Week 7 Discussion
The ethical principles in modern medicine are derived to ensure human dignity and rights are upheld during research and evidence-based practice implementation (Igai, 2020). These ethical principles include patient autonomy, beneficence, nonmaleficence, justice, patient-provider fiduciary relationship, and sanctity and dignity of human life. The ethical issues in relation to sanctity and dignity of human life requires a morally acceptable decision-making based on how the core ethical principles interact. One of the most ignored ethical issues relating to human dignity is the randomization of patients or participants into treatment and no treatment groups. The ethical issues relating to this practice in evidence-based practice is that the ethical principles of beneficence and nonmaleficence are being flouted. This is because assigning patients to the no treatment or intervention group amounts to directly denying known benefits of an intervention to one group (Winter & Winter, 2017). The issue of randomization of the participants into intervention and no intervention group degrades the human sanctity and dignity.
According to Leadbeater et al. (2018), the randomization of participants into intervention and no intervention group is unethical especially when the intervention being implemented has already demonstrated positive benefits in other projects. Relatively, when the intervention being offered has not been ascertained to produce positive results, it is unethical to implement it because it violates the ethical principle of dignity and sanctity of human life (Winter & Winter, 2017). This means that before the implementation of an intervention, the state of current knowledge regarding the intervention must be clearly explained to ensure that human dignity and sanctity is upheld (Leadbeater et al., 2018). Relatively, an implementation design that involves no intervention group is unnecessary and unethical in situations where the positive impacts of the intervention have already been established. Altogether, the EBP implementation should consider alternative designs such as standard training to avoid the ethical issue of human dignity and sanctity (Igai, 2020).
Igai, Y. (2020). Concept analysis of dignity‐centered care for people with chronic progressive disease. Japan Journal of Nursing Science, 17(6), 1-10. https://doi.org/10.1111/jjns.12302 (Links to an external site.) .
Leadbeater, B., Dishion, T., Sandler, I., Bradshaw, C., Dodge, K., & Gottfredson, D. et al. (2018). Ethical challenges in promoting the implementation of preventive interventions: Report of the SPR Task Force. Prevention Science, 19(7), 853-865. https://doi.org/10.1007/s11121-018-0912-7 (Links to an external site.) .
Winter, S., & Winter, S. (2017). Human Dignity as Leading Principle in Public Health Ethics: A multi-case analysis of 21st century German health policy decisions. International Journal of Health Policy & Management, 7(3), 210-224. https://doi.org/10.15171/ijhpm.2017.67