Health Education II

Patient Education

A fundamental nursing responsibility grounded in ethics, law, and economics

Law

Formal rules that govern how members of society behave; enforced by authority and carries legal sanctions.

Morality

Guiding principles inherited from family, culture, religion, and community; based on social consensus of what is right or wrong.

Ethics

A philosophical science that examines moral life and human conduct; Seeks to answer the question: “What should I do?”

Ethicos

Greek word for moral duty.

• Natural Law

• Deontological Ethics

• Teleological Ethics

(3) Different Views of Ethics

Natural Law

A view of ethics that is based on inherent human reason and moral order.

Deontological Ethics

A view of ethics that focuses on duty and rules (Golden Rule).

Teleological Ethics

A view of ethics that focuses on outcomes (greatest good for the greatest number).

Charitable Immunity

Early belief that charitable institutions were not legally liable.

Cardozo Decision of 1914

A landmark legal case for patient education.

Informed Consent

Th right to full disclosure and decision-making.

Right to Self-Determination

The right to control what happens to one’s body.

• Legal responsibility to educate patients

• Limited preparation at the pre-licensure level

• Need to balance quality care and cost containment

(3) Challenges for Nurses

• Direct Costs

• Indirect Costs

• Cost Savings

• Cost Benefit

• Cost Recovery

(5) Financial Terminologies

Direct Costs

A financial terminology that is directly related to patient care services.

Indirect Costs

A financial terminology that support operational expenses.

Cost Savings

A financial terminology that are reduced costs due to preventive care and education.

Cost Benefit

A financial terminology that are financial gains from educational programs.

Cost Recovery

A financial terminology that are revenues equal or exceed expenses.

• National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research

• Philippine Nurse Association Code of Ethics for Nurses

• Patient’s Bill of Rights

(3) Government Reguations and Professional Standards

• Right to humane and respectful treatment

• Right to Informed Consent

• Right to Privacy and Confidentiality

• Right to Information and Explanation of Care

• Right to Self-Determination

• Right to Refuse Treatment

• Right to Religious Belief

• Right to Medical Records

• Right to Leave the Health Facility

• Right to Express Grievances

• Right to be Informed of Patient Rights and Obligations

(11) Highlighted Rights of the Patient Bill

• Autonomy

• Veracity

• Confidentiality

• Non-Maleficence

• Beneficence

• Justice

(6) Appication of Ethical Principles in Patient Education

Autonomy

Respecting the patient’s right to make decisions.

Veracity

Truth-telling and honest disclosure.

Confidentiality

Protecting private patient information.

Non-Malificence

Doing no harm.

Negligence

Failure to act as a reasonable professional.

Malpractice

Professional negligence within specialized practice.

Duty

Expected standard of professional behavior

Beneficence

Acting in the patient’s best interest.

Justice

Fair and equal distribution of care regardless of background.

• Increased emphasis on patient-centered care

• Greater accountability and legal awareness among nurses

• Implementation of cost-effective educational strategies

• Use of technology and evidence-based teaching approaches

(4) Future Directions of Care For Patient Education