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Ethical Issues

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:

Issues And Trends In Healthcare Delivery System

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...

Ethical Dilemmas I

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...

Ethical Dilemmas II

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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:

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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...

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How Could Artificial Intelligence Change the Doctor-Patient Relationship? A Medical Ethics Perspective.

Gianluca Montanari Vergallo¹, Laura Leondina Campanozzi², Matteo Gulino³

¹Department of Anatomical, Histological, Medico-Legal and Orthopaedic Sciences, «Sapienza» University of Rome, 00185 Roma, Italy.

Healthcare (Basel, Switzerland)

|September 27, 2025

Summary

Artificial intelligence (AI) in healthcare offers administrative benefits but poses ethical challenges. AI integration risks patient confidentiality and the doctor-patient relationship, requiring careful ethical consideration for future medical practice.

Keywords:

artificial intelligence confidentiality doctor–patient relationship informed consent medical ethics medical professionalism patient autonomy

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Area of Science:

Medical Ethics
Health Informatics
Artificial Intelligence in Medicine

Background:

The integration of artificial intelligence (AI) into healthcare presents novel ethical considerations.
The doctor-patient relationship is a central focus for evaluating AI's impact.

Purpose of the Study:

To provide an ethical overview of challenges posed by AI in the doctor-patient relationship.
To analyze the implications of AI in clinical practice on medical professionalism and patient care.

Main Methods:

A narrative literature review from 2015-2025.
Searches across major scientific databases (PubMed, Scopus, Web of Science, Google Scholar).
Inclusion of official documents from WHO, UNESCO, WMA, and regulatory frameworks (EU, China, US).

Main Results:

AI can improve administrative tasks and support clinical decisions.
Diagnostic AI applications (radiology, dermatology) may negatively affect the doctor-patient relationship and professional autonomy.
Generative AI may increase costs, risk patient confidentiality, and reduce empathy and personalization.

Conclusions:

The impact of AI on healthcare is application-dependent.
Reconciling AI integration with core ethical values is crucial for the future of medicine.
Careful consideration is needed to maintain the integrity of the doctor-patient relationship and medical professionalism.