In the spirit of working together to achieve our common goal, our patients (and their parents, legal guardians or surrogates) also have certain responsibilities as participants in medical research studies and as patients of the hospital. These are explained in the patient`s responsibilities. In the history of mankind, there have never been such significant scientific and technological advances as in the last century and the beginning of the millennium. It can be said that the present is a unique period of humanity during which they have acquired new and fascinating powers over life, and at the same time have entered a world fertile in new concepts of life sciences and morality that require a paradigm shift in the practice of health professions. Nursing is socially recognized as a service profession that is clearly focused on helping, serving and caring for people`s health; Arguably, nurses were the essence of the health care system. Diers wrote in 1981 that „nursing is an extremely complicated job, as it requires the possession of technical knowledge, a large amount of formal knowledge, communication skills, emotional complicity and many other qualities, so it is also considered a complex thought process leading from knowledge to technique, from perception to action. From decision to touch and from observation to diagnosis. The nurse-person relationship (sick or healthy) has not been approached or studied in the same way as the doctor-patient relationship, but it is known to be an essential aspect of achieving health goals and objectives. It is an interpersonal relationship in which the nurse and the person meet to jointly perform a series of measures to maintain or restore health. It is also an ethical relationship in which everyone`s values must be known and considered equal, which requires practical moral behavior on the part of caregivers. When a patient has complications, ethical dilemmas arise, before which it is first necessary to determine what needs to be achieved and whether it really benefits the patient. Ethical analysis must begin with a careful assessment of the patient`s condition and the nature of his or her disease, preferences, value judgments, and social, cultural and economic reality.
There is a need to reprioritize the day-to-day work of health professionals serving individuals, families and communities, given the trend in today`s hospital environment to place greater emphasis on technological and scientific progress and on the technical or political aspects of work. The nurse of our time deserves not only a preparation based on the scientific knowledge required by modern technological progress, but must also develop a sensitivity to pain and a true humanism interested in the problems of man. Health workers are responsible for creating an environment in which the values, customs and beliefs of the individual are respected and where the patient is helped to maintain, develop or acquire personal autonomy and self-determination under professional guidance. The persistence of unsafe practices due to errors and negative effects in an environment aimed at providing certainty and certainty has been a source of concern and even perplexity. As a result, patient safety strategy has become a priority on the political agenda of many countries. Concern for safety is a historical constant and the basis of theories formulated by nursing science. Safety was considered one of the most important human needs and at the same time the responsibility of care for its maintenance and realization. This study aims to take an ethical and legal approach to patient safety strategy and its implications for care. Keywords: ethics, care, patient safety. Patient care and safety. Some ethical and legal considerations Back to: Back to: Clinical Centre Home Page > Participation in clinical trials > patient information > legal, ethical and safety aspects If the incidence or adverse event does not occur in harm, the problem of information opacity is not a problem.
However, in the event that the adverse event causes harm or harm, it is more difficult to maintain such opacity, let alone it would be unthinkable at the request of the judicial authorities. In this sense, legislative reform similar to that of other countries such as Denmark would be essential.12 In this country, a health care professional who reports an adverse event will not be investigated or disciplined as a result of such disclosure. This does not mean that he will be acquitted of guilty, but that no disciplinary or judicial action will be taken against him ex officio as a result of such disclosure [Table 1]. Another thing is that there is a complaint that would continue, whether the adverse event has been reported or not. In care, the nurse ensures that the use of technology and scientific advances is compatible with the safety, dignity and rights of individuals.13 This is reflected in ICN`s Code of Ethics. It is also worth recalling various rules of the Spanish Code of Ethics of Nursing, which emphasize that nurses have the primary professional responsibility of respect for human rights and direct their attention to the people who need their care, in an active role as patient advocates.