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Nursing and Christianity
Utilitarianism vs consequentialism
Nursing and Christianity
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The ethical dilemma in the given scenario is rescuing the trapped victims who are crying for help from ACME medical center which is currently burning with smoke by risking their own life to go back into the building and rescue them after realizing the potential danger verses leaving the people behind and wait for the next rescue team to arrive since helicopter rescue efforts are failed due to the helicopter crash. A character trait is a disposition or a readiness to act in certain ways and some character traits are supportive of high ethical standards (Purtilo & Doherty, 2011). My personal value and ethical belief in this given scenario is utilitarianism theory which describes that is an act is right, if it helps to bring about the best balance of benefits over burden which is a most important teleologic theory. From a utilitarian point of view, I should consider several different courses of action in order to accomplish the goal of safety and all the actions should fit into the outcome that brings about the most good or least harm. As a Christian nurse, I have the personal and professional obligation to reach out for the people who are crying for help to prevents harm …show more content…
As per utilitarian point of view I will consider several different courses of action to ensure safety and prevent further harm. The most important action would be activating the emergency help and ensure the safety of the people who are already saved including special attention to the sick infant. After activating the emergency rescue team, assigning task based on their skills such as calling for more help, taking care of ill infant, finding another alternative route to escape from the roof. Meanwhile, implement a plan of action along with Dr. John to rescue the survivors inside the building based on the assessment without causing further
Every nurse will be faced with a decision making dilemma at some point in his or her career. Being familiar with the nursing code of ethics, what is ethically and morally expected in society and how to approach the situations can help make dilemmas less of a nightmare. “The purpose of nursing ethics is to inspire questions and examine what would be the ethically right action in health care situations demanding a choice between at least two undesirable alternatives” (Toren & Wagner, 2010, p. 394). There are many different ways one can approach a situation to reach a resolution, finding a method that works best with the situation at hand is ideal.
The Theory of Utility teaches that we make our decisions in life based on the basic principle of maximizing happiness – which can be measured in pleasure and pain. Morality can also be defined as that which brings about the largest amount of happiness, and the least pain. Unlike other theories, however, Utility states the happiness of all is to be considered over the happiness of one. When faced with a choice, one must choose the option that will cause the greatest pleasure and the least pain. Applying this part of the Utilitarian argument to the supplied scenario, it would seem that Utility would say stealing the ice cream and breaking the law are the morally right course of action. However, Utility continues on in its teaching stating that
Envision yourself in a deep sleep, your spouse lying next to you. For seven years of marriage, your greatest quandary has been your partners obnoxious snoring. Now, you are rattled awake by the wailing of your smoke detector, just outside your bedroom door. You hear the sobbing of your three month old baby boy from just down the hall, and feel the tug of you five year old son on the sleeve of your t-shirt. Forced out the second story window by the fuming blaze barricading the only outlet of the room, you free fall 22 feet onto the frozen ground. Beyond smoke inhalation and second degree burns, you now have a fractured ankle and several severe lacerations. Your spouse, your eldest son, and yourself are now free from the bloodthirsty inferno. Sirens howl, two blocks away. A rescue engine, equipped with three firefighters, is first on scene- 18 minute response time. A second engine arrives, equipped with three firefighters- 23 minute response time. Twenty-five minutes after the initial alarm, a hand line is pulled. Incident commander declares the residence unsafe for entrance. This rescue mission has now become a recovery mission.
In Utilitarianism, J.S. Mill gives an account for the reasons one must abide by the principles of Utilitarianism. Also referred to as the Greatest-happiness Principle, this doctrine promotes the greatest happiness for the greatest amount of people. More specifically, Utilitarianism is a form of consequentialism, holding that the right act is that which yields the greatest net utility, or "the total amount of pleasure minus the total amount of pain", for all individuals affected by said act (Joyce, lecture notes from 03/30).
The aim of utilitarianism in general is optimal happiness, which is the only intrinsic good according to Mill. More specifically, act and rule utilitarianism differ in the manner in which they asses what will yield the greatest amount of happiness. Often, one of the objections to utilitarianism is that it is overly demanding. However, this objection that the utilitarian view is too demanding is fitting for both forms of utilitarianism, according to the Fundamentals of Ethics. In the following, I will address why utilitarianism is habitually seen as overly demanding, and I will provide a defense of utilitarianism contrary to these objections.
Utilitarianism is zdefined, as the right way to act is one that maximizes your happiness, (pleasure and happiness is the absence of pain) while the wrong way is one that produces the opposite i.e. pain. Unhappiness here is defined as pain or the opposite of happiness. This is the basis of utilitarianism or what Mill calls the “greatest happiness principle” and it is the best ethical theory by which humans should follow. The argument for the above is as follows
Under the code of ethics for nurses this moral issue is also conflicting because you’re first and foremost obligation is to the patient. Now you also have your institution ethical code conduct that you also has to abide by. Provision 5. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth (ANA, 2001, p.18). In this case the nurse owes it to herself in making the right moral decision to preserve integrity and safety of patient and
The most important question of all is what should one do since the ultimate purpose of answering questions is either to satisfy curiosity or to decide which action to take. Complicated analysis is often required to answer that question. Beyond ordinary analysis, one must also have a system of values, and the correct system of values is utilitarianism.
Imagine a child living in a hot, government owned apartment in Chicago. He has no father. With his single, jobless mother he struggles to the words of the founding fathers: “We hold these truths to be self-evident, that all men are created equal; that they are endowed by their Creator with inherent and inalienable Rights; that among these, are Life, Liberty, and the pursuit of Happiness...” (The Declaration of Independence). This is one of the most famous phrases in the US Declaration of Independence and has become the underpinning of the dreams of millions of people around the world. Although the words are different, these sentiments are reflected in the political and economical policies of many democracies. While the notion of ‘happiness for all’ seems like the obvious solution to many of our persistent problems, we inevitably encounter conflicts between our actions and our morals. “The state is based on……the contradiction between public and private life, between universal and particular interests. For this reason, the state must confine itself to formal, negative activities.”(Marx, 1992). This essay focuses on the issues of a prominent theory, Utilitarianism as it blends and encompasses both areas of Economics and Ethics which have become the basis of our governmental bodies.
There are many essays, papers and books written on the concept of right and wrong. Philosophers have theorized about moral actions for eons, one such philosopher is John Stuart Mill. In his book Utilitarianism he tries to improve on the theories of utilitarianism from previous philosophers, as he is a strong believer himself in the theory. In Mill's book he presents the ideology that there is another branch on the utilitarian tree. This branch being called rule-utilitarianism. Mill makes a distinction between two different types of utilitarianism; act-utilitarianism and rule-utilitarianism. Rule-utilitarianism seems like a major advance over the simple theory of act-utilitarianism. But for all its added complexity, it may not actually be a significant improvement. This is proven when looking at the flaws in act-utilitarianism and relating them to the ways in which rule-utilitarianism tries to overcome them. As well one must look at the obstacles that rule-utilitarianism has on it's own as a theory. The problems of both act and rule utilitarianism consist of being too permissive and being able to justify any crime, not being able to predict the outcomes of one's actions, non-universality and the lose of freewill.
Various factors are associated with the development of ethical dilemmas, including advances in medical technology, increased life expectancy, the high cost of healthcare in an environment of limited resources, lack of time to provide care and conflicting values and cultures among patients, nurses and other healthcare professionals. All of which, including the growth of the nursing profession, have brought an increase in the nurses’ participation in human rights and life and death decision-making situations (Kim et al.,
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
Another huge ethical topic is the patient’s right to choose autonomy in the refusal of life-saving medicine or treatment. This issue affects a nurse’s standards of care and code of ethics. “The nurse owes the patient a duty of care and must act in accordance with this duty at all times, by respecting and supporting the patient’s right to accept or decline treatment” (Volinsky). In order for a patient to be able make these types of decisions they must first be deemed competent. While the choice of patient’s to refuse life-saving treatment may go against nursing ethical codes and beliefs to attempt and coerce them to get treatment is trespass and would conclude in legal action. “….then refusal of these interventions may be regarded as inappropriate, but in the case of a patient with capacity, the patient must have the ultimate authority to decide” (Volinsky). While my values of the worth of life and importance of action may be different than others, as a nurse I have to learn to set that aside and follow all codes of ethics whether I have a dilemma with them or not. Sometimes with ethics there is no right or wrong, but as a nurse we have to figure out where to draw the line in some cases.
An ethical dilemma is only examined in a situation which has the following conditions; the first condition takes place in a situation, when an individual has to make a decision on which course of action is best. The second condition is there must be more than one course of action to choose from. The third action is no matter what course of action is taken, certain ethical principles are conceded. In other terms, there is no perfect result. When defining what forms an ethical dilemma, it is important to make a division between ethics, morals, values, laws and policies.
Ethics and moral judgment will always continue to be a controversial topic due to the different beliefs of those living around the world. One’s surrounding and upbringing is different from almost every human being; making no two people alike. As a health specialist it is our job to uphold the standards of professional conduct and ethical codes. We must respect decisions of others and be held accountable for our own personal mistakes. In the case of The Overcrowded Lifeboat making a vital decision with the lives of the people involved can be a major controversy. The question of whether a situation can be considered moral may never be answered and is left to the interpretation of the own solitary individual.