Ethics in Nursing

Paper Summary:

This paper explains that traditional bioethics places its primary focus on respect for autonomy; but, on a broader perspective, traditional bioethics rejects extreme individualism and individual rights in fostering a healing environment. The author reviews the Ana Code, pointing out its statement of respecting persons as the fundamental ethical principle or value underlying nursing care: Respect for individual autonomy and self-determination and for individuals as interconnected members of the same human community. The paper relates that principle of beneficence simultaneously interplays with non-malfeasance in nursing care, coming out of preventing harm, removing harm or promoting good; but conflicts in values between nurse and patient do occur including financial reimbursement, approved services, laws covering the reporting of sexually transmitted diseases or abuse and protocols regarding the sources of orders or commands.

From the Paper:

"This current state does not mean that quality services and access have become incongruent with managed care, but that the goals of cost containment and survival values in the competitive environment in the health care market have tipped the balance and outweighed values, which put fundamental emphasis on respect or individuals and fair access to care for all who needed it.Those who hold the reins today even refer to managed care as "managed utilization" or "managed cost"."

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