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Nursing Ethics
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Respect for Autonomy: Is It Always Paramount?

Diane Morgan

Joint Faculty of Health Care Sciences, Kingston University/St George's Hospital Medical School, 2nd Floor, Grosvenor Wing, St George's Hospital, Tooting, London SW17 OQT, UK

Following the argument proposed by Tschudin in 1986 that many nurses do not have the skills for ethical decision-making, this article identifies and discusses one ethical prob lem from practice.

The problem concerns an extremely obese patient who refuses to be moved by a hoist. The nurses acquiesce to the patient's wishes and she is moved manually by four mem bers of staff. The issues identified for discussion are: the paramountcy of the principle of respect for the patient's autonomy; the rights and obligations of the nurses; and the jus tification for influencing patient choice. The approach used by the ward nurses is analysed and the value of using an ethical decision-making model is considered.

Nursing Ethics, Vol. 3, No. 2, 118-125 (1996)
DOI: 10.1177/096973309600300204
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