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Faculty of Health and Social Care
Introduction to Ethics & Ethical
           Principles
                            David Stonehouse
                              Senior Lecturer




                                 edgehill.ac.uk
Why Study Ethics?
■ Ethics are involved in everything.
■ To understand why some choices
  have been made against others.
■ Helps us to choice right from wrong
  (but who decides what‟s right and
  what‟s wrong?)


the University of choice
                               edgehill.ac.uk
Ethics Helps Decision Making
■ Everyday we are faced with making decisions.
  Sometimes these decisions are clear cut and
  there is only one choice to be made. At other
  times we are faced with a range of options, many
  of which may seem equally valid or equally
  unsatisfactory (Stonehouse, 2012).
■ Therefore by applying ethical thinking will assist
  us in making a better choice.



the University of choice
                                          edgehill.ac.uk
Learning Outcomes
   The Student will be able to
■ Discuss what ethics are and why they are
  important.
■ Examine the main ethical theories and
  principles.
■ Start to apply ethical decision making to their
  own practice.
■ Start to think about how to apply these to the
  exam scenario.

the University of choice
                                     edgehill.ac.uk
What Do We Mean By The
         term Ethics?
■ Ethics is a process of reflection
  (Berglund, 2007).
■ It‟s aim is to challenge our thoughts
  and actions (Hugman, 2005).
■ Ethics looks at how we “behave and
  function within society” (Thompson et
  al, 2006:36).

the University of choice
                               edgehill.ac.uk
Ethics are very personal.
■ It is about how you live your life in
  relation to others.
■ It‟s about the choices you make and
  why.




the University of choice
                                edgehill.ac.uk
Who Influences Ethics In
           Our Lives
■   Family                  ■ Work Place
■   Friends                 ■ Professional
■   Community/Society         Bodies/Codes of
■   Education                 Conduct
■   Religion/Spirituality   ■ Politics/Laws
■   Role Models             ■ Ourselves




the University of choice
Law & Ethics/Ethics & Law
■ Law is the law!!!
■ The ethics of a society should influence
  the laws that that society makes.
■ Ethics over time should change laws.
■ However the law is always the law no
  matter what your ethical beliefs are and
  must be followed.



the University of choice
Beauchamp and Childress (2009)
    developed four Ethical Principles.
■ Respect for Autonomy
■ Beneficence
■ Non-maleficence
■ Justice




the University of choice
Respect for Autonomy

■ Autonomy can be defined as „”self-rule
  with no control, undue influence or
  interference from other” (Griffith and
  Tengnah, 2010:29).
■ It is about respecting other peoples
  wishes and supporting them in their
  decisions (Beauchamp and Childress,
  2009).


the University of choice
                                   edgehill.ac.uk
Beneficence
■ This can be defined as “the principle of
  doing good and providing care to others”
  (Berglund, 2007:12).
■ Promotion of well-being (Edwards, 2009).
■ As employees are we properly trained and
  competent to carry out the tasks we are
  providing to our
  children/families/clients/customers? Do we
  always follow policies and procedures.

the University of choice
Non-maleficence
■ “obligation not to inflict harm on
  others” (Beauchamp and Childress,
  2009:149).
■ Goes hand in hand with
  beneficence.
■ However, do we sometimes cause
  short term harm for long term good?


the University of choice
Justice
■ Simply defined as “equal treatment of
  equal cases” (Hendrick. 2004:7).
■ Treating everyone the same.
■ However, some people need to be
  treated differently if they require special
  care over and above what other people
  may need.
■ Justice is about meeting everyone‟s
  individual needs fairly.

the University of choice
Rowson (2006) Ethical
        Framework F.A.I.R.
1.   Fairness
2.   Respect for Autonomy
3.   Integrity
4.   Seeking the most beneficial and
     least harmful consequences, or
     Results

the University of choice
                                edgehill.ac.uk
1. Fairness
■ Linked to the idea of justice.
■ Providing benefits
- Social welfare, education,
  healthcare, protection, opportunities
■ Distributing burdens
- Exclusions of benefits, allocation of
  responsibilities.

the University of choice
                                edgehill.ac.uk
2. Respect For Autonomy
Professional should
■ Not prevent people from carrying out decisions
  they make for themselves about:
- What they ought to do
- What they will do
- What should be done to them
- What should be done with information about
  them
■ Enable others to make autonomous decisions.


the University of choice
                                         edgehill.ac.uk
3. Integrity
Acting with professional integrity means
That one‟s actions are the same as your
           professional values.
For example maintaining confidentiality,
  working in some ones best interests.
  Simply put, it is when what you do
       matches what you believe.

the University of choice
                               edgehill.ac.uk
4. Seeking the most beneficial
      and least harmful
  consequences, or Results
Two Aims.
1. Producing as many benefits as
   possible
2. Avoiding causing, or preventing, as
   much harm as possible.



the University of choice
                               edgehill.ac.uk
Two more concepts which are
   not linked to either ethical
   framework but which are
  important are the ideas of

                ■Veracity &
                 ■Fidelity


the University of choice
                              edgehill.ac.uk
Veracity
■ It is concerned with being open, honest and truthful
  with people (Berglund, 2007).
■ It is also the accurate transfer of information in a way
  that is suitable for the individual to understand
  (Edwards, 2009).
■ “This is not always an easy principle to maintain
  when you are asked difficult questions or your
  answer may be distressing” (Stonehouse,
  2012:250).



the University of choice
Fidelity
 Is the relationship that exists between individuals.
                     Fidelity is about
■ Being Faithful
■ Keeping promises
■ Always doing what is right
■ Being trust worthy
■ Confidential
■ Showing respect and dignity
■ Respecting autonomy
■ Acting in their best interest
                                   (Stonehouse, 2012)

the University of choice
Aside from these two sets
  of ethical principles there
     are two main ethical
           theories.
■ Deontology
■ Consequentialism




the University of choice
Deontology
■ The rightness or wrongness of any
  act depends on whether the person
  has followed their duty regardless of
  the consequences.
■ More concerned with motive than
  results. Actions are good or bad in
  advance of their performance.

the University of choice
                                edgehill.ac.uk
Consequentialism
■ The rightness or wrongness of any act is
  judged in relation to its consequences.
■ Only concerned with results.
■ The same act may be good or bad in
  different circumstances.
■ The aim is to produce the greatest good
  for the greatest number.


the University of choice
                                   edgehill.ac.uk
For the ethical part of your
              Exam!!!
            Choose EITHER
  Beauchamp and Childress (2009)
  four ethical Principles
                   OR
  Rowson (2006) F.A.I.R. Ethical
  Framework.
  DO NOT ATTEMPT TO DO BOTH

the University of choice
                            edgehill.ac.uk
Bibliography
  Beauchamp, T. And Childress, J. (2009) Principles of Biomedical Ethics. Sixth
  Edition. Oxford University Press: Oxford.
  Berglund, C. (2007) Ethics For Health Care. Third Edition. Oxford University
  Press: Oxford.
  Edwards, S.D. (2009) Nursing Ethics: A Principle-Based Approach. Second
  Edition. Palgrave Macmillan: Hampshire.
  Griffith, R. And Tengnah, C. (2010) Law and Professional Issues in Nursing.
  Second Edition. Learning Matters: Exeter.
  Hendrick, J. (2004) Law And Ethics: Foundations In Nursing And Health Care.
  Nelson Thornes: Cheltenham.
  Hugman, R. (2005) New Approaches In Ethics For The Caring Professions.
  Palgrave Macmillan: Hampshire.
  Rowson, R. (2006) Working Ethics: How To Be Fair In A Culturally Complex
  World. London: Jessica Kingsley Publishers.
  Stonehouse, D. (2012) The Support Workers‟s Guide To Ethical Practice.
  British Journal of Healthcare Assistants. May Vol. 06 No. 05.
  Thompson, I. E; Melia, K. M; Boyd, K. M; and Horsburgh, D. (2006) Nursing
  Ethics. Fifth Edition. Churchill Livingstone Elsevier: London.



the University of choice

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Introduction To Ethics & Ethical Principles

  • 1. Faculty of Health and Social Care Introduction to Ethics & Ethical Principles David Stonehouse Senior Lecturer edgehill.ac.uk
  • 2. Why Study Ethics? ■ Ethics are involved in everything. ■ To understand why some choices have been made against others. ■ Helps us to choice right from wrong (but who decides what‟s right and what‟s wrong?) the University of choice edgehill.ac.uk
  • 3. Ethics Helps Decision Making ■ Everyday we are faced with making decisions. Sometimes these decisions are clear cut and there is only one choice to be made. At other times we are faced with a range of options, many of which may seem equally valid or equally unsatisfactory (Stonehouse, 2012). ■ Therefore by applying ethical thinking will assist us in making a better choice. the University of choice edgehill.ac.uk
  • 4. Learning Outcomes The Student will be able to ■ Discuss what ethics are and why they are important. ■ Examine the main ethical theories and principles. ■ Start to apply ethical decision making to their own practice. ■ Start to think about how to apply these to the exam scenario. the University of choice edgehill.ac.uk
  • 5. What Do We Mean By The term Ethics? ■ Ethics is a process of reflection (Berglund, 2007). ■ It‟s aim is to challenge our thoughts and actions (Hugman, 2005). ■ Ethics looks at how we “behave and function within society” (Thompson et al, 2006:36). the University of choice edgehill.ac.uk
  • 6. Ethics are very personal. ■ It is about how you live your life in relation to others. ■ It‟s about the choices you make and why. the University of choice edgehill.ac.uk
  • 7. Who Influences Ethics In Our Lives ■ Family ■ Work Place ■ Friends ■ Professional ■ Community/Society Bodies/Codes of ■ Education Conduct ■ Religion/Spirituality ■ Politics/Laws ■ Role Models ■ Ourselves the University of choice
  • 8. Law & Ethics/Ethics & Law ■ Law is the law!!! ■ The ethics of a society should influence the laws that that society makes. ■ Ethics over time should change laws. ■ However the law is always the law no matter what your ethical beliefs are and must be followed. the University of choice
  • 9. Beauchamp and Childress (2009) developed four Ethical Principles. ■ Respect for Autonomy ■ Beneficence ■ Non-maleficence ■ Justice the University of choice
  • 10. Respect for Autonomy ■ Autonomy can be defined as „”self-rule with no control, undue influence or interference from other” (Griffith and Tengnah, 2010:29). ■ It is about respecting other peoples wishes and supporting them in their decisions (Beauchamp and Childress, 2009). the University of choice edgehill.ac.uk
  • 11. Beneficence ■ This can be defined as “the principle of doing good and providing care to others” (Berglund, 2007:12). ■ Promotion of well-being (Edwards, 2009). ■ As employees are we properly trained and competent to carry out the tasks we are providing to our children/families/clients/customers? Do we always follow policies and procedures. the University of choice
  • 12. Non-maleficence ■ “obligation not to inflict harm on others” (Beauchamp and Childress, 2009:149). ■ Goes hand in hand with beneficence. ■ However, do we sometimes cause short term harm for long term good? the University of choice
  • 13. Justice ■ Simply defined as “equal treatment of equal cases” (Hendrick. 2004:7). ■ Treating everyone the same. ■ However, some people need to be treated differently if they require special care over and above what other people may need. ■ Justice is about meeting everyone‟s individual needs fairly. the University of choice
  • 14. Rowson (2006) Ethical Framework F.A.I.R. 1. Fairness 2. Respect for Autonomy 3. Integrity 4. Seeking the most beneficial and least harmful consequences, or Results the University of choice edgehill.ac.uk
  • 15. 1. Fairness ■ Linked to the idea of justice. ■ Providing benefits - Social welfare, education, healthcare, protection, opportunities ■ Distributing burdens - Exclusions of benefits, allocation of responsibilities. the University of choice edgehill.ac.uk
  • 16. 2. Respect For Autonomy Professional should ■ Not prevent people from carrying out decisions they make for themselves about: - What they ought to do - What they will do - What should be done to them - What should be done with information about them ■ Enable others to make autonomous decisions. the University of choice edgehill.ac.uk
  • 17. 3. Integrity Acting with professional integrity means That one‟s actions are the same as your professional values. For example maintaining confidentiality, working in some ones best interests. Simply put, it is when what you do matches what you believe. the University of choice edgehill.ac.uk
  • 18. 4. Seeking the most beneficial and least harmful consequences, or Results Two Aims. 1. Producing as many benefits as possible 2. Avoiding causing, or preventing, as much harm as possible. the University of choice edgehill.ac.uk
  • 19. Two more concepts which are not linked to either ethical framework but which are important are the ideas of ■Veracity & ■Fidelity the University of choice edgehill.ac.uk
  • 20. Veracity ■ It is concerned with being open, honest and truthful with people (Berglund, 2007). ■ It is also the accurate transfer of information in a way that is suitable for the individual to understand (Edwards, 2009). ■ “This is not always an easy principle to maintain when you are asked difficult questions or your answer may be distressing” (Stonehouse, 2012:250). the University of choice
  • 21. Fidelity Is the relationship that exists between individuals. Fidelity is about ■ Being Faithful ■ Keeping promises ■ Always doing what is right ■ Being trust worthy ■ Confidential ■ Showing respect and dignity ■ Respecting autonomy ■ Acting in their best interest (Stonehouse, 2012) the University of choice
  • 22. Aside from these two sets of ethical principles there are two main ethical theories. ■ Deontology ■ Consequentialism the University of choice
  • 23. Deontology ■ The rightness or wrongness of any act depends on whether the person has followed their duty regardless of the consequences. ■ More concerned with motive than results. Actions are good or bad in advance of their performance. the University of choice edgehill.ac.uk
  • 24. Consequentialism ■ The rightness or wrongness of any act is judged in relation to its consequences. ■ Only concerned with results. ■ The same act may be good or bad in different circumstances. ■ The aim is to produce the greatest good for the greatest number. the University of choice edgehill.ac.uk
  • 25. For the ethical part of your Exam!!! Choose EITHER Beauchamp and Childress (2009) four ethical Principles OR Rowson (2006) F.A.I.R. Ethical Framework. DO NOT ATTEMPT TO DO BOTH the University of choice edgehill.ac.uk
  • 26. Bibliography Beauchamp, T. And Childress, J. (2009) Principles of Biomedical Ethics. Sixth Edition. Oxford University Press: Oxford. Berglund, C. (2007) Ethics For Health Care. Third Edition. Oxford University Press: Oxford. Edwards, S.D. (2009) Nursing Ethics: A Principle-Based Approach. Second Edition. Palgrave Macmillan: Hampshire. Griffith, R. And Tengnah, C. (2010) Law and Professional Issues in Nursing. Second Edition. Learning Matters: Exeter. Hendrick, J. (2004) Law And Ethics: Foundations In Nursing And Health Care. Nelson Thornes: Cheltenham. Hugman, R. (2005) New Approaches In Ethics For The Caring Professions. Palgrave Macmillan: Hampshire. Rowson, R. (2006) Working Ethics: How To Be Fair In A Culturally Complex World. London: Jessica Kingsley Publishers. Stonehouse, D. (2012) The Support Workers‟s Guide To Ethical Practice. British Journal of Healthcare Assistants. May Vol. 06 No. 05. Thompson, I. E; Melia, K. M; Boyd, K. M; and Horsburgh, D. (2006) Nursing Ethics. Fifth Edition. Churchill Livingstone Elsevier: London. the University of choice