I. Ethico Moral Aspects in Nursing A. Types of Ethics (Those of particular concern to the nurses) 1. Bioethics 2. Clinical 3.

Nursing Ethics B. Basic Ethical Principles 1. Stewardship 2. Totality 3. Doubt 4. Cooperation 5. Solidarity C. Moral Principles: 1. Golden Rule 2. The principle of Totality 3. Epikia 4. One who acts through as agent is herself responsibl 5. No one is obliged to betray herself 6. The end does not justify the means 7. Defects of nature maybe corrected 8. If one is willing to cooperate in the act, no justice is done to him 9. A little more or a little less does not change the substance of an act. 10. No one is held to impossible D. Moral Theories Types Of Moral Theories 1. Consequence-Based (Theological Theories) - Utilitarianism - Principle of Utility 2. Principle-Based (Deontological Theories) 3. Relationship Based or Caring Theories Other Moral Theories: - Fletchers Guidelines for Making Ethical decisions - W.D Ross- Prima Facie Duties - Virtue Ethics Approach - Divine Command Ethics E. Values Essential for Professional Nurses 1. Altruism 2. Autonomy 3. Human dignity 4. Integrity 5. Social justice F. Major Bioethical Principles 1. Respect for person Consent 1. Implied 2. Expressed - Components of informed consent - Exceptions in giving consent 2. Justice 3. Inviolability of life 4. Non-maleficence

5. Beneficence G. Universal Bioethical Principles: 1. Autonomy 2. Nonmaleficence 3. Beneficence 4. Justice 5. Veracity 6. Fidelity H. Code of Ethics 1. Principles Underlying Code of Ethics a. Responsibility b. Accountability c. Confidentiality d. Judgement e. Advocacy I. Ethical Dilemas J. Legal Rights, Roles & Responsibility Of The Nurse K. Standard of Care L. Standard of Professional Performance 1. Quality of care 2. Performance Appraisal 3. Education 4. Collegiality 5. Ethics 6. Collaboration 7. Research 8. Resource utilization II. Jurisprudence - Legal Aspects of Nursing Practice A. Law B, Functions of Law in Nursing: C. Types of Laws Pertinent To Nurses 1. Criminal Law A. Crime Felony Misdemeanour 2. Civil Law A. Tort - Classified as: Unintentional i. Negligence - Doctrines Related to Negligence: a. Respondeat Superior b. Res Ipsa Loquitor c. Force majuere ii. Malpractice - Types of Malpractice - Elements of How to Prove Malpractice a. Duty b. Breach of duty

c. Forseeability d. Causation e. Injury/ harm f. Damages - Common Malpractice Act a. Medication error b. Burning of client c. FALLS from the bed/ crib d. Ignoring a client complaint e. Mistaken identity Intentional i. Assault ii. Battery iii. False imprisonment Quasi-intension tort i. Slander (Verbal) ii. Libel (written) iii. Invasion of Privacy B. Contract - Types of Contract: Expressed Implied D, Written orders of court 1. Subpoena A. Subpoena Testificandum B. Subpoena Duces Tecum2. Summon 3. Warrant E.. Legal Precautions For Nurses F. Prohibitions in the Practice of Nursing G. Legal Protection 1. Good Samaritan act 2. Carrying out physicians order 3. Provide competent care 4. Record Keeping 5. Incidental report H. Nurses Bill of Rights I. Patients Bill of Rights J. Living Wills or Advance Directive - Nurses Obligations in The Execution of a Will