The 2-year-old girl, who is currently being hospitalized for an emergency appendectomy, has bruises and marks that you believe are the result of being struck. According to Levine (1989), all nursing actions are moral statements. Elements that are required within the trees as well as the details within completed trees can be questioned for underlying assumptions and conditions of context that have precluded the possibility of making some decisions. Read the example in Box 4-1 to consider how this process unfolds. You will probably notice that your decisions were made relatively quickly without obvious reference to ethical codes or principles and that you did wonder what was right and responsible. Despite the fact that the terms ‘cognitivism’ and ‘objectivism’ seem sometimes to be used interchangeably, I take it that the question whether there can be ethical knowledge is not the same as the question whether ethical outlooks can be objective. The contributors receive no mention or reward for sharing their knowledge. The specific values that give rise to a nurse’s moral/ethical decisions and actions (and subsequently ethical knowledge expressions) are often hidden. In short, a feminine ethic of caring proclaims the importance of caring as being consistent with female-gendered virtues. — DERIVATIVES ethicist noun. It is also the case that ethical principles, held historically, may eventually become law. By far, the following approaches to solve an ethical dilemma were deduced: 1. Prescriptive or normative ethics is concerned with the “oughts” of behavior. The processes within the ethical knowledge quadrant help to ensure that, within the discipline, individual practitioners reflect on, discuss, and debate that which is virtuous in the context of nursing. However, other forms do exist. In this sense, racism,... 2 - Charity. Whistleblowers almost always become, Certified Banking & Credit Analyst (CBCA)™, Capital Markets & Securities Analyst (CMSA)™, Financial Modeling & Valuation Analyst (FMVA)™, Financial Modeling and Valuation Analyst (FMVA)®, Financial Modeling & Valuation Analyst (FMVA)®, Offering a client a worse product for your own profit, Utilizing inside knowledge for your own profit. Approaches can involve the use of real or contrived dilemmas, group or individual work, self-analyses, interviews, or any number of other methods that free individuals to examine and embrace their values. As you or others inquire about how right and responsible your decisions are within your particular context, different perspectives on ethical decision making will become apparent. Virtue ethics introduces the character of the person as an important determiner of moral/ethical decision making. With the use of the student peer survey example, you might reason how and why it is not permissible to purchase term papers to meet college course requirements by invoking a rule that deception is wrong. Character, however, determines how we perceive or frame situations, so a focus on the virtues of the nurse is critically important. For instance, a doctor or lawyer is always bound by the code of ethics for their profession, regardless of whether they work for a large organization or are in private practice. These questions engage the clarifying and exploring processes that we have described with the use of dialogue and justification. Through these processes, ethical knowledge is examined and refined, and it becomes part of the disciplinary heritage that individual nurses subsequently carry into practice. Both deontologic and teleologic systems focus on the individual as a decision maker who is autonomous in action. Various approaches for values clarification generally follow some basic general guidelines. Not only do these imply a separate-from or autonomous stance toward ethical challenges, but they also may be inappropriate for nursing, in which gendered traits are typically female (Condon, 1992). Consider the following example: Jill and Armando are expecting their first child, and they may be carriers of the gene for cystic fibrosis; however, they seem to be unaware that an opportunity for genetic testing exists. As always the role of Intuition in ethics is a worthy application of our … Second, it is important to focus on clarifying individual values that emerge from the process, regardless of the process used for clarification. Regardless of the techniques used, values clarification is an individual process that seeks to unveil deeply held values that are often taken for granted. For example, if you have a strong moral disposition toward counseling an underage woman about her options for birth control but such information is prohibited by state statute, an appeal to ethical knowledge (e.g., a code of rights) will not get you off the hook in a court of law. A number of sources suggest the use of decision trees as an approach to ethical decision making (Burkhardt & Nathaniel, 2007; Ellis & Hartley, 2004; Frame & Williams, 2005). When people consistently behave in concert with their values, moral integrity is shown. Our model incorporates a focus on virtues through the pattern of personal knowing, which grants the individual nurse the responsibility of examining what is virtuous. Might the extent that the social worker’s actions would be judged immoral change if the participants knew better but just didn’t care? Regardless of the techniques used, values clarification is an individual process that seeks to unveil deeply held values that are often taken for granted. The biggest challenge of an ethical dilemma is that it does not offer an obvious solution that would comply with ethics al norms. Dialogue requires a community of those who are challenged by an ethical problem. Would this cause more harm than good? Suppose one day that, as you worked your shift in a long-term care facility, you overheard a well-meaning social worker talking with a nursing attendant in a hallway. In teleology, what is right produces good. Ethical matters can be complicated; what to do is often not clear, and the information needed to make a sound decision may not be available. The clarification of values is often an emotionally charged activity that involves deeply held personal beliefs. Whether the business of ethics really is more complex today than it was historically is questionable, but certainly the need to make ethical decisions has always been part of the modern nurse’s role. It is closely related, by simple etymology, to the question of cognitivism in ethics. Here are some real professional code of ethics examples: Principles of Professional Ethics for the Intelligence Community (Office of the Director of National Intelligence) NASP Principles for Professional Ethics (National Association of School Psychologists) Ethical knowledge may be sets of rules; statements of duties, rights, or obligations; theory; or laws. These approaches to ethics have been important for nursing as it attempts to create an ethical perspective on practice. Without such questioning, you would be unable to make day-to-day moral/ethical moves. If the client’s welfare is the concern for both parties, then the nurse and the physician should be successful in engaging in dialogue that questions how right and responsible any decision is. Similar processes can be used for exploring alternatives with the use of completed decision trees. H. G. Fowler famously wrote, “Ethics is the science of morals, and morals are the practice of ethics.” In other words, the discipline of ethics is where you go to study moral principles.
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