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Ethical Health Promotion: Medical Misinformation, Patient Autonomy, and the Role of Nurses

Ethical Health Promotion: Medical Misinformation, Patient Autonomy, and the Role of Nurses
Ethical Health Promotion: Medical Misinformation, Patient Autonomy, and the Role of Nurses

Last updated 07 September 2026

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Health promotion is a vital role of health care practitioners and is essential to individuals' health, enabling informed choices that can lead to better health and the prevention of illness. One of today's prominent ethical issues in health promotion is medical Misinformation spread via social media and other online channels. Patients are likely to encounter Misinformation or inaccuracies regarding illnesses, drugs, vaccines, nutrition, treatment and preventive measures.

According to the authors, Joseph et al. (2023), medical Misinformation is a public health issue because the transmission of false information can impact individuals' health-seeking behaviors, resulting in negative health outcomes. Social media makes this situation even more difficult, as Misinformation can quickly go viral and seem credible without scientific evidence.

When there is conflicting information from the internet and health practitioners, patients can become confused. This is also an ethical consideration because people should be entitled to make informed healthcare choices, which a lack of accurate information can hamper. So, Misinformation should be considered an important aspect of ethical health promotion.

Healthcare systems and healthcare providers need to be proactive in addressing medical Misinformation without infringing on patient autonomy (Joseph et al., 2023). Nurses have a first-hand understanding of their patients and are frequently the first to deliver meaningful, evidence-based, timely health education to patients. Ensuring that healthcare systems offer structured mental health support for nurses is essential to reducing burnout and enabling them to uphold these critical ethical standards.

Patients must be listened to and informed about the evidence, rather than having their information on the internet discounted as inaccurate. This will help keep the patient engaged and also have questions about health information they do not know.

Another area in which health care practitioners can provide basic health literacy skills is to help their patients know how to locate reliable sources, the difference between supported and unsupported claims, and whether health information is from a trusted, credible source or organization.

Healthcare practitioners can assist patients in making better decisions by providing reliable information and promoting critical thinking. It should not be their responsibility to say what patients should think; instead, it should be their responsibility to ensure that patients have accurate information to help them make decisions about their health.

Healthcare workers have an ethical obligation to combat Misinformation, which is supported by several ethical theories (Joseph et al., 2023). Beneficence and nonmaleficence are of special significance in this sense that healthcare practitioners are urged to do good for patients and must not inflict preventable harm.

Correcting inaccurate health information can foster healthier choices and reduce the risk of patients making harmful decisions. Another aspect of autonomy is the right to make health care decisions, since patients should be free to choose their own treatment. However, meaningful autonomy must be accompanied by access to easily understood and accurate information.

The principle of justice also underlies the response to Misinformation, as there is a need to provide equal opportunities for access to accurate health information to those with and without a high socioeconomic status or high health literacy.

The principles reflect the ethical issues of health promotion, such as balancing patient autonomy with the need to prevent harm, and help to guide the practice of health promotion. Therefore, professionals in the health care field should take a non-judgmental, non-pressuring, non-fearful approach to providing evidence-based education.

The American Nurses Association (ANA) Code of Ethics for Nurses also provides some direction on how to deal with this (American Nurses Association, 2025).

Respect for human dignity is a key part of Provision 1, while Provision 2 addresses nursing, which has the primary purpose of promoting the interests and the well-being of the patient. The nurse's obligation to keep patients safe, healthy, and to respect patients' rights is emphasized in provision 3. These provisions help nurses provide accurate, understandable and factual information about patients' values and choices.

Giving patients health information is thus not the only aspect of ethical health promotion. This involves establishing patient-trusting relationships, honest communication, assisting patients to make informed decisions, and ensuring patient safety. Ethical health promotion issues that should be familiar to health care practitioners and relate to the spread of Misinformation include respectful teaching and evidence-based communication.

This guarantees that the nurse gives education to their patient and does not cause them any unnecessary harm while also allowing them to make informed decisions.

References

  • American Nurses Association. (2025). Code of ethics for nurses. American Nurses Association.
  • Joseph, L., Rahman, A., & Varghese, R. (2023). Medical Misinformation and a healthy information environment: A call to action. The Journal for Nurse Practitioners, 19(4), 104502. 

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