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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
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 11/08/2024 Ethical principles + Dilemma 10 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” 11/08/2024 Ethical principles + Dilemma 15 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. 11/08/2024 Ethical principles + Dilemma 16 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.