The openness, transparency and flexibility of the method, as well as the fact that it does not subscribe to a particular theory in ethics, make the model suitable for wide use. The most important ethical principle is “respect for autonomy” which .”.. generates an obligation to respect the choices which others make concerning their own lives” (Edwards, 1996). A total of 59 partner organizations participate from 31 countries. .”..According to Utilitarian, acts are right in so far as they maximise benefits or minimise harms” (Edwards, 1996). The main disadvantage is that, legally, it can only be the physicians of Claire or Evan, public health authorities or Evan himself that can notify Claire that she is at risk at having contracted HIV (HIV/Psychiatry Manual, 1997). Further, modern health technology (and HTA as part of it) can be seen as an “imperialistic” approach towards other health-care ideologies, emphasizing as it does rational, mechanical, non-intuitive and non-emotional ways of thinking. Key ethical issues to consider before starting an HTA include analysing whether there are morally relevant reasons for performing an assessment on the topic or not. Disclaimer: This work has been submitted by a student. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the website then please: Our academic writing and marking services can help you! The Importance of Ethical Theories and Principle in Decision Making for Nurses. The model includes a structure for considering and reporting outcomes of different implementation alternatives to all stakeholders separately. Actually, addressing ethical issues may fit HTA better in developing countries, because the role of technology is not yet fixed and is more open to shaping according to social needs. the impact of technology on mortality). All stakeholders must be identified, and a party responsible for the ethical aspects nominated. Hence, the model can weaken the artificial borders between scientific evidence and moral goodness. The primary difference between a consequentialist conception and a deontological conception of organizational ethics is that, according to the latter, there is an inherent value in ensuring that associates are treated fairly and their rights respected. After considering various alternatives for structuring the protocol, the group decides that the protocol should, at least initially, limit DES utilization to the two subgroups of patients most likely to benefit from them: diabetics with longer lesions and small vessels and nondiabetics with shorter lesions and large vessels.13 The protocol does not, moreover, allow the new stents to be used in patients outside these two groups even if they are able and willing to pay for the procedure out-of-pocket. Although this aimed at making the core model more transferable, many of the excluded issues may be of importance locally. Do you have a 2:1 degree or higher in nursing or healthcare? The selection of comparison technologies and outcome measures are essentially value-decisions that determine the results of the assessment. (1997) Chapter 18: Legal and Ethical Issues in HIV. 4, 6, 7 The importance of ethics in HTA is based on three insights. Please provide 2 pages providing introduction, answering the questions below, and conclusion. (2013, May 13). Ideally, the legitimate decision-makers make the value-decisions, and thus values and assumptions underlying the assessment should be presented as openly and transparently as possible. Key ethical issues to consider before starting an HTA include analysing whether there are morally relevant reasons for performing an assessment on the topic or not. There are many disadvantages to the consequences of this action. Communicate the organization's commitment to ethical decision making through its mission or value statements and its organizational code of ethics. The way to report the ethical issues, especially the need to make normative conclusions, depends on the mandate of the HTA agency: some agencies officially give guidance, while some just summarize evidence. November 2002 (revised)  They can be rephrased, re-emphasized or give rise to local adaptations in other countries (e.g. The role of experts of the technology in providing the material and contextual input is emphasized. Saarni SI, Gylling HA. In summary, this approach to ethics aims to uncover and justify the underlying normative structure of HTA, to assure the usefulness of the assessment.13,15, Decisions to implement technologies imply resource allocation. It is sometimes said that health care ethics as a profession is in an early stage of its maturation process.1 If this is true, it can also be said that organizational ethics in health care is just now beginning to emerge from its earliest stage of development. Moral Method and Organizational Ethics Utilizing the ethical principles of autonomy, beneficence, nonmaleficence, fidelity, justice, and paternalism as outlined by the American Nurses Association (ANA) provides us with a firm foundation for ethical decision making. VAT Registration No: 842417633. medical, safety or economic issues also yield important input for ethical analysis. (2000) The Code of Professional Conduct. First, does the model represent and promote a “western”, individualistic perspective that fits only certain types of health-care organizations but is inappropriate to others? Though how much and at what point prayer and reflection are appropriate will vary according to the issue's complexity and significance, they are in fact integral to the process. The nurse of course was fired (Guglielmo, 2013). Second, technology also carries values and may challenge prevalent moral principles or rules of society3,9–11 that should be addressed by HTA. 28th May 2020 Methods used for ethical analysis in HTA. Finnish Office for Health Technology Assessment, National Research and Development Centre for Welfare and Health, Helsinki, Finland. The CMO then asks the others how they think the availability of the highly anticipated stents might affect the organization and what other organizational, ethical, and strategic considerations the protocol should address. Claire would continue to go untreated for HIV, as would Evan’s partner during the affair. This ethical theory can come into place in a variety of different situations in a healthcare setting. Best practice in undertaking and reporting health technology assessments. Reference this. The Importance of Ethical Theories and Principle in Decision Making for Nurses, The Importance of Ethical Theories and Principles in Decision Making for Nurses.