Ethical Principles In First, Do No Harm By Lisa Belkin

Studies have shown that many factors have been contributing to influence patient’s care in an ethical manner. What factors could affects one decision for their medical care? Does it also included the nurse’s individual views or should consider their moral obligations? But what is ethics really is? Based on the book Nursing Ethics by Butts & Rich, “Ethics is a systematic approach to understand, analyze, and distinguish matters of right and wrong, good and bad, and admirable and deplorable as they relate to the well-being”. Ethics should follow the current AMA guidelines.

Ethical dilemmas exist everywhere around us in everyday situations. Something as simple as picking up a piece of trash off the floor to whether you should use a previously written paper from a separate class for a current assignment in this class. It exists in reality and even on television shows. How, then, do people resolve these ethical dilemmas and how do they defend their decisions? Nurse Jackie is a television series impregnated with ethical dilemmas, especially in medical care. In this paper, I will discuss the ethical issues found in the “Tiny Bubbles” episode of Nurse Jackie. I will further discuss the ethical reasoning with support of ethical principles. In addition, I will discuss how patient’s autonomy and non-maleficence principle of bioethics plays a role in decision making. Overall, there was a difficult struggle on the ethical theory of and utilitarianism, with ethical relativism playing a huge factor.

I believe that patients have the right to decide what they intend to do for their future health care. Patients are not just people we give a bed to so they can die. They have plans that they intend to have laid out for themselves. As healthcare professionals, we must respect the patient’s

In a particularly morbid display of irony, Huyler, an emergency room physician who has pledged to serve the health of humanity, wishes his comatose patient was dead. In “A Difference of Opinion,” Huyler is treating a patient who has been in the Intensive Care Unit (ICU) for over a month and showed little sign of improving. Due to the

The life of a person may be measured in years, moments, and the number of laughs or cries but what if one were to measure a life on good deeds or on that person’s virtues? The theory and idea of ethics and virtue as conceptualized by the Greek philosopher Aristotle in Nicomachean Ethics and as it is expressed in the pages of The Fundamentals of Ethics by Russ Shafer-Landau is a complex and dubious notion. It is one that is easily related to characters in Khaled Hosseini’s The Kite Runner.

Ethical relativism is not just simply one concept. It can be divided into two categories cultural relativism and ethical subjectivism. Cultural relativism states that what a culture finds correct is what is correct, within its own realm. Ethical subjectivism are what people as individuals find correct, or the values a person stands for and what they support whereas culture relativism is has a certain standard of morality held within a culture or society. These both view people as being in charge of their own morality. However, there are some problems with the view ethical relativism itself. For instance marital rape, machismo in Hispanics culture and premarital sex. In this dissertation I will be discussing problems with ethical relativism, while using the examples above.

Autonomy includes three primary conditions: (1) liberty (independence from controlling influences), (2) agency (capacity for intentional action), and (3) understanding (through informed consent) (Beauchamp & Childress, 2009, p. 100). According to Beauchamp & Childress (2009) to respect autonomous agents, one must acknowledge their right to hold views, to make choices, and to take actions based on their personal values and beliefs (p. 103). Respect for autonomy implies thaturges caregivers to respect theassist a patient in achieving? Heed? the autonomous choices of their patients. From there, patients can act intentionally and with full understanding when evaluating medical treatment modalities. Autonomy also includes a set of rules, one of which requires that providers honor patient decision-making rights by providing the truth, also known as veracity (Beauchamp & Childress, 2009, p. 103). In this case, several facets of the principle of respecting autonomy, specifically veracity, informed

Ethics is told to be the concept of right and wrong, a type of moral compass that helps guide people through life. No one is thought to be held to a higher standard of ethics than doctors, but to the people in the public wards, doctors were merely scientists, experimenting on the people as a misconstrued form of payment. Patients of the public ward

The American College of Healthcare Executives (ACHE), has a strong impact on ethical decision making because they focus on the “entire being” of the healthcare professional. For example, in ACHE’s preamble of The Code of Ethics it states, “In fulfilling their commitments and obligations to patients or others served, healthcare executives function as moral advocates and models.” Imagine, when a healthcare administrator recites these few words, he cannot help but acknowledge the depth of his commitment and the high level of morality that is expected from him. Because of the vast number of complex ethical dilemmas that arise, ACHE further promotes the value and importance of strong ethical decision making in ACHE’s Ethics Toolkit. “When the ethical guidelines are not enough, when there is uncertainty about the proper ethical approach, and when there is a need to develop additional

“If you don’t have integrity, you have nothing. You can’t buy it. You can have all the money in the world, but if you are not a moral and ethical person, you really have nothing”. –Henry Kravis - The American healthcare system delivers some of the finest care in the world. However, despite the high level of achievement delivered from the American healthcare system, it is afflicted with problems. Ethical issues that occur in the healthcare delivery system are indeed common. Almost every decision that is made in a healthcare organization has ethical implications. These ethical implications are towards the patient, provider and the leader of the organization. Ethics tend to determine which actions will contribute to an individual fulfillment of happiness. Ethics are very powerful and tend to presuppose freedom and responsibility in the organization. In my current place of employment the care of patients is integrated with medical research, which in return allows for the healthcare practices to continuously be studied and improved. As a healthcare leader or worker, decisions will be made when the common good of both the patients and organization must be taken into consideration. As an effective healthcare leader one must practice adhering to the ethical standards and codes of conduct for his or her individual place of employment. According to Rae (2009), there are 7 steps in making moral decisions. The seven

In conclusion, Person introduces two conflicting opinions of the main message, medical ethics. However, there is a bias towards Jenna’s initial view, and the opinions of Lily and Alleys. Overall, the author uses this book as a way of showing us the ever-more relevant debate of medical ethics, but wants us to make our own decision of what view to

`Ethics' is defined as ."..the basis on which people...decide that certain actions are right or wrong and whether one ought to do something or has a right to something"(Rumbold, 1986). In relating `ethics' to nursing care, "Nursing decisions affect people... nurses have the power to good or harm to their patients" (Bandman et al, 2002). In this essay, the author will also identify the most important ethical principles and concepts of Evan's case, will outline the different stages of one's approach to ethical decision-making by utilising the "DECIDE Model for Ethical Decision-Making" founded by Thompson et al (2000) and will make a decision on the best course of action to take as a nurse in this

Any member within the healthcare environment may be conflicted with some ethical decisions that have to be made. Ethics committees have been developed, and are required due to the number of ethical issues that present daily within hospitals and other health institutions. These committees are comprised of persons who assist patients, their families, and healthcare personnel in identifying, understanding, and quickly resolving ethical issues. Policies, procedures, and ethic codes are formulated around moral principles of beneficence, autonomy, non-maleficence, and justice.

Professionals in every field are always confronted with some kind of ethical issues. It has however been noted that these ethical issues become high in magnitude and extent when public officials are involved. Due to the involvement of human life, an industry like healthcare holds ethics in highest regard. Even though these healthcare practitioners are highly trained to deal with issues of these kinds, their decisions can sometimes have a lasting impact on their professional and personal lives (Edwards 2009).

There are four basic ethical and bioethical principles that have a strong influence in the practice of medicine, predominantly medicine that deals with those who are dying. The first is beneficence, which directs the physician and health care worker to take positive actions, specifically by restoring health and relieving suffering (Bongard et al., 2008). Then there is nonmaleficence. Goldman and Schafer (2012) add that nonmaleficence is the idea that people should not be harmed or injured knowingly. The third ethical principle is autonomy,