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7 Ethical Principles in Nursing

Oct 01, 2022
7 Ethical Principles in Nursing

Nursing is a profession that requires not only medical knowledge and technical skills but also a strong ethical foundation. As healthcare professionals, nurses are responsible for upholding ethical principles guiding their practice and ensuring the best possible patient care. Understanding and embracing these ethical principles is crucial whether you are a nurse or aspiring to become one. This article will explore the eight fundamental ethical principles in nursing and the importance of adhering to them in providing compassionate, patient-centered care.

 

 

Table of Contents

 

What does the Nursing Code of Ethics entail?

The Nursing Code of Ethics is a comprehensive framework that outlines nurses' ethical responsibilities and expectations. It covers various aspects of nursing practice, including patient care, professional relationships, and personal conduct. The code emphasizes the importance of providing compassionate and competent care, respecting patients' autonomy and dignity, maintaining confidentiality, and advocating for patients' rights.

It also highlights the need for nurses to engage in ongoing professional development, collaborate with other healthcare professionals, and uphold the integrity and reputation of the nursing profession. The Nursing Code of Ethics serves as a moral compass for nurses, guiding their decision-making and behavior to ensure the highest standards of patient care and ethical practice.

What is the importance of ethical principles in nursing?

Ethical principles play a vital role in nursing by guiding nurses' actions and decisions in patient care. Nursing involves significant responsibility and trust, as nurses are responsible for the well-being and safety of their patients. Ethical principles ensure that nurses prioritize patients' best interests, treat them with respect and dignity, and uphold confidentiality.

Additionally, nurses assist in navigating complex situations and making tough choices, such as balancing patient autonomy with the duty to ensure their safety. By adhering to ethical principles, nurses can uphold patient trust and deliver top-notch care.

What are the ethical principles in nursing?

Ethical principles in nursing are the guiding values and beliefs that shape the actions and decisions of nurses in their practice. These ethical principles serve as a framework for nurses to provide compassionate, ethical, patient-centered care.

1. Autonomy

Autonomy in nursing refers to the fundamental right and respect for an individual's ability to make decisions about their own healthcare and treatment. It acknowledges the patient's capacity to understand their medical condition, options, and potential consequences, allowing them to participate in the decision-making process regarding their care actively.

> Respect for the Patient's Decision-making

Respecting patient autonomy involves acknowledging their values, preferences, and choices, even when healthcare providers disagree or have different opinions. Nurses and healthcare professionals should offer information, guidance, and support but ultimately honor patients' right to make choices that align with their beliefs and goals.

2. Beneficence

Beneficence within the context of nursing ethics pertains to the principle of doing good and acting in ways that promote the well-being of patients. It involves a moral obligation for healthcare providers to act in the best interests of their patients, striving to enhance their health, comfort, and overall quality of life.

> Promoting Patient Well-being

Promoting patient well-being encompasses a range of actions, from providing effective medical care to offering emotional support and ensuring a safe and comfortable environment. Nurses actively assess, plan, and implement interventions that address patients' physical, emotional, and psychological needs, aiming to optimize their holistic health.

3. Nonmaleficence

Nonmaleficence, a cornerstone of nursing ethics, emphasizes the obligation to "not harm." This principle underscores the nurse's duty to prevent, minimize, and refrain from causing harm or suffering to patients while providing care.

> Ethical Dilemmas in Balancing Nonmaleficence and Beneficence

Balancing nonmaleficence with the principle of beneficence can lead to complex ethical dilemmas. In certain situations, what is considered beneficial for the patient might carry inherent risks. Nurses are challenged to determine the best course of action that minimizes harm while maximizing positive outcomes. These dilemmas require careful consideration, open patient communication, and collaboration with other healthcare professionals to make ethically sound decisions.

4. Fidelity

Fidelity, in the context of nursing ethics, encompasses the concepts of faithfulness, honesty, and loyalty in the nurse-patient relationship. It emphasizes the importance of maintaining trust and being true to one's commitments and responsibilities as a healthcare provider.

> Building Trust and Maintaining Professional Relationships

Nurses uphold fidelity by establishing and nurturing trusting relationships with their patients. This involves open and effective communication, active listening, and demonstrating empathy and respect. Trust forms the foundation for effective collaboration, patient cooperation, and the overall success of healthcare interventions.

5. Accountability

Accountability, as an ethical principle in nursing, refers to the obligation and willingness of healthcare professionals to take ownership of their actions, decisions, and overall impact on patient care. It involves a commitment to ensuring one's actions align with professional standards and ethical guidelines.

> Ethical Decision-Making and Reflection

Accountability extends to the process of ethical decision-making. Nurses engage in thoughtful reflection and consideration of the ethical implications of their choices, weighing potential outcomes and ethical principles. This reflective practice ensures that decisions are well-informed and align with patients' best interests. Additionally, learning from past experiences, whether positive or challenging, enhances a nurse's ability to navigate complex ethical dilemmas with greater competence and confidence.

6. Veracity

Veracity, as a principle in nursing ethics, centers on truthfulness and honesty in all aspects of patient care. It involves providing accurate information to patients and their families, fostering open and transparent communication, and building a foundation of trust based on integrity.

> Truthfulness and Honesty in Communication

Nurses adhere to veracity by ensuring that the information they provide patients is accurate, complete, and clear. This includes truthfully discussing diagnoses, treatment options, potential risks, and expected outcomes. Honest communication empowers patients to make informed decisions about their care and encourages a collaborative approach between patients and healthcare providers.

7. Justice

As an ethical principle in nursing, justice centers on the fair and equitable treatment of all patients. It emphasizes the need to provide care without discrimination, ensuring that individuals receive appropriate healthcare regardless of socioeconomic status, ethnicity, gender, or age.

> Fair Allocation of Resources and Care

Nurses play a vital role in the fair allocation of limited healthcare resources, such as time, medications, and medical equipment. They must make ethical decisions to distribute these resources based on clinical need, urgency, and overall patient benefit. Ensuring fairness in resource allocation helps maximize positive outcomes and maintain trust in the healthcare system.

 
Josefina Buonaccordo

Author: Josefina Buonaccordo

Experienced and result-oriented School Coordinator and Principal with a proven track record in developing instructional materials and coordinating educational content. Skilled in tech integration, monitoring, tutoring, and maintaining professionalism. Strong organizational, time management, and analytical skills. Proficient in addressing diverse learning needs, integrating technology, and using teaching methods to achieve positive outcomes. Self-starter with excellent cross-cultural communication, capable of working in diverse environments. Fluent in Spanish, English, and Italian.

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