Consent and the Ethics of Truth and Half Truth
This Video Learning Activity will emphasise the relationship between disclosure, truth and autonomy, and the use of ethical reasoning as part of a shared decision-making process. The unique relationship between the nurse and patient is discussed, and how this can be especially beneficial when obtaining outcomes that directly promote patient autonomy.
ExplainExplain the relationship between truth, informed consent and autonomy
DescribeDescribe how a person’s narrative shapes the information they should receive in order that they might provide valid consent
ExplainExplain how nurses have a unique professional and cultural role in obtaining valid consent
DescribeDescribe how ethical reasoning can be applied in the process of shared decision making
Peripatetic and always intellectually restless, Darren Wake has pursued varied careers in journalism, media production, academic philosophy and nursing. As a nurse, he worked in the speciality areas of critical care, community care, remote area healthcare and education. As a formally qualified academic philosopher Darren taught undergraduate units in law and ethics in healthcare, although his principle research focus revolved around logic and the philosophy of language. Darren’s media production output can be found scattered about the Ausmed website and in his long forgotten days as a word monkey, he wrote for European publications such as The Scotsman, The Great Outdoors, Country Walking and The Times. In 2014 Darren consulted to the Department of Health for the development of Consumer Directed Care policy and guidelines for remote area communities in the Northern Territory. These days he is the managing editor of a small independent publishing company based in the United Kingdom, and lives in Tasmania. In his spare time, Darren is currently studying a formal course in celestial navigation, just in case the inevitable zombie apocalypse messes with the world’s GPS satellite system.
- The ethical aspects of valid consent
- The relationship between information and autonomy
- How nurses employ professional discretion when providing information
- Withholding the truth: can this be morally justified?
- Truth, trust and the role of the nurse
All nurses and midwives at all levels.
To introduce the moral ambiguities that are associated with the disclosure of information required in the process of obtaining valid consent. Emphasis is placed upon the relationship between disclosure, truth and autonomy, and the use of ethical reasoning as part of a shared decision-making process. The unique relationship between the nurse and patient is emphasised, and how this can be especially beneficial when obtaining outcomes that directly promote patient autonomy.
Although it seems simple enough to apply an ethical framework to everyday clinical practice, certain situations will always remain ambiguous and require careful reasoning to achieve an outcome that is both ethically sound and legally sanctioned. One of the most contentious of these issues is that of consent, which entails issues of truth and trust, and it is critical that all nurses understand the relationship between these concepts, and how they are represented to those in their care.
Health professionals in Australia that are registered with AHPRA are required to obtain continuing professional development (CPD) hours/points each year that relates to their context of practice, in order to comply with mandatory regulatory requirements.