Topic 3 DQ 1.2

Please respond with a paragraph to the following post, add citations and references:

Principalism is also known as the four-principal approach due to the four ethical principles that involve bioethics. These include:

1. Respect for autonomy- This means respecting what happens to a person’s own body. Our patients can decide what treatment they want, and they have the right to refuse treatment, medications or surgeries. Even though we may feel it may not be in the best interest of the patient, it is a decision that must be respected by all. An example of this is administering blood products to a Jehovah Witness patient. Although we know it can be a matter of survival, we must respect our patient’s refusal of the blood products per their religious beliefs.

2. Nonmaleficence- This involves an ethical and legal duty to avoid harming others (Beauchamp & Childress, 2013, Chapter 3). Our patients must be kept safe by following rules and regulations and making the best medical decisions. These could be using hand hygiene to prevent infections and checking the five rights when administering medications.

3. Beneficence- This ethical principle addresses the idea that a nurse’s actions should promote good (“Principle of Beneficence,” 2003, Chapter 2) This involves being determined to improve our patient’s health.

4. Justice- The idea that the burdens and benefits of new or experimental treatments must be distributed equally among all groups in society (Stanford University [Stanford], n.d.). There should also be a distribution of resources given equally.

The way the principals are written beginning with respect and ending with autonomy is the way they should be ranked. Allowing patients to participate in their care and make their own medical decisions is important. This allows for a diplomatic approach to healthcare with both parties being involved. The Christian Biblical Narrative, creation, fall, redemption and restoration, autonomy would be considered the first principal. This is because God is allowing us to be on this earth, and the free will to choose between right and wrong. Although God may not agree with our decision, he gives us the opportunity to decide what path we are going to take in life.


Beauchamp, T. L., & Childress, J. F. (2013). Principles of biomedical ethics (7th ed.). New York, NY: OUP USA.

Principle of beneficence in ethics & nursing: Definition & examples. (2003). Retrieved December 17, 2018, from…

Stanford University. (n.d.). What are the basic principles of medical ethics? Retrieved December 17, 2018, from…

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