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Table 2 Overview of themes and findings

From: “No, it is not a breach of my oath because it is beyond my control; I use the policies that are in place.” Ethical challenges faced by healthcare workers in the provision of healthcare to cross-border migrants in Botswana

Themes

Principle of Bioethical Principlism

Explanation

Policies /guidelines that exclude migrants from accessing healthcare

Professional ethics of Health Workers Visa Health Policies

Justice

This principle addresses fairness and the equitable distribution of healthcare resources. Exclusionary policies violate this principle by denying fair access to healthcare for migrants

Moral distress related to policies

Beneficence/Non-maleficence

Moral distress occurs when healthcare providers feel they cannot act in the best interest of their patients (beneficence) or feel forced to act in ways that cause harm (non-maleficence)

Reporting Migrant patients to the Police (Ethical dilemmas in balancing legal obligations and patients rights)

Confidentiality (Autonomy),Non-maleficence and Justice

Healthcare workers face ethical conflicts between respecting patient confidentiality (autonomy) and following legal mandates. Reporting migrants may cause harm (non-maleficence) and contribute to systemic inequities (justice)