Ethical dilemmas in the practice of nursing

Research output: Contribution to journalArticle

Abstract

Purpose: The United States’ population is rapidly aging. As older people require more expensive medical and nursing attention, health-care/nursing costs keep rising, to the extent that they are not sustainable. As a result, the USA is faced with an ethical dilemma. While egalitarian ethical principles and the provisions of the American Nurses Association (ANA) code of ethics require the provision of medical/nursing care to everyone regardless of age, severity of disease and productivity, utilitarians view that as impossible. Assuming that provisions ANA’s codes of ethics are the same as ethical principles, this paper aims to discuss the debate between those two sides in detail. Design/methodology/approach: The paper, viewing the rise of health-care/nursing costs as the cause of the above ethical dilemma, discusses Daniel Callahan’s utilitarian argument that, given the ever-rising health/nursing costs as a percentage of GDP, the USA will be forced to ration health care/nursing on the basis of age. The ethical arguments opposing Callahan’s arguments will also be presented. Findings: While the debate between those two viewpoints is bond to continue, some writers have tried to find a compromise, a solution by assuming that, through efficiency, health/nursing costs can be lowered, making Callahan’s age-based rationing unnecessary. Originality/value: This paper is original as it, by including nursing costs as an inseparable component of health-care costs, makes the aforementioned debate applicable to nursing care.

Original languageEnglish (US)
Pages (from-to)250-263
Number of pages14
JournalInternational Journal of Ethics and Systems
Volume34
Issue number2
DOIs
StatePublished - May 14 2018

Fingerprint

Nursing
Ethical Dilemmas
Ethical dilemmas
Costs
Healthcare
Nursing Care
Code of Ethics
Health
Ethical Principles
Code of ethics
Ethical principles
Writer
Rationing
Methodology
Older People
Compromise
Originality
Productivity
Rise
Nurses

All Science Journal Classification (ASJC) codes

  • Philosophy
  • Economics and Econometrics

Cite this

@article{ed87680edeb2445caf0fe24888598434,
title = "Ethical dilemmas in the practice of nursing",
abstract = "Purpose: The United States’ population is rapidly aging. As older people require more expensive medical and nursing attention, health-care/nursing costs keep rising, to the extent that they are not sustainable. As a result, the USA is faced with an ethical dilemma. While egalitarian ethical principles and the provisions of the American Nurses Association (ANA) code of ethics require the provision of medical/nursing care to everyone regardless of age, severity of disease and productivity, utilitarians view that as impossible. Assuming that provisions ANA’s codes of ethics are the same as ethical principles, this paper aims to discuss the debate between those two sides in detail. Design/methodology/approach: The paper, viewing the rise of health-care/nursing costs as the cause of the above ethical dilemma, discusses Daniel Callahan’s utilitarian argument that, given the ever-rising health/nursing costs as a percentage of GDP, the USA will be forced to ration health care/nursing on the basis of age. The ethical arguments opposing Callahan’s arguments will also be presented. Findings: While the debate between those two viewpoints is bond to continue, some writers have tried to find a compromise, a solution by assuming that, through efficiency, health/nursing costs can be lowered, making Callahan’s age-based rationing unnecessary. Originality/value: This paper is original as it, by including nursing costs as an inseparable component of health-care costs, makes the aforementioned debate applicable to nursing care.",
author = "Hengameh Hosseini",
year = "2018",
month = "5",
day = "14",
doi = "10.1108/IJOES-07-2017-0104",
language = "English (US)",
volume = "34",
pages = "250--263",
journal = "International Journal of Ethics and Systems",
issn = "2514-9369",
publisher = "Emerald Group Publishing Ltd.",
number = "2",

}

Ethical dilemmas in the practice of nursing. / Hosseini, Hengameh.

In: International Journal of Ethics and Systems, Vol. 34, No. 2, 14.05.2018, p. 250-263.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Ethical dilemmas in the practice of nursing

AU - Hosseini, Hengameh

PY - 2018/5/14

Y1 - 2018/5/14

N2 - Purpose: The United States’ population is rapidly aging. As older people require more expensive medical and nursing attention, health-care/nursing costs keep rising, to the extent that they are not sustainable. As a result, the USA is faced with an ethical dilemma. While egalitarian ethical principles and the provisions of the American Nurses Association (ANA) code of ethics require the provision of medical/nursing care to everyone regardless of age, severity of disease and productivity, utilitarians view that as impossible. Assuming that provisions ANA’s codes of ethics are the same as ethical principles, this paper aims to discuss the debate between those two sides in detail. Design/methodology/approach: The paper, viewing the rise of health-care/nursing costs as the cause of the above ethical dilemma, discusses Daniel Callahan’s utilitarian argument that, given the ever-rising health/nursing costs as a percentage of GDP, the USA will be forced to ration health care/nursing on the basis of age. The ethical arguments opposing Callahan’s arguments will also be presented. Findings: While the debate between those two viewpoints is bond to continue, some writers have tried to find a compromise, a solution by assuming that, through efficiency, health/nursing costs can be lowered, making Callahan’s age-based rationing unnecessary. Originality/value: This paper is original as it, by including nursing costs as an inseparable component of health-care costs, makes the aforementioned debate applicable to nursing care.

AB - Purpose: The United States’ population is rapidly aging. As older people require more expensive medical and nursing attention, health-care/nursing costs keep rising, to the extent that they are not sustainable. As a result, the USA is faced with an ethical dilemma. While egalitarian ethical principles and the provisions of the American Nurses Association (ANA) code of ethics require the provision of medical/nursing care to everyone regardless of age, severity of disease and productivity, utilitarians view that as impossible. Assuming that provisions ANA’s codes of ethics are the same as ethical principles, this paper aims to discuss the debate between those two sides in detail. Design/methodology/approach: The paper, viewing the rise of health-care/nursing costs as the cause of the above ethical dilemma, discusses Daniel Callahan’s utilitarian argument that, given the ever-rising health/nursing costs as a percentage of GDP, the USA will be forced to ration health care/nursing on the basis of age. The ethical arguments opposing Callahan’s arguments will also be presented. Findings: While the debate between those two viewpoints is bond to continue, some writers have tried to find a compromise, a solution by assuming that, through efficiency, health/nursing costs can be lowered, making Callahan’s age-based rationing unnecessary. Originality/value: This paper is original as it, by including nursing costs as an inseparable component of health-care costs, makes the aforementioned debate applicable to nursing care.

UR - http://www.scopus.com/inward/record.url?scp=85075757745&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85075757745&partnerID=8YFLogxK

U2 - 10.1108/IJOES-07-2017-0104

DO - 10.1108/IJOES-07-2017-0104

M3 - Article

AN - SCOPUS:85075757745

VL - 34

SP - 250

EP - 263

JO - International Journal of Ethics and Systems

JF - International Journal of Ethics and Systems

SN - 2514-9369

IS - 2

ER -