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Nursing diagnosis: an ethical analysis.

G J Mitchell

    Image--The Journal of Nursing Scholarship
    |January 1, 1991
    PubMed
    Summary
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    Nursing diagnoses may cause harm by objectifying patients and their relationships. This study explores ethical conflicts and proposes humanistic nursing theory as a way to uphold the "do no harm" principle.

    Area of Science:

    • Nursing Ethics
    • Philosophy of Care
    • Patient Well-being

    Background:

    • The ethical implications of nursing diagnosis, particularly concerning the principle of
    • do no harm,
    • remain underexplored.
    • Current nursing diagnostic practices may inadvertently cause suffering by objectifying individuals and oversimplifying their complex relationships.

    Purpose of the Study:

    • To critically examine the ethical consequences of nursing diagnosis.
    • To clarify the ethical dimensions and potential harms associated with the nursing diagnostic process for both patients and nurses.
    • To challenge the paternalistic nature of mandated diagnostic approaches in nursing.

    Main Methods:

    • Ethical analysis of the nursing diagnostic process.
    Keywords:
    Analytical ApproachBioethics and Professional EthicsPhilosophical ApproachProfessional Patient Relationship

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  • Exploration of humanistic nursing theory (Parse's theory).
  • Identification of potential harms and ethical conflicts for nurses and individuals.

    • Main Results:

    • Nursing actions within the diagnostic process can create human suffering through objective judgment and reductionism.
    • Three levels of potential harm to individuals and parallel ethical conflicts for nurses are identified.
    • The mandated, singular approach to nursing diagnosis may have paternalistic underpinnings.

    Conclusions:

    • The nursing diagnostic process requires careful ethical consideration to prevent harm.
    • Alternative approaches, such as Parse's humanistic theory, can better uphold the ethical duty to
    • do no harm.
    • Nursing associations should re-evaluate diagnostic mandates to ensure patient well-being and ethical practice.