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Related Experiment Videos

The nurse under physician authority

T May1

  • 1Department of Philosophy, Bowling Green State University, Ohio.

Journal of Medical Ethics
|December 1, 1993
PubMed
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Nurses must critically evaluate physician orders, understanding their obligation to patient welfare. Philosophical analysis clarifies when nurses have valid reasons to decline implementing an order that may conflict with patient health goals.

Area of Science:

  • Medical Ethics
  • Philosophy of Medicine
  • Nursing Practice

Background:

  • Medical centers rely on physician-nurse collaboration for patient welfare.
  • Nurses generally follow physician orders, but possess a duty to refuse harmful or inappropriate directives.
  • The criteria for determining when a nurse should not implement a physician's order require ethical and philosophical clarification.

Purpose of the Study:

  • To analyze the ethical and philosophical underpinnings of a nurse's obligation to implement physician orders.
  • To define the conditions under which a nurse may ethically decline to implement a physician's order.
  • To explore the concept of purposive authority in the physician-nurse relationship.

Main Methods:

  • Philosophical analysis of the nurse's obligation to obey physician orders.
Keywords:
Analytical ApproachBioethics and Professional EthicsPhilosophical Approach

Related Experiment Videos

  • Examination of the physician's authority within the medical center context.
  • Conceptual analysis of 'good reason' for non-compliance.

    • Main Results:

    • Physician authority is derived from and limited by the purpose of promoting patient health.
    • Orders that contradict the physician's purpose (e.g., harming the patient) do not create a binding obligation for the nurse.
    • A framework for evaluating physician orders based on their alignment with patient welfare can be philosophically derived.

    Conclusions:

    • Understanding the purposive nature of medical authority is crucial for ethical decision-making in nursing.
    • Nurses have a justifiable basis for not implementing physician orders that are not in the patient's best interest.
    • This philosophical approach provides clarity on the nurse's role in safeguarding patients from potentially inappropriate medical directives.