In the course of administering my duties as a nurse, I have been faced with an ethical dilemma that revolved on empirical knowledge versus personal belief. In this case scenario, a Mr. Green was admitted in the hospital and his condition demanded blood transfusion…
However, the beliefs of the patients obstructed appropriate nursing procedures to be conducted.
Deontology theory forms the best approach to guide in the decision making, in such an ethical dilemma. As a health caregiver must always subscribe to the rule, “Always try to save life.” Applying a pure rule of deontological approach, the ethical decision would be in favor of carrying out the blood transfusion. In addition, using such an approach, there is little attention to the contextual details or social aspects of the situation because the decision making is grounded in ethical rules (Jones & Beck, 1996).
Using a pure deontological approach, whether rule or act, confines the focus for decision making to the immediate situation. This is to imply that the consequences, situational and contextual details, and the social and interactional aspects are not the primary focus. This theory focuses on the ethics of the actions (Butts & Rich, 2008).
This theory pays attention to the patient’s rights, goals and autonomy. As described by Noureddine (2001), this approach is based on four key principles that include autonomy, or the personal liberty to act; nonmaleﬁcence that is doing no harm; beneficence, or the requirement of action to improve the welfare of others; and justice, which directs action to treat people justly and distribute resources ...
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