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1. The code of ethics of nursing

Nursing ethics are norms that are embraced by nurses in


behaving with patients, families, colleagues, or other health
workers in a professional nursing service. Ethical behavior will
be shaped by the values of patients, nurses and social
interactions within the environment.
The goals of nursing ethics are:
Identify, organize, examine and justify humanitarian actions
by applying certain principles
Affirm the duties of the nurse and seek information on the
effects of the nurse's decision.
While the Code of ethics of nursing is a
comprehensive statement of the profession that
provides demands for its members in implementing
nursing practice, whether related to patients, family,
peers, self and other health teams. Essentially, the
purpose of the nursing code of ethics is to ensure
that nurses, in carrying out their duties and functions,
can respect and respect human dignity.
The purpose of the code of ethics of
nursing is as follows:

 It is the basis in managing the relationship between nurse, client or patient, peers,
society, and professional elements, both in the nursing profession and with other
professions outside the nursing profession.
 It is a standard to overcome the problems that nursing practitioners who do not
ignore the moral dedication in the implementation of their duties.
 To defend when practitioners who in carrying out their duties are treated unfairly by
institutions and communities.
 It is the foundation in preparing the curriculum of nursing education in order to
produce graduates who are oriented towards professional attitude of nursing.
 Providing an understanding to the user community / users of nursing staff about the
importance of professional attitude in performing nursing practice duties. (PPNI,
2000)
2. Component Code of Nursing Ethics

The code of ethics consists of 5 chapters and 16 chapters. The following


is the ethics of nursing issued by DPP PPNI.
1. Code of Ethics of Nursing According to the PPNI :
a. The nurse's responsibility to the client
b. The nurse's responsibility to the task
c. The nurse's responsibility to colleagues
d. The nurse's responsibility to the profession
e. The nurse's responsibility to the State
2. Nurse code of ethics according to
ANA (American Nurse Association)

1. Nurses provide respectful service to the dignity and civic nature of clients
who are not limited by social / economic status considerations, personal
attributes, or health issues.
2. The nurse protects the client's privacy rights by holding firmly confidential
information.
3. Nurses protect clients and the public when their health and safety are
threatened by the practice of an incompetent, unethical or illegal person.
4. Nurses assume responsibility for the considerations and actions of nurses
run by each individual.
5. The nurse maintains the competency of the county.
Cont...

6. Nurses carry out reasonable considerations and use individual competence and
qualifications as criteria in seeking consultation, accepting responsibility, and delegating
nursing activities to others.
7. Nurses participate in activities in assisting the development of professional knowledge.
8. Nurses participate in professional efforts to implement and improve nursing standards.
9. Nurses participate in pharmaceutical efforts to establish and foster working conditions
that support quality nursing services.
10. Nurses participate in professional endeavors to protect the public against
misinformation and images and maintain the integrity of the nurse.
11. Nurse co-operation with members of the health profession or other community
members in improving community and national efforts to meet public health needs.
3. Nurse Code of Conduct According to ICN :

The primary responsibility of the nurse is improving the


health of preventing disease, maintaining health and reducing
suffering. For that the nurse must believe:
1. The need for nursing services in different places is the
same.
2. Implementation of nursing practice at the point of
emphasis on the honor of a life of dignity and high support of
human rights.
Cont...

3. In carrying out health and or nursing services to individuals,


families, groups and communities, nurses involve groups and agencies
concerned.
a. Nurse with client
b. Nurses with health services
c. Nurse and community environment
d. Nurse with peers
e. Nurse with profession
4. Cons Nursis Selfie

1). The nurse who carries out a selfie with the patient naturally
violates the nursing code of ethics, as it is clearly stated in
the nursing code of ethics that the Nurse must keep
confidential everything that is known in connection with the
duty entrusted to him unless required by the authorities in
accordance with applicable law. If doing selfie with the patient
as well as not maintaining the privacy of the patient. If the
patient or family reports the act of the nurse then it can be
processed legally which will cause harm to the nurse.
Cont...

2). The act of nurse who perform selfie with patient


strongly shows unprofessional deeds. Nurses are
obliged to do the documentation but not by doing
selfie with the patient.
Cont... (2)

3). Conducting selfie with the patient is also included


in clinical violation of ethics. Clinical ethics is part of
bioethics that pay more attention to ethical issues
during service delivery to clients. Examples of clinical
ethics: the presence of consent or rejection, and how
one should respond to less useful (in vain) medical
requests. Selfies are also included in medical
treatment that is less useful if not dilkukan for
documentation.
If used for documentation also will not be disseminated in
social media because it includes not maintaining the
privacy of patients. It is the duty of a health worker to
maintain the confidentiality of the patient, and if they
break it they can be interpreted in violation of their
professional oath. Patients also should not be in situations
where they have to sacrifice privacy for the benefit of
health workers.
Cont... (3)

4). In addition, the lack of trust and insecurity of the


patient. Because patients want care and attention from
health workers when they seek help or others. The lack
of privacy raises stress so that the patient does not trust
and feel safe. This condition can interfere with the
healing process because the patient's mental is known to
affect the effectiveness of healing.
Cont... (4)

5). Then the incident violates the work ethic of health


personnel. In some countries, there are civil and criminal laws
governing health-care services to follow standardized ethical
codes, and the law will ensure they comply with those
standards. Carrying a selfie without a patient's permission or
not giving them the therapy they want is expressed as a very
unethical act, and they may be penalized for doing this. It
should be from a health worker to be aware of this problem
and train them how to overcome it so as not to happen again.
Cont... (5)

6). Selfie make someone forget the time, forgot the job so
that the same nurse was not ready to face the various
state of the patient because even though the photo is only
for personal pleasure alone, still there must be little in the
photo that shows the condition or condition of the hospital.
It is unethical to spread the place where it should be a
sterile place where it should not be disseminated, because
the patient's condition is included in the patient's privacy
and will lead to different understandings of each viewer.
Cont... (6)

7). Selfish nurses means breaking the nursing rules of


the hospital and violating the patient's privacy. The
rule of thumb in the principle of confidentiality is that
information about clients should be kept private.
Everything contained in the client's health records
document may only be read in the context of client
treatment. No one may obtain such information unless
permitted by the client with evidence of consent.