFairness Allocation of resources on basis of objective Allocation of resources on basis of objective

health – related factors.health – related factors. Decisions to entitlement to care.Decisions to entitlement to care. Equal attention regardless of needs.Equal attention regardless of needs. Be aware of the rationale of decisions in Be aware of the rationale of decisions in

particular situation. particular situation. Provide best care under available Provide best care under available

circumstances.circumstances.

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