Jameton declares that in research the three more important elements are the competency of the researcher, the careful design, and worthwhile expected outcomes. [ 13 ] The Royal College of Nurses declares that nurse researchers should have the necessary skills and knowledge for the specific investigation to be carried out and be aware of the limits of personal competence in research. Any lack of knowledge in the area under research must be clearly stated. Inexperienced researchers should work under qualified supervision which has to be reviewed by an ethics committee. [ 26 ]
Ethical dilemmas are faced every day, and those that are listed here are only a partial list of what nurses face while providing patient care. There is no easy answer to any of these dilemmas and ethics course are full of helpful advice, but no real answers. Almost every dilemma in healthcare comes down to the patients’ right to choose their own quality of life. It is difficult to accept that sometimes, but our jobs are to provide the best information that we can so that the patient or family can make an informed decision about how to proceed with care. We may not like the result, but that is not our job. Our job as nurses is to provide the best care possible and sometimes that is simply allowing a patient the dignity to die.
After review of the Code and a search of the literature, Mr. Logan’s nurse understands more fully that deceiving him is wrong... Investigating the risks and benefits of placebo use and pain management in patients with histories of substance abuse will be helpful to answer this question. The American Medical Association Code of Medical Ethics prohibits use of placebo except when the patient is fully informed ( AMA, 2007 ). However, placebo use continues even after years of advocacy against this practice. Thus it is not surprising that there are healthcare providers still willing to use placebos, including the physician in Mr. Logan’s case ( Arnstein, Broglio, Wuhrman & Kean, 2011 ; Fassler, Meissner, Schneider, & Linde, 2010 ). A recent position statement by the American Society for Pain Management Nursing supports a pain management regimen including careful monitoring and agreement with a fully-informed patient ( Oliver et al., 2012 ). After review of the Code and a search of the literature, Mr. Logan’s nurse understands more fully that deceiving him is wrong because it is disrespectful of the patient, diminishes his autonomy, and threatens the nurse’s own integrity. Using a placebo to treat Mr. Logan’s pain without his consent is inappropriate for the same reasons and is not in keeping with current guidelines for pain management.