Ethical Analysis
Ethical Analysis
Ethical Analysis
Lauren Herr
Ethical Analysis
The Agency for Healthcare Research and Quality developed the idea of quality indicators
after reviewing the literature to help identify different areas in which researchers need to
complete further studies. Quality indicators are evidence-based practices in which data is tracked
over time to determine if the performance is appropriate or if they need to be altered for the
patient’s safety. The article chosen researches patient fall history and is conducted in pursuance
of discovering preventative measures. The purpose of this paper is to review an article that
involves the quality indicator of patient safety and to determine if the study was ethically sound.
Throughout hospitals and health organizations, patient’s safety and the event of patients
fall has been a major topic for concern because of the repercussions that follow it. It can cause
many patients to suffer from injury, increased times in hospital stays, worsening of procedures
and sometimes death. This study was conducted in a public university hospital in northern Brazil
which consisted of 1,408 patients. It was performed to analyze if the measures were adequate,
evaluate if changes needed to take place and establish proper preventative measures. The study
was able to reveal that “patients over 60 years old are at a higher risk of falls …related to the
inadequacy of the environment such as inadequate furniture, slippery floors and high beds”
(Midori Sakai, Rossaneis, Fernandez, & Willamowius, 2016, p. 4723). Those who were
confused, such as having dementia or acute confusion, were at a higher risk of falling due to their
inability to cope and adapt to the environment around them. The results from the study
supported using new evidence as a form of an effective strategy to prevent further falls from
Through reviewing the methods that were used in the study, it was evident that this was
an ethical study. The basis for this study was founded on using evidence-based practice and
ETHICAL ANALYSIS 3
scales that were created to evaluate if the patients were at risk for falling. The study was
performed through a medical audit that was evaluating the quality indicator “safety”. This is a
systematic way of ensuring the highest quality of care for patients which shows that the
conductors had their patients’ interest at the core. Additionally, it stated that the sample consisted
of patients 18 years or older that were admitted into the ER, ICU or medical-surgical unit. This
demonstrates that the range of individuals was from a broad group of people showing that it
wasn’t biased and there wasn’t any unfair treatment happening. Justice, beneficence, and non-
maleficence, which were all included in the Belmont Report, were all demonstrated throughout
this study revealing appropriate and ethical behavior. Ensuring the safety of the patients and
reducing the risks of falls showed that the study was effective and ethical.
The patient’s rights were protected throughout this trial by adhering to consent and
valuing the patient’s safety. It is important and ethically right to give the choice to the patient to
determine if they want to be involved in the study or if they want their information to
confidential. Ensuring that the patient wanted their results to be involved in this study
demonstrated that their autonomy was preserved, and they were in control. Additionally,
respecting the individual and making sure the patient came into minimal adverse events showed
the study was ethical. Through the evidence of adopting new measures, such as changing the
furniture in the room to reduce falls, proved that the patients were receiving the best care. This
validates that the researchers were protecting the patient’s and their rights.
Overall, the study revealed that it was an ethical study since it incorporated ethical values
and ensured that the patient was receiving the best care possible. Justice was present in this study
through the fair treatment of individuals as well as beneficence through promoting the well-being
of the patients. All in all, the researchers were advocates for their patients through their desire to
ETHICAL ANALYSIS 4
decrease falls and injuries. Through their positive outcomes and discovering new ways to
References
Midori Sakai, A., Rossaneis, M., Fernandez, M., & Willamowius, D. (2016). Risk of bed falls in
org.lopes.idm.oclc.org/10.5205/reuol.8200-71830-3-SM.1006sup201602