The Four Principles of Biomedical Ethics: Balancing Autonomy, Beneficence, Non-maleficence, and Justice

The four principles of biomedical ethics, especially in the context of bioethics in the United States, have often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. Based on your worldview, how do you rank the importance of each of the four principles in order to protect the health and safety of diverse populations?

Beneficence

Advanced practice nursing in all specialties is guided by codes of ethics that put the care, rights, duty, health, and safety of the patient first and foremost. PMHNP practice is also guided by ethical codes specifically for psychiatry. These ethical codes are frameworks to guide clinical decision making; they are generally not prescriptive. They also represent the aspirational ideals for the profession. Laws, on the other hand, dictate the requirements that must be followed. In this way, legal codes may be thought to represent the minimum standards of care, and ethics represent the highest goals for care.
For this Discussion, you select a topic that has both legal and ethical implications for PMHNP practice and then perform a literature review on the topic. Your goal will be to identify the most salient legal and ethical facets of the issue for PMHNP practice, and also how these facets differ in the care of adult patients versus children. Keep in mind as you research your issue, that laws differ by state and your clinical practice will be dictated by the laws that govern your state.
Topic:Beneficence
• Briefly identify the topic you selected.
• Then, summarize the articles you selected, explaining the most salient ethical and legal issues related to the topic as they concern psychiatric-mental health practice for children/adolescents and for adults.
• Explain how this information could apply to your clinical practice, including specific implications for practice within your state.