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compare deontological and utilitarian theories of ethics
utilitarian theory of ethics in nursing
utilitarian theory of ethics in nursing
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Two ideologies that exist in ethics and apply to decision-making are utilitarian and deontological viewpoints. Ethical theories provide a systematic approach to decision-making toward the applications of standard principles. “In utilitarian ethics, outcomes justify the means or ways to achieve it” (Mandal, Ponnambath, & Parija, 2016, p. 5). Decisions made considering utility are based benefitting the greatest number of people. In utilitarianism, outcomes determine the moral nature of interventions. Some people are to experience harm, but the overall outcome is good for most individuals. Applying utilitarianism personally or professionally seems relevant when considering its ideology maximizes happiness and minimizes suffering. Utilitarianism …show more content…
6). Good intention is the main moral principle considered and consequences are irrelevant (Joel, 2013, p. 526). Seemingly, the deontological ideology focuses on the actions of the agent and would disregard patient focus and individuality. It is difficult to apply contemporary ethical theories to the nurse because of the values of the nursing profession. “Contemporary ethical theories do not lend themselves to the health-care professions or to ethically defensible decisions in health-care practice. None of the dominant ethical theories could be discovered in, or derived from, the profession of nursing” (Joel, 2013, p. 526). Casuistry, while not an ethical theory, is a case-based approach to practical decision-making. Cases that have set precedence are identified and comparisons are made using similarities, differences, and previous experiences. This concept is used to complement ethical theories in patient decision making by clinical ethics committees (Slowther, Johnston, Goodall, & Hope, 2004, § C4). Personally and professionally balancing ethical perspectives to be able to consider all details on a case by case basis seems like a more appropriate …show more content…
Although a values set which includes love, honesty, goodness, kindness, self-control, and peace seem non-controversial, identifying those values with Christianity makes them controversial. It is important professionally to be sensitive to others, colleagues or patients, while not compromising one’s own values and creating distress. Recognizing that I personally and professionally provide an example of standards valuable to the nursing profession is important on this journey to advanced practice nursing. I do enjoy the time that I spend with those who believe and behave similar to me, but I also enjoy providing compassion and kindness to those who believe and behave differently, whether those differences are based on culture, religion, age, or life
Utilitarian Model – an ethical decision is one that results in the greatest happiness for the greatest number of stakeholders.
During week 4, we became familiar with the application of ethics in the nursing practice settings. We learned about ethical theories and principles, which are crucial when practicing in any clinical settings during ethical decision-making and while facing one or multiple ethical dilemmas. Also, we were introduced to the MORAL model used in ethical decision – making progress. The MORAL model is the easiest model to use in the everyday clinical practice, for instance at bedside nursing. This model can be applyed in any clinical settings and its acronyms assist
Winland-Brown, J. L. (2015). The New "Code of Ethics for Nursing With Interpretive Statements". Practical Clinical Applications Part I. MEDSURG Nursing 24(4),
In the medical profession, doctors and nurses run into ethical dilemmas every day whether it be a mother who wants to abort her baby or a patient who has decided they want to stop cancer treatment. It is important for the nurse to know where they stand with their own moral code, but to make sure they are not being biased when educating the patient. Nurses are patient advocates, it is in the job description, so although the nurse may not agree with the patient on their decisions, the nurse to needs to advocate for the patient regardless.
Nursing ethics has a vast spectrum of subjects. The history of ethics was around way longer then the declaration of specific ethical issues. According to Fox, Myers and Pearlman (2007), the field of ethics consultation has been developing over the last three decades, (Kosnick 1974; Rosner 1985). Ethics has become an organized and accepted division of healthcare services. Gallagher (2010), discussed the purpose of nursing ethics is to help us think, speak and perform better in our practice. The Nursing Code of Ethics was addressed by Lachman (2009). “Futile care” is discussed by Sibbald, Downar, Hawryluck (2007). Ball (2009) addressed the need for clarification of DNR orders in surgery patients.
Nurses everywhere face problems and challenges in practice. Most of the challenges occur due to a struggle with the use of ethical principles in patient care. Ethical principles are “basic and obvious moral truths that guide deliberation and action,” (Burkhardt, Nathaniel, 2014). Ethical principles that are used in nursing practice include autonomy, beneficence, non-maleficence, veracity, confidentiality, justice, and fidelity. These challenges not only affect them, but the quality of care they provide as well. According to the article, some of the most frequently occurring and most stressful ethical issues were protecting patient rights, autonomy and informed consent to treatment, staffing problems, advanced care planning, and surrogate decision making (Ulrich et. al, 2013). The ethical issue of inadequate staffing conflicts with the principle of non-maleficence.
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 authority to consult and address their patients on a more communicative or interactive level as a result of which they are often trapped in predicaments where their treatments of action and their personal beliefs create a conflict with the health interests of the patient. (Timby, 2008)
What is ethics? Ethics are the philosophical principles of good verses bad moral behavior. It is a guideline to help people make decisions or make a judgment calls. There are two main types of ethical principles that will be discussed in this paper, and how they are applied to the decision making process. They are Deontological and Utilitarian. Deontological ethics are based on the righteousness or wrongness of the action-taking place. It does not base itself on the bad or good consequences that come from the action. Immanuel Kant introduced deontological ethics in the 18th century. Kant believed that every decision or action made by a person had to be evaluated by his or her moral duty. He stated that humanity shouldn’t side on its
The Utilitarian Approach: the ethical decision should provides the greatest good for the greatest number;
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal
I am grateful to be at an institution of higher learning that understands and respects faith. My philosophy of nursing cannot be explained without God and Jesus. They are a part of each one of us. The reason that someone goes into a healthcare professional is usually to favorably treat a patient’s health. Spirituality of mind and body cannot be separated completely in my nursing philosophy. In this vein, nursing cannot be wholly separated from faith.
Utilitarianism is an ethical theory in which determining the rightness or wrongness of action or decision is based on determining whether the greatest benefit or happiness will be provided in the highest or greatest number of population. This simply means that action or decision must be based on the highest amount or number of beneficiary (Martineau, 2006). However, this ethical theory has two major types. First is the “act utilitarianism” and second is the “rule utilitarianism.” Act utilitarianism specifically adh...
The four fundamental nursing responsibilities of promoting health, preventing illness, optimizing health and alleviating the ill are represented in the code of ethics. (Arnold & Boggs, 2016) One can say that the code of ethics are rules that a nurse needs to follow in order to effectively communicate and protect the patients. The American Nurse Association provided the code of ethics to guide nurses to ensure that patient’s care, safety, rights and health are well cared for and well managed. Models like Utilitarian, deontological, and the human rights-based all contribute in answering dilemmas that can arise with a patient. Thus, explaining what some of the code of ethics are, and how the code of ethics influence our responsibilities as a nurse will impact the overall care of the
Ethics is defined as moral principles that govern a persons or a group’s behavior, ethical principles apply to both personal and professional relationships (Webster, 2015). The field of nursing is a profession that has been highly regarded and respected in society. Most nurses enter the profession in order to utilize their clinical skills to help others in their time of need. Those in failing health rely on nurses to care for them in their most vulnerable states, and expect a level of compassion and humanity while receiving care. Nurses have an ethical responsibility to their patients, clients, and their community. Compassion, empathy, and integrity are staple characteristics that nurses possess that allow them to successfully perform their
Theory development and research have provided a framework and body of knowledge for nursing to maintain autonomy and improve quality of care. As early as the 1800s, nursing and non-nursing theorists had developed theories and models which are continually applied to nursing practice (KEEP OR GET RID OF?). Nursing theorist Imogene King developed the theory of goal attainment which focused on interacting systems that affected a person’s ability to attain goals (Frey, Sieloff, & Norris, 2002). Psychologist Laurence Kohlberg created the theory of stages of moral development which places moral reasoning and ethical behavior into six identifiable stages based on a person’s response to moral dilemmas (Kohlberg, 1984). Although King and Kohlberg created theories in different fields, nurses can utilize both to improve patient care. The purpose of this paper is to analyze both theories based on major precepts, usefulness, and application to nursing practice.