Abstract

CAMPILLAY-CAMPILLAY, Maggie; RIVAS-RIVERO, Edith; DUBO-ARAYA, Pablo  and  CALLE-CARRASCO, Ana. ETHICAL ASPECTS RELATED TO NURSING CARE FOR PERSONS WITH DISABILITIES: A QUALITATIVE ANALYSIS. pers.bioét. [online]. 2020, vol.24, n.1, pp.43-56.  Epub Apr 06, 2021. ISSN 0123-3122.  https://doi.org/10.5294/pebi.2020.24.1.4.

The purpose of the study is to describe ethical aspects related to nursing care for persons with disabilities; a population considered socially vulnerable and in conditions of inequality. It corresponds to the first phase of a primary study conducted in Atacama, Chile using a qualitative methodology and content analysis. Nursing graduates are interviewed respecting Ezekiel Emanuel's ethical criteria. The main findings account for ontological categories such as moral reasoning, value system, nurse-patient relationship model, consequences of the ethical nursing action, strategies to overcome moral conflicts, and barriers in care. It is concluded that caring for people with disabilities is a source of dilemma and moral anguish for nurses, especially when it comes to individuals with sensitive or cognitive disabilities. The paternalistic medical model predominates in the clinical context, limiting the right to autonomy of persons with disabilities. Instrumental values such as efficiency are added to traditional moral values promoted by nurses. Civic values considered fundamental to the challenge of human diversity and life in democracy are not mentioned.

Keywords : Ethics; nursing; professionalism; disabled persons; vulnerability; social vulnerability; nursing care; deontology; ethical theory; qualitative analysis.

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