Definition of Terms To convey clearly the meaning of the words used in this study, the researcher defined the

terms used operationally, as follows: Bioethics - is the study of typically controversial ethics brought about by advances in biology and medicine. It is also moral discernment as it relates to medical policy, practice, and research. Bioethicists are concerned with the ethical questions that arise in the relationships among sciences, biotechnology, medicine, politics, law, and philosophy. It also includes the study of the more commonplace questions of values ("the ethics of the ordinary") which arise in primary care and other branches of medicine. Ethics - also known as moral philosophy is a branch of philosophy that involves systematizing, defending, and recommending concepts of right and wrong conduct. Nursing Ethics - is a branch of applied ethics that concerns itself with activities in the field of nursing. Nursing ethics shares many principles with medical ethics, such

as beneficence, non-maleficence and respect for autonomy. It can be distinguished by its emphasis on relationships, human dignity and collaborative care. Nursing - is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Ethical Dilemmas - is a complex situation that often involves an apparent mental conflict between moral imperatives, in which to obey one would result in transgressing another. This is also called an ethical paradox since in moral philosophy, paradox often plays a central role in ethics debates. Ethical dilemmas are often cited in an attempt to refute an ethical system or moral code, as well as the worldview that encompasses or grows from it.

Duty of Care - is a legal obligation imposed on an individual requiring that they adhere to a standard of reasonable care while performing any acts that could foreseeably harms others. It is the first element that must be established to proceed with an action in negligence. Nurse-patient relationship - in Hildegard E. Peplau's Interpersonal Relations Model theory is essential to nursing practice. It is the nurseclient interaction that is toward enhancing the client's well-being, and the client may be an individual, a family, a group or a community. Healthcare System - is the organization of people, institutions, and resources to deliver health care services to meet the health needs of target populations. Profession - is a vocation founded upon specialized educational training, the purpose of which is to supply objective counsel and service to others, for a direct and definite compensation, wholly apart from expectation of other business gain. Collaborative Care - is a healthcare philosophy and movement that has many names, models, and definitions that often includes the provision of mental health, behavioral health and substance use services in primary care. Clinical Practice - is defined as a model of practice that involves those activities with and on behalf of clients, especially those activities completed in the clients presence and with the clients collaboration. These activities are informed by an ecologically based Bio Psychosocial Assessment. Societal Development - tempts to explain qualitative changes in the structure and framework of society that help the society to better realize its aims and objectives. Development can be broadly defined in a manner applicable to all societies at all historical periods as an upward ascending movement featuring greater levels of energy, efficiency, quality, productivity, complexity, comprehension, creativity, mastery, enjoyment and accomplishment.