HLTENN008 Workbook: Ethical Principles, Legal Acts & Nursing Standards

This HLTENN008 assignment provides a comprehensive overview of key aspects of nursing practice, focusing on ethical principles, legal obligations, and professional standards. It begins by defining and illustrating the ethical principles of beneficence, non-maleficence, veracity, and autonomy with practical nursing examples. The assignment identifies the Nursing and Midwifery Board of Australia's role in setting standards and guidelines, as well as the Australian Health Practitioner Regulation Agency's (AHPRA) functions in protecting the public and regulating health practitioners. It further outlines the seven healthcare rights of Australians and provides examples of how nurses can ensure these rights are met. Finally, it analyzes a nursing tribunal case using the ICN code of ethics, nursing code of conduct, and enrolled nurse standards of practice to identify breaches of ethical and professional conduct. This resource is designed to help nursing students understand and apply ethical and legal frameworks in their practice.

6. PROJECT - HLTENN008 WORKBOOK
Due Date One week after completion of timetabled lectures for these units
Required
resources
You will need to have access to:
Internet
Laptop or PC
Moodle
Requirements
for
satisfactory
completion
To satisfactorily complete this assessment, you must:
Answer all questions correctly
Complete the assessment independently

PR1. Write a definition in your own words of the three ethical principles listed
below and provide a nursing example.
Beneficence
It can be defining as principle of ethics that need to be followed by nursing employees in
order to provide quality services to patient. It is basically an obligation practice by
physician to act for the benefit of sufferer and to support as well as to defend the right of
others so to prevent harm. Moreover, this rule has been implemented in nursing so to
prevent patient with disability and to rescue them form danger (Geia and et.al., 2020).
Beneficence in medical term means to act for the benefit of others as well as to remove
possible crime. This term can be distinguishing on the basis of strong paternalism and
weak. The strong paternalism is imposing unwilling action on patient for their best
interest. On the other hand, weak paternalism aims at restoring their autonomy. For
example: If at nursing home any patient fall and fracture his hand a nurse should
provide that person with medication as quickly as possible.
Non-maleficence
It is an obligation on medical representative that it should not harm the patient as well as to
give quality service to them in order to keep them healthy. This is rule basically says that all
the activities and services given by nursing home should not be in bad faith that can
increase pain and suffering of patient. Along with this, it simply stated and support several
moral rules like do not provide service that can harm sufferer (Yong and et.al .,2021). This
principle also stated that doctor should not provide ineffective treatments to patients as it can
increase high chance of risk as well as intention of nurse should not be malaise. For
example: if nay nurse see that patient has fallen down in corridor then it should go and
help and provide medical attention.
Veracity:
It is define as being honest and telling the truth as well as it is s related to principle of
autonomy. This principle has been based on building the heathy and honest relation
between patient a healthcare provider. Although according this rule patient is required to
be truth full while sharing its issue so that doctor can provide right treatment goals.

However, lying to patient will affect the future relation with them. For example: If
patient has been suffering from serious illness the it should be told truth about it even if
family members are not willing to know. Although suffered have right to know issue and
option to recover from it.
Autonomy: In medical practice it can be define as right of competent adults to make right
decision about their own medical care. This principle state that health care has to seek the
consent or inform agreement to the patient before investigating so that right treatment is
provided to them (Shala and Sheppard-Law, 2021). The law states that id any patient who is
not suffering from mental illness has an absolute right to choose the consent of medical
treatment.
For example: The right of patients to make decisions about their medical care without
their health care provider trying to influence the decision
Trainer feedback if required: MR FER
PR2. Identify one (1) a legal Act of Parliament that relates to nursing. Explain how
this Act will relate to your own nursing practice.
The nursing and Midwifery Board of Australia carries out functions as set by the healthcare
practitioner regulation national law as in each state and territory the national law. The main
aim of this practice of nursing is to protect the public by developing registration, professional
codes, standards for practice. This act has made guideline related to safety quality for nurse
practitioners as well as to outline the requirement which nurse must practice for keeping the
safe practice. Along with this, the target audience of this act is registered nurse, education
provide conducting nursing programme, employers of nursing (Willmott and et.al .,2020).
Along with this, according to this act there are some professional practice that need to be
followed by nursing employers. Such as it need to think critically and analysing nursing

practice as well as engaging therapeutic and professional relation with patient. Moreover, to
maintain the capabilities for practice and to provide safe an appropriate responsive quality
nursing practice. In addition to this, this act will help nursing practitioner to treat their
patient with integrity and to provide them with good quality to services. Furthermore, this
act will allow nursing practice to be more efficient and to follow professional rules.
Trainer feedback if required: MR FER
PR3. What does AHPRA stand for and what is their role? (Give 3 key roles)
It stands for Australian health practitioner regulation agency that works with 15 national
boards to help protect the public regulating Australia registered health practitioners. Along
with this, primary role is to protect general public to set the standards and policies for health
care practitioner. The another role of AHPRA is to make sure that only health practitioners
from professional list, qualified and the one who practice ethical manner need to be
registered on nursing website. Moreover, the another role of this organization is that it
manages complaints and concerns raised about health performance of individual health
carer on behalf of National Board situated in Wales and in Queensland as well as manage
their notification (Loke and Guo, 2021). Although it work with health complaints entities
to make sure that appropriate company deal with the community concerns about health
practitioners.
Trainer feedback if required: MR FER
PR4. What does NMBA stand for? Identify 5 key functions of the NMBA.
The Nursing and Midwifery Board of Australia undertakes functions as set by health
practitioner regulation national law implemented in each state and the territory. It regulates
the practice of nursing and nursing and midwifery in Australia and one of its key roles is to
protect the public. The key function of NMBA is overseeing practitioner registration so that
it can seek help. Also health practitioner should be qualified as well as follow ethics clearly.
In addition to this, another function is to develop standards, codes and guidelines for the

nursing and midwifery profession. Moreover, it has to handle notifications, investigation and
disciplinary hearings. assessing overseas trained practitioners who wish to practise in
Australia, and approving accreditation standards and accredited courses of study (Shin and
et.al .,2020). The NMBA ensure that safe practice in the country so that patient can be
provided with great quality of services and to keep the safe. NMBA has worked in
partnership with AHPRA to protect the public since the inception of the national registration
and accreditation scheme.
Trainer feedback if required: MR FER
PR5.The Australian Charter of Healthcare Rights outlines 7 healthcare rights of
Australians. Name these seven (7) rights and for each, give an example of how you
might ensure those rights are met whilst the client is in your nursing
care.
All hospital and services fully supported the Australian charter of healthcare rights.
The charter describes the rights of patients and other people using the Australian
health system.
The rights are:
Access: Every individual has a right to access health care services that meets their needs.
For example, if a person is suffering from disease then it will have right to access
healthcare services from any hospital.
2 Safety: According to this act, the person receives safe and high quality health care that
meets national standard (Brennan, 2019). Moreover, to stay in an environment that is safe
and makes an individual safe. For example: A health care provider should give a patient
safety environment while treating.
3 Respect: This right allow an individual to be treated with dignity and respect as well
as their religion and culture, beliefs need to be recognized and respected. For example:

healthcare professional need to treat their patient with dignity.
4 Partnership: This right allows and ask question and be involved in open and honest
communication as well as make decision with healthcare provider. Also it can include the
people in planning and making decision. For example: The healthcare provider can make
decision related with patient with other seniors.
5 Information: The patient has right to clear the information about the condition and to
provide the benefits as well as risk of the treatment. Along with this, patient have right to
receive information about services and waiting times as well as cost. For example: it is the
duty of nurse to give proper information about the sickness to patient as well as member so
that they are aware about the condition (Häyry, 2020). Along with this, sufferer has right to
known about any mistreatment happen during the operation.
6 Privacy: This right allow patient and doctor to keep the information confidential unless
to not ask. Along with this, to have right information kept secure relating to health. For
example: patient have right to personal privacy respected by healthcare.
7 Feedback: The patient has right to provide feedback or make complaint without it
affecting the way that are treated. Along with this, have their issues transparent and well
addressed as well as in timely. Moreover, to share experience as well as to participate and
improve the quality of care and health services. For example: The patient has right to get
ask question from the doctor.
Trainer feedback if required: MR FER

PR6. Read the article below regarding a case that was brought to nursing tribunal. Using
the ICN code of ethics, nursing code of conduct and Enrolled Nurse standards of practice
documents, identify which principles this nurse has breached and how? Explain.
Nursing Tribunal Scenario
A tribunal has disqualified a former enrolled nurse from applying for registration for
eight years for professional misconduct, including filming a distressed dementia patient
and sharing the video with her partner and a friend.
On 4 February 2015, Ms D. Rankine was working as an enrolled nurse at a Medical
Centre in Adelaide. She was assigned to care for an elderly patient with dementia. Ms
Rankine used her mobile phone to make a video of the patient appearing distressed in
bed, which Ms Rankine showed to her partner and a friend. The video was later uploaded
to social media and featured on a television program, though not by Ms Rankine.
On 9 November 2016, Ms Rankine was charged with one count of engaging in
humiliating or degrading filming of others. Ms Rankine was also charged with: one count
of intentionally using a listening device to record a private conversation without consent,
and
two counts of distributing a moving or still image obtained by humiliating or degrading
filming knowing or having reason to believe that the victim did not consent.
She failed to inform the Nursing and Midwifery Board of Australia (NMBA) of the
charges within seven days, as she was required to do under the National Law.
On 15 May 2017, Ms Rankine pleaded guilty and was convicted by the Adelaide
Magistrates Court of engaging in humiliating or degrading filming of others and released
on a good behaviour bond for 12 months. Ms Rankine failed to notify the NMBA of the
conviction. The other charges made against Ms Rankine on 9 November 2016 were
withdrawn.
On 1 December 2017, the NMBA referred Ms Rankine to the South Australian Health
Practitioners Tribunal concerning the February 2015 video and her failures to notify the
Board of the resultant charge and conviction. The NMBA also alleged that:
sometime during 2014, Ms Rankine made a video of a second vulnerable patient without

consent, and distributed the video on social media
on 17 June 2014, Ms Rankine deliberately administered a dose of 100mg of quetiapine to
a patient, when the prescribed dose is 50mg, and
on 8 February 2013, Ms Rankine tried to obtain prescription medicine illegally from
another nurse.
On 18 October 2019, the tribunal ordered that Ms Rankine:
is reprimanded in the strongest terms
is disqualified from applying for registration as a health practitioner for eight years
is prohibited from providing any health service for eight years, and
pay $2000 towards the NMBA’s costs.
In the nursing court of tribunal MS. Rankine case has been enrolled and it was
disqualified due to filming the video of dementia patient and without consent. In the
present case the tribunal disqualified the nurse because it has breach code of ethics. As
a nurse it is their duty to maintain human dignity and privacy of the patient. Ms.
Rankine has shared the video without the consent of patient and posted on social media
and made fun of the patient. In addition to this, Ms. Rankine has also breach the policy of
nursing and Midwifery Board of Australia that it has not informed the council about the
charges within 7 seven days. The nurse has failed to follow principle of beneficence that
is doing good and the right thing for the patient. Such as in this case MS Rankine made a
video of a second vulnerable patient without consent and distributed it on social media.
Along with this, nurse has given dose of 100 mg of quetiapine to patient when dose is 50
mg. As well as it also tried to maintain the prescription of medicine illegally from another
nurse. Thu, it has failed to follow Non maleficence principle and caused harm to patient.
Trainer feedback if required: MR FER

PR7. Read the article below: Using the nurses code of conduct document, identify
any of the 7 Domains, including principles, this enrolled nurse has breached discuss
how they have been breached.
(For example Domain 1:Practices legally; principle 1: Legal compliance; 1.2 Lawful
behaviour)
Health Care Complaints Commission Scenario
A tribunal has reprimanded an enrolled nurse and suspended her registration for two
years after she admitted to withdrawing cash from a patient’s bank card for personal use.
In 2017, Ms R. Bain was employed as an enrolled nurse at a residential aged care facility
where she had developed a close friendship with a patient from early 2016. Ms Bain
assisted the patient with errands and purchased items for her with the patient’s
permission.
On 1 May 2017, Ms Bain took the patient’s debit card and a piece of paper containing the
card’s PIN without permission and withdrew $1,000 for her own personal use. She
repeated this conduct the next day. Ms Bain repaid the money into the patient’s account
in four transactions.
The Nursing and Midwifery Board of Australia (NMBA) received a notification about
Ms Bain’s conduct on 24 May 2017 and on 16 June 2017 took immediate action under
the National Law to suspend Ms Bain’s registration.
NMBA referred Ms Bain to the South Australian Health Practitioner Tribunal in April
2018. Ms Bain did not contest any of the four grounds in the Complaint filed in the
tribunal, and accepted that her conduct detailed in the Complaint amounted to
professional misconduct.
On 10 July 2018, the tribunal reprimanded Ms Bain, suspended her registration for two
years effective immediately and ordered her to pay the NMBA’s costs in an agreed
amount. The tribunal noted that the conduct was a significant departure from the standard
expected of a nurse of Ms Bain’s experience and training

DOMAIN: PRACTICE LEGALLY
Lawful behaviour
In the above case Ms R. Bain was suspended for two years due to its unlawful work
of withdrawing cash from the patients bank for personnel use. Along with this, it
has developed close friendship with the patient which is against the rule of nurse.
The principle of beneficial have been failed to follow by the nurse as it has not
working in the benefit of the patient as well as it has mala fid intention. Along
with this, Nurse without it consent has withdrawn money for personnel as well
as not informed the nursing council of Australia.
DOMAIN: PRACTICE SAFELY, EFFECTIVELY AND COLLABORATIVELY
Principle 2: Person-centred / woman-centred practice
2.1. Informed consent: In the above case study nurse has not taken consent from patient
before drawing the money from the wallet.
DOMAIN: PRACTICE SAFELY, EFFECTIVELY AND COLLABORATIVELY
Principle 3: Cultural practice and respectful relationships
3.1 Culturally safe and respectful practice
Ms Bain has not respected patient and build close relation with them which is against
nursing code of ethics.
3.2 Effective communication: It has not maintained effective communication with the
patient and it has dishonestly taken money without the permission which was unethical.
DOMAIN: ACT WITH PROFESSIONAL INTEGRITY
Principle 4: Professional behaviour
4.1 Professional boundaries: Ms Bain has not maintained professional integrity while
working as it has try to build close relation with patient. I am considered as unethical
and against the norms set by council of nursing. Along with this, it has not follow the

work ethics while working such as maintaining honesty and integrity. Such as it has
taken money with mala fide intention.
6.1 – Rights and responsibilities
Ms Bain has not follow its right and responsibility properly as its duty was to treat the
patient well and to provide quality service to them. Along with this, it was supposed to
follow nursing ethics such as integrity, honesty and privacy Moreover, nurse has to
follow ethical principle such as justice, beneficence, accountability and veracity while
working in order to maintain healthy relation with them. Moreover, in the above case
study nurse was mala fiddley working and did not follow nursing business ethics.
MR FER
PR8. Michael, a 30-year-old man has been admitted to a ward with severe anaemia.
He is very weak but is still mentally stable and consents to a blood transfusion. His
wife takes you aside and explains that he should not be given a blood transfusion as
they are Jehovah’s Witnesses, and it is forbidden in their religion. You tell the
doctor, and he has a further discussion with Michael who still consents to the
transfusion. What should be done in this case? Why?
In this case doctor should share the information with the family member that blood
transfusion is very necessary for the patient as it is suffering from anaemia. Along with
this, if patient is health and giving it consent then it is will be better for patient.
Trainer feedback if required: MR FER

PR 9: In relation to Enrolled Nursing standard 3: Accepts accountability and
responsibility for own actions, give one (1) example of what this may mean in your
day-to-day practice as an enrolled nurse?
Trainer feedback if required: MR FER
PR10. Explain how a nurse ensures they work within their scope of practice?
The nursing scope of practice is a guide post for professional nursing activities and best
practice. Nurse need to have a knowledge and advance degree in this field as well as by
adopting holistic approach to care. By using nursing theories and organize practice.
Trainer feedback if required: MR FER
PR11. Give two (2) examples of how a nurse should ensure that he or she maintains
professional boundaries as detailed in code 4.1 in the ‘Code of conduct for Nurses’
self-reflection.
Establishing and following a comprehensive plan of care.
Meeting personal needs
For example: Nurse should not share personnel information or keeping secrete with
patient.
Trainer feedback if required: MR FER
PR12. What is the role of the coroner?