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By Helen Caulfield

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They argue that his intrinsic value as a child means that everything possible should be done to help Continued 38 Vital Notes for Nurses: Accountability keep him alive. They do not accept that there should be a limit on the resources that are given to their child, and say that they have been paying into the NHS for years without needing major treatment. Assess the arguments for the hospital and for the parents using autonomy and utilitarianism. How does an assessment of the moral issues help you define the arguments used by each side in this case?

An example often used to highlight the moral dilemma in acts and omissions is whether it is morally worse to kill someone than to stand The Second Pillar of Accountability: Ethical Accountability 43 by and let them die. Is it worse to push someone into a river so that they die, than to come across a person in distress in the river and simply stand by taking no action? The first activity is an act, while the second activity is an omission. The debate is that failing to intervene is an appropriate ethical response where the individual autonomy of an individual is concerned.

Activity Go to an NMC fitness to practice hearing. You can find details of where the hearings take place on the website. Make notes of what the surroundings look like and whether they were more or less formal than you expected. Did you understand what the case was about? Who gave evidence and what was the point of the case? Did you feel that the regulator did a good job and why? Did you agree with the decision the panel made? Was the outcome what you expected and why? The NMC Code of Professional Conduct In 2002, the NMC published a Code of Professional Conduct (NMC, 2002).

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