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Whose life is it anyway? Client autonomy.

M Thobaben

    Journal of Holistic Nursing : Official Journal of the American Holistic Nurses' Association
    |September 1, 1992
    PubMed
    Summary
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    Individual autonomy is often overlooked in intensive care units (ICUs), despite its legal and ethical importance in American healthcare. This article explores ethical dilemmas and nursing implications in the ICU setting.

    Area of Science:

    • Nursing Ethics
    • Bioethics
    • Patient Autonomy

    Background:

    • Individual autonomy is a cornerstone of American healthcare law and ethics.
    • However, this principle faces challenges in intensive care unit (ICU) settings.
    • Nurses play a critical role in navigating these complex ethical landscapes.

    Observation:

    • Intensive care environments often involve significant control over a patient's physical being by healthcare practitioners.
    • This control can create tension with the principle of patient autonomy.
    • Ethical dilemmas frequently emerge in the ICU due to this inherent conflict.

    Findings:

    • The abstract identifies specific ethical dilemmas encountered in ICU nursing practice.
    • A case example is used to illustrate the practical implications of these dilemmas.
    Keywords:
    Death and Euthanasia

    Related Experiment Videos

  • The findings highlight the gap between the abstract value of autonomy and its application in critical care.

    • Implications:

    • Understanding these ethical challenges is crucial for nurses working in ICUs.
    • The article provides insights into how nursing practice can better uphold patient autonomy.
    • Addressing these issues is essential for ethical and patient-centered critical care.