Which patient should be resuscitated first?
Jin Xiong Lian
New Graduate Program, Concord Repatriation General Hospital, Sydney NSW
PP: 221 - 225
Abstract
The core principles of deontology are justice and beneficence. The principle of justice and egalitarianism guide health care professionals to treat every client with fairness and equity regardless the prognosis of illness, social and economic status of clients, the social and financial consequences impose on others. Whereas, the principle of beneficence and utilitarianism direct health care professionals to make an ethical decision to provide the maximum benefit and to minimise harm to the greatest number of people involved.
When distributing limited health care resources, there could be conflicts between the principle of justice and beneficence or between egalitarians and utilitarians. At times health care professionals have to make a painful decision which only complies with certain ethical principles, but does not adhere to others.
Keywords
deontology; principle of justice; beneficence; egalitarianism; utilitarianism
References
American Nurses Association (1985) Code for nurses. American Nurses Association, Washington.
Australian Nursing Council (1993) Code of ethics for nurses in Australia. Australian Nursing Council, Canberra.
Australian Nursing Council (1994) National competencies for the registered and enrolled nurse in recommended domains. Australian Nursing Council, Canberra.
Australian Nursing Council (1995) Code of professional conduct for nurses in Australia. Australian Nursing Council, Canberra.
Daly B (1995) Ethical decision making in nursing. In Phipps W, Cassmeyer V, Sands J, Lehman M (eds) Medical-surgical nursing: concepts and clinical practice. 5th ed. Mosby Year Book, St Louis.
Frisch L (1998) Ethical and legal bases for care. In Frisch N, Frisch L (eds) Psychiatric mental health nursing. Delmar Publishers, Albany.
Mappes T, Zembaty J (1991) Biomedical ethics. 3rd ed. McGraw-Hill, New York.
McIntyre K, Benfari R (1982) Two cardiac arrests, one medical team. Hastings Center Report 12(2): 24-25.
Thompson I, Melia K, Boyd K (1994) Nursing ethics. 3rd ed. Churchill Livingstone, Edinburgh.
Thompson J, Thompson H (1985) Bioethical decision making for nurses. Prentice-Hall, Norwalk.
Veatch R, Fry S (1987) Case studies in nursing ethics. Lippincott, Philadelphia.
Yancey V (1997) Ethics. In Potter P, Perry A (eds) Fundamentals nursing: concepts, process, and practice. 4th ed. Mosby Year Book, St. Louis.

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