Respect for Autonomy: Is It Always Paramount?
Nursing Ethics. 1996 Jun; 3(2): 118-125.
Following the argument proposed by Tschudin in 1986 that many nurses do not have the skills for ethical decision-making, this article identifies and discusses one ethical problem from practice. The problem concerns an extremely obese patient who refuses to be moved by a hoist. The nurse acquiesce to the patient's wishes and she is moved manually by four members of staff. The issues identified for discussion are: the paramountcy of the principle of respect for the patient's autonomy; the rights and obligations of the nurses; and the justification for influencing patient choice. The approach used by the ward nurses is analysed and the value of using an ethical decision-making model is considered.
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Hoyle, Dohn (1992)The respect shown by clinic personnel for the adult status of their patients, and the right of people with mental retardation to good routine gynecologic care are not at issue. What is at issue is the right of a mentally retarded ...