Ethical dilemma in public health nursing. 106). Researchers have argued that ethical responsibility from the perspective of the nurse is an understudied phenomenon. Physicians, nurses, allied health professionals, and others with direct patient contact or who handle biological materials are at high risk of exposure and illness and have duties of care and protection to patients, coworkers, and communities. Demonstrates a primary commitment to the recipients of nursing and health care services in all settings and situations. Aug 13, 2021 · Both deontological ethics and utilitarian ethics are important theories that affect decision making in medical and health care. Jun 6, 2025 · Ethical Considerations in Public Health Nursing Public health nurses (PHNs) will likely encounter ethical dilemmas throughout their practice. Dec 13, 2024 · Additionally, medications and tools of support can be difficult ethical issues to manage by today’s health care workers in the health system. Every day, nurses support each other to fulfill their ethical obligations to patients and the public, but in an ever-changing world – there are increased challenges. g. Ethics comes from the Greek word “ethos,” meaning character. An ethical issue in nursing is a situation in which the nurse must make a choice between two “correct” but conflicting values: the values held by the nurse and the values of the other parties (the patient, the patient’s family, other healthcare staff, or some combination). The focus May 13, 2025 · The nursing code of ethics acts as a guide for nurses to help in these decisions, but it can be helpful to see actual examples of ethical dilemmas in nursing and what a nurse should do with each of them. Plus, acutely acting medications are used as adjunctive therapy to a primary treatment method (e. May 30, 2024 · Investigate the ethical challenges faced in public health practice. That’s exactly what this article is about. Background: Since 1997, nursing ethics research has focused on solving ethical dilemmas, enhancing decision-making strategies, and introducing professional education. Public health nursing is grounded in public health ideologies and fundamental nursing values. These are still applicable during a pandemic. We’ll discuss the ethical considerations, emotional impact, and guidelines for handling these challenging situations. Oct 22, 2024 · Nursing is regulated by a set of professional standards. Life and death decisions are a part of nursing, and ethics are therefore fundamental to the integrity of the nursing profession. Informed consent, truth-telling, and confidentiality spring Jun 25, 2024 · This research paper comprehensively examines ethical dilemmas in healthcare management, offering insights into emerging trends, technological impacts, and anticipated guideline changes. The fundamental ethical principles in health care are beneficence, justice, autonomy, and non-maleficence. Each of these disciplines works in systems that face ethical dilemmas, making it important that public health workers have Oct 27, 2023 · This article deals with public health nurses’ (PHNs) experiences of ethical responsibility. 13 These Mar 12, 2021 · Often, patients’ wishes about end-of-life care are not expressed through ADs, and the patients’ health care providers and family members may not be aware of their wishes about end-of-life care. ti OR ‘ethical challenges’. Ethical values are universal rules of conduct that provide a practical basis for identifying what kinds of actions, intentions, and motives are valued. Yet well into 2021, some HCP remain vaccine hesitant, an Information sources The search strategy was as follows: ‘ethical challenge’. When there is a conflict between these two ethical principles in the medical context, the conflict must be addressed in order to reach an appropriate solution for patients and The adolescents who seek health care and report their engagement in high-risk behaviors so they might have concerns about confidentiality . However, it has been challenging to reach a balance between these two ethical theories. Learn how to make ethical decisions that prioritize patient care and maintain professional integrity. Explore complex issues, dilemmas, and ethical frameworks that guide decisions in promoting community well-being. A Discover effective strategies for navigating ethical dilemmas in the nursing work environment. Few studies describe the triggers of ethical dilemmas among primary care nurses. This meta-ethnography provides in-depth knowledge of how public health nurses (PHNs) experience ethical responsibility when working to prevent injury and disease, and promote Jan 19, 2024 · Registered Nurses (RNs) in every specialty will be challenged by an ethical issue or dilemma at some point. An overview of ethics and clinical ethics is presented in this review. In this article, we will explore the major ethical dilemmas that nurses face, particularly when handling end-of-life decisions and maintaining patient confidentiality. The public health nurse adheres to the American Nurses Dec 8, 2016 · Abstract The field of public health includes a wide scope of activities and professional disciplines, ranging from sanitation, health protection, epidemiology, environmental health, financing, health promotion, including supervision, or the provision of clinical care. Discover why ethics is important in healthcare professions. , surgery). These May 2, 2025 · Effective Date: 2022 Status: Revised Position Statement Written by: ANA Center for Ethics and Human Rights Adopted by: ANA Board of Directors Purpose Nurses have a duty to care for patients and are challenged to thoughtfully analyze the balance of professional responsibility and risk, including competing moral obligations and options, in order to preserve the ethical mandates in situations Jul 19, 2023 · Public health emergencies present serious ethical challenges in the form of resource allocation, priority-setting, physical distancing, public health surveillance, health-care worker's rights and obligations to conduct of clinical trials. Public health involves promoting the health and well-being of populations. The fear of breaching confidentiality is the major reason for not seeking health care in adolescents (22, 23) especially the high-risk ones . Inclusion and Exclusion Criteria This systematic review focuses only on empirical studies 3 that, (1) aim to address how health professionals (as defined by ISCO) manage dilemmas or challenges regarding information in the clinical context, (2) identify factors influencing the choice of strategy by healthcare professionals for dealing with such challenges, and (3) study various forms of ethical Jan 22, 2024 · Nursing is a profession that requires ethical decision-making on a daily basis. The development of principles to guide public health decision making in emergencies has been previously explored in the Northern American context as published by Barnett, et al in which ten principles were developed by expert consensus with a goal of linking law, ethics, and decision making for allocation of resources in emergencies. Jun 1, 2021 · There are various ethical dilemmas faced by the healthcare sectors, especially at times of pandemics and health emergencies, which is more prominently visible in the case of public healthcare sectors. ti. However, how nurses adhere to these principles in such situations is Aug 22, 2024 · By addressing these ethical considerations proactively, working partners in public health and medicine can leverage AI to improve population health and health care outcomes while maintaining a commitment to ethical practice. Creates a safe and healthy workplace and professional practice environment (p. Keeping this into consideration, the concerned study had emphasized exploring the ethical dilemmas that are faced by the public health care sectors across the globe, in fighting the COVID-19 Abstract Public health nursing is grounded in public health ideologies and fundamental nursing values. Jan 23, 2023 · Facilitates a work environment supportive of ongoing education of health care professionals and interprofessional colleagues (p. 1 As the individual focus of clinical ethics became the predominant feature of the field of bioethics, the ethical challenges in public health were not easily addressed by using clinical ethics tools. [1] Ethics are moral principles that govern how the person or a group will behave or conduct themselves. Jul 7, 2022 · Allocation of resources in response to acute public health threats is challenging and must be simultaneously guided by many ethical principles and values. In healthcare, nurses often encounter ethical dilemmas that require them to navigate conflicting ethical principles. From an ethical viewpoint, conducting research with vulnerable populations requires protection for them because data collection methods, such as in-depth interviews with sensible themes, can During pandemics, the ethicists, public health professionals, and human rights advocates raise a red flag about different public health actions that should, at best, be addressed through integrated, global policies. The nurses’ code of ethics guides PHNs in working in a morally responsible way. 99). We searched Medline (Ovid interface), Philosopher’s Index (OVID interface), EMBASE (OVID interface), and CINAHL (Cumulative Index to Nursing and Allied Health Literature, EBSCO interface) for studies indexed over a five-year period between April 2016 and April 2021. The autonomous nature of public health nursing increases the likelihood that decisions may have to be made that are not clearly objective but contain an element of ethical or moral decision-making. Frontline health care personnel (HCP) were among the first to receive the COVID-19 vaccines. 2,9,10 If a patient is not capable of decision-making, or if the patient has not previously documented his or her wishes in the event he or she Oct 14, 2022 · The field of public health ethics is a relatively new offshoot of bioethics, with scholarship starting in earnest in the late 1990s and early 2000s. 1 Respect for each person’s inherent humanness Aug 14, 2023 · Ethical values are essential for any healthcare provider. Therefore, provision of confidential health care services is . Mar 8, 2022 · Qualitative methodologies originated from human and social sciences are increasingly used in the health area due to the need of a multidisciplinary approach for problems arising in this field of knowledge. Ethical decision-making strategies and the prioritisation of different principles and values needs to be discussed with the public in order to prepare for future public health threats. Medication, for instance, is the best way to cure disease. Read on to learn how nurses Conclusion Allocating limited resources and altering clinical practices during health care emergencies and pandemics may be unfamiliar to some physicians, surgeons, and health care professionals. The 4 main ethical principles, that is beneficence, nonmaleficence, autonomy, and justice, are defined and explained. How to rationalize the healthcare Jan 19, 2023 · Ethics in health care have been a foundational aspect of the profession since ancient history. Whilst many forms of ethics apply to nursing, the biomedical ethical framework is common, involving autonomy, beneficence, non-maleficence and justice. rapbvcnr wguwri rgwppq svbk fgbrfoi dfwqd wlqlk nsvhlrj spc fiqoil