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Nursing Ethics
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Ethical Dilemmas Related to the HIV-Positive Person in the Workplace

Annatjie Botes

Rand Afrikaans University, Auckland Park, South Africa

Marianne Otto

Rand Afrikaans University, Auckland Park, South Africa

This study’s objectives were: (1) to describe and explore the ethical dilemmas surrounding the HIV-positive person in the workplace in South Africa; and (2) to describe the Rational Interaction for Moral Sensitivity (RIMS) approach as a possible mechanism for solving these ethical dilemmas.

A qualitative, exploratory and descriptive research design was used. The target populations were HIV-positive employees and occupational health nurses working for a South African company. Data collected through individual HIV-positive employee interviews and occupational health nurse workgroups were analysed. The ethical dilemmas were conceptualized and described within the theoretical framework of the principles of ethics, namely, autonomy, beneficence, justice and confidentiality. To elicit a solution to the dilemmas, the data were recontextualized using the RIMS approach, a group decision-making strategy designed for the business environment.

Key Words: ethical dilemmas • HIV • South Africa • workplace

Nursing Ethics, Vol. 10, No. 3, 281-294 (2003)
DOI: 10.1191/0969733003ne606oa
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[Abstract] [PDF]