Ethical Nursing - 1709 Words

The aim of this essay is to discuss an ethical issue encountered whilst on placement. The discussion will focus on the influence of the key ethics theories of deontology and utilitarianism, ethics principles of autonomy, beneficence, non-maleficence and justice on decision-making in practice. It will consider the patients’ and staffs’ values and beliefs, legislation and professional practice. Confidentiality will be respected by using a pseudonym, Carol, in accordance with the Nursing and Midwifery Council [NMC] (2008) guidelines on confidentiality. Carol, a 56 year old lady, was going through the menopause and was admitted to the gynaecology ward in hospital in the north west of England with symptoms of extreme lower abdominal pain and†¦show more content†¦Carol is an able-minded, 56 year old lady, who has been involved in the Jehovah’s Witness beliefs and values for a number of years. She is capable of making such a decision after being made completely aware of the situation, including the pros and cons of her decision. Non-maleficence is the obligation to do no harm. Beneficence, simply means to do good, and is having the quality to be kind and considerate. Upon looking at these theories as a whole, there is no doubt about a conflict between these principles. Many moral problems faced by nurses stem from conflicts between obligations generated by the principle of respect for autonomy, against obligations generated by the principles of non maleficence and beneficence. Treating a patient against their specific wishes applies to carols case. Autonomy can sometimes not be respected, with certain constraints such as the urge to act beneficently. In Carol’s case, this would be to transfuse if there was no other solution during her surgery/ aftercare, and it would be for the good of Carol, and acting in a way as to not harm her further (non maleficence). The nurse’s role is to assist the patient in making informed and appropriate decisions, in accordance to their own values or lifestyles (C hadwick Tadd, 1992). This means that morally no blood transfusion should take place as it is the patient’s decision thatShow MoreRelatedEthical Dilemma In Nursing1599 Words   |  7 Pageschoose between the two because both choices have their advantages and disadvantages. This is an ethical dilemma. An ethical dilemma involves morals that clash between each other, and some involve the legal aspect of the choices (Grohar- Murray). Everyone faces some sort of ethical dilemma. There are some professions that have to battle ethical dilemmas every day. 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