Ethics

Ethics is a strongly culturally linked area of philosophy interrelated with what is considered acceptable human conduct. There are two branches of ethics; medical ethics and bioethics. The moral conduct and principles which govern practices of medical and health professionals falls under medical ethics, whereas in biomedicine and the health sciences theorised developments in the study of social and moral issues is considered bioethics(1). There are two philosophical principles within the conduction of health care research these are deontology and utilitarianism. Deontology is an approach to ethics that focuses on the rightness or wrongness of actions themselves, as opposed to the rightness or wrongness of the consequences of those actions (2). Utilitarianism states that the most benefit

Moreover, an emphasis is imposed on the rights of a single patient to commit an act or decision even though it is in contrast with the views of the others. In regards to the ethical dilemma, a nurse could not justify the morality of the two possible choices based on their results and consequences. The Deontological approach would encourage the health care staff as well as the patient to ask themselves the most righteous choice for their situation. With this in mind, a combination of ethical theories can also be employed to give light to the dilemma. In view of this, another ethical approach could be applied to solve the issue, and this is the Right-based approach. This theory also aim to promote the rights of every person, and that, they are indispensable just to make ends meet. However, not all ethical theories can be incorporated in every dilemma in a health care setting because their foundations would contradict one another. In order to provide an effective and efficient solution, nurses should be knowledgeable of the principles enveloping each of the ethical theories and should be wise to apply them in appropriate issues and

Today many nurses, doctors, and other health care professionals encounter ethical dilemmas on a daily basis. An ethical dilemma can be defined as when there is more than one reasonable solution to a specific scenario. No one solution is more right than the other. In fact, they may both feel wrong, but a decision must be made (Butts & Rich, 2016). In the healthcare setting, nurses should be prepared to think critically and make ethical decisions. There are many factors that contribute to the process of ethical decision making such as ethical perspectives, principles, theories, and guidelines. Ethical decision making is to be rational and systematic. The selected case to be discussed is the case of Jahi McMath,

In Normative Ethics there are three distinct schools of thought, and each differentiate through moral intentions. Consequentialism relies on the consequences of an action in order to distinguish whether or not something is morally acceptable. Deontology considers the morality of an action by one’s reason for doing a certain deed. Lastly, virtue ethics bases morality off of virtuous character, and how a virtuous person would act given a certain predicament. Ultimately, consequentialism provides the most practical explanation for morality due to the notion of providing the best possible result. Contrarily, deontology and virtue ethics do not always provide an individual with the most sensible course of action, and therefore prove to be

An ethical dilemma is defined as a mental state when the nurse has to make a choice between the options and choices that he or she has at her disposal. The choice is a crucial task as the opting of the step will subsequently determine the health status of the concerned patient, hence it requires a great deal of wisdom along with proper medical and health training before any such step is opted as it is a matter of life and death. Strong emphasis should therefore be on the acquisition of proper knowledge and skills so that nurses do posses the autonomy to interact with patients regarding ethical issues involved in health care affairs and address them efficiently. It is normally argued that nurses are not provided sufficient

Ethics is about what is right and wrong, the reasons one gives for the choices and action one makes, and basically “what ought we to do and why (St. Michael’s, 2018)?” Bioethics; autonomy (right to make own choice), beneficence (to do good), non-maleficence (prevent harm), and justice (fairness) play an important role in these decisions in health care (Furlong, B., & Morrison, E. E., 2014, p. 11). Healthcare

stems from what I believe to be core-nursing characteristics. These aspects are derived from my

There are times that self-determination has opposition with the values and beliefs of health care providers. The five step ethical decision making model is in place for patients that are unable to make their own health care decisions due to incompetency; paternalism is not the method used anymore. “In relation to health care, paternalism manifests itself in the making of decisions on behalf of patients without their full consent or knowledge. (Burkhardt & Nathaniel, 2008). Value systems, which includes a patients and family morals, play a factor in ethical decision making.

When taking into account the case study, four ethical principles will be examined. These are: respect for autonomy, non-malfeasance, beneficence and justice. The principles are seen as the starting points for the development of ethical approaches to care practice, providing a practical set of principles, which rather than offering direct answers to ethical dilemmas, set out useful guiding principles for practitioners when faced with controversial decisions (K217, Book 4, p34).

The fourth ethical principle is justice; it means giving each person or group what they are due. It can be measured in terms of fairness, equality, need or any other criteria that is material to the justice decision. In nursing, justice often focuses on equitable access to care and on equitable scarce resource allocation.

`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

The ethical decision making process is based on moral rules and unchanging principles that are derived from reason and can be applied universally. These universal rules and principles must be considered separate from the consequences or the facts of a particular situation. (McWay, 2014). Health care workers face ethical issues and have to use the ethical decision making process to determine what is best for their patients.

Within healthcare, practitioners often have to make difficult decisions regarding the care of their patients. This could be to do with giving or withdrawing treatment, or as simple as sharing risk information (Glover, 1997). Ultimately, the practitioner must be able to rationalise any decision they have made (Morrison, 2009). With this in mind, the following assignment will draw upon an ethical dilemma and explore how theoretical perspectives can be utilised within the decision making process. Therefore it will also be pertinent to draw upon the law, and how this influences actions within health care. To facilitate this discussion, I will identify a scenario from practice that

Respect for autonomy is central to modern bioethics. Along with the principles of nonmaleficence, beneficence and justice, respect for autonomy forms the basis of the principle based approach to bioethics {BEAUCHAMP2009}. This approach, also known as principlism, has come to dominate the way bioethics is done. Despite the extensive critique of principlism within the bioethics literature, that which principlism does not or cannot address is still often taken as falling outside the ethical domain {CALHOUN1988}. Furthermore, principlism has been widely adopted within healthcare, where there is little or no acknowledgement of the limitations of this approach. As a result many of the practice based, real world, solutions to bioethical problems continue to rely entirely on principlism. This phenomenon is well illustrated by the problem of decision making when the patient cannot participate.

Nurses often encountered various ethical dilemmas in the practice setting. Both virtue ethics and caring ethics support good ethical decision making for nurses (Park, 2012, p. 149) but these are inadequate to assist in solving an ethical dilemma (Park, 2012, p. 149). For that reason an ethical decision making tool is helpful for the nurses or clinicians to come up with an ethical decision (Kelly, 2012, p. 571) that allows them to gather information, identify any gap of understanding on the issue or the disagreements between the involved parties through a clear communication (Park, 2012, p. 140). Several authors presented an ethical decision making processes (Park, 2012, p. 141), here presented the two processes that can be applied in resolving an ethical dilemma. One example of ethical decision making process is the DECIDE model by Thompson, Melia & Boyd (Allen, Chapman, Francis, & O’Connor, 2008, p. 5) and the Integrated ethical decision-making model which was derived from the combination of the different ethical decision-making models strengths (Park, 2012, p. 140). These two ethical decision-making model steps are identical to each but differ on the detailed instruction on how the steps are to be done or used in actual case. By comparing the two models the integrated ethical decision-making model have a detailed instruction. The