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Nursing Ethics

Ingrid Hanssen, Phuong Thai Minh Tran
BACKGROUND: If collectivistic-oriented family carers choose professional care for dependents with dementia, they risk being stigmatised as failing their obligation. This may influence dementia care choices. RESEARCH QUESTION: How may individualistic and collectivistic values influence choices in dementia care? METHOD: Qualitative design with in-depth interviews with a total of 29 nurses, 13 family members in Norway and the Balkans and 3 Norwegian dementia care coordinators...
September 10, 2018: Nursing Ethics
Margit Eckardt, Mikael Lindfelt
BACKGROUND: Education can be taken as a key factor in transmission of a value tradition in healthcare. In professional and educational contexts, transmission of values appears to be a kind of guarantee for an occupational group's professional identity, awareness and ethical integrity. Given the positives of such transmission of value traditions, one can also pay attention to conflicts between the professional tradition and individuals who are brought into that tradition. OBJECTIVES: How does mediation of value tradition in healthcare education appear out of the students' perspective based on their own narratives? Research design and participants: Students' texts were analysed through a combination of contrastive discourse analysis and sociohistorical description and then evaluated from an ethical perspective...
September 10, 2018: Nursing Ethics
Olivia Numminen, Jouko Katajisto, Helena Leino-Kilpi
BACKGROUND: Moral courage is required at all levels of nursing. However, there is a need for development of instruments to measure nurses' moral courage. OBJECTIVES: The objective of this study is to develop a scale to measure nurses' self-assessed moral courage, to evaluate the scale's psychometric properties, and to briefly describe the current level of nurses' self-assessed moral courage and associated socio-demographic factors. RESEARCH DESIGN: In this methodological study, non-experimental, cross-sectional exploratory design was applied...
September 5, 2018: Nursing Ethics
Masoumeh Shohani
BACKGROUND: Discrimination in nursing has led to the formation of some taboos that often impact the individual's professional development. Nurses use strategies to overcome discrimination that can lead to consequences. RESEARCH OBJECTIVE: This study assessed nurses' experiences to explore the consequences of Iranian nurses' strategies to overcome intra-professional discrimination. RESEARCH DESIGN: This qualitative content analysis study employed purposive sampling to reach 25 nurses working at educational hospitals in Tehran, Tabriz, and Ilam, Iran...
September 2, 2018: Nursing Ethics
Elin Margrethe Aasen, Berit Misund Dahl
BACKGROUND: Since the adoption of the Universal Declaration of Human Rights by the United Nations in 1948, human rights as set out in government documents have gradually changed, with more and more power being transferred to individual. OBJECTIVES: The aim of this article is to analyze how the position of the patient in need of care is constructed in Norway's renamed and revised Patients' and Service Users' Rights Act (originally Patients' Rights Act, 1999) and published comments which accompanying this legislation from the Norwegian Ministry of Health and Care Service...
August 23, 2018: Nursing Ethics
Zahra Saberi, Mohsen Shahriari, Ahmad Reza Yazdannik
INTRODUCTION: Critical care nurses work in a complex and stressful environment with diverse norms, values, interactions, and relationships. Therefore, they inevitably experience some levels of ethical conflict. AIM: The aim of this study is to analyze the relationship of ethical conflict with personal and organizational characteristics among critical care nurses. METHODS: This descriptive-correlational study was conducted in 2017 on a random sample of 216 critical care nurses...
August 22, 2018: Nursing Ethics
Simon Malfait, Ann Van Hecke, Wim Van Biesen, Kristof Eeckloo
Bedside handover is the delivery of the nurse-to-nurse handover at the patient's bedside. Although increasingly used in nursing, nurses report many barriers for delivering the bedside handover. Among these barriers is the possibility of breaching the patient's privacy. By referring to this concept, nurses add a legal and ethical dimension to the delivery of the bedside handover, making implementation of the method difficult or even impossible. In this discussion article, the concept of privacy during handovers is being discussed by use of observations, interviews with nurses, and interviews with patients...
August 22, 2018: Nursing Ethics
João Paulo Victorino, Karina Dal Sasso Mendes, Úrsula Marcondes Westin, Jennifer Tatisa Jubileu Magro, Carlos Alexandre Curylofo Corsi, Carla Aparecida Arena Ventura
BACKGROUND: Organ donation and transplantation represent one of the most important scientific advances over the last decades. Due to the complexity of these procedures and related ethical-legal aspects, however, there are a lot of doubts and uncertainty about the brain death diagnosis and the maintenance of potential organ donor. AIM: To identify and discuss the different meanings and experiences of registered nurses and physicians from an adult intensive care unit in relation to the diagnosis of brain death and the maintenance of potential organ donors for transplantation purposes...
August 22, 2018: Nursing Ethics
Daniel Rodger, Bruce Blackshaw, Amanda Young
BACKGROUND: Moral distress can be broadly described as the psychological distress that can develop in response to a morally challenging event. In the context of healthcare, its effects are well documented in the nursing profession, but there is a paucity of research exploring its relevance to healthcare assistants. OBJECTIVE: This article aims to examine the existing research on moral distress in healthcare assistants, identity the important factors that are likely to contribute to moral distress, and propose preventative measures...
August 22, 2018: Nursing Ethics
Somayeh Mousazadeh, Shahrzad Yektatalab, Marzieh Momennasab, Soroor Parvizy
BACKGROUND: Nurses face challenges regarding professional identify. Being unaware of these challenges and not owning positive professional identify leads to a lack of self-confidence. Thus, nurses face problems in interpersonal communication and lose their attachment to their profession. Few studies have engaged with impediments to forming positive professional identity in relation to intensive care nurses. OBJECTIVE: The purpose of this study is to investigate the impediments to forming positive professional identity in nurses working in intensive care unit...
August 21, 2018: Nursing Ethics
Na Zhang, Mingfang Li, Zhenxing Gong, Dingxin Xu
BACKGROUND: Nurses' service behaviors have critical implications for hospitals. However, few studies had adequate ethical considerations of service behaviors and accounted for how organizational or individual antecedents can induce nurses to engage in service behaviors. In addition, they mainly focused on the one side of role-prescribed or extra-role service behavior. OBJECTIVE: This study aims to explore the chained mediation effect of ethical climate and moral sensitivity on the relationship between organizational ethical leadership and nurses' service behaviors and to examine the relationship, from a comparative view, of the role-prescribed service behavior and extra-role service behavior...
August 5, 2018: Nursing Ethics
Tiago José Silveira Teófilo, Rafaella Felix Serafim Veras, Valkênia Alves Silva, Nilza Maria Cunha, Jacira Dos Santos Oliveira, Selene Cordeiro Vasconcelos
INTRODUCTION: Empathy is a complex human experience that involves the subjective intersection of different individuals. In the context of nursing care in the geriatric setting, the benefits of empathetic relationships are directly related to the quality of the practice of nursing. OBJECTIVE: Analyze scientific production on the benefits of empathy in the nurse-patient relationship in the geriatric care setting. METHODS: An integrative review of the literature was performed using the PubMed, Cochrane, CINAHL, Scopus, PsycINFO, and Web of Science databases...
August 3, 2018: Nursing Ethics
Ann Gallagher, Craig Gannon
No abstract text is available yet for this article.
September 2018: Nursing Ethics
(no author information available yet)
No abstract text is available yet for this article.
September 2018: Nursing Ethics
Helge Skirbekk, Marit Helene Hem, Per Nortvedt
BACKGROUND: There is little research comparing clinicians' and managers' views on priority settings in the healthcare services. During research on two different qualitative research projects on healthcare prioritisations, we found a striking difference on how hospital executive managers and clinical healthcare professionals talked about and understood prioritisations. AIM: The purpose of this study is to explore how healthcare professionals in mental healthcare and somatic medicine prioritise their care, to compare different ways of setting priorities among managers and clinicians and to explore how moral dilemmas are balanced and reconciled...
September 2018: Nursing Ethics
Bridie McCarthy, Joan McCarthy, Anna Trace, Pamela Grace
BACKGROUND: Written reflections on practice are frequently requirements of nursing curricula. They are widely accepted as necessary for improving critical thinking and problem-solving skills. Faculty, are expected to review reflections and provide feedback that helps professional development and facilitates good practice. It is less clear what the actions of nurse educators should be when ethical infractions are revealed in the narratives. OBJECTIVES: We had two aims: 1) To combine insights from a literature review of empirical and theoretical research related to responding to ethical issues revealed in student reflections with our experiences reviewing the reflections of undergraduate nursing and midwifery students, and 2) to construct and analyze a hybrid case from these insights in order to develop guidelines for nurse educators...
September 2018: Nursing Ethics
Reidun Norvoll, Reidar Pedersen
BACKGROUND: Coercion in mental healthcare has led to ethical debate on its nature and use. However, few studies have explicitly explored patients' moral evaluations of coercion. AIM: The purpose of this study is to increase understanding of patients' moral views and considerations regarding coercion. RESEARCH DESIGN: Semi-structured focus-group and individual interviews were conducted and data were analysed through a thematic content analysis...
September 2018: Nursing Ethics
Åsa Larsson, Yvonne Hilli
BACKGROUND: The midwifery profession in Sweden has a history since the early 1700s when government training for midwives began. Midwifery is historically well described, but the idea of caring within midwifery is not described. AIM: The aim was to describe the patterns of ideas of caring as they appeared in midwifery during the first half of the 20th century. RESEARCH DESIGN: This study has a hermeneutic approach and the method is history of ideas...
September 2018: Nursing Ethics
Kathleen Lechasseur, Chantal Caux, Stéphanie Dollé, Alain Legault
BACKGROUND: Ethics, being a fundamental component of nursing practice, must be integrated in the nursing education curriculum. Even though different bodies are promoting ethics and nursing researchers have already carried out work as regards this concept, it still remains difficult to clearly identify the components of this competence. OBJECTIVE: This integrative review intends to clarify this point in addition to better defining ethical competence in the context of nursing practice...
September 2018: Nursing Ethics
Pei-Pei Chen, Hsiao-Lu Lee, Shu-He Huang, Ching-Ling Wang, Chiu-Mieh Huang
BACKGROUND: Moral distress occurs when nurses experience ethical dilemmas. Issues related to these dilemmas are addressed in some nursing education courses. Nurses' reaction to dilemma such as moral distress is relatively less noticed. OBJECTIVE: This study aimed to identify and describe the various types of perceptions of moral distress exhibited by nurses. RESEARCH DESIGN: This study applied Q methodology to explore the perspectives of nurses regarding moral distress...
September 2018: Nursing Ethics
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