Empfehlungen zur Erstellung von Ethik-Leitlinien in Einrichtungen des Gesundheitswesens

Sustainability as an Ethical Principle: Ensuring Its Systematic Place in Professional Nursing Practice

“…In the context of ethical counselling, ethical case conferences and ethical policies are especially relevant and authoritative [9,10,11,12]. In the following, the main emphasis will lie with ethical policies, as these can be developed and implemented in every type of organization and every setting.…”

“…They have been developed as an aid to making ethical decisions in situations that recur repeatedly [1,11,12,13,14,15]. Their main aim is to provide a guide to ethical reflection and to help make decisions which are transparent and ethically founded (also for non-participants).…”

“…” For medical practice, this means that the situation involved, because of its complexity, provokes repeated ethical dissent in the day-to-day provision of health care so that ethical guidelines/policies can aid decision-makers and those concerned to follow a systematized path for ethical reflection in that situation. In the Recommendations for Creating Ethical Policies in Health Care Organizations from the same association (AEM), this type of systematized orientation in the context of repeatedly arising ethical conflicts and questions is seen as helpful inasmuch as adherence by all those involved in the decision-making process can improve the quality of the decisions made and can lead to a reduction in ethical distress [12]. To meet these requirements, ethical policies must provide a defined corridor for decision-making and action which corresponds to currently valid legal norms and represents the current (medical and nursing) ethical state of research.…”

“…To meet these requirements, ethical policies must provide a defined corridor for decision-making and action which corresponds to currently valid legal norms and represents the current (medical and nursing) ethical state of research. In this way, by facilitating ethically systematized, balanced, and grounded decisions, ethical policies ensure professionality in ethical decision making and resulting actions as well as providing justification on the grounds of moral legitimacy and legal validity [12]. Hence, ethical policies which are oriented towards repeatedly recurring ethical questions—independent of individual cases—provide concrete support and structure for ethically relevant consideration and decision-making in the specific situation.…”

“…Responsible and scientifically founded ethical policies (which also take into account findings from related disciplines) make an important contribution to professionalization and quality assurance in decision making and subsequently lead to improved quality in health care. The systematization of ethical reflection and ethically grounded decision making has become obligatory, given the increasingly complex decisions, decision constellations, and situations in nursing [12]. A policy-based procedure is intended to increase the efficiency of the decision-making process [12] and ensure a unified approach to recurring ethically conflicted situations and ethical decision-making processes.…”