LESSON PLAN

ON
CODE OF ETHICS
 LESSON PLAN ON CODE OF ETHICS

SUBJECT NAME :NURSING MANAGEMNT AND LEADERSHIP

UNIT : XVII

TOPIC : ETHICS AN CODE OF ETHICS

DATE&TIME :

METHOD OF TEACHING : LECTURE CUM DISCUSSION

AUDIO VISUAL AIDS : BLACK BOARD

PARTICIPANTS &NUMBERS : 60 STUDENTS

VENUE :

NAME OF THE STAFF : PROF. SOPHIYA RANI M.Sc(N).,

S.NO TIME SPECIFIC AV AIDS TEACHING LEARNERS EVALUATION
CONTENT ACTIVITY
OBJECTIVE ACTIVITY

1. Introduce the INTRODUCTION Black board lecture Listening

topic
Nursing is a healthcare profession that focuses
on the care of individuals and their families to
help them recover from illness and maintain
optimal health and quality of life. Nurses are
distinct from other healthcare providers as they
have a wide scope of practice and approach to
medical care.
Dedication, integrity and responsibility are
elements of professionalism that make a person
successful in her field. By taking ownership of
their roles and duties, professionals make names
for themselves and usually find promotion,
opportunities and repeat business come easily to
them.
Professionalism involves consistently achieving
high standards, both in the work you do and the
way you behave. Being professional helps you
to achieve high-quality results, while
impressing and inspiring others – and feeling
good about yourself
2. Define Professional ethics Power lecture Listening What is mean by
 ethics and point ethics and bio
Professional ethics are principles that ethics?
bio ethics
govern the behaviour of a person or group in a
business environment. Like values, professional
ethics provide rules on how a person should act
towards other people and institutions in such an
environment.
BIO - ETHICS
Bioethics is the study of ethical, social, and
legal issues that arise in biomedicine and
biomedical research.

3. EXPLAIN THE CODE OF ETHICS Power lecture Listening What is mean by

CODE OF code of ethics?
ETHICS point
The nurse promotes, advocates for, and
protects the rights, health, and safety of the
patient. The nurse has authority, accountability,
and responsibility for nursing practice; makes
decisions; and takes action consistent with the
obligation to provide optimal patient care.

Although there are many ethical principles

that guide nursing practice, foundational ethical
principles include respect for,
 AUTONOMY(SELFDETERMINATION
),
 BENEFICENCE (DO GOOD),
 NON MALEFICENCE (DO NO HARM),
 JUSTICE (FAIRNESS),
 FIDELITY (KEEP PROMISES), AND
 VERACITY (TELL THE TRUTH).

 AUTONOMY(SELF-
DETERMINATION)

What do we mean by autonomy? In

medical practice, autonomy is usually expressed
as the right of competent adults to make
informed decisions about their own medical
care. The principle underlies the requirement to
seek the consent or informed agreement of the
patient before any investigation or treatment
takes place.

EX:
Taking steps to pursue personal goals is
an example of autonomous behavior. This
might include pursuing a hobby that interests
you, taking classes that help you toward your
educational goals, or learning about a new
subject because you find the topic fascinating.

 BENEFICENCE (DO GOOD)

Beneficence: The promotion of good.

Beneficence in nursing relates to ensuring that
the patient's best interest is considered,
regardless of the nurse's personal opinion.
Beneficence. The principle of beneficence is
the obligation of physician to act for the benefit
of the patient and supports a number of moral
rules to protect and defend the right of others,
prevent harm, remove conditions that will cause
harm, help persons with disabilities, and rescue
persons in danger.
EX:
Transporting a sick or injured person to and
from the hospital is an example of a beneficent
deed. Such an act can be selfless and not borne
out of any obligation. Consoling a patient
through proper physical touch and comforting
words is an act of beneficence.
NON MALEFICENCE (DO NO HARM),
Nonmaleficence: The avoidance or
minimization of harm. Nonmaleficence in
nursing requires the provision of safe, effective,
high-quality care. Examples of nonmaleficence
in nursing include holding a medication due to
adverse reactions or taking steps to ensure a
safe work environment.
EX:
Nonmaleficence is the principle of not doing
harm. So while beneficence is an action you
take, nonmaleficence is when you avoid an
action. Don't give someone a cigarette if they're
trying to quit. Don't keep giving a patient
medicine that has proven to be harmful.
 JUSTICE (FAIRNESS),
Justice: Fairness or an equal distribution
of benefits. Justice in nursing relates
to impartiality regarding a patient's age,
ethnicity, economic status, religion, or sexual
orientation. Examples of justice in nursing
include impartiality when assigning clinical or
prioritizing patient care.

EX:
For example, we think it is fair and just
when a parent gives his own children more
attention and care in his private affairs than he
gives the children of others; we think it is fair
when the person who is first in a line at a
theater is given first choice of theater tickets;
we think it is just when the government

FIDELITY (KEEP PROMISES)

Fidelity is defined as faithfulness to a
person, belief, or cause. It is demonstrated by
being loyal and supportive. Fidelity in nursing
means nurses must remain true to professional
promises, such as the promise to provide high-
quality, competent, safe, and efficient patient
care.
EX:
An example is a nurse caring for a patient
and putting their needs above their own in the
patient's best interests. Fidelity: indicates
keeping your word to your patients. Nurses
should be honest and loyal to each patient.

 VERACITY (TELL THE TRUTH).

Veracity, also known as truth-telling, is one of

the seven ethical principles that govern nursing.
It requires nurses to tell their patients (or the
patient's surrogate decision-maker) the objective
truth.

Veracity means that there has been full and

honest disclosure. While being truthful and
honest are also necessary components of
fidelity,

EX:

For example, if a patient was starting

chemotherapy and asked about the side effects,
 a nurse practicing veracity would be honest
about the side effects they could expect with
chemotherapy.
4. Discuss the Ethical issues Power lecture Listening What are the
ethical issues ethical issues?
point
 Informed Consent

Informed consent can sometimes be an ethical

battle for nurses. A dilemma can occur when
there is concern that patients and their families
have not been informed or do not understand
the treatments used on a patient. There is a
concern as sometimes patients do not feel
comfortable asking questions and giving
consent without fully realizing the implications
of their treatment.

 Protecting Patient Privacy and

Confidentiality

Patient privacy and confidentiality are

significant ethical issues faced by nurses. If not
done correctly, this can have legal ramifications
and result in severe consequences for healthcare
professionals. With patients' medical
information protected by the Health Insurance
Portability and Accountability Act (HIPA),
there are definite boundaries and guidelines for
protecting patients' privacy.

 Shared Patient Decision-Making

Shared decision-making is a far more ethical

approach to patient care than years ago when
healthcare professionals fully controlled patient
treatment. Share patient decision-making
extends patient autonomy where patients and
healthcare professionals work together to make
the best decision possible regarding patient
care. With shared decision-making, patients and
healthcare professionals have open
conversations about a patient's background,
values, beliefs, and culture, building a trusting
relationship between patient and doctor.

 Addressing Advanced Care Planning

Advanced care planning is always a difficult

conversation for healthcare professionals to
have, predominately when end-of-life care
conversations surround it. These conversations
are between patients and doctors when they
need to make plans for their future health care if
they pass away or are left too ill to make their
own decisions. Patients will explore, discuss,
and document their personal preferences
regarding their healthcare. This process helps
them identify their personal goals and values
about future medical treatment. They also will
share who they would like to make decisions on
their health care if they can't make decisions for
themselves.

 Inadequate resources and staffing

Although this may not be an ethical issue put on

individual nurses, healthcare executives
and nurse managers should understand the lack
of resources and inadequate staffing regarding
patient care. As healthcare costs continue to
rise, nurse managers are at odds regarding
budgeting constraints and patient needs. When
medical facilities have scarce resources, patients
are at risk of not receiving proper care—leaving
nurses to make difficult decisions.

 Dealing with Ethical Issues in Nursing

Dealing with ethical issues is a very complex

matter for nurses. Every day, nurses face
questions on medical treatments and how to
respond to ethical dilemmas. Most of the time,
they have to make these decisions on the spot as
well. They can learn to respond to these
dilemmas through years of experience and
interaction with patients. Many nurses have
high levels of empathy, which gives them the
ability to have open conversations with their
patients and establish professional boundaries
 surrounding their patient care
5. Enumerate WAYS TO OVERCOME THE ETHICAL Power lecture Listening What are the
the ways to ISSUES ways to
point overcome the
overcome the
ethical issues?
ethical issues
Step 1: Assess

Make sure you have all the facts necessary to

make a decision. This will help you understand
the patient’s situation and give you clarity on
what the best choice would be for them. If you
only have some of the facts, you will be forced
to make assumptions, which can harm the
patient.

Step 2: Consideration

Before you make a decision, make sure you

have considered all of your choices. At the
same time, think about what would be the
outcome of each choice. Would the choice you
make be in line with the four pillars?
Step 3: Analyze

At this point, you probably have a couple of

choices you’re leaning towards and others you
have eliminated. Analyze these choices and
determine whether going through with it will
provide the anticipated results and what the
potential consequences are.

Step 4: Explain

If you make that decision, how will others see

it? You will have to be able to explain your
decision and justify it to other people. The
patient and their family will also have to
comprehend and accept your decision as well.
By going through the 5 steps, you will be able
to provide your reasoning on your choice.

Step 5: Action

Making a choice during a dilemma is hard, but

once you go through all your alternatives and
reasoning, you can implement your decision
with more confidence. Afterwards, remember to
 evaluate your decision and the results.

SUMMARY:
Till now we see about the ethics, bio ethics, code of ethics, ethical issues in nursing , ways to
overcome and apply in their critical nursing thinking

CONCLUSION:
Nurse team leaders recognize their specific roles in the midst of ethical challenges and seek
strategies to deal with them. However, a negative working environment might impact ethical behavior and
compromise the provision of quality care. Therefore, it is imperative for hospital management to take note of
these findings and address issues related to seniority by providing regular ethics training and group
reflection sessions to maintain nurses' ethical knowledge in hospital practice. Such interventions can support
nurse team leaders in resolving ethical dilemmas and provide a conducive environment for ethical decision-
making, ultimately improving patient outcomes.
BIBLIOGRAPHY

 Ns. Ni Made Nopita Wati, S.Kep., M.Kep is a Nursing Lecturer at STIKes Wira Medika Bali, Indonesia.
Her research interests are leadership and management, legal and ethics in nursing practice, and
complementary and alternative medicine.
 Ns. I Gede Juanamasta, S.Kep., M.Kep is a Nursing Lecturer at STIKes Wira Medika Bali, Indonesia. His
research interests are management, quality nursing care, and well-being.
 Jutharat Thongsalab, M.N.S, Dip. PMHN is a Senior Nurse Instructor at the Boromarajonani College of
Nursing, Surin, Thailand, and a PhD student at the Faculty of Nursing, Chulalongkorn University, Thailand.
Her research interests are mental health, community health, and family nursing.
 Assoc. Prof. Jintana Yunibhand, Dip. PMHN, Ph.D is an Associate Professor at the Faculty of Nursing,
Chulalongkorn University, Thailand. Her research interests are mental health, community health nursing,
smoking cessation, leadership and management.