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Professional and ethical issues in counselling
Three main ethical theories essays
Professional and ethical issues in counselling
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1. In terms of research, there are four basic principles. The first is autonomy. Autonomy is defined as the right to self-determination and the freedom to choose a course of action. In ethics, there are two elements that constitute autonomy: freedom to choose a course of action and the competence to make an informed choice (Houser & Thelma, 2013, p.68). Because autonomy has to do with consent is partly founded on the virtue of ethical theories (p.102). In terms of informed consent, professionals are bound by duty to share information, openly, to clients so that the clients are able to make informed choices. People should be able to do what they want in pursuit of their own interest as long as it does not hurt or interfere with others. The second basic principle is beneficence. Beneficence has to do with looking out for the welfare of others and acting in ways that promotes the welfare of others (p.52). This is also seen as the duty to do good or help. Beneficence is important because it emphasizes on the needs of the clients versus the personal needs of the counselor (p. 102). Beneficence also requires that if you see someone who needs help, that you must provide help for them. However, it must include two conditions: a need for help where there is an obligation to help and an ability to help (p. 102). …show more content…
This means non-harming or inflicting the least harm possible to reach a beneficial outcome; the duty to do no harm (p. 218). Professionals must remain attentive that their actions maximize the good when they have encounters with clients. Nonmaleficence and beneficence are both alike because nonmaleficence promotes that one must refrain from doing the action of harm and beneficence promotes the steps one must take to promote the positive welfare of others. All decisions made, in reference to clients, should be in a way that maximizes the development and well-being of the clients (p.
Beneficence is the principle of working in someone's best interest, in this sense, preventing harm from falls by promoting safety. Nonmaleficence allows the nursing staff opportunities to avoid actually causing harm again by, promoting safety to better integrate ethical principles into our practice. Many interventions are implemented with safety as the priority; yet, there are times when autonomy supersedes safety, for instance, patients who are cognitively with it stands on their choices and eventually ends up overestimate there limits. Today in long-term care facility bed alarm usage is considered to be a restrain and was discontinue because it was said to be the cause of most falls due to fear when activated. Purposeful rounding and maintaining toileting programs and other interventions applied to all patients, such as universal fall precautions would encourage independence in older adults at the same time respect patient’s values, wishes, and choices. One of the most difficult ethical dilemmas that arise for nurses and related health care providers is finding the balance between promoting independence and autonomy for seniors by not interfering with their life goals, but by trying to act responsibly and promote health and
The usage of informed consent is considered to be an essential component to providing healthcare and creating a good patient-physician relationship. The most standard model of Informed consent says you must have the following essentials to be considered authentic informed consent: disclosure, understanding (true understanding), voluntariness, competence and most importantly actual given consent. The interesting fact about informed consent is though most people are ardent on including this in the patient-physician decision making dynamics; it doesn’t guarantee or add any more certainty that decisions will be autonomous. There are two types of informed consent: one from a practical and logical position (Sense1) and the other from the legal or institutionalized component (Sense 2). Competency is voided in the usage of Sense 2 informed consent; there is not a push for explicit comprehension of the information as long as there is properly followed protocol. Sense 2 informed consent increases the likelihood of lost autonomy and higher rates of ill-conceived incompetence due to misunderstandings. I will be discussing Sense 2 informed consent and how it specifically relates to competence; as well as why the elements of competency are considered normative.
The principle of beneficence is concerned with a moral obligation to act for the benefits of others (Kennedy, 2004). Additionally, beneficence is the principle consisting of deeds such as mercy, kindness, and charity (Rich, 2008). There are other forms of beneficence including altruism, love, and humanity (Beauchamp & Childress, 2009). We use beneficence in order to cover beneficent actions more broadly, so that it includes all forms of action to benefit other persons (Beauchamp & Childress, 2009). Overall, beneficence implies that an individual takes action to do good by benefiting others and facilitating their well-being. Beneficence also requires that benefits are balanced against risks and costs (Kennedy, 2004). In order for a person to “do good”, they must also consider the values of individual in question (Bjarnason & LaSala, 2011).
Ethical principles in healthcare are significant to the building blocks of mortality. The principles are beneficence, autonomy, justice, and nonmaleficence. Although these principles can be certainly followed they can also be disregarded. Beneficence is a theory that assures each procedure given is entirely beneficial to that patient to help them advance within their own good. For example, There was a young girl, the age of 17. She had been being treated at a small private practice since she was born. She was recently diagnosed with lymphoma and was only given a few more years to live. Her doctors at the private practice who had been seeing her for years were very attached to her and wanted to grant this dying girl her every wish. They promised
In today’s society with the blogs, the gossip sites and the other forms of social media, confidentiality is a thing of the past. However, for, physicians and other health professionals, they are held to a higher standard to maintain a level of ethics and confidentiality for their patients. Confidentiality is a major duty for a health professional, but is there ever a time to where it is okay to tell what a patient says in confident? What if the patient is a minor, or a senior citizen or someone who is mentally challenged? What if a patient is being abused or wants to commit suicide? Does it matter if it is a nurse, or a dentist, or a psychologist or is all medical professional held to the same moral standard? What roles does a consent form or Health Insurance Portability and Accountability Act plays in the medical world in being confidentiality? I would like to explore Confidentiality and the moral effects it has on the health profession.
Nonmaleficence is primary to beneficence according to Mill’s rule utilitarianism. Mill's states that we are to increase the sum total of happiness meaning that we must become impartial to our own happiness. “Though it is only in a very imperfect state of the world's arrangements that any one can best serve the happiness of others by the absolute sacrifice of his own (Mills, 1832 ch.2).” To increase the total sum of happiness the choice must bring happiness to the largest amount of people and minimize suffering. Beneficene, the duty to do good is wanting the highest quality of happiness, an action done to benefit others. (Pantilat, 2008) Mill’s is saying that affecting a larger amount is greater happiness than one-person experiencing sublime happiness from a choice. We may have to sacrifice for the general well-being of the group according to Mill’s principal theory. I do not agree with the practical application of rule utilitarianism. In some cas...
..., beneficence, non-maleficence and justice help us understand and explain which medical practices are ethical and adequate. These principles are used to protect the rights of a patient and the physician from being dishonored. The principle autonomy allow an individual to act freely in accordance to their self-chosen plan. This means that healthcare providers must always get the patients consent before making any decision about patient’s life. The of non-maleficence states one must cause no harm to an individual. This means that we must always restrain from harming others. The principle of beneficences say that one must always promote good. This means that healthcare providers must always do what is good for the patient. Lastly the principle of justice promote fairness and equally. This mean that healthcare providers cannot act in a prejudice manner toward patients.
According to the ANA, nurses are constantly caught between conflicting value systems. A nurse’s day-to-day practice involves ethical influences which determines how a nurse handles the patient. In order for a nurse to be committed to their patients or community, they have to be able to speak out in case a patient isn’t being cared for right or if the other nurses aren’t doing what they are supposed to. One major ethical dilemma for nurses is informed consent. Informed consent is when a patient or the patient’s family is able to completely understand and know what is being done to treat the patient. Informed consent poses a dilemma because it is a major concern for nurses if patients and their families are not fully informed about their treatments.
In conclusion, obtaining informed consent is a vital part of respect for the patient and safeguarding of self-determination. The consent to participate in research or treatment should be informed, comprehensible, and free of coercion. There is not a clear black and white answer because no matter what is done to assure informed consent there is always a moment of doubt on the end of the patient as to whether what is going to take place is fully understood and their true wishes honored.
Beneficence and nonmaleficence are a balancing act. Most treatments have some sort of risk so it is impractical to assume you can never put a patient in harms way. Nevertheless, healthcare providers have an immense responsibility when it comes to deciding the best option of treatment for their patients. Nonmaleficence is used to reduce the exposure of unnecessary risks and beneficence is used to further that principle and foster the best outcome for the
Sufficiency and compassion: Principle of sufficiency elicits compassion and forces us to not only take into account others who are affected by our decisions, it also coaxes us into displaying empathy for the situations of others. Without sufficiency and compassion, justice remains precariously elusive.
Plaisance in this chapter examines concepts of autonomy and its relationship with freedom, and puts those explanations into media practice. Freedom, liberty, and autonomy are different concepts. Freedom and liberty are pretty similar which refer to one’s be free from restrain. While autonomy is a “self-rule”—it refers to a person who governs his or her own actions based on their own values. Therefore autonomy can bring up with more moral issues. All these three concepts are about freedom. But do we have free will? Research turn out to support that absolute free will is an illusion. Based on such research, it is necessary for us to look at implications of elements of moral life, and to find out the ethical obligations of autonomy. Even a more specific definition of autonomy is not always the highest good if placing too much significance on it. Colby and Damin’s study on “moral examplars”,as well as arguments of feminists, suggests that human development and individuation are sometime contradictory.
This ethic is important as it ensures planning on how to reduce participant harm and this is also mentioned by Sales and Folkman (2000) on the issue of ethics in research with human participants.. For example dissertation research should not harm participants. Where there are high chances of participants getting hurt there must be strong justification fro this since a researcher does not intentionally go out to cause harm. So it is the risk of harm that a researcher should try and minimize and in order to do so a researcher should obtain informed consent from participants, protect the anonymity and confidentially of participants, avoid deceptive practices when designing a research and providing the participants with the right to withdraw from a research at anytime. For example, Micheal’s physician has asked him to participate in a research project. What should Micheal know before he consents? Micheal should be asked first to consent to participate in the research project. The consent process should tell him everything he needs to know about the project including: possible risks, expected benefits (when applicable), and protections for his privacy and confidentiality. If Micheal’s physician doesn’t explain these things thoroughly to Micheal, he should request more information or reconsider his participating. Micheal should only consent to participate if he understands all the information as
Beneficence says we should always do and be good. Nonmaleficence says we should always try to stop and/or avoid badness/harm. The following are items that humans should try doing:
A real, sincere compassionate helpfulness concerns principally yourself and others. However, it shall never be submissive.