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Abortion is healthcare: In what sense?
Grant R Martsolf1, Christopher Tollefsen2, Farr Curlin3
1University of Pittsburgh School of Nursing, Pittsburgh, PA.
Nursing Outlook
|November 7, 2024
Summary
The definition of "health" impacts nursing practice, particularly concerning elective abortion and other bioethical issues. Understanding whether healthcare serves objective health or patient well-being is crucial for ethical nursing discourse.
Area of Science:
- Bioethics
- Nursing Ethics
- Healthcare Policy
Background:
- The Dobbs decision intensified debate on abortion access, with nursing organizations framing abortion as essential healthcare.
- Defining "health" and "care" is critical for determining the scope of professional nursing practice.
- Disputes over healthcare's scope extend to gender-affirming care, cosmetic surgery, and euthanasia.
Purpose of the Study:
- To analyze the phrase "abortion is healthcare" within the context of professional nursing ethics.
- To explore how differing definitions of healthcare influence nursing practice and ethical discourse.
- To illustrate the complexities of professional nursing's scope and limits using elective abortion as a case study.
Main Methods:
- Conceptual analysis of the terms "health" and "care" in bioethics and nursing.
- Examination of two competing intuitions regarding the purpose of healthcare: objective health vs. patient-defined well-being.
- Discussion of the implications of these intuitions for ethical decision-making in nursing.
Main Results:
- The phrase "abortion is healthcare" is interpreted differently based on whether healthcare is defined by objective health standards or subjective patient well-being.
- These differing interpretations create divergent understandings of the intelligibility and ethical implications of providing abortion care.
- The study highlights fundamental disagreements within bioethics and nursing regarding the boundaries of healthcare.
Conclusions:
- The definition of healthcare fundamentally shapes nursing's ethical obligations and professional scope.
- Clarifying whether healthcare prioritizes objective health or patient well-being is essential for navigating complex bioethical issues in nursing.
- Ethical discourse in nursing requires a clear understanding of the underlying philosophical assumptions about the nature of health and care.
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