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Autonomy
a foundational ethical principle that grants patients the right to make informed decisions about their healthcare, including the right to accept or refuse treatment
Respecting autonomy means?
protecting the patient's right to dignity, control, and informed refusal
DNR
are sensitive yet critical components of end-of-life careNurses must ensure that these orders are
Clearly written and visible
Understood by all members of the healthcare team
Reviewed regularly
Nurses must ensure that DNR orders are
consequences of actions
The ethical theory of utilitarianism focuses on
relief from unmanageable suffering and an overall reduction in distress for the patient and family
In discussions about euthanasia, a utilitarian lens would evaluate whether the procedure leads to
Family conferences, ethics consults, and clear explanations of the patient’s legal rights
what are the essential strategies for Navigating Family Disagreements
Beauchamp and Childress’ Four Principles
respect for autonomy, non-maleficence, beneficence, and justice is known as?
beneficence
if prolonging life causes greater suffering, nurses may weigh non maleficence over
DNR decisions and treatment limitations
this should be based on what the patient defines as an acceptable quality of life
listening to what the patient prioritizes, even if that means choosing comfort over longevity
Ethical care means in Centering Decisions on Patient Values
process of education and dialogue
Informed consent isn't just a form—it's a?
non maleficence
if the treatment is only prolonging life wihtout improving it (futile treatment) the nurse must reflect on?
cessation of futile interventions
if the intervention is only prolonging suffering or delaying dying the nurses must advocate for?
validating emotions and enhancing palliative supports
In countries where euthanasia is illegal, ethical care means
current, specific, and signed by the patient and authorized witnesses.
in Validating Advanced Directives, Nurses should check whether the directive is
clear communication
Effective end-of-life care is impossible without
surrogate consent and assent
when an individual is not legally able to provide informed consent they may require?
Beneficence
the ethical principle that compels researchers to act in the best interest of participants
Beneficence
It involves designing studies that maximize benefits and minimize harm, ensuring participant safety and well-being throughout the research.
Assent
the affirmative agreement to participate from someone who is not legally able to give informed consent
parental or guardian consent
Assent must be coupled with these for the research to be ethical
informed consent form
provides participants with clear information about the study’s purpose, risks, benefits, and their rights.
informed consent form
It ensures voluntary participation and is a fundamental ethical and legal requirement in research
Institutional Review Board (IRB)
reviews research protocols to ensure that the study protects the rights and welfare of participants. I
Institutional Review Board (IRB)
It assesses risk, consent processes, and ethical design before giving approval to proceed
Justice
requires fair distribution of the benefits and burdens of research
Justice
It ensures that no group is unfairly selected or excluded and that participants are treated equitably throughout the research process
confidentiality
Sharing data with unauthorized individuals is a serious breach of
Nuremberg Code
outlines foundational research ethics such as voluntary consent, risk minimization, and scientific necessity.
after WWII
when was Nuremberg Code developed?
Nuremberg Code
cornerstone in the ethical conduct of human research
Autonomy in Research
this is honored when participants are free to leave a study at any time, without penalty
Purpose of Informed Consent in Research
It empowers them to make an informed, voluntary decision about participation
Belmont Report
defines the core ethical principles of Respect for Persons, Beneficence, and Justice
Belmont Report
These principles guide ethical research practices and are central to the evaluation of studies by IRBs.
Non-maleficence
Researchers must minimize risks through careful study design and ongoing monitoring to protect participants from unnecessary harm.
parental consent and child assent
these are required in ethical research involving minors. This approach respects the legal rights of guardians and the developing autonomy of the child
Conflicts of interest
can compromise the objectivity of research
accuracy and integrity of documentation
these are essential to uphold scientific standards in Key Consideration in Research Documentation
clear, precise, and honest records
Researchers must maintain these to support the study’s validity and reproducibility.
Inadequate documentation
can result in invalid findings, ethical violations, and difficulties in replication
Accurate record keeping
this is vital for scientific credibility
conflict of interest
occurs when personal or financial relationships may compromise a researcher’s objectivity or ethical responsibilities.
Disclosure
is essential to protect study integrity
Profitability
not an ethical guideline in research documentation
Debriefing
ensures transparency, offers closure, and informs participants about the study, especially if deception or psychological risk was involved
Ethical dissemination
ensures transparency and acknowledges the contribution of participants. It includes reporting results to stakeholders and communities involved.
Data misrepresentation
distorts findings, misleads readers, and violates scientific integrity
Quality of life
this is a patient-centered consideration, reflecting how treatment will impact daily living, comfort, and dignity—especially in chronic or serious illness
Cultural beliefs
often shape how a patient views illness, treatment, and end-of-life care, and must be respected and explored by the team
Patient-centered care
focuses on delivering treatment that reflects what matters most to the patient, not just what is clinically recommended
Empathy
improves communication, fosters trust, and supports ethical, respectful care, especially in emotionally difficult decisions.
Shared decision-making
ensures that treatment plans are formed with input from all stakeholders, respecting medical, ethical, and personal concerns.
Bioethics Consultation
helps navigate complex ethical issues, supporting the team, patient, and family in achieving morally responsible decisions
Service Value
refers to how well a medical service improves patient outcomes relative to the resources used.
beneficence
Service Value reflects the ethical principle of
Paternalism
occurs when healthcare providers override or bypass a patient’s wishes under the belief that they are acting in the patient's best interest.
Medical Futility
describes situations where treatments are unlikely to result in any significant improvement in the patient's condition or quality of life.