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Truth-telling, and ethical considerations in terminal care: an Eastern perspective
Qing Ma1, Yi Wu1, Ronghua Fang1
1West China Hospital, Sichuan University.
Nursing Ethics
|January 9, 2025
Summary
Chinese nurses face ethical dilemmas in truth-telling to terminally ill patients. This study offers strategies integrating Confucian values and patient autonomy for improved end-of-life care communication.
Area of Science:
- Nursing Ethics
- Bioethics
- Chinese Culture in Healthcare
Background:
- Truth-telling to terminally ill patients presents significant ethical challenges for Chinese healthcare professionals.
- Nurses in China often experience moral dilemmas when deciding on disclosure for patients with end-stage diseases.
Purpose of the Study:
- To provide ethical strategies for Chinese clinical nurses regarding truth-telling decisions for terminally ill patients.
- To empower nurses in making these decisions based on individual patient autonomy.
Main Methods:
- Analysis of ethical principles and philosophical theories applied to a common Chinese case scenario.
- Discussion of nursing morality, ethics, norms, and philosophy in healthcare.
- Integration of Chinese Confucian culture into truth-telling decision-making strategies.
Main Results:
- Identified key ethical strategies emphasizing individual autonomy, cultural sensitivity, and family dynamics.
- Highlighted the need for enhanced communication training for delivering bad news.
- Proposed integration of ethical principles with Confucian values for patient-centered care.
Conclusions:
- Chinese nurses require strengthened communication and critical thinking skills for effective truth-telling.
- Respecting patient autonomy while adapting to cultural nuances is crucial in end-of-life care.
- Integrating ethical principles with Confucian values promotes better patient-provider-family collaboration and care quality.
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