Respect for Persons
Respect for persons is to acknowledge the individuality, the dignity and the right of the clients to make their own decisions regarding the matters that affect them. It involves being honest with the client and answering their questions while also taking care of their wellbeing. The research must involve the protection of personal integrity, individual freedom, and self-determination. The principle of respect for persons in the evidenced-based practice entails giving the clients the right to autonomy; to make decisions on how they want their problem solved. A client should not be forced with a solution to the problem but needs to be informed of the alternatives and be allowed to make an autonomous decision (Beardsley, 2017). Respect for persons entails the duty to inform the client of any information that regards the kind of care or solution to their problem. Once the client is provided with information, they should be allowed to decide what they want. Before performing the project, respect for person demand for the existence of the client’s informed consent. They must be aware of the project to be undertaken and how it will be conducted.
The principle of respect for persons can be carried out in the project by allowing the clients to make their own decisions regarding the solution to their problem. After providing the information to the client about the project, he/she will have the autonomy to either accept or reject the option. Respect for persons is done by respecting the decision of the client. Clients with diminished autonomy need additional protection to ensure the right to self-determination and informed consent. Additional protection may involve extra measures that increase the respect for the rights of the clients and protecting them from any harm as a result of their vulnerable condition.
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Principle of Beneficence
Beneficence means doing good to the client and providing a positive help in a way that minimizes harm and increases benefits. It is an ethical principle which states that a nurse should promote actions that leads to a positive outcome to the clients. Doing good means acting in a way that is best for the client. There are two major aspects of beneficence, providing benefits and balancing the benefits with the risks and harms. It focuses on protecting and defending the rights of the clients, preventing harm from occurring to the clients, eliminating any conditions that can lead to harm and rescuing the client from any danger (Kelleher, 2014). The EBP project should be beneficial to the client and should promote their welfare. The clients have the right to be protected from any harm, and the researchers have an ethical duty to create a balance between the potential benefits against the potential risks at the greatest level possible.
While working with the clients, beneficence forms the major goal for comfort and safety to the clients. Due to the adverse reactions that could arise as a result of the project such as pain, achieving pain control can help ensure that the patients are safe and away from any risks. Providing the right kind and quantity of dose also increases safety and enhances the good outcome for the client. Drugs and procedures that can cause adverse effects are avoided to eliminate the possibility of causing any risk to the client. Before using a particular practice, the risks and benefits are compared to ensure that only practice with positive benefits and no harm is used. If a particular practice is seen to have a potential of causing harm to the client, such a practice should be replaced with an alternative safer one.
Principle of Justice
The principle of justice holds that there should be fairness and equity in the way the clients are treated in the research. It obliges to equitable distribution of benefits, costs, risks, and resources. There should be a fair share of the direct burdens as well as the potential benefits amongst all the clients. Inclusiveness in the research and fair distribution of benefits and burdens must be a crucial consideration for the researchers. The issue of fairness and equitable treatment of all the clients arise while deciding on the individuals to include and how they will share the benefits and burden from the study. Each person should have an equal share according to the need. The participants who may be unfairly coerced into participating in the research should not be part of the study. This principle requires that those who take part in the study must be likely to share the burden as well as benefits from the research equally.
To make sure that there is fairness, all the clients will be treated equally and will share both the burden and benefits of the study in equal measure. Equity in the sharing of benefits and burdens from the study promotes fairness. The findings can also be equally and fairly distributed to the clients to promote justice for all. The findings can be fairly distributed if they are shared based on the individual contribution towards the research such that those who have made greater contribution share greater findings than those who made a little contribution. It will help create fairness based on individual clients’ contribution.
References
Beardsley, E. L. (2017). Privacy: Autonomy and selective disclosure. In Privacy and Personality (pp. 56-70). Routledge.
Kelleher, J. P. (2014). Beneficence, justice, and health care. Kennedy Institute of Ethics Journal , 24 (1), 27-49.