Lecture 5 - Professional Codes of Ethics - 1446 PDF

‫ممارس الرعايه الصحيه هو اي شخص يقدم‬ ‫خدمه تساعد ا>ريض صحيا ويشمل كل‬ Introduction (P. 9) ‫التخصصات الصحيه سواء كانت لخدمه‬ Introduction (P. 9)...

‫ممارس الرعايه الصحيه هو اي شخص يقدم‬ ‫خدمه تساعد ا>ريض صحيا ويشمل كل‬ Introduction (P. 9) ‫التخصصات الصحيه سواء كانت لخدمه‬ Introduction (P. 9) ‫جيه او تجميليه الخ‬L‫تشخيصيه او ع‬ Healthcare practitioner: As defined in this book, healthcare It should be highlighted that the duty of all healthcare practitioners practitioner is a qualified person who directly provides or helps in is to comply with the system of practicing healthcare profession. It providing healthcare to patients, whether in the form of diagnostic, is also worth noting that the executive regulations specified the ‫ كل تخصص في له حقوق‬،‫من واجبنا كممارس> صحي> ا=لتزام بكامل واجباتنا الي تخص مهنتنا‬ curative, or rehabilitative services that affect health condition.1 following: ‫وواجبات له وعليه مكتوبه من هيئه التخصصات الصحيه السعودية واحنا اجباري =زم نمشي عليها‬ This includes physicians, dentists, pharmacists, nurses, and Enact the guidelines of healthcare professional ethics and other healthcare technicians in: radiology, nursing, anaesthesia, guidelines that are endorsed by the Commission for healthcare laboratories, pharmacies, optometry, epidemiology, prosthetics, practitioners. Therefore, the commitment to follow these guidelines physiotherapy, dental care and fixation, diagnostic imaging, nuclear is considered a commitment to the system of practicing healthcare medicine, laser equipment, surgical operations, etc. profession in Saudi Arabia. ‫هنية‬%‫خ*قيات ا‬,‫ رموز ا‬/ ‫اكواد‬ Professional Codes of Ethics Generally Serve the Following Professional codes of ethics (P. 101) Purposes: :‫الهدف والفايده من دي ا'كواد انه‬ Inform the public of the minimum standards acceptable for conduct Professional codes of ethics enumerate standards of integrity, by members of the discipline. ‫ططرعوين‬-‫ررحيتيض اتف‬-‫بللكاننكموسعبتشاينا‬،‫باطتهق‬8‫ومنثب‬،‫ضقبمولطهع‬-‫عيايميرير ا‬-‫بتيحددهييدنازلفحدعا'شادنن تى مسانعاد‬ professionalism, and ethical norms for members of a given Assist the public in understanding a discipline’s professional ‫بادئ الي تحدد‬%‫البروفشنال كود اوف اثكس عباره عن مجموعه من القواعد وا‬ responsibilities. ‫ الخ‬...‫جتمع على فهم ايش شغله كل تخصص مو زي التمريض مهندس سباك‬N‫مساعده ا‬ discipline. ‫ في اي مجال بالدنيا وتشمل الث*ثه اشياء الي ترجمتها‬S‫كيفية تصرف العامل‬ Outline the major ethical considerations of the profession. ‫بادى‬N‫تحديد ايش ا‬ ‫ا'ساسيه لكل تخصص‬ They are formal statements that serve to articulate the values Provide guidelines for professional practice to members of the discipline. ‫ن نحط اكواد نعرف ايش حقوقنا ومتى نكون مقصرين ومتى ' ونعرف كيف نتعامل مع التقصير الحاصل بطريقه مناسبه‬N and beliefs of a given discipline, serving as a standard for Serve as a guide for the discipline’s self-regulation. ‫تكون قايد للستاف نفسهم عشان يعرفو ايش 'زم يسوو وايش الي مو شغلهم‬ professional actions and reflecting the ethical principles shared by its members.  The International Council of Nurses (ICN) Code of Ethics for Healthcare Practitioner Ethics ( p 13) Nurses The ICN Code of Ethics for Nurses (2012) has four basic elements, based on social values and needs. The following are examples of ethical standards that healthcare These elements outline nurses’ standards of ethical conduct, including: practitioners should demonstrate and work on developing within nurses and people ‫ من ا)جلس الدولي‬٢٠١٢ ‫في كود اوف اثكس للتمريض صدر عام‬ ‫حتياجات‬D‫ عناصر رئيسيه تعكس القيم وا‬٤ ‫للتمريض كان مكتوب فيه‬ him/herself and among those who work with him/her; especially nurses and practice -٢ ‫ ا)مرض وا)رضى‬S‫قه ب‬V‫ الع‬-١ ‫جتماعية من ا)مرض وتشمل‬D‫ا‬ S‫ ا)مرض‬S‫قه ب‬V‫الع‬-٣ ‫ وممارسات التمريض‬S‫ ا)مرض‬S‫قه ب‬V‫الع‬ nurses and the profession ‫ نفسهم‬S‫ ا)مرض‬S‫قه ب‬V‫ الع‬-٤ ‫والتمريض‬ when he/she recognizes that he/she is a member in a group whose ‫ يفهمو مسؤولياتهم اكثر‬S‫يساعد دا الكود انه ا)مرض‬ nurses and co-workers ‫يده مو مهمه احسها‬V‫الزبده دي الس‬ members complement each other in the medical field Each of these four basic elements has statements that assist the nurse in ‫قيه‬$‫عايير ا&خ‬,‫ &زم نلتزم با‬4‫ سعودي‬4‫ صحي‬4‫احنا كممارس‬ understanding his or her ethical responsibilities within that element of ‫ بعض خاصه انه احنا يد وحده‬4‫ونطورها شخصيا داخل نفسنا وب‬ ‫وما نقدر نشتغل بدون بعض ف &زم نكون حلوين مع بعض‬ (chapter 1) the code Healthcare Practitioner Ethics (p 13) Healthcare Practitioner Ethics (p 13, 14 &15) (A) Devotion and Feeling the Worship of Allah (SWT) B. Demonstration of the Best of Manners :‫خ"ق‬$‫التحلي بأفضل ا‬ 1. Truthfulness ‫ الصدق‬.1 ‫مانة والنزاهة‬$‫ ا‬.2 2. Honesty and Integrity ‫ التواضع واحترام ا=خرين‬.3 Each individual Muslim healthcare practitioner to have devotion in all his/her deeds for the sake of Allah (SWT), and perceive the 3. Humbleness and Respect for Others ِ ‫والحلم‬ ‫ الصبر‬.4 ‫حبة‬F‫ الشغف وا‬.5 presence of Allah (SWT) in all his/her activities, plus understand 4. Patience and Forbearance ‫نصاف‬K‫عتدال وا‬N‫ ا‬.6 that he/she will be judged for every small and big act he/she has 5. Passion and Love done. 6. Moderation and Fairness ‫مخلصا‬ ً ‫يجب على كل ممارس رعاية صحية مسلم أن يكون‬ (chapter 1) (C) Self-accountability ‫في جميع أفعاله ابتغا ًء لوجه ا= وأن يستشعر مراقبة ا= في‬ ‫ سواء‬،‫ مدر ًكا أنه سيُحاسب على كل ما يقوم به‬،‫كل أعماله‬ (D) Avoidance of Trivialities and Pettiness.‫كان صغي ًرا أو كبي ًرا‬ (chapter 1)  Healthcare Practitioner Ethics Duties of Healthcare Practitioner Towards Patients (p 16) (C) Self-accountability The relation between a healthcare practitioner and his/her patient is A nurse is answerable and accountable for each activity of his/hers based on mutual trust and honesty between the two. It is the duty of in the nursing care provided to the patient. the healthcare practitioner to deliver comprehensive medical care to (D) Avoidance of Trivialities and Pettiness his/her patients according to their medical needs with accuracy and :‫محاسبة النفس‬ (chapter 1) proficiency in order to satisfy the patients best interests while ‫سؤولية الكاملة عن كل إجراء يقوم به أثناء تقديم الرعاية التمريضية‬H‫مرض ا‬H‫يتحمل ا‬.‫للمرضى‬ respecting the patients dignity, and considering the patients rights. :‫مور التافهة والصغائر‬R‫تجنب ا‬ ‫ ويُعتبر من‬.‫تبادلة والصدق‬2‫ريض على الثقة ا‬2‫قة ب> ممارس الرعاية الصحية وا‬A‫تقوم الع‬ ‫ وتجنب‬،‫همة‬H‫ساسية وا‬R‫هام ا‬H‫يجب على ممارس الرعاية الصحية التركيز على ا‬ (chapter 2) ‫ مع‬،‫ريض الصحية‬2‫حتياجات ا‬J ‫واجب ممارس الرعاية الصحية تقديم رعاية طبية شاملة وف ًقا‬.‫قدمة‬H‫ تضيف قيمة للرعاية ا‬Z ‫مور غير الضرورية التي‬R‫نشغال با‬Z‫ا‬ ‫ مع احترام كرامته وحقوقه‬،‫ وذلك لضمان تحقيق أفضل مصلحة للمريض‬،‫الدقة والكفاءة‬ Duties of Healthcare Practitioner Towards Patients (p16, 17 & 18) Duties of Healthcare Practitioner Towards Patients (p16, 17 & 18) ‫ريض وحماية حقوقه‬-‫تحقيق مصلحة ا‬ ‫عامله الحسنه تشمل‬/‫م للقراءه صراحه بس ا‬9‫ك‬ (A) Good Treatment of Patient ‫ريض بابتسامه والتركيز معاه وعلى‬/‫استقبال ا‬ (B) Achieving Patient’s Interest and Guarding His/Her Right ‫شكواه والتعاطف معاه والعدل في تقديم الرعايه له‬ (C) Patient’s Consent It is the duty of a healthcare practitioner to treat his/her patient kindly in ▪ Woman’s Consent all conditions, and this [good treatment] includes the following: ▪ Woman’s Consent The conscious adult woman has the right to give 1. Being welcoming by smiling at patients. consent to any medical interventions that is related to her, including 2. Listening attentively to patients' complaints and empathising with surgical operations, except for what is related to reproduction, like the his/her suffering. use of family planning methods, hysterectomy or other procedures. In 3. Fairness in the treatment of all patients with no discrimination such procedures, the acceptance of the husband must be obtained too. against them in the level of healthcare based on the differences of In emergency and life-threatening conditions, the women's consent is their social status or based on personal feelings towards (or against) sufficient ‫جراءات‬9‫ باستثناء ا‬،‫ بما في ذلك العمليات الجراحية‬،‫وافقة على أي تدخل طبي يخصها‬-‫يحق للمرأة البالغة الواعية إعطاء ا‬ -.‫نجابية‬9‫رتبطة بالقدرة ا‬-‫خرى ا‬Y‫جراءات الطبية ا‬9‫ ا‬-.‫ استئصال الرحم‬-.‫سرة‬Y‫ استخدام وسائل تنظيم ا‬:‫نجاب مثل‬9‫تعلقة با‬-‫ا‬ them ً (chapter.‫أيضا‬ ‫على موافقة الزوج‬2)‫ يجب الحصول‬،‫ت‬f‫في هذه الحا‬ ((chapter 2) ‫رأة وحدها كافية دون الحاجة إلى موافقة الزوج‬-‫ تكون موافقة ا‬،‫هددة للحياة‬-‫ت الطارئة أو ا‬f‫في الحا‬ Duties of Healthcare Practitioner Towards Patients (p16, 17 & 18) Duties of Healthcare Practitioner Towards Patients (p 20 ) ▪ Incompetent Patient’s Consent ▪ Incompetent Patient’s Consent If the patient cannot give an informed consent, for example in case of unconsciousness, or whose consent is not (E) Maintaining Patient’s Secrets – Confidentiality usually considered valid like children,2 or the insane; his/her legal guardian The Islamic Sharia has asserted the significance of keeping the should be the person to give this proxy consent, whether for surgical or alike interventional procedures. If obtaining the consent of the legal guardian was patients' secrets and confidentiality ،‫دا الشي مو بس اخ)قيا ومهنيا‬ ‫كمان دينيا ;زم نلتزم فيه‬ not possible, amid fears of potential loss of life or severe harm to the patient, then the healthcare practitioner can do these interventions without consent. except for the following exceptional conditions: For the non-interventional procedures on an incompetent patient, it should 1. If the disclosure is to protect the patients contacts from being be sufficient to have the consent of one of the present parents or accompanying healthy person, if he/she is competent to give such a consent infected or harmed, like contagious diseases, drug addiction, or (D) Reassurance of Patient ‫ يكون بغيبوبه او طفل او مجنون‬2‫ انهم يوافقو بنفسهم مث‬:‫رضى ما يكونو مؤهل‬B‫احيانا ا‬ ‫ ولو ما قدرنا ناخد موافقه احد وكانت حياه‬،‫وصياء عليه هم يوافقو بداله‬P‫ف هنا اهله وا‬ severe psychological illnesses. In this case, disclosure should be (chapter 2) ‫وافقه‬B‫زم نشتغل بدون موافقه بس ننقذ حياته والباقي بعد ا‬P ‫ريض بخطر‬B‫ا‬ confined to those who may become harmed. ‫في حا;ت نقدر نكسر فيها دا الشي مث) لو كان‬ ‫الشخص مجنون وممكن يسبب خطر للي حوله‬ (chapter 2) ‫او كان عنده مرض معدي خطير او مدمن‬ Duties of Healthcare Practitioner Towards Patients (p 20) Duties of Healthcare Practitioner Towards Patients (p 20) ‫علومات يكون فقط لتحقيق مصلحه عامه او منع ضرر ويكون مصرح من جهات رسميه مو بكيفك‬E‫افشاء ا‬ 2. If the disclosure is to achieve a dominant interest of the society or to ward off any evil from it. In this case, the c. If disclosure is requested by a judiciary authority. disclosure should be made only to the official specialized d. To defend a charge against a healthcare practitioner alleged by authorities. the patient or his/her family in relation to the practitioner's Examples of this condition are the following: competence or how he/she practices his/her profession. Disclosure should be only before the official authorities. a. Reporting death resulting from a criminal act, or to ‫ت ثانيه مسموح فيها كسر السريه اذا مث& الشغله فيها مشكله قضائيه مث& بتطلق‬A‫حا‬ prevent a crime from happening. ‫ناطقكانتوو تقول احصائيات‬E‫وا‬ ‫ن وزاره الصحه‬E ‫زي‬ ‫دن‬E‫كورونا با‬ ‫ واذا مث& عائله‬،AA‫زم تكشف هل منجد عنده و‬A ‫ستشفى‬R‫ن عنده ايدز فا‬A ‫زوجها‬ b. Reporting of communicable or infectious diseases. ‫ريض عشان يوريهم كيف كان وكيف صار‬R‫مرض ف هو يكشف معلومات ا‬R‫ريض اشتكت ا‬R‫ا‬ ‫وايش سوا عشان يدافع عن نفسه‬ ‫ت‬A‫بس برضو كلها تكون تحت حقيق وجهات رسميه مو اي احد وبكل الحا‬  Duties of Healthcare Practitioner Towards Patients (p 20 , 21) Healthcare Practitioner’s Duties Towards the Community (p 22 , 23) ‫زم نستاذنهم ونفهمهم اهميه التصوير ونطمنهم‬8 ‫اذا كنا محتاج? نسجل او نصور ا;رضى‬ ‫ص ما نقدر‬G‫ اذا ما وافق خ‬،‫انه محد بيشوفو او بننشرو بس عشان نتابع الحاله والتحسن‬ F) Photographing Patients and Recording Their Voices 1. Become a role model for the community members When there is such a need, the following regulations should be through his/her faith. followed: 2. Practice the profession with the highest attainable level 1. Inform the patient with the significance of this imaging, its of knowledge, efficiency. importance and purpose before imaging or recording, and tell the patient how and where it (i.e. the image or the record) will be used 3. Recognize his/her responsibility for the maintenance of health resources and utilizing them in the most 2. Obtain the consent from the patient or the patient’s proxy decision maker before photographing or recording. appropriate way. ‫جتمع كممرضه انه تكون‬/‫من واجباتي تجاه ا‬ ‫ واكون على‬،‫قي حلوه واكون مثال حلو وقدوه‬A‫اخ‬ ( chapter3) ‫معرفه بتخصصي وحقوقي وواجباتي واكون على‬ G) Dealing with Patients Who Refuse a Medical Procedure ‫سؤولية‬/‫قدر عالي من ا‬ ‫ بس‬،‫ي سبب احنا بنحترم دا الشي ما بنجبره‬8 ‫ج‬G‫اذا ا;ريض رافض انه ياخد ع‬ (chapter 2) ‫زم نحاول نعرف هو ليش رافض عشان ممكن يكون فاهم غلط او حاجه‬8 Healthcare Practitioner’s Duties Towards the Community (p22, 23) Healthcare Practitioner’s Duties Towards Professional Colleagues (p 24,25) 4. Take into account interaction with media for the sake 1. Behave well with his/her colleagues and treat them the of providing the correct information to the community. way he/she would like them to treat him/her. 2. The healthcare practitioner should not find it difficult 5. Strive hard through the use of his/her skills, knowledge to stop at the limit of his/her abilities and request help and expertise to improve the standards and quality of from his/her professional colleagues whenever needed. health services available in the community. ( chapter3) 3. Avoid direct criticism of a colleague in front of ‫ع)م والسوشل‬+‫جتمع انه استعمل ا‬4‫تكمله للواجبات تجاه ا‬ patients. ( chapter4) ‫ميديا بطريقه كويسه تفيد الناس واشتغل بجد وذمه وضمير‬ !‫ئي احترمهم واقدرهم وما اتدخل فيهم و‬6‫من واجباتي اتجاه زم‬ ‫واحاول احسن البيئه الصحيه قد ما اقدر سواء للنيرسز‬ ‫ الزبده نعامل بعض كويس‬،‫انتقدهم قدام الناس ونعترف بقدراتهم‬ ‫ والتخصصات الثانيه او للمرضى‬Y‫الثان‬  Healthcare Practitioner’s Duties Towards Him/Herself (p 26, 27, 28) Healthcare Practitioner’s Duties Towards Him/Herself (p 26, 27, 28) 1. He/she should evoke the good intentions and devotion 3. Commit him/herself to diligence in learning and for the sake of Allah (SWT) when performing his/her seeking knowledge through continuous reading and professional duties. attending conferences, symposia, seminars, national 2. Be familiar with the regulations that regulate his/her and international conferences; recognizing the profession and commit to them by taking the needed importance of self-education in the development of registrations to perform his/her profession information and skills and to instinctively be responsible towards self-development. ( chapter 5) ( chapter 5) ‫ ثانيا اكون على‬, ‫ص العمل‬2‫من واجباتي اتجاه نفسي او< استحضار النيه واخ‬ ‫من واجباتي تجاه نفسي اني احافظ على حداثه معلوماتي‬ ‫ستشفى والدوله عشان احمي نفسي‬J‫علم بكافه القواعد الي ماشيه عليها ا‬ ‫ومهارات واحاول ازودها عن طريق الدورات وا@ؤتمرات وغيرو‬ Healthcare Practitioner’s Duties Towards Him/Herself (p 26, 27, 28) Healthcare Practitioners’ Duties Towards His/her Profession(p 29) 4. Seek help in solving his/her own problems that would 1. Protect the nobleness of the profession by being careful negatively affect the service that he/she is providing to how he/she looks and behaves. his/her patients, community or profession. 2. Complete devotion to the profession, excelling in his/her 5. A healthcare practitioner should realize that he/she is work by mastering skills, observance of patients’ rights ‫واجبات ممارسي الرعاية الصحية تجاه مهنتهم‬ responsible for the patient to the extent assigned to and maintaining [practicing] good manners. ‫هنة من خ?ل ا=هتمام‬B‫الحفاظ على مكانة ا‬ :‫ وذلك من خ?ل‬،‫خ?ص التام للمهنة‬R‫ا‬.1.‫هني‬B‫ظهر والسلوك ا‬B‫با‬.2 him/her, and he/she is required to stop at the limits of.‫هنية‬B‫هارات الطبية وا‬B‫إتقان ا‬.‫رضى‬B‫ا=لتزام بحقوق ا‬.‫التحلي با]خ?ق الحسنة في التعامل‬ his/her capabilities and seek help from those who are ‫عايير الصحيحة للسلوك الشخصي‬B‫اتباع ا‬.3 3. Follow the proper standards for personal behaviour,.‫هنة‬B‫وا]خ?ق العامة أثناء ممارسة ا‬ more knowledgeable than him/her whenever needed ( chapter 5) ‫اطلب ا;ساعده لو اتعرضت ;شكله شخصيه او مهنيه واكون عارفه حدود قدراتي‬ and public morality during performing all professional ‫ومعلوماتي عشان افيد ا;ريض بالي اقدر عليه ما اتفلسف وانكبه معايا‬ ( chapter 6)