Jurisprudence Latin word “Juris prudentia” – the study of knowledge or Science of Law In the US, it means Philosophy of Law (Interpretation of the Law) Example: Barangay policy is also a law. Court decisions are also a law. Formal Principle: Example: Community Healthcare - To raise the level of the health of the citizen. It embraces: 1. All laws enacted by the legislative body. 2. All regulations promulgated by those in authority. 3. Court decisions. 4. Formal principles upon which laws are based. Legal Theory in Jurisprudence • It includes principles behind law that make the law. Scholars of jurisprudence m also known as jurists or legal theorists (including legal philosophers and social theorists of law), hope to obtain a deeper understanding of the nature of law, of legal reasoning, legal systems, and of legal institutions. Person involve in Jurisprudence Scholars of Legal jurispruden Theorist ce Legal Social Philosopher Theorist of Law Juris NURSING PRINCIPLE: Protect the patient at all cost Nursing Jurisprudence Application and interpretation of principle of law or rules as they relate to the: practice ofnursing; obligations nurses to; Relation to patient Relation to other nurses Relation to other healthcare professionals (Nursing crib) Jurisprudence Defined as the department of law that comprises all the legal rules and principles affecting the practice of nursing. It includes not only the study but also the interpretation of all these rules and principles and their application in the regulation of the practice of nursing. Includes not only the study of law but the interpretation of all laws, roles and principle in application in regulation of nursing practice. Deals with all laws, rules and regulations. Deals with legal principles and doctrines governing and regulating the practice of nursing Deals with legal opinions and decisions of competent authority in cases involving nursing practice. Example: Court decision for previous cases. Nursing Jurisprudence in the Philippines 1. The Constitution of the Republic of the Philippines, part the Bill of Rights. 2. Republic Act No. 9173 otherwise known as the Phil. Nursing Law of 2002. 3. Rules and regulations promulgated by the BON/PRC/CHED pertaining to nursing practice in the Philippines (dismissal, revocation, suspension) 4. Decisions of the BON/PRC/CHED/DOH on nursing cases. 5. Decisions of the Supreme Court on matters relevant to nursing. 6. Opinions of the Secretary of Justice in like cases. 7. The Revised Penal Code of the Philippines. 8. The New Civil Code of the Philippines. Provision of civil society protects and prohibits people’s crimes. 9. The Revised Rule of Courts. 10.The National Internal Revenue Code as amended - BIR - Should be followed by everyone - Special treatment for professionals who are working under government - Professional fees/ tax but paying income tax. Exemption! “If may private clinic kahit working under government need to pay professional tax.” Nursing Ethics – AB Dionisio The branch of moral science which treats of the duties of a member of the nursing profession towards her co-professional nurses, to her profession, and to the public in general. Results of understanding the nursing prudence Expected things to do as professionals nurse – patient, conurses, and team. Nursing jurisprudence affects the behavior of nurses. Code of Ethics for Filipino Nurse A. Code of Good Governance The observance of the Code of Good Governance, The ICN, Code of Ethics, and the Code of Ethics for registered Nurses is MANDATORY for ALL Filipino Nurses. First PNA Code of Ethics for Nurses in 1982 (5 decades after it was formed under FNA). PRC-BON Adopted ICN Code of Ethics as integral part of COE for nurses in the Philippines on March 21, 1984. COE in the Philippines was approved through BON Resolution No. 633 on March 21, 1984 pursuant to RA 877 and PD No. 223. Amended COE through BON Resolution No. 1955, on October 18, 1989, the same date the same code was approved by PRC as part of the rules and regulations governing the practice of nursing in the Philippines. The New COE for Filipino Nurses was promulgated on July 14, 2004, pursuant to PRC-BON Board Resolution No. 220. Filipino Nurses are specifically directed under RA 9173 that: “In the practice of nursing in ALL SETTINGS, the nurse is duty-bound to observe the Code of Ethics for Nurses and to uphold the standards of safe nursing practice” (Sec. 28, RA No. 9173) Code of Good Governance for the professions in the Philippines EO No. 220 directing the adoption of Code of Good Governance for the Professions in the Philippines. Approved on June 23, 2003 by President Gloria Macapagal-Arroyo CGG requires all professionals “not only to have an ethical commitment, a personal resolve to act ethically, but also to have both ETHICAL AWARENESS & ETHICAL COMPETENCY. Definitions: Ethical Awareness- the ability to discern between right and wrong Ethical Competency- the ability to engage in sound moral reasoning and consider carefully the implications of alternative actions. Ethical Principles of Professional Conduct as Specified in the CGG Service to others. Professionals are committed to: a) A life of service to others, b) Protect life, liberty and public welfare, and c) To serve others and be prepared for heroic sacrifice and genuine selflessness. Integrity and objectivity. Professionals are required to: a) Undertake responsibilities with highest sense of integrity and imbued with nationalism and spiritual values, b) Maintain objectivity at all times, be free of conflicts, and refrain from engaging activity that would prejudice abilities to carry out their duties ethically, c) Avoid making any reasonable person to misunderstand or be deceived. Professional Competence. Professionals must be equipped with: a) A certain level of competence necessary (KSA) and experience to carry out professional services. b) New knowledge and techniques, improved skills and upgraded level of competence. Solidarity and Teamwork. Professionals must nurture and support the principle of one organization. They are obliged to: a) Put the broader interest of the profession above one’s personal ambition and preference through the spirit of solidarity, b) Observe ethical principles and pursue continuing professional development and social and civil responsibility through teamwork. Social and Civil Responsibility. Professionals are committed to perform their professional duties with due consideration of the broadest interest of the public. They must: a) Serve their clients and the public with professional concern and in a manner consistent with their responsibilities to society. b) Actively contribute to the attainment of the country’s national objectives. Global Competitiveness. Professionals are committed and prepared to: a) Face the challenges of more dynamic and interconnected world, and b) Rise up to global standards, and maintain levels of professional practices on a par with global best practice. Equality to all profession. Professionals maintain and promote equality by: a) Treating their colleagues with respect and maintaining fair dealings with one another; b) Believing that no group of professionals is superior or above others c) Performing equally important, yet distinct, service to society. “All professionals are equal, and, therefore, everyone shall treat other professionals with respect and fairness.” B. International Council of Nurses Code of Ethics Adopted and approved by the ICN Council of National Representatives in 1953 which was revised several times. The recent revision was in 2005. 4 Principal Elements of ICN COE for Nurses Outlining the Standards of Ethical Conduct: 1. Nurses and People 4 Major Responsibilities to the People To give nursing care to the people who require or need it; To promote an environment in which the human rights, values, customs & spiritual beliefs of the IFC are respected; To ensure that the individual receives sufficient information on which to base consent for care and related treatment To hold in confidence personal information and use indiscriminate judgement in sharing this information. 2. Nurses and Practice 5 Responsibilities in the Practice of Nursing To carry personal responsibility and accountability for nursing practice To maintain a standard of personal health To use judgement regarding individual competence when accepting and delegating responsibility. Maintain at all times standards of personal conduct To ensure that use of technology and scientific advances are compatible with safety, dignity and rights of people. 3. Nurses and Profession 3 Responsibilities to the profession To assume major role in determining and implementing acceptable standards of clinical nursing practice To be active in developing a core of research-based professional knowledge To participate in creating and maintaining safe, equitable social and economic working conditions in nursing through professional organizations. 4. Nurses and Co-workers 2 Responsibilities with coworkers To sustain cooperative relationship with co-workers in nursing and other fields To take appropriate action to safeguard the ICF when their health is endangered by a co-worker or any other person. PRC-BON Resolution No. 220 S. 2004 Preamble Section 1. Health is a fundamental right of every individual. The Filipino RNs believes in the worth and dignity of human beingprimary responsibility to PRESERVE LIFE at ALL COST – promotion of health, prevention of illness, alleviation of suffering and restoration of health, or assistance towards a peaceful death. Section 2. RNs to gain knowledge and understanding of man’s cultural, social, spiritual, psychological, and ecological aspects of illness, utilizing therapeutic process, Section 3. The desire for respect and confidence of Clientele, colleagues, co-workers, and the members of the community provides incentive to attain and maintain the highest possible degree of ethical conduct. RNS and PEOPLE Section 4. Ethical Principles 1) Values, customs, and spiritual beliefs held by individual shall be represented. 2) Individual freedom to make rational and unconstrained decisions shall be respected 3) Personal information acquired in the process of giving nursing care shall be held in strict confidence. Section 5. Guidelines observed by RNs a) Consider the individuality and totality of patients when they administer care b) Respect the spiritual beliefs and practices regarding diet and treatment c) Uphold the rights of individuals d) Take into considerations the culture and values of patients in providing nursing care. However, in the event of conflicts their welfare and safety must take precedence. RNS and PRACTICE Section 6. Ethical Principles 1) Human life is inviolable 2) Quality and excellence in the care of ptients are the goals of nursing practice 3) Accurate documentation of actions and outcomes of delivered care is the hallmark of nursing accountability Section 7. Guidelines to observe RNs a) Know the definition & scope of nursing practice b) Be aware of their duties & responsibilities in the practice of their profession c) Acquire and develop the necessary competence in KSAs to effectively render appropriate nursing services thru varied learning situations. d) Nursing administrators, be responsible in providing favorable environment for the G&D of RNs in their charge. e) Be cognizant that professional programs for specialty certification by the BON are accredited thru the Nursing Specialty Certification Council (NSCC) f) See to it that the quality nursing care and practice meet the optimum standard of safe nursing practice g) Insure that modification of practice shall consider the principles of safe nursing practice h) If in position of authority in a work environment, be normally and legally responsible for devising a system of minimizing occurrences of ineffective and unlawful nursing practice. i) Ensure that patient’s records shall be available only if they are to be issued to those who are professionally and directly involved in their care and when they are required by law. Section 8. Ethical Principle RNs are the advocates of the patients; they shall take appropriate steps to safeguard their rights and privileges Section 9. Guidelines to be observed from RNs a) respect the “Patients’ Bill of Rights” in the delivery of nursing care b) provide the patients or their families with all pertinent information except those which may be deemed harmful to their well-being c) uphold the patients’ rights when conflict arises regarding management of their care Section 10. Ethical Principle RNs are aware that their actions have professional ethical, moral and legal dimensions. They strive to perform their work in the best interest of all concerned. Section 11. Guidelines to be observed from nurses a) perform their professional duties in conformity with existing laws, rules, regulations, measures, and generally accepted principles of moral conduct and proper decorum b) not allow themselves to be used in advertisement that should demean the image of the profession c) decline any gift, favor or hospitality which might be interpreted as capitalizing on patients d) Not demand and receive any commission, fee or emolument for recommending or referring a patient or vice-versa e) avoid any abuse of the privilege relationship which exists with patients and of the privilege access to their property, residence or workplace RNS and CO-WORKERS Section 12. Ethical Principles 1. RNs is in solidarity with other members of the health care team in working for patient’s best interest 2. RNs maintains collegial and collaborative working relationship with colleagues and other health care providers Section. 13. Guidelines to be observed from RNs a) maintain their professional role/identity while working with other members of the health team b) conform with group activities as those of a health team should be based in acceptable, ethico-legal standards c) contribute to the professional G & D of other members of the health team d) actively participate in professional organizations e) not act in any manner prejudicial to other professions f) Honor and safeguard the reputation and dignity of the members of nursing and other professions; refrain from making unfair and unwarranted comments/criticisms on their competence, conduct, and procedures; or not do anything that will bring discredit to a colleague and to any member of other professions g) respect the rights of their coworkers RNS, SOCEITY, and ENVIRONMENT Section 14. Ethical Principles 1. The preservation of life, respect for human rights, & promotion of healthy environment shall be a commitment of a RN 2. The establishment of linkages with the public in promoting local, national, and international efforts to meet health and social needs of the people as a contributing member of society is a noble concern of RN Section 15. Guidelines to be observed from RNs a) be conscious of their obligations as citizens and as such, be involved in community concerns b) be equipped with knowledge of health resources within the community, and take active roles in PHC c) actively participate in programs, projects, and activities that respond to the problems of the society d) lead their lives in conformity with the principles of right conduct and proper decorum e) Project an image that will uplift the nursing profession at all times RNS and THE PROFESSION Section 16. Ethical Principles 1. maintenance of loyalty to the nursing profession and preservation of its integrity are ideal 2. compliance w/ the by-laws of the accredited professional org. & other professional org. of which the RNs is a member, is a lofty duty 3. commitment to continual learning and active participation in the G&D of the profession are commendable obligations 4. contribution to the improvement of the socioeconomic conditions and general welfare of nurses through appropriate legislation is a practice Section 17. Guidelines to observe from RNs a) be members of the professional organization b) Strictly adhere to the nursing standards c) participate actively in the G&D of the nursing profession d) strive to secure equitable socio-economic and work conditions in nursing thru appropriate legislation and other means e) assert for the implementation of labor and work standards CRIMES A crime is a deliberate act that causes physical or psychological harm, damage to or loss of property, and is against the law. Is a behavior that is punishable as a public offense. The elements of a crime generally come from statutes, but may also be supplied by the common law in states where the criminal common law still carries force. RIGHTS OF ACCUSED Right to be presumed innocent Right to due process of law Right to be heard Right to bail Right to be present and defend in person and by counsel at every stage of the proceeding Right to be informed of the nature and cause of the accusation against him Right to a speedy, impartial and public trial Right to confront witnesses and to have compulsory process to secure the attendance of witnesses and the production of evidence in his behalf Right to be exempt from being compelled to be a witness against himself Right to be exempt from excessive fines or cruel, inhuman or degrading punishment Right to be exempt from being twice put on jeopardy of punishment for the same offense Right to appeal in all cases allowed. COMMON CRIMES A NURSE MAY BE INVOLVED WITH: A. Crimes against person 1. Parricide 2. Murder 3. Homicide 4. Physical injuries: serious, less serious, slight 5. Giving assistance to suicide 6. Infanticide 7. Intentional abortion 8. Unintentional abortion 9. Abortion practiced by woman herself 10.Abortion practiced by physician or midwife and dispensing of abortive 11.Mutilation 12.Administering injurious substances or beverages B. Crimes against property 1. Robbery with violence against intimidation of persons 2. Attempted and frustrated robbery 3. Execution of deeds by means of violence 4. Robbery in an inhabited house or public building devoted to worship 5. Possession of picklocks or similar tools 6. Arson 7. Crimes involving destructions C. Crimes Against Chastity 1. Adultery 2. Concubinage 3. Rape 4. Acts of lasciviousness 5. Qualified seduction 6. Simple seduction 7. Corruption of minors 8. Forcible abduction 9. Consented abduction D. Crimes against Civil Status of Persons 1. Simulation of births 2. Substitution of on child for another and concealment or abandonment of a legitimate child 3. Usurpation of civil status 4. Bigamy 5. Marriage contracted against provisions of law 6. Premature marriages 7. Performance of illegal marriage ceremony E. Crimes against Honor 1. Libel by means of writings or similar means 2. Threatening to publish and offer to prevent such publication for a compensation 3. Slander 4. Slander by deed 5. Incriminating innocent person 6. Intriguing against honor F. Crimes against personal liberty 1. Kidnapping and serious illegal detention 2. Slight illegal detention 3. Unlawful interest 4. Grave threats 5. Light threats 6. Coercions G. Crimes against public interest 1. Counterfeiting 2. Using forged signature or counterfeit seal or stamp 3. Falsification: legislative documents, public officer, employee or notary; use of falsified docs 4. False medical certificates 5. Using false medical certificates 6. Usurpation of authority or official functions 7. Illegal use of uniform 8. False testimony