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Problems in Nursing
Rina Annisa
Euthanasia??
?
In nursing practice, there are five
basic issues about ethical principles
considerations:
1. The quantity versus life quality
Euthanasia
2. Freedom versus treatment and
prevention of dangers
An elderly client refuses to wear a
belt to help him walk, because he
want to walk free.
3. Tell the truth versus tell a lie
A nurse find her close friend using
narcotics.
4. The desire to knowledge as opposed
to philosophy, religion, politics,
economics, and ediologi.
A client chose to the removal of sin
than visit the doctor.
Anti-smoking vs economic policy.
5. Funds allocation for military research
is greater than the health research
funds.
Scientific therapy versus
conventional therapy is not scientific
Indonesian society (conventional
therapy, people usually use a variety
of intermediaries such as shamans,
kris, stone, etc)
Ethics theory
system
Basic ethical concepts
The standard of best interest
8
Ethical theories
1- Teleology
2- Deontology
3- Institutionism
4- Ethic of caring
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Ethical theories.(continue)
Teleology: looks to the consequences
of an action in judging whether that
action is right or wrong
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Ethical theories.(continue)
The difference between
Teleology and Deontology can
be seen when each approach
is applied to the issue of
abortion
Ethical theories..(continue)
Example:
Teleology approach/abortion:
saving the mothers life (the
end, or consequence) justifies
the abortion (the mean, or
act)
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Ethical theories.(continue)
Deontology approach/abortion:
consider any termination of life as a
violation of the rule do not kill and
therefore, would not abort the fetus,
regardless of the consequences to
the mother
Ethical theories..(continue)
Institutionism: summarized as the
notion that people inherently know
what is right or wrong; determining
what is right is not a matter or rational
thought or learning (e.g. the nurse
inherently knows it is wrong to strike a
client, the nurse does not need to be
taught this or to reason it out)
The preceding three theories are based
on the concept of fairness (justice)
14
Ethical theories..(continue)
Ethic of caring: it is based on
relationships.
Caring is a force for protecting and
enhancing client dignity
Caring is of central importance in the
client-nurse relationship (e.g. nurses
use trust-telling to affirm clients as a
persons rather than objects and to
assist them to make choices and find
meaning in their illness experiences)
15
Ethics principle on
nursing
Moral/ethical principles (concepts)
17
Basic ethical concepts
1. Rights
2. Autonomy
3. Beneficence and Nonmaleficence
4. Justice
5. Fidelity
6. Veracity
7. The standard of best interest
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Right
Rights form the basis of most
professional codes and legal
judgments
Self-determination rights
20
Autonomy.. (continue)
22
Nonmaleficence: means the duty to do no harm.
24
Fidelity
25
Verasity
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