Ethics are fundamental to nursing. All nurses have the duty to treat patients with dignity, while protecting the patient’s rights and privacy. Nurses should be treated to patients equally and fairly for age, ethnicity, citizenship, economic status, disability, and sexual orientation. They also need to be concerned with their religious, language, lifestyle and literacy levels. And also nurses must listen to the patient’s concerns. It is important to create a trust and a mature, interactive environment between patients and health professionals.

The nurses work with themselves and other health professionals. Nursing, colleagues and doctors are very important to provide a good health service. Nurses are advised on the basis of the advice of doctors and use their judgment whenever necessary.

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Ethics are introduce for the provide good healthcare service and improving standard of professional behaviour.

important ethics can listed as below,

Nonmaleficence
The Hippocratic Oath expresses the duty of nonmaleficence together with the duty of beneficence. We dedicate the following oath to as a nurse. “I will use treatment to help the risk according to my ability and judgment, but I will never use it to injure or wrong them.”
As a nurse we have a duty to protect the patient safety. As a caregiver we can not inflict harm on patient, do not cause pain or suffering, do not incapacitate, do not cause offence, do not deprive patient and do not kill the patient.

Beneficence
The second principle, beneficence is an action that is done for the benefit of others. As a nurse we have wrong things and harassment during the patient care. Nurses are always commitment to doing good. Beneficent action can be taken to help prevent or remove harms or to improve the situation of others. We can improve beneficaly action by talking to the community about STD prevention and noncommunicable disease prevention, encouraging a patient to avoid smoking etc. we can improve beneficence by doing of active goodness, kindness or charity, including all actions intended to benefit others.

Fidelity
The Fidelity that can address the responsibility to be trustworthy and keep promises. This principle also relate to duty of reciprocity-consideration of the other point of view. In between nurses patient relationship, we have to be faithful to agreement and promises. As an example nurses make promises such as i will find out for you about your medication or i will be back with your pain relief medications etc… Nurse should to take these promises seriously, otherwise patient has not rust you. And it is not good for your professional life. We can build up fidelity by being faithful, keeping promises, always doing what is right, being trustworthy, confidential, showing respect and dignity, respecting autonomy and acting in their best interest.

Justice
Justice is fairness or faithfulness. Nurses must be faithful when the distribute their care. As a example, among the patients in the group of patient that they are taking care of. The care must be faithful, fairly, justly and equitably distributed among a group of patients. The word justice stand for closely attached with the legal system. Also justice relates to equal treatment of all patient. Ensuring fair allocation of resources and determining the order in which client treated are nursing implications for promote.

Autonomy
Autonomy is an individual’s right of self determination and freedom of decision making. Most of the time that principle is difficult to apply when the patient care given. In autonomy, nurse can not force or coerce patient to do things. Before doing nursing intervention or medical intervention we have to get informed consent from our client. Patient choice and autonomy are considered key in palliative care. Also autonomy is about patient’s right to make their own decision. To do this effectively patient need to have enough information about his/her disease condition, medical treatment, surgical treatment and complication of his/her disease. Nurse have an ability to explain the patient condition, current treatments follow up care for the patient and get informed consent from the patient. Decisions are best made without undue influence, and the person making the decision should also be deemed capable of doing so. Sometimes it may be difficult to stand when the patient decides against medical advice to take an action that is not considered acceptable or appropriate. In that kind of situation the patient is capable of making such a decision and it is well informed of the consequences of their actions they must be allowed to exercise their autonomy to do so.

Veracity
Veracity is being completely truthful with patients, nurses must not withhold the whole truth from clients even when it may lead to patient distress. Truth, telling has become the basis for most relationship between healthcare professional and patients.Ethical question is “Are there any circumstances where a healthcare professional should be ethically excused from telling the truth to their patients”.
There are two kind of veracity violations:
Dishonesty (Lie).
Willful omission (Not telling the whole truth is a lie).
Making a decision depends on knowing the truth of both parties have the right to choose. Also both parties must tell the truth.

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