Ethics: Nursing and Abortion

A care worker who holds certain religious or moral values about abortion may face a dilemma when trying to assist a person receiving care who becomes pregnant and wishes to have an abortion.

Before researching on abortion issues, I never imagined it to be such controversial and debatable case because the problem arises from the very early stages of analyzing what administrative ethics would answer. I became overwhelmed to start because my mind became blurred on legality and ethics of abortion as early as defining administrative ethics: “well-based standards of right and wrong prescribing what public administrators ought to do in terms of duty to public service, principles, virtues, and benefits to society”. Ethics triangle is grounded on duties in the center with principles, virtues, and benefits to society augmenting it. Duties of public administrator involves those ‘obligations taken on while assuming a position’. They might

Nurses rely on personal knowledge and their professional skills to provide ethical care (Creasia & Friberg, 2011). In everyday practice, nurses must balance the needs of their patients against those of the organization, society and themselves. They strive to deliver the highest level of care for patients, but adjusting for limited organizational and personal resources often requires difficult decisions. This paper explores the following scenario suggested by Maville and Huerta: “You are a nurse providing home care to a mother, and you suspect child abuse after observing the mother’s reaction to her child” (as cited by Arizona State University, 2014). When faced with a moral dilemma, a competent nurse incorporates ethical, bioethical and legal considerations. In the proposed story, incorporating the nursing ethics of advocacy, beneficence, nonmaleficence and collaboration will guide the nurse towards an appropriate and legal course of action.

Nurses are faced with ethical dilemmas on a daily basis, each situation being unique and requiring the nurse to set aside their own values and beliefs in order to properly care for their patients. Situations requiring nurses to make an ethical decision are diverse and dynamic; the values set out by the College of Nurses of Ontario code of ethics remains the same. Therefore, all decision based on these vales regardless of the setting and circumstances ensure consistent solutions. The scenario involves a woman who was admitted to the NICU due to complications during her sixth month of pregnancy. The patient indicated that no extraordinary measures should be made to save her baby; she became further detached when the baby developed a bleed

I think when it comes to dealing with values and beliefs it’s very important not to change your values or beliefs just because you are a nurse but to know where you stand on your own. I think as a nurse you need to know and understand your own beliefs with the understanding that other people are going to have different beliefs than you do. So as the books states if you’re a person who doesn’t agree with abortion regardless of circumstances it is best to be in an area of nursing that doesn’t require abortion. Such as maybe working in a nursing home this way it will reduce the conflict of your beliefs and theirs. I think what I will do when I encounter a patient care situation in which decisions are made that go against my values and beliefs is to not take it personal. I know working with many different people everyone is going to

There are many common pregnancy alternatives, but most often the resulting decision is abortion because it is effortless. Abortion is endings a women’s pregnancy by removing or forcing a fetus or embryo from the mother’s womb before it is able to survive on its own. Not all abortions are purposely done some are spontaneous like when a women that has a miscarriage. Rather abortion is done purposely or naturally it is a worldwide complication as to it being wrong or right. Abortion is an ethical issue that will be analyzed according to a personal worldview and Christian worldview. Ethical thinking will be examined by value-based decisions that address abortion from the perspective of a Christian worldview and comparing it to a personal assumption by addressing ethical dilemma, core beliefs, resolution, evaluation, and comparison.

Doctors’ view is also very much negative about abortion. A study was conducted by the Journal of Medical Ethics on 733 medical students about abortion. The outcome of the survey revealed that almost 1/3 of students would not perform an abortion for a congenitally malformed fetus after 24 weeks, 1∕4 of them would not perform an abortion for failed contraception before 24 weeks and 1/5 of them would not perform an abortion on a minor who was the victim of rape. (Campbell,

An 18 year old girl gets pregnant and can’t decide whether to keep the baby or have an abortion. Her parents are very religious and do not believe in sex before marriage therefore would not take to kindly to their daughter being pregnant.

Ethical issues in nursing will always be an ongoing learning process. Nurses are taught in nursing school what should be done and how. Scenarios are given on tests with one right answer. However, there are situations that nurses may encounter that may have multiple answers and it is hard to choose one. “Ethical directives are not always clearly evident and people sometimes disagree about what is right and wrong” (Butts & Rich, 2016). When an ethical decision is made by a nurse, there must be a logical justification and not just emotions.

Of all the legal, ethical, and moral issues we Americans continuously fight for or against, abortion may very well be the issue that Americans are most passionate about. The abortion issue is in the forefront of political races. Most recently the “no taxpayer funding for abortion act”, has abortion advocates reeling. Even though abortion has been legal in every state in the United States since the monumental Supreme Court decision, “Roe v Wade”, on January 22, 1973; there are fewer physicians willing to perform abortions today than in 2008. (Kraft) At the heart of the ethical dilemma for many in the medical profession is the viability of the fetus. And just to make this whole dilemma more confusing, according to the United States

Abortion is wrong because it is the murder of a human being. Abortion continues to be a moral and ethical dilemma for all those involved. The American Nurses Association (ANA) Code of Ethics states, “nurses have the ethical and moral obligation to promote and protect life.” Still, debates continue, opposing the belief of life against the principle of autonomy and a woman’s right to regulate her body. It is disputable that the right to have an abortion is a right to dominate one’s body, but the death of the fetus is an inevitable result of the termination of that pregnancy (Religious studies online, n.d.). One million two hundred thousand abortions are done yearly in the United States from weeks 9 to 21+ of gestation (Pro Life Action League). Nevertheless, nurses, no matter how caring and compassionate, their individual education, culture, religion, past, gender and even age will influence the care that is given to their patients (British Journal of Nursing, 2015, p. 345). With that, if a nurse assists with the procedure of abortion, is he or she going against the Code of Ethics for Nurses? No matter if the nurse assists with the abortion or not certain rules for privacy must be followed. The Health Insurance Portability and Accountability Act (HIPPA) Privacy Rule protects the patients’ health information, even those experiencing unwanted pregnancies (Simmonds & Likis, 2011, p. 794).

Although experiences are subjective, women that have later abortions tend to feel more pain and distress following the procedure and so early abortion on a personal level, is preferred (British Pregnancy Advisory Service 2010). Delays caused by the complexity of regulation can therefore, not only intensify unpleasantness but intensify health risks. The law fails to recognise the responsibility of the role of nurses in abortion practise today. It needs to be updated so that nurses can continue to lead the abortion process but without obtaining the signature of two doctors. Training programmes should be offered to nurses to qualify them in independently carrying out abortions at all gestation stages. These reforms would avoid time wasting. More time would enable more available appointments for termination. Ultimately, it would break the barrier of accessing abortion at an early stage (Furedi 2008).

Abortion is a deliberate termination of a human pregnancy, most often performed the first 20 weeks of pregnancy. There are series of legal, moral and ethical issues which may arise about abortion. Most arguments about abortion are often focused on political insinuations and the legal aspect of such actions. Some frequently asked questions’ regarding the issue is if the practice should be outlawed and regarded as murder or should women have the right to practice it. For example, prior to becoming pregnant, some women feel that they would be able to choose the abortion option without trouble. However, even with reasons why having an abortion would be the best option, some women feel that this decision would not be right for them. On the other hand, some women have a strong belief that abortion is unethical prior to becoming pregnant.

Abortion is a highly-debated topic of whether it is ethical for a woman to decide to have one. Abortion is any of various surgical methods for deliberately terminating a pregnancy. When we speak of abortion today, we mean induced abortion performed by trained doctors, not including miscarriage (MacKinnon & Fiala, 2015). Some current methods of abortion are morning-after pill, mifepristone, uterine or vacuum aspiration, dilation and curettage, saline solution, prostaglandin drugs, hysterotomy, and partial birth abortion. Abortion involves questions about rights, happiness, and well-being, as well as the status and value of human life. The people who think it is ethical to have an abortion stand on the Pro-choice side and the people who think it is unethical stand on the Pro-life side. The liberal view of abortion supports abortions and the conservative view opposes abortion. There are many legal, religious, and medical conflicts that are included in the debate over abortion. The arguments made from both sides help us better understand whether a woman should have an abortion.

In “We Do Abortions Here: A Nurse’s Tale” by Sallie Tisdale, the readers are given a reflection on the experience of working as a registered nurse in an abortion clinic. In the text, Tisdale is very descriptive of how it is like to work in an abortion clinic through the use of imagery. Tisdale portrays a certain level of disconnectedness to the whole procedure itself in how she uses strictly scientific language in order to give insight as to how the procedure is carried out, along with providing thoughts and feelings based on observation, internally. On the other hand, in “The Condition of Black Life Is One of Mourning” by Claudia Rankine, it is started off with a mother, having just given birth, already fearing the day her son could be