Legal Aspect Of Nursing And Midwifery II

ObjectivesBy the end of the lecture ,students should be able to: List and explain the rights of patients Understand the code for

nurses/midwives Recite the nurse’s/midwives pledge Know the rights of nurses and midwives

The Patient’s Bill of Rights I have the right to be treated as a

human being until I die I have the right to maintain a sense of

hopefulness, however changing its focus may be.

I have the tight to express my feelings and emotions about my approaching death in my own way

Bill of Rights CONT’D I have the right to expect continuing

medical and nursing attention even though “cure” goals must be changed to comfort goals

I have the right not to die alone I have the right to be free of pain I have the right not to be deceived I have the right to have help from and for

my family in accepting my death

Bill of Rights CONT’D I have the right to die in peace and in dignity I have the right to retain my individuality and

not to be judged for my decisions which may be contrary to the beliefs of others

I have the right to discuss and enlarge my religious and /or spiritual experiences, whatever these may mean to others

I have the right to expect the sanctity of the human body will be respected after death

Bill of Rights CONT’D I have the right to be cared for by

caring, sensitive, knowledgeable people who will attempt to understand my needs and will be able to gain some satisfaction in helping me face death.

(Source: ANA 2001)

CODE FOR NURSES Principal Concept Applied to NursingThe fundamental responsible of the nurse is in four folds: promote health Prevent illness Restore health Alleviate suffering

Principal Concept CONT’D Need for nursing is universal It is unrestricted by considerations of

nationality, race, creed, colour, age ,sex political and social status

Inherent in it is respect for life, dignity and rights of man

Nursing is renders to individuals, families and the community

Nurses and the People

Primary responsibility is to who require nursing care

In providing care you should create an environment in which the values ,customs and beliefs of the individual is respected

You hold in judgment personal information and you must use your judgment in sharing this information

Nurse and People CONT’D Ensure individuals receive accurate,

sufficient and timely information in a culturally appropriate manner

Advocates for equity and social justice in resource allocation

Demonstrates professional values such as respect, responsiveness, compassion, trustworthiness and integrity

Nurses and Practice Carries personal responsibility for practice

and for maintaining competence by continuous education

You have to maintain the highest standard of nursing care within the reality of a specific situation

Use judgment in individual competence and delegation and accepting responsibilities

Maintain standard of personal conduct

Nurse and Practice CON’D Ensures technology and scientific

advances are compatible with safety, dignity and rights of people

Strives to foster and maintain a practice culture of promoting ethical behavior and open dialogue

Nurses and Society Share the responsibility with others in

the society for initiating and supporting action to meet health and social needs of the public

Nurses and Co-Workers Co-operate with your co-workers Team work is very important You can fall on other members of the

health team to achieve your goals Safe guard the patient when their heath

is endangered by another co-worker Takes action to support and guide co-

workers to advance ethical conduct

Nurses and the Profession Plays a major role in determining and

implementing desirable standard of nursing/midwifery practice and education

Active in developing core professional knowledge which is evidence based

Participate in establishing and maintaining equitable social and economic working conditions in nursing

Developing and sustaining a core of professional values

(Source: ICN,2012)

NURSES’ PLEDGE I acknowledge that the special training I

have received has prepared me as a responsible member of the community

I promise to care for the sick with all the skill I possess, no matter their race creed, color, politics or social status, sparing no effort to conserve life alleviate pain and promote health

Pledge CONT’D I promise to respect at all times the

dignity of the patient in my charge I promise to hold in confidence all

personal information entrusted to me I promise to keep my knowledge and skill

at the professional level and to give the highest standard of nursing care to my patients

Pledge CONT’D I promise to carry out intelligently and

loyalty medical instructions given to me I promise my personal life shall at all

times bring credit to the profession I promise to share in the responsibility

of other professions and citizens for promoting health locally, nationally and internationally

Code of Ethics for MidwivesMIDWIFERY RELATIONSHIPS Develop a partnership with women in

which both share information that lead to informed decision making, consent to plan of care and accept responsibility for outcomes of their choices

Support the right of women and families to actively participate in decision about their care

Relationships CONT’D Empower women/families to speak for

themselves on issues affecting health of women and families within their culture or society

Work with policy and funding agencies to define women needs for health services

Support and sustain each other in their professional roles

Work with other heath professionals

Relationships CONT’D Recognize human interdependence

within their field of practice Responsibility to themselves as persons

of moral worth including duties of self -respect

Practice Provide care for women and child

bearing families with respect to cultural diversity-eliminate harmful practices

Encourage realistic expectation of child birth by women within their society

Use up-to date and evidence base professional knowledge to ensure safe birthing practices

Practice CONT’D Act as effective role models of health

promotion for women through out their life cycle

Actively seek personal, intellectual and professional growth throughout their career

Professional Responsibilities Holds client’s information in confidence Responsible for decisions and actions-

accountable to outcome May refuse to participate in activities in which

they hold deep moral opposition Understand the adverse consequences that

ethical and human rights violation s have on women and infants

Participate in development and implementation of policies

Advancement of midwifery Knowledge and Practices Advance based on activities that protect

the rights of women as persons Develop and share midwifery knowledge

through a variety of processes Participate in the formal education of

midwifery students (Source ICM meeting 2008/Glasgow)

Midwives’ Pledge I solemnly pledge that I will do my best

seeking God’s help and asking for grace to keep my body healthy, strong and pure

The task midwife, I must carry for sure to keep my mind always alert and fully awake

To the profession I have chosen, for life I will stick to be trustworthy, refined, polite and gracious in manner

Pledge CONT’D An inspiration always to those under my care

to serve unselfishly and wisely everywhere Guiding the innocent, easing the sufferers To make my work filled with sweetness and

beauty Where fellowship is found in adversity; to

be loyal to my patients, associates, country and God from whom I dearly owe my life and my love. So help me God

RIHGTS OF THE NURSE Right to find dignity in self expression

and self enhancement through the use of special abilities and educational background

The right to recognition for contribution through the provision of an environment fit for practice and proper professional economic rewards

NURSES’ RIGHTS CONT’D The right to a work environment that

will minimize physical and emotional stress and health risks

The right to control what is professional practice within the law

The right to set standards for excellence in nursing

NURSES’ RIGHTS CONT’D The right to participate in policy making

affecting nursing

The right to social and political action on behalf of nursing and health care

MIDWIVES/WOMEN RIGHTSMidwives Right to midwifery –specific education that will

enable her develop and maintain competency as a midwife

Right to practice on her own responsibility within the ICM scope of practice of a midwife

Right to be recognize, respected and supported as a health professional

Right to access a strong midwifery association that can contribute to midwifery and maternity policy and services at a national level

women Right to receive care in child birth from

autonomous and competent midwife Right to be respected as a person of

value and worth Right to security of her body Right to be free from any from of

discrimination Right to up-to date information

Women Rights CONT’D Right to participate actively in decisions

about her health care and informed consent Right to privacy Right to choose place where to give birth Every newborn baby has the right to a

health and well informed mother (Source: ICM,2011)

Questions

Summary

Thank you