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Ethical Issues01:27

Ethical Issues

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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.
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Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
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The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
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Ethical Dilemmas II01:30

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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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Ethical Dilemmas I01:17

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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.
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  1. Home
  2. Existential Competence: Redefining Clinical Excellence Beyond Health Optimization.
  1. Home
  2. Existential Competence: Redefining Clinical Excellence Beyond Health Optimization.

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Existential Competence: Redefining Clinical Excellence Beyond Health Optimization.

Stephen Buetow

    Perspectives in Biology and Medicine
    |March 30, 2026

    View abstract on PubMed

    Summary
    This summary is machine-generated.

    Clinicians can improve patient care by developing existential competence, a skill that helps align medical decisions with patients' life values and purpose, fostering overall well-being beyond just health metrics.

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    Area of Science:

    • Medical Ethics
    • Patient-Centered Care
    • Philosophy of Medicine

    Background:

    • Healthcare decisions often prioritize measurable health outcomes over patient-valued aspects like autonomy and quality of life.
    • This disparity can create conflict between clinical goals and patient-centered meaningful care.
    • A gap exists in professional skills for addressing this divergence.

    Purpose of the Study:

    • To introduce and define "existential competence" as a crucial professional skill for clinicians.
    • To explore how existential competence can bridge the gap between technical medical care and patients' life values.
    • To propose frameworks for integrating existential well-being into healthcare.

    Main Methods:

    • Conceptual analysis and definition of existential competence.
  • Exploration of clinical practice implications for respecting patient values.
  • Discussion of two implementation approaches: repositioning health or redefining health.
  • Consideration of ethical and practical aspects of clinical accountability.
  • Main Results:

    • Existential competence enables clinicians to support patients in aligning health decisions with life purpose.
    • It reframes health as one component of human flourishing, not the sole objective.
    • Successful implementation requires viewing healthcare as co-stewardship of life narratives, not just risk management.

    Conclusions:

    • Existential competence reorients healthcare towards patient thriving by integrating biomedical knowledge with meaningful living.
    • It promotes a holistic approach where patient values guide medical choices within ethical boundaries.
    • This skill is essential for delivering truly meaningful and patient-centered care.