Nursing and Ethics

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DOI :10.26650/B/CH17CH24.2024.002.35   IUP :10.26650/B/CH17CH24.2024.002.35    Full Text (PDF)

Ethi̇cs in Public Health Nursing: History, Development and Importance

Elif Ateş

The field of public health includes a wide scope of activities and professional disciplines, ranging from sanitation, health protection, epidemiology, environmental health, financing, and health promotion, including supervision, or the provision of clinical care. Each of these disciplines works in systems that face ethical dilemmas, making it important that public health workers have the motivation to understand and practice within the ethical guidelines of their profession, thus making ethics an important component of training and practice. Public health ethics is a newly developing field. However, the ethical issues discussed in the field are not new. The most fundamental ethical problem is the dilemma of ethical violations of individual freedoms. Public health professionals must ethically balance respecting individual freedoms with protecting the health of the population in their activities. Ethical guidelines in this field were articulated by the Public Health Leadership Institute in 2002. The recognized core ethical values and obligations in public health (professionalism and trust, respect and safety, health justice and equity, interdependence, and solidarity, human rights and civil liberties, inclusion and interaction) are important and conceptually multifaceted. The “Code of Ethics for Public Health”, last updated in 2019, contains ethical standards and obligations for both public health practitioners and institutions and aims to provide guidance for individual and collective decision-making, especially in ethically challenging situations. Public health nurses should also consider ethical values and these guidelines in their roles and responsibilities while providing health care services.


Keywords: Public health nursing, ethics, values, ethical dilemmas, ethical rules
DOI :10.26650/B/CH17CH24.2024.002.35   IUP :10.26650/B/CH17CH24.2024.002.35    Full Text (PDF)

Halk Sağlığı Hemşireli̇ği̇nde Eti̇k: Tari̇hçesi̇, Geli̇şi̇mi̇ ve Önemi̇

Elif Ateş

Halk sağlığı alanı, sanitasyon, sağlığın korunması, epidemiyoloji, çevre sağlığı, finansman, gözetim dahil olmak üzere sağlığın teşviki ve geliştirilmesi veya klinik bakımın sağlanmasına kadar uzanan geniş bir faaliyet alanını ve profesyonel disiplinleri içerir. Bu disiplinlerin her biri, etik ikilemlerle karşılaşan sistemlerde çalışır, bu da halk sağlığı çalışanlarının mesleklerinin etik ilkelerini anlama ve uygulama motivasyonuna sahip olmalarını önemli kılar ve böylece etiği, eğitim ve uygulamanın önemli bir bileşeni haline getirir. Halk sağlığı etiği yeni gelişen bir alandır. Ancak alanda tartışılan etik konular yeni değildir. En temel etik sorun, bireysel özgürlüklerin etik açıdan ihlal edilme ikilemleridir. Halk sağlığı profesyonelleri, faaliyetlerinde bireysel özgürlüklere saygılı olma ile nüfusun sağlığını koruma eylemlerini etik açıdan dengelemelidirler. Bu alandaki etik kurallar, 2002 yılında Halk Sağlığı Liderlik Enstitüsü tarafından ifade edilmiştir. Kabul edilen halk sağlığında temel etik değerler, yükümlülükler (Profesyonellik ve güven, saygı ve güvenlik, sağlık adalet ve hakkaniyet, bağımlılık ve dayanışma, insan hakları ve sivil özgürlükler, kapsayıcılık ve etkileşim) önemlidir ve kavramsal olarak çok yönlüdür. En son 2019 yılında güncellenen “Halk Sağlığı Etik Kuralları”, hem halk sağlığı uygulayıcıları hem de kurumlar için etik standartlar ve yükümlülükler içermekte olup, özellikle etik açıdan zorlu durumlarda bireysel ve toplu karar vermeye yönelik rehberlik etmeyi amaçlamaktadır. Halk sağlığı hemşireleri de sağlık bakım hizmeti verirken, üstlendikleri rol ve sorumluluklarda, etik değerleri ve bu rehberleri göz önünde bulundurması gerekmektedir.


Keywords: Halk sağlığı hemşireliği, etik, değerler, etik ikilemler, etik kurallar

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