I need to post 6 comments to my peers. Responses to peers or faculty should be 150 min words and include one reference.
I need to post 6 comments to my peers. Responses to peers or faculty should be 150 min words and include one reference.
Comment 1:
“Nursing ethics was born out of a deep awareness of calling to serve the sick and injured, no matter who or where they were, to restore and improve health” (Fowler & Schoonover-Shoffner, 2023). All four principles of biomedical ethics including autonomy, beneficence, non-maleficence, and justice, are compatible with Christain values. One’s approach might be influenced by their personal beliefs and ethical guidelines of their profession. While autonomy is often prioritized, especially in Western context, all four principles are important for protecting the health and safety of diverse populations. The relative importance of each can vary depending on specific context, cultural norms, and the needs of the individual involved. As a Christian labor and delivery nurse, my priority aligns with the principle of beneficence, which emphasizes doing good and promoting the well-being of my patients and their newborns. This principle reflects the Christain value of compassion and caring for others, particularly during vulnerable moments like childbirth. Physically, the process of birth involves significant pain and potential complications, such as hemorrhage, fetal distress, or emergent surgeries, which can leave patients feeling vulnerable and reliant on the healthcare providers for extra support and guidance. The emotional anticipation of birth coupled with concerns about the health and safety of their newborn can heighten these feelings. Birth is unpredictable and providing compassionate and respectful care is essential to supporting patients during this time. Ultimately, achieving a balance among the principles is essential for ethical decision-making in healthcare.
Comment 2:
The four principles of biomedical ethics are beneficence, nonmaleficence, respect for autonomy, and justice (Hoehner, et. al., 2024). All of these principles are important on their own, and together, in the US healthcare system in order to protect the health and safety of diverse populations. This question really made me stop and think as I’ve never really considered a ranking of these important principles before. I guess I would agree that autonomy is the most important. Patients have the right to make choices and decisions about their own well-being and care. They should be able to make informed decisions without being talked one way or the other. For diverse populations, autonomy is super important because not everyone is the same. Different cultures and religions believe different things and patients should be able to follow their own beliefs. For the protection of the health and safety of diverse populations, I think justice should be ranked next. There are so many inequalities and injustices in the healthcare system. Justice involves removing systemic barriers and prioritizing under-served populations. An example is that black women are more than 3 times more likely to die from pregnancy-related causes than any other race (Oribhabor et. al., 2020). Next I would say nonmalfecence. As a healthcare worker, we should not be doing harm to our patients in any way. We must be aware to any issues that affect certain groups of people over others and must work to address those issues and not add harm. And last, but not least, I would rank beneficence. As a nurse, of course our duty is to protect our patients and promote their well-being. I could argue with myself over these rankings, but at this time, this is how I’ll rank them.
Comment 3:
How one begins developing an approach to ethics is dependent, consciously or subconsciously, on a comprehensive and consistent worldview (Hoehner et el., 2024). It’s important to take the time for each health care professional to determine how they interpret each ethical value as well as how they will incorporate it into their own practice. Based on my worldview and how I define the four bioethical values, beneficence sounds like an umbrella term for autonomy, nonmaleficence, and justice and would rank this at the top of my list. The generic definition of beneficence is an act of charity, mercy, and kindness. It connotes doing good to others and invokes a wide array of moral obligation. Beneficent acts can be performed from a position of obligation in what is owed and from a supererogatory perspective, meaning more than what is owed (Kinsinger, 2009). In my eyes, any being that is practicing beneficence, would give the patient a sense of autonomy by letting them know the pros and cons of a procedure as well as respecting their decision to accept or deny a particular intervention. Practicing beneficence would also incorporate nonmaleficence due to the fact that we are being kind, showing mercy and kindness and wouldn’t want to cause harm on our patient which should be everyone’s priority to ensure that they are providing all treatments better the patient health and not harm them. Therefore, the bioethical principle, beneficence would also mean that the nurse is giving fair and equitable treatment to everyone, covering the justice principle.
Comment 4:
In a Christian worldview, the four principles of biomedical ethics—autonomy, non-maleficence, beneficence, and justice—hold significant importance in aligning with Christian beliefs and their relevance for safeguarding the health and safety of diverse populations. Autonomy is rooted in the belief that each individual possesses inherent dignity and worth as a creation of God. It recognizes the freedom of choice and self-determination. While autonomy is essential, it does not stand alone. Christian ethics emphasize autonomy within moral responsibility and accountability to God. It should not override other principles when it conflicts with the well-being of others. Non-Maleficence: The Bible emphasizes compassion, empathy, and avoiding harm to others. Christians are called to love their neighbors and actively prevent harm. Non-maleficence is paramount. Avoiding harm aligns with Christian teachings and reflects God’s love for humanity. It takes precedence over autonomy when there is a risk of causing harm. Beneficence resonates with the biblical command to love one another and serve those in need. It involves actively promoting well-being and alleviating suffering. Beneficence is crucial. Christians are called to acts of kindness, healing, and compassion. It complements non-maleficence and should guide decisions when balancing competing interests. Justice is deeply rooted in Scripture. God’s justice demands fairness, equity, and care for the vulnerable. Christians are called to advocate for justice and address systemic inequalities. Justice is foundational. It ensures equitable access to healthcare, resources, and opportunities. When balancing principles, justice helps distribute benefits and burdens fairly. While autonomy is significant, it must harmonize with the other principles. Christian ethics prioritize non-maleficence, beneficence, and justice, recognizing that protecting health and safety requires a holistic approach that considers the well-being of all individuals and communities.
Comment 5:
I find comfort and hope when I pray before I start the day. I read the Bible to feed my spirit and provide comfort. I do have a few different scriptures that I go back to very often Psalms chapter 23 which says, “The Lord is my Shepard I shall not want, He makes me to lie down in green pastures, He leads me beside still waters, He restores my soul, He leads me in the paths of righteousness for His name sake, I will fear no evil, For You are with me, Your rod and Your staff they comfort me.” I find this chapter very comforting because God is with me. I pray for my patients usually silently when they are suffering with their disease. I have worked with Dementia patients for a little while and I have seen every stage of this disease, and it is a cruel disease. I pray even more when I work with these patients. I pray that God leads me to provide and care for these patients and be able to meet their needs when I work with them. It does lead to a question that I struggle with from time to time and that is, if they were a Christian before the progression of their dementia and they are not able to remember the things of God and curse and make sexual comments does God hold that against them? I hope that is not the case because all throughout the Bible it talks about God’s love for all His creation (Hoehner, et, al., 2024).
Comment 6:
The Christian biblical narrative consists of four parts: the creation, fall, redemption, and restoration. Through these four phases, a person experiences the true nature of God, his impact, and his intentions for humanity. The narrative does not hide any anguish or hardship that can be experienced in the world, but it does inform one on how to push through while maintaining hope and comfort.
Hope and comfort while battling sickness and disease within redemption can be acquired through Jesus Christ within the Christian biblical narrative. Among the Christian faith if an individual accepts Jesus Christ within their life, they too can undergo the healing of Jesus displayed in the Bible. It is well known that Jesus sacrificed his life so that we can earn redemption and reach restoration, this reassures Christians to trek through hardships (BibleProject, 2015). The average Christian finds comfort and reassurance in God knowing that he holds those he loves, humans, and physical and emotional well-being as a high priority.
Comfort and hope can be found within the biblical narrative with restoration. Restoration is the point that we are in now. The fall has occurred, but one can physically, mentally, and spiritually restore the relationship that was intended to be maintained with God. This restoration provides hope and comfort for those in the world who suffer and endure pain.
Many Christians turn to prayer as a form of comfort, when seeking healing from sickness and diseases. Redemption from believing in God and accepting Jesus Christ plays a huge role in providing comfort and hope for future restoration and soothing of the mind for Christians.
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