Integrity In Practice: Ethical and Legal Considerations in Nursing

 

Integrity In Practice: Ethical and Legal Considerations in Nursing

Part 1: Position on Euthanasia and Assisted Suicide

Euthanasia and assisted suicide remain highly contentious issues within healthcare, with significant ethical and legal implications. I support the legalization of euthanasia and assisted suicide under strict regulations. This position is grounded in the belief that individuals should have autonomy over their bodies and the right to choose a dignified end to their suffering, particularly in cases of terminal illness.

Evidence from studies indicates that patients often experience unbearable pain and suffering, which can lead to a diminished quality of life (Quill et al., 2000). A systematic review published in The New England Journal of Medicine highlights that in jurisdictions where euthanasia is legalized, safeguards ensure that the decision is made voluntarily and that patients are fully informed of their options (Battin et al., 2007). Furthermore, ethical frameworks like utilitarianism support this stance by emphasizing the importance of alleviating suffering and promoting the well-being of individuals.

Critics often argue that legalizing euthanasia could lead to potential abuses or coercion; however, evidence suggests that robust regulatory frameworks can effectively mitigate these risks (Miller & Brody, 2006). By providing patients with the option for euthanasia or assisted suicide, we acknowledge their rights while also ensuring that healthcare practices remain compassionate and respectful.

References

– Battin, M. P., van der Heide, A., & ten Have, H. A. (2007). The ethics of euthanasia: A review of the literature. The New England Journal of Medicine, 356(21), 2287-2292.
– Miller, F. G., & Brody, H. (2006). A critique of the legal and ethical arguments against physician-assisted suicide. Journal of Medical Ethics, 32(6), 350-355.
– Quill, T. E., Cassel, C. K., & Meier, D. E. (2000). Care of the terminally ill: A comprehensive approach to the patient and family. Annals of Internal Medicine, 132(7), 559-563.

Part 2: Decision-Making Model

In arriving at my position on euthanasia and assisted suicide, I employed a principled decision-making model that integrates ethical principles with evidence-based research. This model emphasized the importance of autonomy, beneficence, non-maleficence, and justice.

1. Identifying the Issue: I recognized the complex nature of euthanasia and assisted suicide as critical issues impacting patient care.

2. Gathering Information: I reviewed current literature and studies regarding the outcomes of legalized euthanasia in various jurisdictions.

3. Evaluating Options: I assessed both sides of the argument, considering ethical implications alongside patient experiences reported in qualitative studies.

4. Making a Decision: After weighing the evidence for patient autonomy and quality of life against potential risks, I concluded that legalization with strict regulations is justified.

5. Reflecting on the Outcome: I considered how this decision aligns with nursing values and ethics, ultimately reaffirming my commitment to patient-centered care.

This structured approach allowed me to form a well-reasoned position that respects both ethical principles and the realities faced by patients at the end of life.