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Nursing Ethics

Ann Gallagher, Robert Jago
No abstract text is available yet for this article.
June 2018: Nursing Ethics
Zhang Wenwen, Wu Xiaoyan, Zhan Yufang, Ci Lifeng, Sun Congcong
OBJECTIVE: The purpose of this study was to describe the current situation of moral distress and to explore its influencing factors among Chinese nurses. METHODS: This is an exploratory, descriptive design study. A total of 465 clinical nurses from different departments in three Grade-III, Level-A hospitals in Jinan, Shandong Province, completed the questionnaires, including demographics questionnaire, Chinese version of Moral Distress Scale-Revised, and Job Diagnostic Survey...
June 2018: Nursing Ethics
May Vatne, Dagfinn Nåden
BACKGROUND: Suffering in a suicidal crisis includes feelings such as despair, loneliness, anxiety, fear, shame, guilt and hopelessness. This study highlights the experiences of patients in the aftermath of suicide attempts. The research question was, what do suicidal patients see as meaningful help in care and treatment situations? METHODOLOGY: The methodology is inspired by Gadamer's hermeneutics, where the parts are understood in light of the whole, and the whole is understood in light of the parts...
June 2018: Nursing Ethics
Hossein Bagheri, Farideh Yaghmaei, Tahereh Ashktorab, Farid Zayeri
BACKGROUND: Identifying, maintenance, and promotion of dignity in different patients of various cultures is an ethical responsibility of healthcare workers. RESEARCH QUESTIONS: This study was conducted to investigate factors related to dignity in patients with heart failure and test the validity of Dignity Model. DESIGN: The study had a descriptive-correlational design, and data collection was carried out by means of four specific questionnaires...
June 2018: Nursing Ethics
Tanja Moilanen, Anna-Maija Pietilä, Margaret Coffey, Mari Kangasniemi
BACKGROUND: Although the link between adolescents' health choices in relation to rights, duties and responsibilities is acknowledged, little is studied in this subject. AIM: To identify, describe and synthesize previous studies on adolescents' health choices in relation to rights, duties and responsibilities. Ethical considerations: Ethical approval is not needed as it is an integrative review of published literature. METHOD: The integrative review was used to review and synthesize current knowledge...
June 2018: Nursing Ethics
Sanghee Kim, Minjeong Seo, Doo Ree Kim
BACKGROUND: As nurses' ethical competence in their own fields is essential, clinical ethics support services help nurses improve ethical competence. OBJECTIVES: The purpose of this study was to identify the unmet needs of ethical support for nurses in clinical settings and explore the differences by nursing units. RESEARCH DESIGN: Focus group interview design was applied. Participants and research context: Data were collected via four rounds of focus group interviews with 37 nurses at intensive care units, medical-surgical units, emergency departments and oncology units...
June 2018: Nursing Ethics
Sally Pezaro, Wendy Clyne, Clare Gerada
BACKGROUND: Midwife health is intrinsically linked to the quality of safe patient care. To ensure safe patient care, there is a need to deliver emotional support to midwives. One option that midwives may turn to may be a confidential online intervention, instead of localised, face-to-face support. RESEARCH DESIGN: Following the Realist And MEta-narrative Evidence Syntheses: Evolving Standards publication standards, this realist synthesis approach explores the ethical considerations in permitting confidentiality, anonymity and amnesty in online interventions to support midwives in work-related psychological distress...
June 2018: Nursing Ethics
Rowena L Escolar-Chua
BACKGROUND: Moral distress, moral sensitivity, and moral courage among healthcare professionals have been explored considerably in recent years. However, there is a paucity of studies exploring these topics among baccalaureate nursing students. AIM/OBJECTIVE: The purpose of this study was to explore the relationship between and among moral distress, moral sensitivity, and moral courage of undergraduate baccalaureate nursing students. RESEARCH DESIGN: The research employed a descriptive-correlational design to explore the relationships between and among moral distress, moral sensitivity, and moral courage of undergraduate nursing students...
June 2018: Nursing Ethics
Leila Valizadeh, Vahid Zamanzadeh, Hosein Habibzadeh, Leyla Alilu, Mark Gillespie, Ali Shakibi
BACKGROUND: It is essential to pay attention to and respect the dignity of nurses to maintain them in their profession while they deliver skilled nursing care. Little is known, however, about how a sense of dignity influences the practitioner. OBJECTIVES: The purpose of this study is to describe nurses' experiences of threats to their dignity occurring within clinical settings, which generates an intention to leave clinical practice. RESEARCH DESIGN AND METHOD: The study was performed using qualitative content analysis...
June 2018: Nursing Ethics
Pagorn Singsuriya
Through the framework of Ricoeur's philosophy, Fredriksson and Eriksson develop an influential ethics of the caring conversation, which instructs nurses to have caritas, self-esteem, and autonomy on one hand and to engage respectfully and responsibly in caring conversations on the other. This article brings the ethics of the caring conversation into dialogue with Ricoeur's philosophy again. While Fredriksson and Eriksson draw upon Ricoeur's little ethics, this article relies on Ricoeur's dialectic of love and justice...
June 2018: Nursing Ethics
Ann Gallagher
No abstract text is available yet for this article.
May 2018: Nursing Ethics
Lise-Merete Alpers
BACKGROUND: The importance of trust between patients and healthcare personnel is emphasised in nurses' and physicians' ethical codes. Trust is crucial for an effective healthcare personnel-patient relationship and thus for treatment and treatment outcomes. Cultural and linguistic differences may make building a trusting and positive relationship with ethnic minority patients particularly challenging. Although there is a great deal of research on cultural competence, there is a conspicuous lack of focus on the concepts of trust and distrust concerning ethnic minority patients, particularly in relation to the concept of 'othering'...
May 2018: Nursing Ethics
Aimee Milliken
BACKGROUND: Ethical sensitivity has been identified as a foundational component of ethical action. Diminished or absent ethical sensitivity can result in ethically incongruent care, which is inconsistent with the professional obligations of nursing. As such, assessing ethical sensitivity is imperative in order to design interventions to facilitate ethical practice and to ensure nurses recognize the nature and extent of professional ethical obligations. AIM: To review and critique the state of the science of nurse ethical sensitivity and to synthesize findings across studies...
May 2018: Nursing Ethics
Geoffrey Hunt, Christine Merzeder, Iren Bischofberger
The authors believe there is a need for novel ways of enhancing professional judgment and discretion in the contemporary healthcare environment. The objective is to provide a framework to guide a discursive analysis of an ongoing clinical scenario by a small group of healthcare professionals (4-12) to achieve consensual understanding in the decision-making necessary to resolve specific healthcare inadequacies and promote organisational learning. REPVAD is an acronym for the framework's five decision-making dimensions of reasoning, evidence, procedures, values, attitudes and defences...
May 2018: Nursing Ethics
Elizabeth Peter, Anne Simmonds, Joan Liaschenko
BACKGROUND: Explicating nurses' moral identities is important given the powerful influence moral identity has on the capacity to exercise moral agency. RESEARCH OBJECTIVES: The purpose of this study was to explore how nurses narrate their moral identity through their understanding of their work. An additional purpose was to understand how these moral identities are held in the social space that nurses occupy. RESEARCH DESIGN: The Registered Nurse Journal, a bimonthly publication of the Registered Nurses' Association of Ontario, Canada, features a regular column entitled, 'In the End … What Nursing Means to Me …' These short narratives generally include a story of an important moment in the careers of the authors that defined their identities as nurses...
May 2018: Nursing Ethics
Jeong-Sil Choi, Ji-Soo Kim
BACKGROUND: Whenever there has been a worldwide contagious disease outbreak, there have been reports of infection and death of healthcare workers. Particularly because emergency nurses have contact with patients on the front line, they experience ethical problems in nursing while struggling with infectious diseases in an unfavorable environment. OBJECTIVE: The objective of this study was to explore emergency nurses' ethical problems and to identify factors influencing these problems during the outbreak of Middle East respiratory syndrome-coronavirus in Korea...
May 2018: Nursing Ethics
Heloiza Maria Siqueira Rennó, Flávia Regina Souza Ramos, Maria José Menezes Brito
INTRODUCTION: During their education process, nursing undergraduates experience ethical conflicts and dilemmas that can lead to moral distress. Moral distress can deprive the undergraduates of their working potential and may cause physical and mental health problems. OBJECTIVE: We investigated the experiences of the undergraduates in order to identify the existence of moral distress caused by ethical conflict and dilemmas experienced during their nursing education...
May 2018: Nursing Ethics
Tarja Poikkeus, Riitta Suhonen, Jouko Katajisto, Helena Leino-Kilpi
BACKGROUND: Nurses' ethical competence has been identified as a significant factor governing high quality of care. However, nurses lack support in dealing with ethical problems, and therefore managerial support for nurses' ethical competence is needed. RESEARCH QUESTIONS: This study aimed to analyse, from the perspective of nurse and nurse leaders, the level of nurses' and nurse leaders' ethical competence, perceptions of support for nurses' ethical competence at the organisational and individual levels and background factors associated with this support...
May 2018: Nursing Ethics
Maria Sagrario Acebedo-Urdiales, Maria Jiménez-Herrera, Carme Ferré-Grau, Isabel Font-Jiménez, Alba Roca-Biosca, Leticia Bazo-Hernández, M José Castillo-Cepero, Maria Serret-Serret, José Luis Medina-Moya
BACKGROUND: The acquisition of experience is a major concern for nurses in intensive care units. Although the emotional component of the clinical practice of these nurses has been widely studied, greater examination is required to determine how this component influences their learning and practical experience. OBJECTIVE: To discover the relationships between emotion, memory and learning and the impacts on nursing clinical practice. RESEARCH DESIGN: This is a qualitative phenomenological study...
May 2018: Nursing Ethics
Loredana Sasso, Barbara Delogu, Roberto Carrozzino, Giuseppe Aleo, Annamaria Bagnasco
BACKGROUND: Prisons are contexts where nurses are required to have specific skills to ensure that, in a setting designed for the expiation of crime, prisoners receive the same type of care as anyone else. But this is not always the case, giving rise to ethical issues. RESEARCH QUESTIONS: 'How do correctional nurses describe their working experience in prisons? What issues emerged?' METHODOLOGY: This is a qualitative descriptive study. Following purposive sampling, we conducted five focus groups...
May 2018: Nursing Ethics
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