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Nursing Ethics

Barbara Alba
BACKGROUND: Reliance on moral principles and professional codes has given nurses direction for ethical decision-making. However, rational models do not capture the emotion and reality of human choice. Intuitive response must be considered. RESEARCH PURPOSE: Supporting intuition as an important ethical decision-making tool for nurses, the aim of this study was to determine relationships between intuition, years of worked nursing experience, and perceived ethical decision-making ability...
November 10, 2016: 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...
November 10, 2016: 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...
October 27, 2016: 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...
October 19, 2016: Nursing Ethics
Juan Manuel Leyva-Moral, Maria Feijoo-Cid
BACKGROUND: When conducting qualitative research, participants usually share lots of personal and private information with the researcher. As researchers, we must preserve participants' identity and confidentiality of the data. OBJECTIVE: To critically analyze an ethical conflict encountered regarding confidentiality when doing qualitative research. RESEARCH DESIGN: Case study. FINDINGS AND DISCUSSION: one of the participants in a study aiming to explain the meaning of living with HIV verbalized his imminent intention to commit suicide because of stigma of other social problems arising from living with HIV...
October 11, 2016: Nursing Ethics
Camellia Torabizadeh, Leyla Homayuni, Marzieh Moattari
BACKGROUND: Nurses are often faced with complex situations that made them to make ethical decisions; and to make such decisions, they need to possess the power of moral reasoning. Studies in Iran show that the majority of nursing students lack proper ethical development. Socratic teaching is a student-centered method which is strongly opposed to the lecturing method. OBJECTIVES: This study was conducted to evaluate the impacts of Socratic questioning on the moral reasoning of the nursing students...
September 30, 2016: 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 30, 2016: Nursing Ethics
Hossein Bagheri, Farideh Yaghmaei, Tahereh Ashktorab, Farid Zayeri
BACKGROUND: Heart failure is a major growing problem and affects not only patients but also their families and community networks and reduces the functional capacity of patients and impairs their social life. RESEARCH QUESTIONS: This study was conducted to investigate relationship between illness-related worries and social dignity in patients with heart failure. DESIGN: The study had a descriptive-analytic design, and data collection was carried out by means of two specific questionnaires...
September 30, 2016: 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 28, 2016: Nursing Ethics
Stavros Vryonides, Evridiki Papastavrou, Andreas Charalambous, Panayiota Andreou, Christos Eleftheriou, Anastasios Merkouris
BACKGROUND: Previous research has linked missed nursing care to nurses' work environment. Ethical climate is a part of work environment, but the relationship of missed care to different types of ethical climate is unknown. RESEARCH OBJECTIVES: To describe the types of ethical climate in adult in-patient cancer care settings, and their relationship to missed nursing care. RESEARCH DESIGN: A descriptive correlation design was used. Data were collected using the Ethical Climate Questionnaire and the MISSCARE survey tool, and analyzed with descriptive statistics, Pearson's correlation and analysis of variance...
September 27, 2016: Nursing Ethics
Morten Magelssen, Elisabeth Gjerberg, Lillian Lillemoen, Reidun Førde, Reidar Pedersen
BACKGROUND: Through the Norwegian ethics project, ethics activities have been implemented in the health and care sector in more than 200 municipalities. OBJECTIVES: To study outcomes of the ethics activities and examine which factors promote and inhibit significance and sustainability of the activities. RESEARCH DESIGN: Two online questionnaires about the municipal ethics activities. PARTICIPANTS AND RESEARCH CONTEXT: A total of 137 municipal contact persons for the ethics project answered the first survey (55% response rate), whereas 217 ethics facilitators responded to the second survey (33% response rate)...
September 22, 2016: Nursing Ethics
Mahnaz Shafakhah, Zahra Molazem, Mojgan Khademi, Farkhondeh Sharif
BACKGROUND: Values are the basis of nursing practice, especially in making decisions about complicated ethical issues. Despite their key role in nursing, little information exists on the factors affecting their development and manifestation in nursing students. OBJECTIVE: This study identifies and describes the facilitators and inhibitors of the development and manifestation of professional values based on the experiences of nursing students and instructors and nurses...
September 22, 2016: Nursing Ethics
Natalie Susan McAndrew, Jane Leske, Kathryn Schroeter
BACKGROUND: Moral distress is a complex phenomenon frequently experienced by critical care nurses. Ethical conflicts in this practice area are related to technological advancement, high intensity work environments, and end-of-life decisions. OBJECTIVES: An exploration of contemporary moral distress literature was undertaken to determine measurement, contributing factors, impact, and interventions. REVIEW METHODS: This state of the science review focused on moral distress research in critical care nursing from 2009 to 2015, and included 12 qualitative, 24 quantitative, and 6 mixed methods studies...
September 22, 2016: Nursing Ethics
Åsa Rejnö, Gunilla Silfverberg, Britt-Marie Ternestedt
BACKGROUND: Ethical problems are a universal phenomenon but rarely researched concerning patients dying from acute stroke. These patients often have a reduced consciousness from stroke onset and thereby lack ability to convey their needs and could be described as 'incompetent' decision makers regarding their own care. OBJECTIVE: The aim of the study was to deepen the understanding of stroke team members' reasoning about truth-telling in end-of-life care due to acute stroke...
September 22, 2016: Nursing Ethics
Zahra Rooddehghan, Zohreh Parsa Yekta, Alireza N Nasrabadi
BACKGROUND: Rationing of various needed services, for example, nursing care, is inevitable due to unlimited needs and limited resources. Rationing of nursing care is considered an ethical issue since it requires judgment about potential conflicts between personal and professional values. OBJECTIVES: The present research sought to explore aspects of rationing nursing care in Iran. RESEARCH DESIGN: This study applied qualitative content analysis, a method to explore people's perceptions of everyday life phenomena and interpret the subjective content of text data...
September 21, 2016: Nursing Ethics
Megan-Jane Johnstone, Helen Rawson, Alison Margaret Hutchinson, Bernice Redley
BACKGROUND: Trust has been identified as a vital value in the nurse-patient relationship. Although increasingly the subject of empirical inquiries, the specific processes used by nurses to foster trust in nurse-patient relationships with older immigrants of non-English speaking backgrounds hospitalised for end-of-life care have not been investigated. AIMS: To explore and describe the specific processes that nurses use to foster trust and overcome possible cultural mistrust when caring for older immigrants of non-English speaking backgrounds hospitalised for end-of-life care...
September 21, 2016: Nursing Ethics
Ciara McGlade, Edel Daly, Joan McCarthy, Nicola Cornally, Elizabeth Weathers, Rónán O'Caoimh, D William Molloy
BACKGROUND: A high prevalence of cognitive impairment and frailty complicates the feasibility of advance care planning in the long-term-care population. RESEARCH AIM: To identify challenges in implementing the 'Let Me Decide' advance care planning programme in long-term-care. RESEARCH DESIGN: This feasibility study had two phases: (1) staff education on advance care planning and (2) structured advance care planning by staff with residents and families...
September 16, 2016: Nursing Ethics
Alessandro Stievano, Sue Bellass, Gennaro Rocco, Douglas Olsen, Laura Sabatino, Martin Johnson
BACKGROUND: There is growing awareness that patient care suffers when nurses are not respected. Therefore, to improve outcomes for patients, it is crucial that nurses operate in a moral work environment that involves both recognition respect, a form of respect that ought to be accorded to every single person, and appraisal respect, a recognition of the relative and contingent value of respect modulated by the relationships of the healthcare professionals in a determined context. RESEARCH QUESTION/AIM: The purpose of this study was to develop better understandings of perceptions of nursing's professional respect in community and hospital settings in England...
September 12, 2016: Nursing Ethics
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November 2016: Nursing Ethics
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November 2016: Nursing Ethics
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