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The importance of the four principles according to rank would be as follows: beneficence will be ranked highest as it concerns the well-being of the patient. No matter the fears of the patient, the health practitioner’s sole aim is to act in the full benefit of the patient. Next on the rank is non-maleficence, which involves not doing harm to others while making medical decisions. A patient might make a medical decision that will greatly affect those around her (Beauchamp & Childress, 2001).

I would rank justice in third place as it also involves the larger society as a whole. If a patient refuses treatment for a treatable condition, this decision might affect other patients who badly need medical services which the patient will also need as a result of not receiving treatment. In this case, the patient should receive treatment to avoid complications in future, which will cost more to treat. Autonomy should be the last principle, as the wishes of one person should not affect the lives of a society. Therefore, a patient should always seek to make medical decisions considering himself as well as the effect it will have on others (Butts & Rich, 2015).

In the context of the Christian biblical narrative, I think beneficence would be ranked at the top as God created all things to benefit humankind. The world was full of peace to ensure human flourishing to live in joy and harmony. The fall of Adam and Eve would be considered as non-maleficence as the decision they took affected not only them but also all of humankind. They should have considered what effect their actions would have on others. Redemption of humankind would fall under autonomy as God is determined to turn evil and suffering we have caused into good that will be to His ultimate glory. Restoration as the last on the list falls under justice as Christ will return to judge sin and evil, and He will usher in righteousness and peace (Giberson, 2015).


Beauchamp, T. L., & Childress, J. F. (2001). Principles of biomedical ethics. Oxford: Oxford University Press.

Butts, J. B., & Rich, K. L. (2015). Nursing Ethics. Sudbury: Jones & Bartlett Learning, LLC.

Giberson, K. (2015). Saving the original sinner: How Christians have used the Bible’s first man to oppress, inspire, and make sense of the world.

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