![]() Refines ethical competence through continued professional education and personal self-development activities.Integrates principles of social justice in all aspects of nursing practice (Justice).Identifies ethics resources within the practice setting to assist and collaborate in addressing ethical issues.Safeguards sensitive information within ethical, legal, and regulatory parameters (Nonmaleficence).Maintains therapeutic relationships and professional boundaries.Demonstrates a primary commitment to the recipients of nursing and health care services in all settings and situations (Fidelity).Advocates for health care consumer perspectives, preferences, and rights to informed decision-making and self-determination (Respect for autonomy).Demonstrates that every person is worthy of nursing care through the provision of respectful, person-centered, compassionate care, regardless of personal history or characteristics (Beneficence).Uses the Code of Ethics for Nurses With Interpretive Statements as a moral foundation to guide nursing practice and decision-making.Selection of Subjects - Just as the principle of respect for persons finds expression in the requirements for consent, and the principle of beneficence in risk/benefit assessment, the principle of justice gives rise to moral requirements that there be fair procedures and outcomes in the selection of research subjects. For prospective subjects, the assessment will assist the determination whether or not to participate.ģ. For a review committee, it is a method for determining whether the risks that will be presented to subjects are justified. For the investigator, it is a means to examine whether the proposed research is properly designed. Thus, the assessment presents both an opportunity and a responsibility to gather systematic and comprehensive information about proposed research. Assessment of Risks and Benefits - The assessment of risks and benefits requires a careful review of relevant data, including, in some cases, alternative ways of obtaining the benefits sought in the research. The consent process can be analyzed as containing three elements: information, comprehension and voluntariness.Ģ. This opportunity is provided when adequate standards for informed consent are satisfied. Informed Consent - Respect for persons requires that subjects, to the degree that they are capable, be given the opportunity to choose what shall or shall not happen to them. ![]() For example, the selection of research subjects needs to be scrutinized in order to determine whether some classes (e.g., welfare patients, particular racial and ethnic minorities, or persons confined to institutions) are being systematically selected simply because of their easy availability, their compromised position, or their manipulability, rather than for reasons directly related to the problem being studied.ġ. Conceptions of justice are relevant to research involving human subjects. Justice - The concepts of justice are commonly understood as (1) to each person an equal share, (2) to each person according to individual need, (3) to each person according to individual effort, (4) to each person according to societal contribution, and (5) to each person according to merit. Two general rules have been formulated as complementary expressions of beneficent actions in this sense: (1) do not harm and (2) maximize possible benefits and minimize possible harms.ģ. In this document, beneficence is understood in a stronger sense, as an obligation. The term "beneficence" is often understood to cover acts of kindness or charity that go beyond strict obligation. Three basic principles, among those generally accepted in our cultural tradition, are particularly relevant to the ethics of research involving human subjects: the principles of respect of persons, beneficence and justice.ġ. Respect for Persons - Respect for persons incorporates two ethical convictions: first, that individuals should be treated as autonomous agents, and second, that persons with diminished autonomy are entitled to protection.Ģ. Beneficence - Persons are treated in an ethical manner not only by respecting their decisions and protecting them from harm, but also by making efforts to secure their well-being. The expression "basic ethical principles" refers to those general judgments that serve as a basic justification for the many particular ethical prescriptions and evaluations of human actions. ![]()
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