Beneficency and Non Malefecence PPP5

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Ethical principles continued

11/08/2024 Ethical principles + Dilemma 1


Presentation outlines

Ethical principles
Beneficence
Non malfeasance

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Learning objectives
Learning objectives
At the end of the session, the trainee will be able
to:
1. Describe the concepts of beneficence
2. Describe our limits to do good
3. Discuss the core issues in nonmaleficence

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Beneficence- Do Good

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Beneficence cont’d
• Beneficence is doing or promoting
good.
• It means one to act in ways that
benefit another
• This principle is the basis for all
health care providers.

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Beneficence cont’d
Nurses take beneficent actions when they
1. Administer pain medication,
2. Perform a dressing to promote wound
healing or
3. Providing emotional support to a client
who is anxious or depressed.
This principle provides nursing’s context and
justification.

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Beneficence cont’d

It lays the groundwork for the trust


that society places in the nursing
profession and the trust that
individuals place in particular nurses or
health care agencies.

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Beneficence cont’d
The principle of beneficence has three
components:
1. Doing good, or promoting welfare
2. Prevent harm/Eliminating already
existing harm
3. Remove evil or harm

Principle: maximizing benefits and minimizing


harms and wrongs --- “do good”
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Beneficence cont’d

• The principle of beneficence finds


expression in a favorable risk/benefit
assessment or ratio

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Beneficence cont’d
Risks:
– Risk of harm occurring to patients who
is on health care
– Kinds of harm – physical pain or injury,
psychological, social, economic, legal
– Two key aspects of risk assessment:
• Probability that harm may occur
• Severity or magnitude of harm if it
does occur
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Beneficence cont’d
Benefits:
• Positive value related to individual/patients
health or welfare with regard to the nursing
or health care interventions, research, for
research subject, and others

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Beneficence cont’d
What limits our ability to do good?
1. Nature of time and space – ones own
limitations and the limits of instruments
available
2. Ones own limited talents
3. Our obligation to avoid evil – i.e. principle
of non maleficence limits the principle of
beneficence

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Beneficence cont’d
E.g. You saw a drowning baby in a stream

You intend to rescue – beneficence

Rescue attempt may threaten your life – non


malfeasance

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Non - maleficence - avoid evil

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Non malfeasance

• Essence of Hippocratic tradition – “first do


no harm”
• Non malfeasance means to avoid doing harm
• It is the converse of beneficence. Concept of
non-malfeasance (“passive”):
• Refraining from deliberate infliction of harm
on persons
• Principle: “avoid evil”
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Non malfeasance

♣ Problem – recognizing what exactly is harm?


♣ When working with clients, health care workers
must not cause injury or suffering to clients.
♣ It is to avoid causing deliberate harm, risk of
harm and harm that occurs during the
performance of beneficial acts.
E.g. - Infection prevention
- Experimental research that have negative
consequences on the client.
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Non malfeasance

• Non malfeasance also means avoiding harm as


a consequence of good.
• In that cases the harm must be weighed against
the expected benefit

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Any Question, comment or suggestion?

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Summary
• Take few minutes to write what you learnt to
day
• Choose the most important points you got
from the lesson.
• Jot out how/where do you incorporate the
lesson you got today to your future nursing
practice.

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THANK YOU SO MUCH!!! THANK YOU SO MUCH!!!

THANK YOU SO MUCH!!! THANK YOU SO MUCH!!!


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