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1、国际护士协会护士职业道德准则TheICNCodeofEthicsforNursesAninternationalcodeofethicsfornurseswasfirstadoptedbytheInternationalCouncilofNurses(ICN)in1953.Ithasbeenrevisedandreaffirmedatvarioustimessince,mostrecentlywiththisreviewandrevisioncompletedin2000.1953年,国际护士协会(ICN)首次采用国际护士职业道德准则,其间已经多次修订,本准则为2000修订之最新版本。1Pre

2、ambleNurseshavefourfundamentalresponsibilities:topromotehealth,topreventillness,torestorehealthandtoalleviatesuffering.Theneedfornursingisuniversal.Inherentinnursingisrespectforhumanrights,includingtherighttolife,todignityandtobetreatedwithrespect.Nursingcareisunrestrictedbyconsiderationsofage,colou

3、r,creed,culture,disabilityorillness,gender,nationality,politics,raceorsocialstatus.Nursesrenderhealthservicestotheindividual,thefamilyandthecommunityandco-ordinatetheirserviceswiththoseofrelatedgroups.一、前言护士4项基本职责:促进健康,预防疾病,恢复健康和减轻痛苦。护理需要是全球性的。护理的本质就是尊重人权,包括生存权、享受个人尊严及受尊重的权利。护理不因年龄、肤色、宗教、文化、残障或疾患、性别

4、、国藉、政治、种族或社会地位而受限制。护士为个人、家庭及社区提供健康服务,并与相关团体互相协作提供服务。THECODE道德准则TheICNCodeofEthicsforNurseshasfourprincipalelementsthatoutlinethestandardsofethicalconduct.国际护士协会护士职业道德准则由四项基本原则组成,是护士行为的职业道德标准。ElementsoftheCode准则内容1. Nursesandpeople护士与民众Thenursesprimaryprofessionalresponsibilityistopeoplerequiringnurs

5、ingcare.Inprovidingcare,thenursepromotesanenvironmentinwhichthehumanrights,values,customsandspiritualbeliefsoftheindividual,familyandcommunityarerespected.ThenurseensuresthattheindividualreceivessufficientinformationonThenurseholdsinconfidencepersonalinformationandusesjudgmentinsharingthisinformatio

6、n.Thenurseshareswithsocietytheresponsibilityforinitiatingandsupportingactiontomeetthehealthandsocialneedsofthepublic,inparticularthoseofvulnerablepopulations.Thenursealsosharesresponsibilitytosustainandprotectthenaturalenvironmentfromdepletion,pollution,degradationanddestruction.护士之基本责任是照顾那些需要照顾的民众。

7、护士在提供护理时,要推动建立一个尊重个人、家庭及社会人权、价值观、风俗习惯及信仰的护理环境。护士确保个人获得作出同意护理及相关治疗决定时所需的足够信息。护士应对个人资料保密,并判断可否分享资料。护士与社会共同承担责任,采取并支持行动,满足公众特别是弱势群体的健康及社会需要。护士分担责任,维持和保护自然环境,使其不致枯竭、免受污染、退化或破坏。2. Nursesandpractice3. 护士与实践Thenursecarriespersonalresponsibilityandaccountabilityfornursingpractice,andformaintainingcompetence

8、bycontinuallearning.Thenursemaintainsastandardofpersonalhealthsuchthattheabilitytoprovidecareisnotcompromised.Thenurseusesjudgementregardingindividualcompetencewhenacceptinganddelegatingresponsibility.Thenurseatalltimesmaintainsstandardsofpersonalconductwhichreflectwellontheprofessionandenhancepubli

9、cconfidence.Thenurse,inprovidingcare,ensuresthatuseoftechnologyandscientificadvancesarecompatiblewiththesafety,dignityandrightsofpeople.护士承担护理操作的个人义务与责任的护士,有义务和责任通过不断学习保持自己的专业能力。护士要保持个人健康,确保护理能力不受损害。护士根据个人能力接受或授权责任。护士时刻保持良好的专业形象,增强公众信任。护士在护理时确保先进科技的应用符合民众的安全、尊严和权利需要。4. Nursesandtheprofession护士与专业The

10、nurseassumesthemajorroleindeterminingandimplementingacceptablestandardsofclinicalnursingpractice,management,researchandeducation.Thenurseisactiveindevelopingacoreofresearch-basedprofessionalknowledge.Thenurse,actingthroughtheprofessionalorganisation,participatesincreatingandmaintainingequitablesocia

11、landeconomicworkingconditionsinnursing.护士是决定和实施公认的临床护理、管理、科研和教育标准的主导者。护士要积极建立以科研为基础的专业知识体系。护士通过专业团体参与建立和维护护理领域公平的社会和经济工作条件。5. Nursesandco-workers护士与合作者Thenursesustainsaco-operativerelationshipwithco-workersinnursingandotherfields.Thenursetakesappropriateactiontosafeguardindividualswhentheircareisend

12、angeredbyaco-workeroranyotherperson.护士与护理及其他领域的合作者保持合作关系。当护理受到合作者或其他人危害时,护士要采取适当行动保护护理对象。SuggestionsforuseoftheICNCodeofEthicsforNursesICN护士职业道德准则实施建议TheICNCodeofEthicsforNursesisaguideforactionbasedonsocialvaluesandneeds.Itwillhavemeaningonlyasalivingdocumentifappliedtotherealitiesofnursingandhealt

13、hcareinachangingsociety.ToachieveitspurposetheCodemustbeunderstood,internalisedandusedbynursesinallaspectsoftheirwork.Itmustbeavailabletostudentsandnursesthroughouttheirstudyandworklives.国际护士协会护士职业道德准则是根据社会价值和需要制订的行动指南。它只有在不断变化的社会中、通过护理及健康保健现实环境的实际应用,才能发挥它的作用。要达到这一目的,护士必须理解、接受准则,并将其应用到各项护理工作中。准则必须贯穿

14、于学生及护士的学习和工作生活中。ApplyingtheElementsoftheICNCodeofEthicsforNursesICN护士职业道德准则的应用ThefourelementsoftheICNCodeofEthicsforNurses:nursesandpeople,nursesandpractice,nursesandco-workers,andnursesandtheprofession,giveaframeworkforthestandardsofconduct.Thefollowingchartwillassistnursestotranslatethestandardsin

15、toaction.Nursesandnursingstudentscantherefore:StudythestandardsundereachelementoftheCode.Reflectonwhateachstandardmeanstoyou.Thinkabouthowyoucanapplyethicsinyournursingdomain:practice,education,researchormanagement.DiscusstheCodewithco-workersandothers.Useaspecificexamplefromexperiencetoidentifyethi

16、caldilemmasandstandardsofconductasoutlinedintheCode.Identifyhowyouwouldresolvethedilemma.Workingroupstoclarifyethicaldecisionmakingandreachaconsensusonstandardsofethicalconduct.Collaboratewithyournationalnursesassociation,co-workers,andothersinthecontinuousapplicationofethicalstandardsinnursingpract

17、ice,education,managementandresearch.学习准则各要素的相关标准。思考每项标准的意义,考虑如何将准则应用于护理领域中:实践、教育、科研或管理。与合作者和其他人讨论准则。以特定经历为例,认识职业道德所面临的困境及准则规定的行为标准,找出摆脱困境的可能方法。通过小组讨论澄清职业道德决策,达成职业行为标准共识。与本国护士协会、合作者及他人合作,在护理实践、教育、管理及科研中不断应用护理职业道德标准。DisseminationoftheICNCodeofEthicsforNursesICN护士职业道德准则的传播TobeeffectivetheICNCodeofEthic

18、sforNursesmustbefamiliartonurses.Weencourageyoutohelpwithitsdisseminationtoschoolsofnursing,practisingnurses,thenursingpressandothermassmedia.TheCodeshouldalsobedisseminatedtootherhealthprofessions,thegeneralpublic,consumerandpolicymakinggroups,humanrightsorganisationsandemployersofnurses.国际护士协会护士职业

19、道德准则必须为护士所熟知以发挥作用。我们鼓励向护理学校、执业护士、护理新闻机构及其他大众传媒传播准则。准则还应向其他保健界人士、普通大众、消费者、决策机构、人权组织以及护土雇主进行传播。GlossaryoftermsusedintheICNCodeofEthicsforNurses词语解释Co-operativerelationshipAprofessionalrelationshipbasedoncollegialandreciprocalactions,andbehaviourthataimtoachievecertaingoals.Co-workerOthernursesandother

20、healthandnon-healthrelatedworkersandprofessionals.NurseshareswithsocietyAnurse,asahealthprofessionalandacitizen,initiatesandsupportsappropriateactiontomeetthehealthandsocialneedsofthepublic.PersonalhealthMental,physical,socialandspiritualwell-beingofthenurse.PersonalinformationInformationobtainedduringprofessionalcontactthatisprivatetoanindividualorfamily,andwhich,whendisclosed,mayviolatetherighttoprivacy,causeinconvenience,embarrassment,orharmtotheindividualorfamily.RelatedgroupsOthernurses,healthcareworkersorotherprofessionalsprovidingservicetoanindividual,familyor

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