Autonomy and capacity: the ethical and legal considerations

Author:

Bifarin Oladayo1,Stonehouse David2

Affiliation:

1. Senior Lecturer in Mental Health Nursing, Liverpool John Moores University, Quality Improvement Partner, Mersey Care NHS Foundation Trust, PhD Student, University of Bradford Centre for Applied Dementia Studies

2. Senior Lecturer in Children’s Nursing, Edge Hill University, Associate Lecturer, Open University, and Course Tutor with the Charity, Pop-Up Adventure Play

Abstract

This article discusses the important concept of autonomy and what this means for patients and their families. This concept is the first of the four ethical principles identified by Beauchamp and Childress (2019) and is an important legal issue. First, the ethical position of autonomy will be explored, before moving on to discuss the legal aspects. Next, definitions will be presented, and the relevant and pertinent parts of the Nursing and Midwifery Council (NMC) (2018) code introduced. Finally, closely linked to autonomy is capacity. This link will be discussed, highlighting the processes and considerations that need to be considered if a person’s capacity is reduced.

Publisher

Mark Allen Group

Subject

General Medicine

Reference7 articles.

1. Beauchamp T, Childress J. Principles of biomedical ethics. 8th edn. Oxford: Oxford University Press; 2019

2. Medical ethics: four principles plus attention to scope

3. Griffith R, Tengnah C. Law and professional issues in nursing. 5th edn. London: Learning Matters; 2020

4. What is nursing work? A meta-narrative review and integrated framework

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