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CHAPTER 26 Gladys L. Husted and James H. Husted 527

Context of Awareness

Healthcare professional/
patient agreement

AUTONOMY

Context of knowledge Beneficence Self-assertion Context of the situation
Objectivity
Freedom

FIDELITY

Decision

FIGURE 26-1 Bioethical Decision-Making Model. (Husted, J. H., & Husted, G. L. [2008]. Ethical decision
making in nursing and health care: The symphonological approach [4th ed.]. New York: Springer.)

• The health care professional–patient agreement is an agent has of how to deal most effectively with
directed toward preserving and enhancing the life these facts” (Husted & Husted, 2008, p. 84). In this
of the patient. way, there are no universal ethical principles.
• Context is the basis for determining what actions are • Ethical decisions are the result of reasoning from
ethical within the health care professional–patient the context to a decision rather than applying a
agreement. “Context is the interweaving of the rele- decision or principle to a situation without regard
vant facts of the situation—the facts that are neces- for the context.
sary to act upon to bring about a desired result, an The Husteds described the ultimate application and
agent’s awareness of these facts, and the knowledge practice of these assumptions by health care professionals