1. CULTURAL
AND
ETHICAL ISSUES
IN
MEDICAL
SURGICAL
NURSING

3. CULTURAL
ISSUES IN
NURSING

5. CULTURE:
Culture represents a unique
way of percieving,behaving and
evaluating the external
environment and such provides
a blue print for determining
values beliefs and practices
( Boyle,2003)

6. CULTURAL VALUES
• Cultural values are unique expressions
of a particular culture that have been
accepted as appropriate over time. They
guide actions and decisions making that
facilitate self worth and self esteem
• (LEININGER,1985)

7. INDIAN CULTURE

8. INDIAN CULTURE
RELIGION
LANGUAGE
SOCIAL STRUCTURE
FAMILY STRUCTURE
HEALTH BELIEFS
DEATH AND DYING
DIET AND NUTRITION
CULTURAL BELIEFS

9. IMPLICATIONS IN
HEALTH CARE
•FAMILY DYNAMICS
AND STRUCTURE
•DIET AND NUTRITION
•HEALTH REMEDIES
•CULTURAL PRACTICES

10. SOLVING
CULTURAL
ISSUES

12. ETHICAL ISSUES IN
NURSING PRACTICE

13. ETHICAL ISSUES IN
NURSING PRACTICE
Clinical
Professional
Philosophical
Organisational
and societal

14. Lets discuss the ethical
issues in our context in
a different point of
view.............????????????

15. Patient
Employer
Colleagues
Personal excellence
Nursing profession

17. Bioethical
issues in
medical
surgical
nursing

18. BIOETHICAL ISSUES
D
E
A
T
H

19. PLANNING FOR END LIFE
ISSUES
Futile
treatments
Advance
directives
Living wills

20. EUTHANASIA

21. EUTHANASIA
positive
negative

22. ORGAN
TRANSPLANTATION

24. F R A M E WO R K F O R
ET HI CAL
D E C I S I O N MA K I N G

25. F R A M E WO R K F O R
ET HI CAL
D E C I S I O N MA K I N G
IDENTIFY AND CLARIFY THE
ETHICAL PROBLEM
GATHER DATA
IDENTIFY OPTIONS
MAKE A DECISION
ACT AND ASSESS

26. RESOURCES AVAILABLE IN
ETHICAL DECISION MAKING
AMERICAN NURSES ASSOCIATION(ANA)
CODE OF ETHICS FOR NURSES (2001)
AMERICAN NURSES ASSOCIATION BILL
OF RIGHTS FOR REGISTERED
NURSES(2001)
INTERNATIONAL COUNCIL OF NURSES
CODE FOR NURSES

27. RESOURCES AVAILABLE IN
ETHICAL DECISION MAKING
The Patient Care Partnership:
Understanding Expectations, Rights, and
Responsibilities(American Hospital
Association)
The Nuremberg Code

28. ICN CODE FOR NURSES
PEOPLE
A
PRACTICE
N SOCIETY
D CO WORKERS
PROFESSION