Discussion: Cultural Issues  Ethical Principle

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Discussion: Cultural Issues  Ethical Principle

Discussion: Cultural Issues  Ethical Principle

(1) A Scholarly Academic Journal/Article must be used pertaining to healthcare (i.e. nursing, hospital, medical care). However you could type in the search engine: “ethics case study nursing” or “ethics case study healthcare” and etc. (2) Subheadings must be included for each paragraph. Subheading should be titled: Introduction, Intervention/Solution, Possible Interventions/Solutions, Case Outcome, Cultural Issues, Ethical Principle, Conclusion. (3) Plagiarism will be checked through the software turnitin.com. (4) Please read the Rubric and Paper Instructions carefully. One of the criteria is to “Explain at least two ethical principles involved and how the principles apply to the case”

Explain at least two ethical principles involved (from Ethical Principles in the Ethics folder) and how the principles apply to the case

This principle asserts that individuals have the right to determine their own actions and the freedom to make their own decisions. Autonomous decisions are based on the individual’s values, adequate information, freedom from coercion, and reason and deliberation.


Beneficence is the doing of good, and it is a critical ethical principle in health care. Actions motivated by the principle of beneficence may, however, conflict with other principles, particularly patient autonomy.


This is defined as the duty to do no harm. It is enshrined in the medical profession’s Hippocratic Oath and is likewise critical to the nursing profession. The nurse must not intentionally harm the patient. Chemotherapy is an example of a procedure that does short-term harm to the patient in hopes of producing great long-term good, and illustrates the “double effect principle.” Four conditions must be fulfilled to justify the use of the double effect principle: (1) the action must be good or at least morally indifferent; (2) the health care provider must intend only the good effects; (3) the undesired effects cannot be a means to the end or good effect; (4) there is a favorable balance between desirable and undesirable effects.


Justice requires that equals should be treated the same, and unequals should be treated differently. In the health care context, this means that patients with the same diagnosis and health care needs should receive the same care, while those with greater or lesser needs should receive care that is appropriate to their needs. Wealth, however, buys better health care regardless of the specific need of the patient. Given vast wealth disparity, it is unclear how the principle of justice can properly be applied. This problem is compounded by systemic wealth disparities that closely track racial and ethnic background, leading to racial and ethnic disparities in health care access, treatment options, and outcomes.


Fidelity refers to honoring one’s commitments or promises. For nurses, this specifically refers to fidelity to their patients. When a nurse is licensed, she or he accepts responsibility to respect all individuals, to uphold the Code of Ethics for Nurses, to practice within the scope of nursing practice, to keep skills current, to abide by an employer’s policies, and to keep promises to patients.


This consists in telling the truth. Truth-telling is fundamental to the development and maintenance of trust among people. The nurse-patient relationship assumes that the nurse will deal honestly with his or her patient. Some rare instances provide narrow exceptions to the nurse general duty to tell her or his patient the truth. Deceiving a patient “for their own good” amounts to paternalism, which denies the patient’s autonomy.

Ethics Paper Instructions
2 pages Student will identify an ethical case study and develop a (3) page paper. Students should:

Find a case study from a current event or personal issue
Describe the case
Explain at least two ethical principles involved (from Ethical Principles in the Ethics folder) and how the principles apply to the case
Identify several possible interventions or solutions that could have been used in this case
Identify and describe cultural issues that would influence the decision
Describe the intervention/solution that was used in this case and why it was or was not the best solution
Describe the outcome of the case
The paper must be in APA format (title page, running head, in-text citations, introduction, conclusion, reference page). An abstract is not required.

Include at least two scholarly references dated within the last 10 years other than the textbook. No Wikipedia.

Points will be deducted for incorrect grammar, spelling, format, and citations.

Plagiarism software will be used to grade these papers.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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