PHI-413V Topic 3 DQ 1

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?
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to the “Discussion Question Rubric” and “Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns with AACN Core Competencies: 3.1

Solution

The four principles of biomedical ethics autonomy, beneficence, non-maleficence, and justice serve as foundational guidelines for ethical decision-making in healthcare. In the context of bioethics in the United States, autonomy is often emphasized to the extent that it can overshadow other critical principles. Autonomy refers to the right of individuals to make informed decisions about their own healthcare, which is essential for respecting personal freedom and individual rights. However, when autonomy is prioritized excessively, it may lead to situations where the needs of vulnerable populations are overlooked.

Beneficence, which focuses on promoting the well-being of patients, should be considered equally important. This principle compels healthcare providers to act in the best interest of their patients and advocate for interventions that enhance health outcomes. Non-maleficence complements beneficence by emphasizing the obligation to avoid harm. In diverse populations, this principle is crucial as it addresses disparities in healthcare access and treatment that could exacerbate existing inequalities.

Justice, the fourth principle, demands fairness in distributing healthcare resources and ensuring equitable treatment across different demographic groups. This principle is particularly significant in a multicultural society like the United States, where systemic inequities can affect health outcomes for marginalized communities.

In ranking these principles to protect the health and safety of diverse populations, I would prioritize justice first, followed by beneficence, non-maleficence, and finally autonomy. Justice ensures that all individuals receive fair treatment and access to care regardless of their background. Beneficence and non-maleficence work together to ensure that interventions are beneficial while minimizing harm. Autonomy remains vital but should be balanced with considerations for collective well-being and social equity.

Varkey B. (2021). Principles of Clinical Ethics and Their Application to Practice. Medical principles and practice: international journal of the Kuwait University, Health Science Centre, 30(1), 17–28. https://doi.org/10.1159/000509119

Healthcare Ethics and Law. (n.d.). The four principles of biomedical ethics. Healthcare Ethics and Law. https://www.healthcareethicsandlaw.co.uk/intro-healthcare-ethics-law/principlesofbiomedethics

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