Nursing and Ethics

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CHAPTER


DOI :10.26650/B/CH17CH24.2024.002.04   IUP :10.26650/B/CH17CH24.2024.002.04    Full Text (PDF)

Ethics in Internal Medicine Nursing: History, Development and Importance

Cansu Polat Dünya, Medine Yücesoy

Due to their professional roles and responsibilities, internal medicine nurses focus on providing care with a holistic approach to adult individuals’ acute or chronic disease conditions. As key members of the multidisciplinary team, internal medicine nurses, who often care for individuals in complex situations, analyze the patient’s findings as a key member of the multidisciplinary team, determine the strategies necessary for the diagnosis, care, and treatment of the patient, and ensure the coordination of care. Internal medicine nurses, who are faced with the management of difficult and complex situations, should be able to make critical decisions in patient care in line with ethical principles and values and have ethical sensitivity. One of the important features of the nurse in the care process is to have ethical sensitivity, to provide safe care, to work in cooperation with other health professionals and to take care to increase her knowledge in the field, which can help her to anticipate ethical problems and produce solutions. Internal medicine nurses face ethical dilemmas such as informed consent, confidentiality and confidentiality, research ethics, stigma, and discrimination in clinical practice. It is important for internal medicine nurses to have critical thinking, experience, research, education, leadership, and ethical sensitivity skills while increasing the patient and quality of life and managing care with a multidisciplinary approach in focus of internal medicine nursing. It is essential that nurses who question whether the practice they provide and the care they provide are ethically correct should take the ethical principles of benefiting or not harming, autonomy/respect for the individual, human dignity, justice, equality, privacy, and confidentiality as their guide.


Keywords: Ethics, codes of ethics, ethical principles, internal medicine nursing, ethical dilemmas
DOI :10.26650/B/CH17CH24.2024.002.04   IUP :10.26650/B/CH17CH24.2024.002.04    Full Text (PDF)

İç Hastalıkları Hemşi̇reli̇ği̇nde Eti̇k: Tari̇hçesi̇, Geli̇şi̇mi̇ ve Önemi̇

Cansu Polat Dünya, Medine Yücesoy

İç hastalıkları hemşireleri profesyonel rol ve sorumlulukları gereği, yetişkin bireylerin akut ya da kronik hastalık durumlarında holistik yaklaşımla bakım sağlamaya odaklanmaktadır. Sıklıkla karmaşık durumdaki bireylere bakım veren iç hastalıkları hemşireleri, multidisipliner ekibin kilit bir üyesi olarak, hastaya ait bulguları analiz etmekte, hastanın tanısı, bakım ve tedavisi için gerekli olan stratejileri belirlemekte ve bakımın koordinasyonunu sağlamaktadır. Zor ve karmaşık durumların yönetimi ile karşı karşıya kalan iç hastalıkları hemşireleri hasta bakımında, etik ilke ve değerler doğrultusunda kritik kararları verebilmeli ve etik duyarlılık sahibi olmalıdırlar. Bakım sürecinde hemşirenin etik duyarlılık sahibi olması, güvenli bakımı sağlaması, diğer sağlık profesyonelleri ile iş birliği içerisinde çalışması ve alandaki bilgisini arttırmaya özen göstermesi ortaya çıkabilecek etik sorunları öngörmesine ve çözüm yolları üretmesine yardımcı olabilecek önemli özelliklerinden biridir. İç hastalıkları hemşireleri, klinik uygulamada bilgilendirilmiş onam, mahremiyet ve gizlilik, araştırma etiği, damgalama ve ayrımcılık gibi etik ikilemlerle karşılaşmaktadırlar. İç hastalıkları hemşireliğinin odağında hasta ve yaşam kalitesinin arttırılması, multidisipliner bir yaklaşımla bakımın yönetilmesi sağlanırken aynı zamanda iç hastalıkları hemşirelerinin kritik düşünme, deneyim, araştırma, eğitim, liderlik ve etik duyarlılık becerilerine sahip olmaları da önemlidir. Yaptığı uygulamanın, sağladığı bakımın etik açıdan doğru olup olmadığını sorgulayan hemşirelerin, çözüm aradıkları etik konularda yarar sağlama ve zarar vermeme, özerklik/bireye saygı, insan onuru, adalet ve eşitlik, mahremiyet ve gizlilik etik ilkelerini rehber almaları elzemdir.


Keywords: Etik, etik kodlar, etik ilkeler, iç hastalıkları hemşireliği, etik ikilemler

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