The unique function of the nurse is that assist the individual sick or well in the performance of those activities contributing to health
Profession A job that needs a high level of training and education
Basic nursing principle
Role of nurse Care provider Educator Advocate Manager Collaborator Leader Researcher(systematic investigation into something)
Quality of nurse Character Connecting to and knowing patient Awareness of needs/ suffering Empathy( the ability to imagine how another person is feeling) Communication Body language Involving patient
Having time for patient Small act Emotional strength Professional competence
Code of ethics
Definition A code of ethics is a set of ethical principles that are accepted by all members of a profession (potter and perry) Code of ethics is a guideline for performance and standard and personal responsibility
code of ethics is a set of ethics principle that ----- A. Shared by members of a group B. Reflects their moral judgment overtime C. Serves as standards for their professional action
Principles of ethics
Establish the relevant clinical facts of the case Assess the wishes of the patient and those important to them Consider the legal perspective Consider the ethical perspective Be aware of the processes needed to support the decision making
Purposes
Standard for the behavior of nurse and provide general guidelines for nursing action Help to distinguish b/w right and wrong Enable correct decision Protect the right of individuals
Use of code of ethics
Acknowledge the rightful place of individual in health care delivery system. Constitute toward empowerment of individual to become responsible for their health care and well being. Identifies obligation in practice, research, and relationship Inform the individual, family, community and other professional about expectation of a nurse.
Function
to inform the public about minimum standard of profession To provide a sign of the profession’s commitment to the public it serve To outline the major ethical consideration of the profession To provide general guideline for professional behavior To guide the profession in self regulation
INTERNATIONAL CODE OF ETHICS
An international code of ethics for nurse was first adopted by the international council of nurses in 1953. it has been revised and reaffirmed at various times and most recently. it is reviewed and revised in 2005 The INC code of ethics for nurse has 5 principle that outline the standards of ethical conduct
INC CODE OF ETHICS
Nurse and practice Nurse and profession Nurse and people Nurse and co-worker Nurse and society
Nurse and people The nurse primary professional responsibilities is to people requiring. In providing care the nurse promotes the environment in which the human right, values, customs and spiritual beliefs of an individual, family and community are respected. The nurse insure that the individual receives sufficient information related to the care and treatment.
The nurse hold in confidence personal information and use judgement in sharing this information The nurse shares responsibilities with the society to meet the health and social needs of the public.
Nurses and practice The nurse carries personal responsibility and accountability for nursing practice and for maintaining continuous learning The nurse maintain standard [safety, self care] of personal health such as the ability to provide care is not compromised The nurse use judgement regarding individual competence when accepting and delegating responsibility The nurse ensure that use of technology are compatible with safety, dignity, and right of people.
Nurse and profession
Nurse and co-workers
Nurse and society Participate and share responsibility with other citizen and other health professional Recognize and perform the duties of citizenship Aware of laws and regulation which affect the practice of medicine and nursing
Indian code of ethics
Professional responsibility and accountable
Appreciate sense of self worth [value ] Maintain standard of personal conduct reflecting credit upon the profession Carries out responsibilities within the framework of the professional boundaries. Accountable for maintaining practice standard by INC Accountable for own decision and action
Responsible for continuous improvement of current practice Provide adequate information to individual that allows them informed choice Practice healthful behavior.
Nursing practice
Provide care according to the set of standards Treat all individuals and families with human dignity in providing physical, psychological, emotional, social and spiritual aspect of care. Respect individual and families in the contest of traditional and culture practice and discouraging harmful practice. Present realistic picture in all situation for facilitating autonomous decision making by individual and families
Promote participation of individual and significant others in the care. Ensure safe practice.
Communication and IPR
Upholds the dignity [ calm behavior that make others people respect you] of team members and maintain effectiveness and IPR with them. Appreciate and nurture [encourage] professional role of team members. Co-operate with other health professional to meet the need of individuals, families and communities. establish and maintain effective IPR with individual, families and communities.
Valuing human being
Take appropriate action to protect individual from harmful unethical practice. Consider relevant facts [important and useful] while taking decision in the best interest of individual Encourage and support individual in their right to for themselves on issue affecting their health and welfare
Legal consideration
Assault Assault occurs when a person puts another person in fear of a harmful or offensive [unpleasant] contact
Battery It is an intentional touching of another’s body without the other consent
Negligence It is described as lack of proper care and attention
Malpractice Failure to meet the standard of acceptable care which results in harm to another person
Fraud It result from a deliberate deception intended to produce unlawful gains
False imprisonment It occurs when a client is not allow to leave a health care facility without any legal justification to detain the client .
Invasion of privacy It include violation of confidentiality of client’s private information and sharing to other person
INDIAN NURSING COUNCIL The INC is an autonomous body under the government of India, ministry of health and family welfare was constitute by the central govt. under section 3 of the Indian nursing council act 1947 of parliament in order to establish a uniform standard for nurse, midwives and health visitors
Goals of INC To accomplish and evaluate a fixed standard of nursing education for the auxiliary nurse, midwives and health visitors. To recognize registered nurse and midwives belonging to different nursing course To provide approval for registration of Indian and foreign nurse To frame the nursing syllabus, rules and regulation for nursing programmes . To provide guideline to the state nursing council, examination boards state .
Function of INC
Recognize nurse as a separate branch of health service Regulates nursing training and sets uniform standards of training for nurses through out the country. Construct syllabus for all nursing programs. Permits title, badges, uniforms for registered nurse. Withdrawal of recognition of nursing institution. To regulate nursing practice
Power to make regulation. Maintenance of Indian nurse register Inspection of school/ college of nursing
State nursing council State nursing council was established in 1948 with the purpose of better training of nurse, midwives and health visitors.
Function of SNC
To inspect school of nursing in their state To conduct examination for GNM AND ANM course To prescribe rules of conduct , take disciplinary action Registration of nurse and midwives and other. Maintenance of register of nurse .
Issue duplicate certificate for loss of original certificate. Additional qualification registration Abroad verification Publication Construction of syllabus In service education program Research
Current trends and issues in nursing
Current trends- Refers to direction toward which the different nursing events have moved or are moving.
Changing demographics and increase diversity The technological explosion Globalization of the work’s economy and society The era of the educated consumer, alternative therapies and genomic and palliative care Impact of health policy and health programe . The growing need for interdisciplinary education for collaborative practice
More emphasis on evidence based Conduct on nursing research Computerization for patient care management. Decentralized approach to care management Higher education for senior position in nursing Specialization in nursing clinicals areas Nursing care standard
Aging population Team nursing Health information system Telemedicine, telenursing Departmentalized administration Right to information Act.
Currents issues A point or matter of discussion debate or dispute or a matter of public concern
Lack of knowledge in management among nursing administration
Interference of non nursing personnel in nursing administration Non written nursing policies or manual No proper job description for various nursing cadres No special incentive Not organized staff development programme Ineffective of nursing council of state and union to maintain standard of nursing