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Ethical Dilemmas and the Practice of Infection Control

Published online by Cambridge University Press:  27 April 2021

Katherine Hill Chavigny  and
Ann Helm
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Extract

To be a nurse involves the assumption of ethical responsibility in all areas of practice. Infection control practice is a nursing specialty which exemplifies two ethical issues: the nurse's duty or moral obligation for patient advocacy and the right of patients to safe care. Individual moral responsibility is an important issue for the nurse epidemiologist because epidemiologic fact-finding provides information that may present ethical problems as well as suggest solutions. This paper discusses ethical dilemmas arising in infection control practice, as illustrated by three actual situations.

In the course of practice, questions may arise concerning the ethical responsibilities of a nurse epidemiologist to provide facts that may be used in cases of dispute. This discussion shall be limited to institutionally acquired or nosocomial infections.

Type
Article
Information
Law, Medicine and Healthcare , Volume 10 , Issue 5 , September 1982 , pp. 168 - 174
Copyright
Copyright © 1982 American Society of Law, Medicine & Ethics

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References

Burton, L.E. Smith, H.H., Public Health and Community Medicine (Williams & Wilkins, Baltimore) (1970) at 31.Google Scholar
Chavigny, K.H., Hospital Epidemiology: A Challenge to Nursing Education, Nurse Educator 4(1): 28 (1979).Google ScholarPubMed
Langmuir, A.D., The Surveillance of Communicable Diseases of National Importance, New England Journal of Medicine 268: 182–92 (1963).Google ScholarPubMed
Accreditation Manual for Hospitals, 1982 edition (Joint Commission on Accreditation of Hospitals, Chicago) (1981) at 71.Google Scholar
Center for Disease Control, National Nosocomial Infection Study Report, Annual Summary 1979 (Public Health Service, Department of Health, Education & Welfare, Atlanta) (March 1982).Google Scholar
See Kant, I., Groundwork of the Metaphysics of Morals (Harper & Row, San Francisco) (1973).Google Scholar
See Mill, J.S. Utilitarianism (Green, Reader & Dyer, London) (4th ed. 1871).Google Scholar
AHA Statement on Patients’ Rights, Hospitals 4:4 (1973).Google Scholar
Abrams, N., Moral Responsibilities in Nursing, in Nursing Images and Ideals (Spicker, S.F. Gadow, S., eds.) (Springer Publishing Co., New York) (1980).Google Scholar
See Jonsen, A.R. Hellegers, A.E., Conceptual Foundations for Ethics of Medical Care, Ethics in Medicine (Reiser, D.J. et al, eds.) (MIT Press, Cambridge, Mass.) (1977) at 135.Google Scholar
In addition to the liability of the physician, the hospital as a corporate entity may also be liable for negligent supervision of health care. See, e.g., Darling v. Charlestown Community Mem. Hosp., 200 N.E.2d 253 (Ill. 1965).Google Scholar
See, e.g., Hofmann v. Blackmon, 241 So.2d 752 (Fla. App, 1970); Golia v. Health Insurance Plan of Greater New York, 197 N.Y.S.2d 735 (N.Y. 1960); Wojcik v. Aluminum Company of America, 183 N.Y.S.2d 351 (N.Y. App. 1959).Google Scholar
Finkelstein, S.N. Sapolsky, N., Controlling Post-Transfusion Hepatitis: A Proposal to Publicize Hepatitis Rates of Transfusion Facilities, American Journal of Law & Medicine 5 (1): 1, 9 (Spring 1979).Google ScholarPubMed
Sacred Heart Medical Center v. Department of Labor & Industries, 600 P.2d 1015 (Wash. 1979).Google Scholar
See Stander, I., Current Trends in Workers’ Compensation, Law, Medicine & Health Care 10(2): 67 (April 1982) (discussion of new legal trends which reflect broader potential liability of employers for failure to safeguard the health and safety of employees).Google ScholarPubMed
Francis, D.P. et al, Nosocomial and Maternally Acquired Herpes Virus hominis Infections, American Journal of Diseases of Children 129 (8): 889–93 (August 1975).Google ScholarPubMed
Beauchamp, T.L. Walters, L., Contemporary Issues in Bioethics (Dickenson Publishing Co., Encino, Calif.) (1978).Google Scholar
Beauchamp, T.L. Childress, J.F., Principles of Biomedical Ethics (Oxford University Press, New York) (1979).Google Scholar