Applying The Belmont Report - Ethical Analysis Of Clinical Case Studies

Applying the Belmont Report – Ethical Analysis of Clinical Case Studies

Application of the Belmont Principles: Case Study 1

Belmont Report principles and the components of each principle	Explain how the case meets the components of each principle.	Explain how the case does not meet the components of each principle.	What steps can the nurse researcher or quality improvement manager take to adhere to the ethical principles identified in the Belmont Report?
Respect for Person · Respect the right to choose, hold views, and act according to personal beliefs. · Protect those with decreased capacity to make their own choice. · Ensure voluntary participation. · Provide informed consent, explaining harms and benefits.	Such an informed consent process that takes three weeks is an excellent example of how the principle of respect for the patient’s autonomy is practiced. The patient is allowed ample time and adequate information on the risks and benefits of the experimental treatment to arrive at a rational and voluntary decision. This process honours her autonomy to make choices about managing her health according to her beliefs.	A cultural setting where the man makes major family decisions might pressure her, making her participation look less voluntary. Pressure from her husband can result in coercion or influence, undermining the core of respect for the woman’s authentic decision-making.	The nurse researcher should promote cultural communication adequacy to empower the woman. It is advisable to liaise with a cultural intermediary to manage cultural expectations and ensure she makes the decision independently of her volition. In this way, the nurse researcher can ensure that the woman’s rights are not violated and, at the same time, honor cultural diversity.
Beneficence · Minimize the harm/risks to the greatest extent possible. · Maximize the potential benefits. · Ensure that the rights and well-being of the patient take precedence over the needs of science.	The potential for the experimental treatment to significantly extend the patient’s life and improve her quality of life aligns with the principle of beneficence. This treatment offers a chance for a positive outcome that could outweigh the risks, demonstrating a commitment to maximizing benefits (Varkey, 2020).	The high risk of adverse effects, including immediate cardiac failure, raises concerns about whether the potential benefits truly outweigh the risks. The significant harm associated with the treatment may not be minimized to the greatest extent possible, challenging the principle of beneficence.	A thorough risk-benefit analysis must be conducted, with continuous monitoring of the patient’s condition throughout the trial. The nurse researcher should ensure that all potential risks are communicated clearly and that the patient’s well-being remains the priority, even if it means reconsidering participation in the trial.
Justice · Justly distribute the benefits and burdens of the research. Guard against using vulnerable populations. · Ensure a fair selection of research participants. · Guard against coercion and undue influence. · Avoid potential financial or other conflicts of interest.	By choosing the patient based on her pathology and chances of standing to benefit from the particular treatment, justice is done in selecting the patient. This method prevents the use of vulnerable people’s suffering and ensures that the risks and advantages of the research are shared fairly.	The cultural implications and possible health hazards may lead to a biased answer, which raises questions about the study’s equity and justice. If culture predetermines the investigation prospects, then the beneficiaries and sufferers may not be fairly divided.	The nurse researcher has to ensure that the application review criteria are non-prejudiced and that the consent process is voluntary. Cautions should be taken when dealing with vulnerable persons, and cultural differences should be respected, especially when providing information and consent forms.

Application of the Belmont Principles: Case Study 2

Belmont Report principles and the components of each principle.	Explain how the case meets the components of each principle.	Explain how the case does not meet the components of each principle.	What steps can the nurse researcher or quality improvement manager take to adhere to the ethical principles identified in the Belmont Report?
Respect for Person · Respect the right to choose, hold views, and act according to personal beliefs. · Protect those with decreased capacity to make their own choice. · Ensure voluntary participation. · Provide informed consent, explaining harms and benefits.	The use of mobile phones and GPS tracking helps maintain communication with participants, supporting their autonomy and voluntary participation. This approach respects participants’ independence and ensures they can remain engaged in the study, making informed decisions about their continued participation.	Fingerprinting and GPS tracking may also cause privacy violations among the participants which may cause discomfort or distrust. These measures might remove participants’ freedom by exercising oversight over them, this could be contrary to the participants’ rights to make decisions voluntarily or without coercion.	The nurse researcher should be able to state the specific purpose of the particular technology and the educational implications of the study. The use of fingerprinting and GPS tracking should be voluntary. Still, there should be improved processes of sharing information that involve explaining the principles of fingerprinting and GPS tracking so that the participant consents to it willingly.
Beneficence · Minimize the harm/risks to the greatest extent possible. · Maximize the potential benefits. · Ensure that the rights and well-being of the patient take precedence over the needs of science.	The part use of mobile technology is significant in the proposed study as it can assist in guaranteeing that participants adhere to the treatment regimen, thus enhancing the research’s effectiveness and the participants’ health. The principle of beneficence explains this approach since the aim is to maximize the probabilities of the study’s positive outcomes and minimize negative impacts.	The negative consequences of technology use for privacy, data safety, etc., should be well controlled and addressed. If these risks are not managed, participants may be harmed, which contradicts the beneficence principle proposed by Mennella et al., 2024.	The negative consequences of technology use for privacy, data safety, etc., should be well controlled and addressed. If these risks are not managed, participants may be harmed, which contradicts the beneficence principle proposed by Mennella et al., 2024.
Justice · Justly distribute the benefits and burdens of the research. Guard against using vulnerable populations. · Ensure a fair selection of research participants. · Guard against coercion and undue influence. · Avoid potential financial or other conflicts of interest.	In an attempt to contribute towards closing the existing gaps in knowledge, the study is set among a population group that continues to experience the profound burden of HIV transmission. This makes it possible to choose the research participants reasonably and fairly and distribute the advantages and disadvantages of the research.	The use of technology might only be fully inclusive for some participants, which means there will be different benefits and burdens when sharing the study results. This could lead to some of the participants being deprived, contradicting the principle of justice.	The nurse researcher should ensure that all participants receive the same technical aid when implementing the study. Regarding this, it could mean offering training or some other way to ensure that subjects less familiar with computers could be of value in the study.

Personal Reflection

Reflection on the Belmont Report, the Christian Worldview, and My Current Nursing Practice

The ethical principles of the Belmont Report, including respect for persons, beneficence, and justice, are in harmony with the Christian worldview. The principle of respect for persons applies the sanctity of life to advocating for the patient’s autonomy and decision-making capability. The Beneficence concept aligns with the Christian principle that instructs people to do good to others and avoid causing any harm to patients. Thirdly, justice fosters championing the fair and equal treatment of all patients as per Christian values despite their color or race. Not only do these principles apply to ethical decision-making related to professional nursing, but they also serve to remind the caretaker of a patient’s importance and dignity. As a nurse, I endeavor to uphold these values to execute professional, ethical, religiously, and justly acceptable practice that enhances all patients’ overall health and welfare (Nagai et al., 2022).

References

Mennella, C., Maniscalco, U., Pietro, G. D., & Esposito, M. (2024). Ethical and regulatory challenges of AI technologies in healthcare: A narrative review. Heliyon, 10(4), e26297–e26297. https://doi.org/10.1016/j.heliyon.2024.e26297

Nagai, H., Nakazawa, E., & Akabayashi, A. (2022). The creation of the Belmont Report and its effect on ethical principles: A historical study. Monash Bioethics Review, 40(2). https://doi.org/10.1007/s40592-022-00165-5

Varkey, B. (2020). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119

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Question

The focus of this assignment is to apply the principles detailed in the Belmont Report to case studies involving human subjects in research or a quality improvement project.

Applying the Belmont Report – Ethical Analysis of Clinical Case Studies

Utilize the “Ethical Conduct of Scholarly Activities” document to complete this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies and professional standards:

RN-BSN

4.3: Promote the ethical conduct of scholarly activities [AACN ]

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competency 1.2, 4.3, 9.1, 10.2

Applying the Belmont Report – Ethical Analysis of Clinical Case Studies