By Helen Caulfield
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Extra resources for Accountability
It requires distribution of greater resources for those who have greater need. • Utilitarianism and equity may conflict. • Equity allows a tolerance and respect for individuals that may not be counted in utilitarianism. • Utilitarianism is often used as a moral calculation in resource allocation. Activity Consider the arguments in resource allocation. A budget cut has to be adopted. The service most at risk is the community continence service. A meeting is held to assess the risks in cutting this service.
An act is a positive action taken by a clinician. An omission is a positive decision not to act. The outcome of the act or omission may be the same. There is greater moral criticism of someone taking an action than an omission. The doctrine of double effect allows a primary action to take place even though an unintended secondary action may also occur. Activity Heidi, a nurse practitioner, has given a repeat prescription to Sarah for her father who she is caring for at home. He is very ill. Sarah tells Heidi that she will inherit a large manor house in Dorset when her father dies and that she has been thinking of hiring an interior decorator to completely overhaul the Continued 44 Vital Notes for Nurses: Accountability house.
Sketch out the arguments you think she can use at this meeting based on the moral principles of equity. Assess what arguments you think she may face at the meeting from the staff in the surgical team. Best interests ‘Best interests’ is the ethical principle used in decision making for those individuals who are unable to make their own decisions about their welfare. They lack the ability to be autonomous. These individuals may be babies, children who are unconscious, adults with a disability that affects their mental functioning or adults who have an early degenerative illness that means on some days they do have autonomy and on other days they do not.
Accountability by Helen Caulfield