Justice in Nursing: 4 outstanding points

Justice in nursing ethics

Justice means the righteous infliction of suffering, pain, or loss upon another. A just person acts properly towards others and is fair in their dealings with people. A just society judges individuals based on their actions alone, with consideration for mitigating circumstances taken into account before determining an appropriate punishment.

what is nonmaleficence in nursing?

In the nursing profession, justice can be defined as the attainment of fairness, impartiality, and equality of treatment by making decisions that are correct or appropriate for individual cases. Justice is evident when nurses are administering care based on an individual’s needs rather than on what can be provided within the constraints of a limited system. Issues with justice in nursing include the allocation of resources and conflicting interests. There are many arguments for and against the idea that justice in nursing is inevitable because of the existence of various ethical theories and principles that guide decisions. These include both utilitarian and deontological approaches. The application of both these types of philosophies has been found to be approximate but not perfect, as nurses must consider all factors at play to make the best choice for patients.

Beneficence in nursing as part of justice in nursing

Justice in nursing is an important idea because it has significant implications for the power relationships within a professional setting, specifically between nurses and physicians. If care was not administered based on what was right for each individual patient, but rather on what could be accomplished at any given moment, then there would be no accountability for the provision of safe and efficient treatment. In a physician-led hospital, it could be possible for a patient to receive no care at all if the physician felt nothing medically appropriate could be done for them. This is why it is important that nurses have control over what happens within their sphere of influence.

Allocation of Resources

The use of scarce health care resources is an issue that must be considered when discussing issues with justice in nursing. The allocation of scarce resources cannot be governed by the most ethical action but rather has to conform to legal and social expectations. Nurses must decide who needs the resource most before determining how it will be allocated.

Conflicting Interests

Nurses are required to carry out their duties within a framework of increasing patient safety while also meeting the needs of physicians and other members of the health care team. This can cause conflicts for nurses because they must decide whether these competing interests can be met at the same time.

In a system where there is no true accountability, it is difficult to assign blame for negligence or misconduct without evidence of a violation of one of the guiding principles. The American Nurses Association supports a system that is based on trust and continuing education rather than fear and punishment. The use of nursing journals and other self-regulation techniques can be used as a teaching and learning tool.

the importance of social justice in nursing

The idea that justice in nursing is inevitable because of the existence of various ethical theories and principles that guide decisions seems to be stalemated by the fact that neither utilitarianism nor deontology has been determined as the more appropriate option for decision making.

Utilitarianism

The fundamental principle of utilitarianism is that good consequences outweigh bad consequences. This means that the decision must be made with only the patient’s best interests in mind, not other factors like cost, time, or education.

Deontology

The fundamental principle of deontology is that right behavior outweighs other consequences. This means that the decision must be made with consideration for circumstances, not necessarily on what is best for patients.

The nursing code of ethics has traditionally been used to support deontological principles. The Code of Ethics for Nurses (ANA) was established in 1954 and was last revised in 2002. The ANA Code of Ethics serves as a guideline for nurses to ensure that they practice ethically and within the bounds set out by law. This code does not necessarily protect patients’ rights; rather it seems to be a code that supports nurses’ professional accountability and responsibility.

As an alternative, the National Association of Clinical Nurse Specialists (NACNS) recommends a combination of theories and principles used together for decision making within nursing care.

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