Ethics in Healthcare: Balancing Evidence and Justice

Speaker: Dr. Sakshi Chaturvedi

Associate Professor, Banasthali Vidyapith, Jaipur, Rajasthan

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Description

Ethics in Healthcare: Balancing Evidence and Justice" explores the complex interplay between scientific evidence and equitable healthcare delivery. It emphasizes the need for decisions grounded in rigorous research while also ensuring fair access and treatment across diverse populations. This balance is crucial in preventing biases, discrimination, and health disparities. Ethical healthcare requires not only clinical effectiveness but also a commitment to justice, inclusivity, and respect for patient autonomy. The topic encourages professionals to critically examine how policies, practices, and evidence impact different communities.

Summary Listen

  • Ethics are paramount in healthcare, forming the basis of patient trust, quality care, and fairness. Studies show that 10-20% of hospital errors stem from ethical lapses, highlighting the need for a robust ethical framework. Core ethical principles include autonomy (respecting patient decisions), beneficence (acting in the patient's best interest), non-maleficence (avoiding harm), and justice (treating all individuals fairly and equally).
  • Global ethical standards, set by organizations like the WHO, emphasize voluntary consent, scientific validity in research, and universal healthcare access with equity. Healthcare providers should strive for qualitative care, compassion, competence, clear communication, advocacy, and commitment to continuous improvement. These standards guide patient interaction and decision-making processes.
  • Autonomy involves respecting patient preferences, honoring their right to make healthcare decisions, and ensuring informed consent. Beneficence means focusing on optimal care, preventing harm, and balancing risks. Non-maleficence involves avoiding actions that could cause harm or discomfort. Justice emphasizes fairness, equality, and equitable resource allocation.
  • Ethical dilemmas, common in end-of-life care, resource allocation, and genetic testing, require careful judgment. Case studies highlight the ethical challenges arising from AI-assisted diagnosis and the conflicts between patient autonomy and family influence. AI devices in healthcare necessitate human oversight and validation to ensure accuracy and patient safety.
  • Ethical committees, comprised of multidisciplinary teams, provide guidance and support in resolving ethical issues. They focus on fact-finding, addressing patient autonomy, resource allocation, and quality and safety. These committees promote clear communication and analytical practices.
  • Evidence-based practice is indispensable for ethical patient care. Nurses should utilize databases like PubMed and Cochrane Library to find evidence supporting their practices. Hospital protocols, based on research, should be followed to minimize risks and avoid harm.
  • Implementing evidence-based practices involves formulating clinical questions, critically appraising evidence, and collaborating with ethical committees. Overcoming barriers requires organizational support, education, and a culture that values continuous improvement. Examples of evidence-based practices include improved chronic disease management and infection control practices.
  • Adopting evidence-based practices enhances professional development, accountability, and overall quality of care. Technological advancements and big data analytics contribute to personalized care and data-driven decision-making. Collaborative research efforts and dedicated funding are essential for generating robust evidence to improve nursing practices.

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