Canadian Fundamentals of Nursing, 6th Edition Nursing Values and Ethics
1. Four patients in labour all request epidural analgesia to manage their pain at the same time. Which ethical principle is compromised when only one nurse anaesthetist is on call? a. Justice. b. Nonmaleficence. c. Beneficence. d. Fidelity. ANS: A Justice refers to fairness and is used frequently in discussion regarding access to health care resources. In this situation, the distribution of resources—in this case, pain management—cannot be justly apportioned. Nonmaleficence means “do no harm,” beneficence means “to do good,” and fidelity means “to be true to” or “to be honest.” Each of these principles is partially alluded to in the question; however, justice is the principle most compromised because not all labouring patients have equal access to pain management owing to lack of personnel resources.
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