Ethics and deontology of medical education and nurses in Portugal (original) (raw)
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Ethics and Deontology of Medical Education and Nurses in Portugual
Reflexão & Ação, 2012
This article discusses deontological issues of health care professions in relation to their ethical foundation. We present four models of teaching ethics and deontology in doctors’ training and the results of a PhD research on the teaching of these subjects in nurses’ training in Portugal. Given the importance of bioethics in deontological training of health care professions, we present a comparative analysis of. bioethical principles enunciated by Beauchamp and Childress (1979), related to ‘ethics of justice’, and Kemp’s(2000) proposal, associated to an ‘ethics of care’. Given the ambiguity of these bioethical expressions, we focus on the analysis of its contents and the need to discuss the fundamentals of ethical training of doctors and nurses in relation to the ethical theories they are derived from. Utilitarian ethics, duty ethics, virtue ethics, when the analysis of bioethics’ fundaments is not trained, the duty of caring of suffering can be put at risk.
Deontological aspects of the nursing profession: understanding the code of ethics
Revista brasileira de enfermagem
to investigate nursing professionals' understanding concerning the Code of Ethics; to assess the relevance of the Code of Ethics of the nursing profession and its use in practice; to identify how problem-solving is performed when facing ethical dilemmas in professional practice. exploratory descriptive study, conducted with 34 (thirty-four) nursing professionals from a teaching hospital in João Pessoa, PB - Brazil. four thematic categories emerged: conception of professional ethics in nursing practice; interpretations of ethics in the practice of care; use of the Code of Ethics in the professional practice; strategies for solving ethical issues in the professional practice. some of the nursing professionals comprehend the meaning coherently; others have a limited comprehension, based on jargon. Therefore, a deeper understanding of the text contained in this code is necessary so that it can be applied into practice, aiming to provide a quality care that is, above all, ethical and...
The Teaching of Ethics and the Moral Competence of Medical and Nursing Students
Health Care Analysis
In a time marked by the development of innovative treatments in healthcare and the need for health professionals to deal with resulting ethical dilemmas in clinical practice, this study was developed to determine the influence of the bioethics teaching on the moral competence of medical and nursing students. The authors conduct a longitudinal study using the Moral Competence Test extended version before and after attending the ethics curricular unit, in three nursing schools and three medical schools of Portugal. In this questionnaire the participant is confronted with three ethical dilemmas (related to theft, euthanasia and the torture of a terrorist) and asked to evaluate arguments for and against the attitude of the main character (Worker, doctor and judge). For both nursing and medical students, C-score was lower after the attendance of the ethics curricular units, with a statistically significant decrease in the total score (from 21 to 19.5 on average; p = 0.046) for nursing st...
Nurse Education Today, 2013
s u m m a r y From a scenario of political and technological changes in work and health education, the purpose of this study was to understand the ethics discourse in nurses' education process in Brazilian nursing schools. A research was performed with a qualitative approach, characterized as a case study, involving six schools of a region in the south of Brazil. The data were collected by focal groups involving 50 teachers. The results were organized in three categories: (1) experience and motivation to teach ethics and bioethics, (2) indicators of change identified in global and local contexts and (3) challenges in the education of ethics, values and related themes. The teachers have highlighted complex elements related to scientific, educational and professional contexts, and pointed out the need for a critical perspective on the professional scenario and on their own situations as nurses and educators. The analyzed discourse brings to light the topic of ethics, seen as peculiar to the present day and in intimate connection with the daily routine of clinical, pedagogical and political professional practices. The findings suggest that the reflections on nurses' ethics education should not be limited to discussing content and pedagogical strategies but should be extended to include a commitment to the adoption of values in professional practice and to the process of the construction of a professional identity.
Can the Study of Ethics Enhance Nursing Practice?
Journal of advanced nursing, 2005
Aim. The aim of this paper is to suggest that the study of ethics and ethical theories can enhance nursing practice. Discussion. Knowledge of ethical theories can be of practical use to nurses in at least three ways. First, it can help nurses uncover to what extent a problem is an ethical one. The questions faced in practice can be empirical, formal or philosophical. Very often, a practical decision requires us to tackle all three types. In the example of a 'Do not attempt resuscitation' order, deciding on whether such an order is appropriate requires us to answer empirical questions such as how likely any attempt is to achieve success. It also requires us to answer formal questions such as whether the law permits such an order in the present circumstance. Finally, it requires us to answer ethical/philosophical questions, such as how we should weigh up quality of life against quantity. Second, it can enable practitioners to develop skills and tools to tackle ethical/philosophical questions. In this paper I describe two such tools: Socratic questioning and Aristotelian dialectic. Third, it can help practitioners to develop the soundness of their ethical values and beliefs. All ethical reasoning requires us to use our values and beliefs, and attending to them enhances the quality of our reasoning. Conclusion. The study of ethics can enhance nursing practice.
2021
Introduction. Nursing care has an ethical connotation reflected in the attributes that the exercise of duty implies, established mainly in the Code of Professional Ethics, while the ethics of virtues appeals to the development of values. Authors such as Gilligan, Noddigns and Tronto have contributed from the ethics of care, as ethical-theoretical references to the field of feminized nursing. Objective. Describe the contribution of the Ethics of care to professional nursing. Methodology. A theoretical reflection that aims to increase the understanding of care based on the conceptual and epistemological frameworks developed by the authors reviewed. Results and Discussion. The manuscript was organized describing the a) concepts considered key in the Ethics of care, b) Gilligan and the Ethics of care, and finally, b) the contribution made by Tronto and Noddigns who have broadened the discussion about care at a universal level, contributing to informal care as a professional. Conclusions...
Ethical Problems in Issues of Daily Practice of Health Professionals with Patients
2013
Background: Ethical theory i s no longer isolated from empirical research. There are few studies on what influence ethical decisions of health professionals in primary care. Objectives:The aim of this study is to analyse the ethical attitudes of health professionals in dealing with p atients. Methods: A quantitative cross -sectional study involving doctors and nurses. A scale to assess the professionalsethical attitudes was built, validated with a pre -test, pilot study and the application of Cronbachs Alpha and used through a self - administered questionnaire. The setting of the study was the Health Centres of the Regional Health Authority of the Central Region of Portugal. Results:The author received questionnaires from 370 health professionals: 180 physicians and 190 nurses. The ethi cal attitudes of health professionals do not seem to be influenced by gender or age. However, doctors when compared to nurses seem to have stronger ethical attitudes in their relationship with patien...
LECTURE NOTES ON PROFESSIONAL ETHICS AND DEONTOLOGY
LAHIBATS Press, 2024
The objective of the course on professional ethics and deontology for nurses is to provide them with a comprehensive understanding of ethical principles and moral behaviour in the nursing profession. The course aims to educate nurses on the importance of ethical decision-making, values, and behaviours in their practice. It focuses on familiarizing nurses with the American Nurses Association's (ANA) Code of Ethics for Nurses with Interpretive Statements as a moral foundation to guide nursing practice and decision-making. The course also aims to explore basic ethical concepts such as values, morals, ethical theories (deontology and consequentialism), and the application of these concepts in nursing practice. Additionally, it seeks to enhance nurses' understanding of the National League of Nursing (NLN) core values for nursing education, including caring, integrity, diversity, and excellence.
Training Good Professionals: Ethics and Health Care Education
Principles of Health Care Ethics, Second …, 2007
This paper discusses some of the general thoughts behind the inclusion of ethics in medical curricula with specific reference to the teaching programme of the School of Medicine at the University of Leeds. This particular programme, set up in collaboration between the School of Medicine and the School of Philosophy at this institution, has attempted to bring Aristotelian ideas about education to bear on curriculum design in medicine. Much of Aristotle’s work in ethics focuses on the importance of education and sets out ideas on how we should go about encouraging and training the young in the study of ethics. This emphasis on Aristotelian ideas is intended as a recommendation on the kinds of qualities education should seek to instil in students and suggestions on how we can achieve this.
Texto & Contexto - Enfermagem, 2020
Objective: to know how the nurses working in the Critical Care Unit for adults and the members of the Assistential Ethics Committee deliberate on the assistential ethical issues in a Clinic of Magallanes, Chile. Method: a qualitative research of an exploratory and descriptive character conducted in a Clinic of Magallanes, Chile. Data collection was performed by means of a semi-structured interview in the period from March to May 2018, with ten nurses working in the Critical Care Unit for adults and with four members of the Assistential Ethics Committee who were clinical professionals in different disciplines. The statements obtained were organized in Atlas.ti and analyzed in the light of the theoretical reference framework of ethics, of principalist bioethics, and of Diego Gracia's moral deliberative method. Results: the two professional teams that participated in the research showed having ethical values and principles: protection of human dignity; respect for the patients'...