美国护理学会对护理执业定义课件

02ProfessionalGuidestoActioninNurse-clientRelationship1BasicConceptsBasicConcepts1.American1.American NursesNurses AssociationsAssociations DefinitionDefinition ofofProfessionalNursingPracticeProfessionalNursingPractice2.ProfessionalLicensure2.ProfessionalLicensure3.NursePracticeActs3.NursePracticeActs4.ProfessionalStandardsofCare4.ProfessionalStandardsofCareOUTLINEOUTLINE1.1.美国护理学会对护理执业的定义美国护理学会对护理执业的定义美国护理学会对护理执业的定义美国护理学会对护理执业的定义2.2.护理执业执照护理执业执照护理执业执照护理执业执照3.3.护理开业条例护理开业条例护理开业条例护理开业条例*4.4.护理执业标准护理执业标准护理执业标准护理执业标准2OUTLINE5.LegalStandards5.LegalStandardsConfidentialityConfidentialityInformedConsentInformedConsentProtectingClientRightsProtectingClientRights6.EthicalCodeforNurses6.EthicalCodeforNurses*5.*5.护理法规护理法规护理法规护理法规6.6.护理职业道德护理职业道德护理职业道德护理职业道德3ApplicationsApplicationsNursingProcessNursingProcessNursingProcessandProfessionalRelationsNursingProcessandProfessionalRelationsAssessmentAssessmentDiagnosisDiagnosisPlanningandOutcomeIdentificationPlanningandOutcomeIdentificationImplementationImplementationEvaluationEvaluationCriticalPathwaysCriticalPathwaysSummarySummary OUTLINE4 OBJECTIVES1.Discusstheimplicationsof1.Discusstheimplicationsofnursepracticeactsnursepracticeactsininthenurse-clientrelationshipthenurse-clientrelationship2.Identify2.Identifyprofessionalstandardsofcareprofessionalstandardsofcare 3.Discuss3.Discuss implicationsimplications ofof thethe codecode ofof ethicsethics withwithinterpretiveinterpretivestatementsstatementsforforthethenurse-clientnurse-clientrelationshiprelationship4.Describe4.Describethenursingprocessthenursingprocessasaframe-workasaframe-work forforprofessionalnursingpracticeandthenurse-clientprofessionalnursingpracticeandthenurse-clientrelationshiprelationship5.Discuss5.Discuss criticalcritical pathwayspathways asas a a methodmethod ofofcommunicationcommunication 5IfamansactionsarenotguidedbythoughtfulIfamansactionsarenotguidedbythoughtfulconsiderations,thentheyareguidedbyinconsiderateconsiderations,thentheyareguidedbyinconsiderateimpulse,unbalancedappetite,capriceortheimpulse,unbalancedappetite,capriceortheCircumstancesofthemoment.Circumstancesofthemoment.JohnDewey(1933)JohnDewey(1933)如果一个人的行为不被深思熟虑的思想所指导如果一个人的行为不被深思熟虑的思想所指导如果一个人的行为不被深思熟虑的思想所指导如果一个人的行为不被深思熟虑的思想所指导,那么他们就受那么他们就受那么他们就受那么他们就受轻率的冲动，不平衡的欲望轻率的冲动，不平衡的欲望轻率的冲动，不平衡的欲望轻率的冲动，不平衡的欲望,反复无常或片刻的环境所左右。反复无常或片刻的环境所左右。反复无常或片刻的环境所左右。反复无常或片刻的环境所左右。约翰约翰约翰约翰 Dewey(1933)Dewey(1933)Dewey(1933)Dewey(1933)6ProfessionalNursingPracticeProfessionalNursingPractice1.AmericanNursesAssociation(ANA)AmericanNursesAssociation(ANA),sdefinitionofsdefinitionofprofessionalnursingpractice.professionalnursingpractice.2.ThepracticeofprofessionalnursingmeanstheThepracticeofprofessionalnursingmeanstheperformanceforcompensationofprofessionalperformanceforcompensationofprofessionalservicesrequiringsubstantialspecializedservicesrequiringsubstantialspecializedknowledgeoftheknowledgeofthebiological,physical,behavioral,biological,physical,behavioral,psychological,andsociological,sciencesandofpsychological,andsociological,sciencesandofnursingtheorynursingtheoryasabasisforassessment,diagnosis,asabasisforassessment,diagnosis,planning,intervention,andevaluationintheplanning,intervention,andevaluationinthepromotionandmaintenanceofhealth;thecasepromotionandmaintenanceofhealth;thecasefindingandmanagementoffindingandmanagementofillness,injury,orillness,injury,orinfirmity;therestorationofoptimumfunction;infirmity;therestorationofoptimumfunction;andtheachievementofadignifieddeathandtheachievementofadignifieddeath.3.7ProfessionalNursingPractice2.OccupationalEnglishTest(OET)2.OccupationalEnglishTest(OET)OETOET是澳大利亚职业英语考试（是澳大利亚职业英语考试（是澳大利亚职业英语考试（是澳大利亚职业英语考试（OccupationalOccupationalEnglishTestEnglishTest）的英文缩写，所有希望赴澳大利亚工）的英文缩写，所有希望赴澳大利亚工）的英文缩写，所有希望赴澳大利亚工）的英文缩写，所有希望赴澳大利亚工作的海外护士首先需要面对作的海外护士首先需要面对作的海外护士首先需要面对作的海外护士首先需要面对OETOET专业语言考试。由专业语言考试。由专业语言考试。由专业语言考试。由于考试题型与雅思颇为相象，因此于考试题型与雅思颇为相象，因此于考试题型与雅思颇为相象，因此于考试题型与雅思颇为相象，因此OETOET被称为医疗被称为医疗被称为医疗被称为医疗领域的领域的领域的领域的“雅思雅思雅思雅思”。8ProfessionalNursingPractice3.CommissiononGraduatesofForeignNursing3.CommissiononGraduatesofForeignNursingSchools(CGFNS)Schools(CGFNS)CGFNSCGFNS是是是是CommissiononGraduatesofForeignCommissiononGraduatesofForeignNursingSchools(NursingSchools(外国护校毕业生委员会外国护校毕业生委员会外国护校毕业生委员会外国护校毕业生委员会)的缩写的缩写的缩写的缩写,CGFNSCGFNS考试测试外籍护士的护理知识水平和英语能考试测试外籍护士的护理知识水平和英语能考试测试外籍护士的护理知识水平和英语能考试测试外籍护士的护理知识水平和英语能力，作为来美国从事护士行业的资格和条件之一。力，作为来美国从事护士行业的资格和条件之一。力，作为来美国从事护士行业的资格和条件之一。力，作为来美国从事护士行业的资格和条件之一。9NurseProfessionalLicensureqTheregisterednursesprofessionallicenseTheregisterednursesprofessionallicenseensuresthateachindividualnursehasensuresthateachindividualnursehassuccessfullysuccessfullycompletednursingprogramrequirementsandcancompletednursingprogramrequirementsandcandemonstratetheknowledge,skills,andcompetenciesdemonstratetheknowledge,skills,andcompetencies tofunctionasahealthproviderofsafe,effectivetofunctionasahealthproviderofsafe,effectivenursingcare.nursingcare.qAllpersonspracticingnursingarerequiredbyAllpersonspracticingnursingarerequiredbylawtohaveacurrentlicenseinthestateinwhichtheylawtohaveacurrentlicenseinthestateinwhichtheypracticeandpracticeandtoupdatetheirlicensureyearlytoupdatetheirlicensureyearly.This.Thislicenserequiresanyonepracticingnursingtocomplylicenserequiresanyonepracticingnursingtocomplywithallstatelawsgoverningpractice.withallstatelawsgoverningpractice.10NursePracticeActs1.NursePracticeActsarethesinglemostimportant1.NursePracticeActsarethesinglemostimportantstatutorystatutorylawsgoverningtheprovisionofprofessionallawsgoverningtheprovisionofprofessionalnursingcarethroughthenurse-clientrelationship.nursingcarethroughthenurse-clientrelationship.2.BecausetheNursePracticeActsodirectlyaffects2.BecausetheNursePracticeActsodirectlyaffectsprofessionalnursingfunctions,nursesshouldpayprofessionalnursingfunctions,nursesshouldpaycloseattentiontolegislationandstatestatutorycloseattentiontolegislationandstatestatutorydefinitionsofnursingpracticingintheirpractice.definitionsofnursingpracticingintheirpractice.113.3.ViolationsViolationsoftheNursePracticeActareserious,andoftheNursePracticeActareserious,andprofessionalnursescanlosetheirlicensuretopracticeprofessionalnursescanlosetheirlicensuretopracticeorhaveitsuspendedforaperiodoftime.orhaveitsuspendedforaperiodoftime.4.Eachstatedevelopsand4.EachstatedevelopsandexecutesexecutesitsownNurseitsownNursePracticeAct.Ifanursemovestoanotherstate,hehastoPracticeAct.Ifanursemovestoanotherstate,hehastoapplyforlicensureinthatstate.applyforlicensureinthatstate.NursePracticeActs12NursePracticeActs中华人民共和国护士法中华人民共和国护士法中华人民共和国护士法中华人民共和国护士法执业条例执业条例执业条例执业条例1.1.未经护士执业注册者不得从事护士工作。护理专未经护士执业注册者不得从事护士工作。护理专未经护士执业注册者不得从事护士工作。护理专未经护士执业注册者不得从事护士工作。护理专业在校生或毕业生进行专业实习，以及按本办法第业在校生或毕业生进行专业实习，以及按本办法第业在校生或毕业生进行专业实习，以及按本办法第业在校生或毕业生进行专业实习，以及按本办法第十八条规定进行临床实践的，必须按照卫生部的有十八条规定进行临床实践的，必须按照卫生部的有十八条规定进行临床实践的，必须按照卫生部的有十八条规定进行临床实践的，必须按照卫生部的有关规定在护士的指导下进行。关规定在护士的指导下进行。关规定在护士的指导下进行。关规定在护士的指导下进行。2.2.护理人员只能在护士的指导下从事临床生活护理护理人员只能在护士的指导下从事临床生活护理护理人员只能在护士的指导下从事临床生活护理护理人员只能在护士的指导下从事临床生活护理工作。工作。工作。工作。3.3.护士在执业中应当正确执行医嘱，观察病人的身护士在执业中应当正确执行医嘱，观察病人的身护士在执业中应当正确执行医嘱，观察病人的身护士在执业中应当正确执行医嘱，观察病人的身心状态，对病人进行科学的护理。遇紧急情况应及心状态，对病人进行科学的护理。遇紧急情况应及心状态，对病人进行科学的护理。遇紧急情况应及心状态，对病人进行科学的护理。遇紧急情况应及时通知医生并配合抢救，医生不在场时，护士应当时通知医生并配合抢救，医生不在场时，护士应当时通知医生并配合抢救，医生不在场时，护士应当时通知医生并配合抢救，医生不在场时，护士应当采取力所能及的急救措施。采取力所能及的急救措施。采取力所能及的急救措施。采取力所能及的急救措施。134.4.护士有承担预防保健工作、宣传防病治病知识、进行护士有承担预防保健工作、宣传防病治病知识、进行护士有承担预防保健工作、宣传防病治病知识、进行护士有承担预防保健工作、宣传防病治病知识、进行康复指导、开展健康教育、提供卫生咨询的义务。康复指导、开展健康教育、提供卫生咨询的义务。康复指导、开展健康教育、提供卫生咨询的义务。康复指导、开展健康教育、提供卫生咨询的义务。5.5.护士执业必须遵守职业道德和医疗护理工作的规章制护士执业必须遵守职业道德和医疗护理工作的规章制护士执业必须遵守职业道德和医疗护理工作的规章制护士执业必须遵守职业道德和医疗护理工作的规章制度及技术规范。度及技术规范。度及技术规范。度及技术规范。6.6.护士在执业中得悉就医者的隐私，不得泄露，但法律护士在执业中得悉就医者的隐私，不得泄露，但法律护士在执业中得悉就医者的隐私，不得泄露，但法律护士在执业中得悉就医者的隐私，不得泄露，但法律另有规定的除外。另有规定的除外。另有规定的除外。另有规定的除外。NursePracticeActs147.7.遇有自然灾害、传染病流行、突发重大伤亡事故及遇有自然灾害、传染病流行、突发重大伤亡事故及遇有自然灾害、传染病流行、突发重大伤亡事故及遇有自然灾害、传染病流行、突发重大伤亡事故及其他严重威胁人群生命健康的紧急情况，护士必须服其他严重威胁人群生命健康的紧急情况，护士必须服其他严重威胁人群生命健康的紧急情况，护士必须服其他严重威胁人群生命健康的紧急情况，护士必须服从卫生行政部门的调遣，参加医疗救护和预防保健工从卫生行政部门的调遣，参加医疗救护和预防保健工从卫生行政部门的调遣，参加医疗救护和预防保健工从卫生行政部门的调遣，参加医疗救护和预防保健工作。作。作。作。8.8.护士依法履行职责的权利受法律保护，任何单位和护士依法履行职责的权利受法律保护，任何单位和护士依法履行职责的权利受法律保护，任何单位和护士依法履行职责的权利受法律保护，任何单位和个人不得侵犯。个人不得侵犯。个人不得侵犯。个人不得侵犯。NursePracticeActs15Box2-1.ProfessionalStandardsGuidingtheNurse-Box2-1.ProfessionalStandardsGuidingtheNurse-ClientRelationshipClientRelationshipStandardsofCareStandardsofCare.Assessment.AssessmentThenursecollectsclienthealthdata.Thenursecollectsclienthealthdata.Diagnosis.Diagnosis TheThe nursenurse analyzedanalyzed thethe assessmentassessment datadata inindeterminingdiagnoses.determiningdiagnoses.OutcomeIdentification.OutcomeIdentification TheThenursenurseidentifiesidentifiesexpectedexpectedoutcomesoutcomesindividualizedtotheclient.individualizedtotheclient.ProfessionalStandardsofCare16.Planning.Planning TheThe nursenurse developsdevelops a a planplan ofof carecare thatthat prescribesprescribesinterventionstoattaininterventionstoattainexpectedoutcomes.expectedoutcomes.Implementation.Implementation TheThe nursenurse implementsimplements thethe interventionsinterventions identifiedidentified inintheplanofcare.theplanofcare.Evaluation.Evaluation TheThe nursenurse evaluatesevaluates thethe clientsclients progressprogress towardtowardattainmentofoutcomesattainmentofoutcomesProfessionalStandardsofCare17Box2-1.Box2-1.StandardsofProfessionalPerformanceStandardsofProfessionalPerformance.QualityofCare.QualityofCare TheThe nursenurse systematicallysystematically evaluatesevaluates thethe qualityqualityandeffectivenessofnursingpracticeandeffectivenessofnursingpractice.PerformanceAppraisal.PerformanceAppraisal TheThe nursenurse evaluatesevaluates his/herhis/her ownown nursingnursingpracticeinrelationtoprofessionalpracticeinrelationtoprofessional practicepractice standardsstandards andand relevantrelevant statutesstatutes andandregulations.regulations.Education.Education TheThenursenurseacquiresacquiresandandmaintainsmaintainscurrentcurrentknowledgeinnursingpractice.knowledgeinnursingpractice.18.Collegiality.Collegiality TheThenursenursecontributescontributestotothetheprofessionalprofessionaldevelopmentdevelopmentofpeers,colleagues,andothers.ofpeers,colleagues,andothers.Ethics.Ethics TheThenursesnursesdecisionsdecisionsandandactionsactionsononbehalfbehalfofofclientsclientsaredeterminedinanethicalmanner.aredeterminedinanethicalmanner.Collaboration.Collaboration TheThe nursenurse collaboratescollaborates withwith thethe client,client,significantsignificantothers,andhealthcareothers,andhealthcareprovidersinprovidingclientcare.providersinprovidingclientcare.Box2-1.Box2-1.StandardsofProfessionalPerformanceStandardsofProfessionalPerformance19.Research.ResearchThenurseusesresearchfindingsinpractice.Thenurseusesresearchfindingsinpractice.ResourceUtilization.ResourceUtilizationThenurseconsidersfactorsrelatedtosafety,Thenurseconsidersfactorsrelatedtosafety,effectiveness,andcostinplanningeffectiveness,andcostinplanninganddeliveringclientcare.anddeliveringclientcare.Box2-1.Box2-1.StandardsofProfessionalPerformanceStandardsofProfessionalPerformance20LegalStandardsInthenurse-clientrelationship,thenurseisresponsibleforInthenurse-clientrelationship,thenurseisresponsibleformaintainingtheprofessionalconductoftherelationship.Anymaintainingtheprofessionalconductoftherelationship.Anyformofconductthatcouldformofconductthatcouldcompromisecompromisetheclienttheclient,shealthorshealthorwelfareisconsideredunprofessional.Examplesofunprofessionalwelfareisconsideredunprofessional.Examplesofunprofessionalconductinthenurseclientrelationshipinclude:conductinthenurseclientrelationshipinclude:*Verballyorphysicallyabusingaclient*Verballyorphysicallyabusingaclient*Assumingnursingresponsibilityforactionswithouthaving*Assumingnursingresponsibilityforactionswithouthavingsufficientpreparationsufficientpreparation*DelegatingDelegatingcaretounlicensedpersonnelthatcouldresultincaretounlicensedpersonnelthatcouldresultinclientinjuryclientinjury*Followingadoctor*Followingadoctor,sorderthatwouldresultinclientharmsorderthatwouldresultinclientharm*Failingtoreportordocumentchangesinclienthealth*Failingtoreportordocumentchangesinclienthealthstatusstatus*FalsifyingFalsifyingrecordsrecords21LegalStandardsConfidentialityConfidentiality1.Thenurseisboundlegallytorespecttheclient1.Thenurseisboundlegallytorespecttheclient,sprivacy.sprivacy.2.Thenursehasalegalresponsibilitytoensure2.Thenursehasalegalresponsibilitytoensureagainstagainstinvasioninvasionofprivacyrelatedtotheofprivacyrelatedtothefollowing:following:1)Releasinginformationabouttheclientto1)Releasinginformationabouttheclienttounauthorizedpartiesunauthorizedparties2)Unwantedvisitationsinthehospital2)Unwantedvisitationsinthehospital223)Discussingclientproblemsinthepublicplacesor3)Discussingclientproblemsinthepublicplacesorwithpeoplenotdirectlyinvolvedintheclientwithpeoplenotdirectlyinvolvedintheclient,scarescare4)Takingpicturesoftheclientwithoutconsentor4)Takingpicturesoftheclientwithoutconsentorusingthephotographswithouttheclientusingthephotographswithouttheclient,spermissionspermission5)Performingproceduressuchasacquired5)Performingproceduressuchasacquiredimmunodeficiencyimmunodeficiencytestingwithouttheclienttestingwithouttheclient,s spermissionpermission6)Publishingdataaboutaclientinanywaythat6)Publishingdataaboutaclientinanywaythatmakestheclientidentifiablewithouttheclientmakestheclientidentifiablewithouttheclient,s spermissionpermissionLegalStandards23LegalStandardsProtectingClientRightProtectingClientRight1.1.有享受医疗的权利有享受医疗的权利有享受医疗的权利有享受医疗的权利享受平等医疗权；享受平等医疗权；享受平等医疗权；享受平等医疗权；享受安全有效的诊治；享受安全有效的诊治；享受安全有效的诊治；享受安全有效的诊治；有权要求清洁、安静的医疗环境，有权知道经管护有权要求清洁、安静的医疗环境，有权知道经管护有权要求清洁、安静的医疗环境，有权知道经管护有权要求清洁、安静的医疗环境，有权知道经管护士的姓名；士的姓名；士的姓名；士的姓名；有权了解有关诊断、治疗、处置及病情预后等确切有权了解有关诊断、治疗、处置及病情预后等确切有权了解有关诊断、治疗、处置及病情预后等确切有权了解有关诊断、治疗、处置及病情预后等确切内容和结果；内容和结果；内容和结果；内容和结果；有权决定自己的手术及各种特殊诊治手段。有权决定自己的手术及各种特殊诊治手段。有权决定自己的手术及各种特殊诊治手段。有权决定自己的手术及各种特殊诊治手段。242.2.有拒绝治疗的权利有拒绝治疗的权利有拒绝治疗的权利有拒绝治疗的权利3.3.有要求保密的权利有要求保密的权利有要求保密的权利有要求保密的权利4.4.有参与评估的权利有参与评估的权利有参与评估的权利有参与评估的权利5.5.有监督维护自己医疗权利实现的权利有监督维护自己医疗权利实现的权利有监督维护自己医疗权利实现的权利有监督维护自己医疗权利实现的权利LegalStandards25LegalStandards护士伦理学国际法护士伦理学国际法护士伦理学国际法护士伦理学国际法国际护士协会在国际护士协会在国际护士协会在国际护士协会在19531953年年年年7 7月召开的诡计护士会议月召开的诡计护士会议月召开的诡计护士会议月召开的诡计护士会议上通过了此项法规。随后，于上通过了此项法规。随后，于上通过了此项法规。随后，于上通过了此项法规。随后，于19561956年年年年6 6月，在德国月，在德国月，在德国月，在德国法兰克福大议会予以修订并被采纳。国际法中提出：法兰克福大议会予以修订并被采纳。国际法中提出：法兰克福大议会予以修订并被采纳。国际法中提出：法兰克福大议会予以修订并被采纳。国际法中提出：护士护理病人，担负着建立有助于健康的、物理的、护士护理病人，担负着建立有助于健康的、物理的、护士护理病人，担负着建立有助于健康的、物理的、护士护理病人，担负着建立有助于健康的、物理的、社会的和精神的环境，并着重用教授示范的方法预社会的和精神的环境，并着重用教授示范的方法预社会的和精神的环境，并着重用教授示范的方法预社会的和精神的环境，并着重用教授示范的方法预防疾病，促进健康。防疾病，促进健康。防疾病，促进健康。防疾病，促进健康。1.1.护士的基本职责：保护生命，减轻痛苦，增进健护士的基本职责：保护生命，减轻痛苦，增进健护士的基本职责：保护生命，减轻痛苦，增进健护士的基本职责：保护生命，减轻痛苦，增进健康。康。康。康。2.2.护士必须始终坚持高标准的护理工作和职业作风。护士必须始终坚持高标准的护理工作和职业作风。护士必须始终坚持高标准的护理工作和职业作风。护士必须始终坚持高标准的护理工作和职业作风。263.3.护士对工作不仅要有充分的准备，而且必须保持高护士对工作不仅要有充分的准备，而且必须保持高护士对工作不仅要有充分的准备，而且必须保持高护士对工作不仅要有充分的准备，而且必须保持高水平的知识和技能。水平的知识和技能。水平的知识和技能。水平的知识和技能。4.4.尊重病人的宗教和信仰。尊重病人的宗教和信仰。尊重病人的宗教和信仰。尊重病人的宗教和信仰。5.5.护士应对信托给他们的个人情况保守秘密。护士应对信托给他们的个人情况保守秘密。护士应对信托给他们的个人情况保守秘密。护士应对信托给他们的个人情况保守秘密。6.6.护士不仅要认识到职责，而且要认识到职业功能限护士不仅要认识到职责，而且要认识到职业功能限护士不仅要认识到职责，而且要认识到职业功能限护士不仅要认识到职责，而且要认识到职业功能限制。若无医嘱，不予推荐或给予医疗处理，护士在紧制。若无医嘱，不予推荐或给予医疗处理，护士在紧制。若无医嘱，不予推荐或给予医疗处理，护士在紧制。若无医嘱，不予推荐或给予医疗处理，护士在紧急的情况下可给予医疗处理，但应将这些行动尽快地急的情况下可给予医疗处理，但应将这些行动尽快地急的情况下可给予医疗处理，但应将这些行动尽快地急的情况下可给予医疗处理，但应将这些行动尽快地报告给医生。报告给医生。报告给医生。报告给医生。7.7.护士有理智地、忠实地执行医嘱的义务，并应拒绝护士有理智地、忠实地执行医嘱的义务，并应拒绝护士有理智地、忠实地执行医嘱的义务，并应拒绝护士有理智地、忠实地执行医嘱的义务，并应拒绝参与非道德的行为参与非道德的行为参与非道德的行为参与非道德的行为LegalStandards27LegalStandards8.8.护士受到护士受到护士受到护士受到 保健小组中的医生和其他成员的信任，对保健小组中的医生和其他成员的信任，对保健小组中的医生和其他成员的信任，对保健小组中的医生和其他成员的信任，对同事中的不适当的和不道德的行为应该向主管当局揭同事中的不适当的和不道德的行为应该向主管当局揭同事中的不适当的和不道德的行为应该向主管当局揭同事中的不适当的和不道德的行为应该向主管当局揭发。发。发。发。9.9.护士接受正当的薪金和接受，例如契约中实际的或护士接受正当的薪金和接受，例如契约中实际的或护士接受正当的薪金和接受，例如契约中实际的或护士接受正当的薪金和接受，例如契约中实际的或包含的供应补贴。包含的供应补贴。包含的供应补贴。包含的供应补贴。10.10.护士不允许将他们的名字用于商品广告中或作其他护士不允许将他们的名字用于商品广告中或作其他护士不允许将他们的名字用于商品广告中或作其他护士不允许将他们的名字用于商品广告中或作其他形式的自我广告。形式的自我广告。形式的自我广告。形式的自我广告。11.11.护士与其他事业的成员和同行合作并维持和睦的关护士与其他事业的成员和同行合作并维持和睦的关护士与其他事业的成员和同行合作并维持和睦的关护士与其他事业的成员和同行合作并维持和睦的关系。系。系。系。2812.12.护士坚持个人道德标准，因为者反映了对职业的信护士坚持个人道德标准，因为者反映了对职业的信护士坚持个人道德标准，因为者反映了对职业的信护士坚持个人道德标准，因为者反映了对职业的信誉。誉。誉。誉。13.13.在个人行为方面，护士不应有意识地轻视在她所居在个人行为方面，护士不应有意识地轻视在她所居在个人行为方面，护士不应有意识地轻视在她所居在个人行为方面，护士不应有意识地轻视在她所居住和工作的居民中所做的行为方式。住和工作的居民中所做的行为方式。住和工作的居民中所做的行为方式。住和工作的居民中所做的行为方式。14.14.护士应参与其他卫生行业所分担的责任，以促进满护士应参与其他卫生行业所分担的责任，以促进满护士应参与其他卫生行业所分担的责任，以促进满护士应参与其他卫生行业所分担的责任，以促进满足公共卫生需要的努力，无论是地区的、州的、国家的足公共卫生需要的努力，无论是地区的、州的、国家的足公共卫生需要的努力，无论是地区的、州的、国家的足公共卫生需要的努力，无论是地区的、州的、国家的和国际的。和国际的。和国际的。和国际的。LegalStandards29EthicalCodeforNurseEthical principlesEthical principles are guides to are guides to actions in the nurse-client actions in the nurse-client relationship and should be a basic relationship and should be a basic consideration in a nurses choice of consideration in a nurses choice of words and actions.words and actions.30EthicalCodeforNurseBox24AmericanNursesAssociationCodeNursesBox24AmericanNursesAssociationCodeNurses1.Thenurseprovidesserviceswithrespectforhuman1.Thenurseprovidesserviceswithrespectforhumandignityandtheuniquenessoftheclientunrestrictedbydignityandtheuniquenessoftheclientunrestrictedbyconsiderationsofsocialoreconomicstatus,personalconsiderationsofsocialoreconomicstatus,personalattributes,orthenatureofhealthproblems.attributes,orthenatureofhealthproblems.2.Thenursesafeguardstheclient2.Thenursesafeguardstheclient,srighttoprivacybysrighttoprivacybyjudiciouslyprotectinginformationofaconfidentialjudiciouslyprotectinginformationofaconfidentialnature.nature.313.Thenurseactstosafeguardtheclientandthepublic3.Thenurseactstosafeguardtheclientandthepublicwhenhealthcareandsafetyareaffectedbythewhenhealthcareandsafetyareaffectedbytheincompetent,unethical,orillegalpracticeofanyincompetent,unethical,orillegalpracticeofanyperson.person.4.Thenurseassumesresponsibilityandaccountability4.Thenurseassumesresponsibilityandaccountabilityforindividualnursingjudgmentsandactions.forindividualnursingjudgmentsandactions.5.Thenursemaintainscompetenceinnursing.5.Thenursemaintainscompetenceinnursing.EthicalCodeforNurse326.Thenurseexercisesinformedandusesindividual6.Thenurseexercisesinformedandusesindividualcompetenceandqualificationsascriteriainseekingcompetenceandqualificationsascriteriainseekingconsultation,acceptingresponsibilities,anddelegatingconsultation,acceptingresponsibilities,anddelegatingnursingactivitiestoothers.nursingactivitiestoothers.7.Thenurseparticipatesinactivitiesthatcontributeto7.Thenurseparticipatesinactivitiesthatcontributetotheongoingdevelopmentoftheprofessiontheongoingdevelopmentoftheprofession,sbodyofsbodyofknowledge.knowledge.8.Thenurseparticipatesintheprofession8.Thenurseparticipatesintheprofession,seffortstoseffortstoimplementandimprovestandardsofnursing.implementandimprovestandardsofnursing.EthicalCodeforNurse339.Thenurseparticipatesintheprofession9.Thenurseparticipatesintheprofession,seffortstoseffortstoestablishandmaintainconditionsofemploymentestablishandmaintainconditionsofemploymentconducivetohigh-qualitynursingcare.conducivetohigh-qualitynursingcare.10.Thenurseparticipatesintheprofession10.Thenurseparticipatesintheprofession,seffortsseffortstoprotectthepublicformmisinformationandtoprotectthepublicformmisinformationandmisrepresentationandtomaintaintheintegrityofmisrepresentationandtomaintaintheintegrityofnursing.nursing.11.Thenursecollaborateswithmembersofthehealth11.Thenursecollaborateswithmembersofthehealthprofessionsandothercitizensinpromotingprofessionsandothercitizensinpromotingcommunityandnationaleffortstomeetthehealthcommunityandnationaleffortstomeetthehealthneedsofthepublic.needsofthepublic.EthicalCodeforNurse34护理职业道德护理职业道德护理职业道德，是在一般社会道德基础上，根据护理职业道德，是在一般社会道德基础上，根据护理职业道德，是在一般社会道德基础上，根据护理职业道德，是在一般社会道德基础上，根据护理专业的性质、任务，以及护理岗位对人类健康所护理专业的性质、任务，以及护理岗位对人类健康所护理专业的性质、任务，以及护理岗位对人类健康所护理专业的性质、任务，以及护理岗位对人类健康所承担的社会义务和责任，对护理工作者提出的护理职承担的社会义务和责任，对护理工作者提出的护理职承担的社会义务和责任，对护理工作者提出的护理职承担的社会义务和责任，对护理工作者提出的护理职业道德标准和护士行为规范。是护士用于指导自己言业道德标准和护士行为规范。是护士用于指导自己言业道德标准和护士行为规范。是护士用于指导自己言业道德标准和护士行为规范。是护士用于指导自己言行，调整护士与病人，护士与集体，护士与社会之间行，调整