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A nurse is educating a group of students about ethical decision-making in nursing. Which principle should be emphasized as fundamental in this process?

  1. Autonomy

  2. Beneficence

  3. Justice

  4. Nonmaleficence

The correct answer is: Autonomy

Emphasizing autonomy as a fundamental principle in ethical decision-making in nursing is crucial. Autonomy refers to the patient's right to make informed decisions about their own care and treatment. This principle acknowledges the importance of respecting individual preferences and values, enabling patients to participate actively in their healthcare decisions. In nursing practice, fostering patient autonomy empowers individuals, enhances their satisfaction with care, and contributes to better health outcomes. Nurses play a vital role in providing patients with the information necessary to make informed choices, supporting their self-determination while ensuring their voices are heard in the care process. While beneficence, justice, and nonmaleficence are also important ethical principles, they share the common goal of supporting the patient's interests and well-being. Yet, without respect for autonomy, the ethical foundation of care may be compromised, as patients should have the ultimate authority over their healthcare choices.