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    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, considering mitigating circumstances before determining an appropriate punishment.

    What is nonmaleficence in nursing?

    In nursing, justice can be defined as the attainment of fairness, impartiality, and equality of treatment by making correct or appropriate decisions for individual cases. Justice is evident when nurses administer 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 various ethical theories and principles that guide decisions. These include both utilitarian and deontological approaches. The application of these philosophies is approximate but imperfect, as nurses must consider all factors to make the best choice for patients.

    Beneficence in nursing as part of justice in nursing

    Justice in nursing is important because it has significant implications for the power relationships within a professional setting, specifically between nurses and physicians. If care were not administered based on what was right for each patient but rather on what could be accomplished at any given moment, there would be no accountability for providing 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 healthcare resources is an issue that must be considered when discussing issues with justice in nursing. The most ethical action cannot govern allocating scarce resources but must conform to legal and social expectations. Nurses must decide who needs the resource most before determining how it will be allocated.

    Conflicting Interests

    Nurses must carry out their duties within a framework of increasing patient safety while 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 simultaneously.

    In a system with no true accountability, assigning blame for negligence or misconduct is difficult without evidence of a violation of one of the guiding principles. The American Nurses Association supports a system 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 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 considering 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 combining theories and principles for decision-making within nursing care.

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