1. Dr.Amira Yahia, Ph.D (N), M.Sc (N), B.Sc (N)

3.  By the end of this session the student will be able to:  Define some terms related to ethic  Explain areas of Nurse Administrator can work  Name qualifications of nurse administrator  Discuss ethical standards for Nurse administrator  Explain ethical Principles  Describe ethical implications in clinical practice

4.  “ Registered nurse whose primary responsibility is the management of health care delivery services and who represent nursing service.”

5. Hospitals Home health care & skilled care Assisted living Community health services Residential care Adult day care

6.  License  Education:- Bachelor’s degree & Master’s degree (or higher) with a major in Nursing. Doctoral degree in a relevant field is preferable.  experience

7. Ethics is the discipline involved in the judgment of rightness or wrongness, unfairness or fairness, virtue or vice ends, objects, or state of affairs

9.  Advocates on behalf of recipients of services and personnel.  Maintain privacy, confidentiality, and security of patient, staff, and organization data.  Adhere to the CODE OF ETHICS FOR NURSES with interpretive statements.  Assures confidentiality with regulatory and professional standards, as well as integrity in business practices.

10.  Fosters a nondisciplinary climate in which care is delivered in a manner to sensitive to sociocultural diversity.  Assures a process to identify and address ethical issues within nurses and Organization.

11.  The principle of respect for persons  The principle of Beneficicence  The principle of Justice

12.  It describes individual’s ability to take rational action and make moral choices.  Autonomy  Veracity (Truth telling)  Confidentiality  Informed consent Evolve from the principle of Respect of persons.

13.  Two principles  Do no Harm  Promote Good This principle is basic to those providing health care services.

14. It involves  Fairness  Rights  Obligation

16.  Autonomy  Refers to the individual's right to choose and the ability to act on that choice  Beneficence  the ethical principle that means the duty to promote good and to prevent harm. 2 elements: providing benefit and balancing benefits and harm

17.  Informed consent  a person's agreement to allow something to happen based on a full disclosure of facts needed to make an intellegent decision. Must include information about procedure/treatment and why it is needed, risks involved, benefits, alternative treatment options, and consequences of refusal. It is required for surgery, certain diagnostic and medical treatments and research involving clients.  Justice  the obligation to be fair

18.  Malpractice  Negligence committed by a professional such as a nurse or physician and that produces harm to the client  Negligence  conduct that falls below the standard of care. The act of doing something that a reasonable and prudent nurse would not do  Nonmaleficence  the duty to cause no harm to others  Unprofessional conduct  conduct that could adversely affect the health and welfare of the public

20.  Values  a belief you have about the worth of something; it serves as a principle or a standard that influences decision making. Values are ideals, beliefs, customs, modes of conduct, qualities, or goals that are highly prized or preferred by individuals, groups, or society  Fidelity  the ethical foundation of nurse-client relationships- means faithfulness and keeping promises

21.  Advanced Directive  Written instructions that are recognized under state law and related to the provision of such care when the individual is capacitated  Advanced Medical Care Directive  A document in which the individual, in consultation with the physician, relatives, or other personal advisers, provides precise instructions for the type of care the client wants in specific situations

23.  Do Not Resuscitate  an order written by the physician which provides an exception to the universal standing order to resuscitate or perform other life saving measures for the pt.  Falsification of records  Intentional alteration or invention (fabrication) of any information on the client record

24.  Durable power of Attorney (health care proxy)  An authorization that enables any competent individual to name someone to exercise decision-making authority, under specific circumstances, on the individual's behalf  Invasion of privacy  Unwanted intrusion of a client's private affairs. It is an intentional tort. Example: entering the room of a nursing home resident without first knocking.

25.  Living will  A document prepared by a competent adult that provides direction regarding medical care in the event the person becomes unable to make decisions personally