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8/3/2019 Ethics and Philosophy
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Ethical Decision-making &Influencing Factors
M.Highfield
HSci303
What Factors Influence
Ethical Decision-Making Values - deeply held, constant beliefs about what is good
& right. Morality Behaviors & beliefs about what is good& right
Ethics Moral philosophy reasoning
Law reflects minimum ethics & enforced by state
Moral orientation your consistent basis for making moral& ethical decisions. Eaxmples: Being a good person, duty,respect, look out for #1, divine command.
In short Morality is actions & beliefs
Ethics is thinking about moral actions & beliefs
Law reflects a minimum standard of ethics, but it
is not ethics
One persons right is another persons duty.
Ethical decision-making is affected by
Law
Morality
Values
Professional codes
What is Ethics? The explicit, philosophical
reflectionon moral beliefs andpractices.
The difference between ethicsand morality is similar to thedifference between musicologyand music. Ethics is a consciousstepping back and reflecting onmorality, just as musicology is aconscious reflection on music.
http://ethics.sandiego.edu/LMH/E2/Glossary.asp
What is morality?
Morality is behaviors & beliefs about human decency,
right/wrong, good/evil, proper/improper
When you find yourself saying ought to orshould
(Butts & Rich http://ethics.sandiego.edu/LMH/E2/Glossary.asp)
Review: Whats the difference?
Ethics
Philosophical
reflection on morality
Morality
behaviors & beliefsabout
human decency
right/wrong good/evil & proper/improper
8/3/2019 Ethics and Philosophy
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What is law?
Law reflects a minimum standard of ethics, butit is not ethics
Rules made by human beings to guide society& regulate human interactions that areenforceable to promote peaceful & productiveinteractions (Aiken, p. 98)
Ethics & Law: 4 quadrants
Actions can be:
Ethical & legal
Unethical & illegal
Ethical & illegal
Unethical and legal ( p. 5,Davis& Aroskar, 1991).
No
No
Yes
No
Yes
No
Yes
Yes
LEGAL
Yes No
Yes
No
ETHICAL
Check Point!
What is ethics?
What is law?
What is morality?
RIGHTS: Law & Ethics
Your right is someone elses obligation!
1. Legal rights are.?
2. Ethical rights are..?
What are Values?
Values are deeply held beliefs about what is good,right, and appropriate. Values are deep-seated andremain constant over time. We accumulate our
values from childhood based on teachings andobservations of our parents, teachers, religiousleaders, and other influential and powerful people.
Reference:http://personaldevelopment.suite101.com/article.cfm/what_are_values
_
Ethics & Values Our values are often similar to our breathing in that they
are taken for granted. We do not go through life
awarethat we are breathing.In the same manner, we
do not always realize that we have a given set of values or
that a decision is based on these values. We do not always
examine our values but simply accept them and act on
them. Again, as with breathing, we are are apt to think
about our values when something goes wrong, because we
then become more aware of them. (p. 19, Davis & Aroskar,1991)
8/3/2019 Ethics and Philosophy
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Values, thus morals & moral
orientation are affected by...
Gender Religion
Culture
Tradition
Family
Stage of development
Ethics & Healthcare:
Terminology
1. Biomedical ethics is determining whatshouldshouldbe done, what is right or goodin
healthcare issues.
2. Ethics classifications
Normative (what should be done) &
Descriptive (what persons actulaly do)
Nursing Ethics(Butts & Rich Chapters 1-2)
1. Because of unavoidable social connections,every person makes moral & ethical choices inlife that affect others.
2. The well-being of patients is the central focus ofnursing. This is emphasized in ANA Code
3. Nurses experience moral suffering a feeling ofanguish or uneasiness as they confront moraldilemmas or suffering
4. Nurses can move thru the suffering. toflourishing
ANA Code (1950/2005)
Nursing encompasses
Prevention of illness
Alleviation of suffering
Protection, promotion, &restoration of health in the careof individuals, families, groups& c ommunities.
Nurses act to change those aspectsof social structures that detractfrom health & well-being.Individuals who become nursesare expected not only to adhereto the ideals and moral norms ofthe profession but also toembrace them as part of what it
means to be a nurse.
AMA Code (2001)
The medical professionhas long subscribed to a
body of ethical statementsdeveloped primarily forthe benefit of the patient.As a member of this
profession, a physicianmust recognizeresponsibility to patientsfirst and foremost, as wellas to society, to otherhealth professionals, andto self.
An Ethical Dilemma
When it is unclear what action is right or good
That is.When moral claims conflict, creating
Conflict between rights or ethicalprinciples (Aiken) that seemsincapable of a satisfactorysolution. (Davis & Aroskar, 1991).
Ethical Decision-Making
(Aiken)
1. Collect information
2. State dilemma
3. List choices
4. Analyze pros & cons of each choice
5. Decide!
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Summary Morality is actions & beliefs
Ethics is thinking about moral actions & beliefs
Law reflects a minimum standard of ethics, but itis not ethics
One persons right is another persons duty.
Ethical decision-making is affected by
Law
Morality
Values
Professional codes
Summary Nursing codes provide standard for behavior.
They are not law.
Legal rights are based in law ethical rights inultimate principles & rules. Wants are not the
same as rights.
An action can be legal/ethical, legal/unethical,
illegal/ethical, illegal/unethical
Ethical dilemma = conflicting moral claims so that
no single right or good answer is clear
Do laws & codes make persons good?