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Nursing Ethics

Roghayeh Mehdipour Rabori, Mahlagha Dehghan, Monirosadat Nematollahi
BACKGROUND: Nursing students experience ethical conflicts and challenges during their clinical education. These may lead to moral distress and disturb the learning process. OBJECTIVES: This study aimed to explore and to evaluate the nursing students' ethical challenges in the clinical settings in Iran. RESEARCH DESIGN: This was a mixed-methods study with an exploratory sequential design. PARTICIPANTS AND RESEARCH CONTEXT: A total of 37 and 120 Iranian nursing students participated in the qualitative and quantitative phases, respectively...
November 14, 2018: Nursing Ethics
Yong Tang
BACKGROUND: Although family caregivers play an important role in end-of-life care decisions, few studies have examined the communication between family caregivers and patients at the end of life. OBJECTIVE: The objective was to describe family caregivers' attitudes toward death, hospice, and truth disclosure. RESEARCH DESIGN: A quantitative method was used, and a closed-ended survey of 140 family caregivers was conducted in China. The subjects included 140 primary family caregivers of elders with terminal cancer enrolled at a hospice center from April to August 2017...
November 14, 2018: Nursing Ethics
Pernilla Pergert, Cecilia Bartholdson, Klas Blomgren, Margareta Af Sandeberg
BACKGROUND: Providing oncological care to children is demanding and ethical issues concerning what is best for the child can contribute to moral distress. OBJECTIVES: To explore healthcare professionals' experiences of situations that generate moral distress in Swedish paediatric oncology. RESEARCH DESIGN: In this national study, data collection was conducted using the Swedish Moral Distress Scale-Revised. The data analysis included descriptive statistics and non-parametric analysis of differences between groups...
November 9, 2018: Nursing Ethics
Pageen M Small
As inpatient nurses spend the majority of their work time caring for patients at the bedside, they are often firsthand witnesses to the devastating outcomes of inadequate preventive healthcare and structural injustices within current social systems. This experience should obligate inpatient nurses to be involved in meeting the social justice needs of their patients. Many nursing codes of ethics mandate some degree of involvement in the social justice needs of society, though how this is to be achieved is not detailed in these general guidelines...
November 9, 2018: Nursing Ethics
Bodil H Blix, Charlotte Berendonk, Vera Caine
In the past decades, narrative practices have been developed, and care has been conceptualized as being narrative in nature. More recently, narrative care has been developing both as a practice and a field of study. It is necessary to make the theoretical foundations of narrative care visible to avoid the risk of narrowly defining narrative care as a matter of storytelling and listening. In this article, we develop an understanding of narrative care grounded in early feminist pragmatist philosophy, with a focus on social and political activism and experience...
November 9, 2018: Nursing Ethics
Smat Saeedi, Leila Jouybari, Akram Sanagoo, Mohammad Ali Vakili
BACKGROUND: Nursing is a profession that has always been accompanied with common ethical concerns. There are some evidences which indicate that narrative writing on traumatic experiences may improve an individual's emotional health. OBJECTIVE: This study aimed to determine the effectiveness of narrative writing on moral distress of nurses working in intensive care unit. RESEARCH DESIGN: This study was a clinical trial with pre- and post-test design...
November 3, 2018: Nursing Ethics
Nathan Hodson
Many studies have shown that women are more likely than men to be living kidney donors, and the discrepancy is particularly marked in heterosexual couples: wives are more likely than husbands to donate a kidney to their spouse. This ' Gender Kidney Donation Gap' can be understood in terms of Carol Gilligan's claims about gender differences in ethical decision-making style, making it appropriate to analyse responses to this imbalance using an ethic of care. This article centres the vast majority of living donors, those who donate in the context of a significant pre-existing relationship...
November 1, 2018: Nursing Ethics
Angus Robson
BACKGROUND: The debate over the ethical implications of care robots has raised a range of concerns, including the possibility that such technologies could disrupt caregiving as a core human moral activity. At the same time, academics in information ethics have argued that we should extend our ideas of moral agency and rights to include intelligent machines. RESEARCH OBJECTIVES: This article explores issues of the moral status and limitations of machines in the context of care...
October 31, 2018: Nursing Ethics
Shahrzad Zolala, Amir Almasi-Hashiani, Forouzan Akrami
BACKGROUND: When individuals are aware of the appropriate ethical practice, but lack the ability to do it, they will suffer from moral distress. Moral distress is a frequent phenomenon in clinical practice which can have different effects on the performance of physicians, nurses, and midwives, and therefore patients and health care systems. RESEARCH OBJECTIVE: The present study aimed to determine the severity and frequency of moral distress in midwives working in birth centers...
October 22, 2018: Nursing Ethics
Ann-Catrin Blomberg, Birgitta Bisholt, Lillemor Lindwall
BACKGROUND: The foundation of all nursing practice is respect for human rights, ethical value and human dignity. In perioperative practice, challenging situations appear quickly and operating theatre nurses must be able to make different ethical judgements. Sometimes they must choose against their own professional principles, and this creates ethical conflicts in themselves. OBJECTIVES: This study describes operating theatre nurses' experiences of ethical value conflicts in perioperative practice...
October 21, 2018: Nursing Ethics
Ebru Baysal, Dilek Sari, Hatice Erdem
AIM: This study was carried out in order to determine ethical decision-making levels of oncology nurses. Ethical Consideration: Research Ethics Committee's approval was obtained prior to the data collection. Permission to use the Turkish version of the Nursing Dilemma Test was received from Birgül Cerit. Written approval was taken from school administrators to conduct the study confirming that there were no invasive procedures planned for human beings during the study period. The study was conducted in accordance with the Helsinki Declaration...
October 21, 2018: Nursing Ethics
Amir-Hossein Pishgooie, Maasoumeh Barkhordari-Sharifabad, Foroozan Atashzadeh-Shoorideh, Anna Falcó-Pegueroles
BACKGROUND: Ethical conflict is a barrier to decision-making process and is a problem derived from ethical responsibilities that nurses assume with care. Intensive care unit nurses are potentially exposed to this phenomenon. A deep study of the phenomenon can help prevent and treat it. OBJECTIVES: This study was aimed at determining the frequency, degree, level of exposure, and type of ethical conflict among nurses working in the intensive care units. RESEARCH DESIGN: This was a descriptive cross-sectional research...
October 18, 2018: Nursing Ethics
Yeliz Culha, Rengin Acaroglu
BACKGROUND: Students' gaining and adopting basic professional values, improving their emotional intelligence skills during the process of nursing education plays a significant role on meeting the needs of healthy/patient individual and his or her family, and individualized care practices. OBJECTIVES: This (descriptive, correlational) research was carried out to evaluate the nursing values, emotional intelligence levels, and individualized care perceptions of senior nursing students and to determine the relationship between them...
October 18, 2018: Nursing Ethics
Jane H White, Anne Griswold Peirce, William Jacobowitz
BACKGROUND/PURPOSE: Research from other disciplines demonstrates that ethical position, idealism, or relativism predicts ethical decision-making. Individuals from diverse cultures ascribe to various religious beliefs and studies have found that religiosity and culture affect ethical decision-making. Moreover, little literature exists regarding undergraduate nursing students' ethical position; no studies have been conducted in the United States on students' ethical position, their self-identified culture, and intrinsic religiosity despite an increase in the diversity of nursing students across the United States...
October 18, 2018: Nursing Ethics
Zehra Basar, Dilek Cilingir
BACKGROUND AND AIM: Surgical intensive care nurses should have ethical sensitivity allowing them to identify ethical issues in order that they can recognize them and make the right decisions. This descriptive study was conducted with the aim of evaluating the ethical sensitivity of surgical intensive care nurses. MATERIALS AND METHODS: The research was carried out with the participation of 160 nurses in six Turkish hospitals, four state, one university, and one private...
October 18, 2018: Nursing Ethics
Salma M Abdalla, Esra Aa Mahgoub, Jihad Abdelgadir, Nahla Elhassan, Zulfa Omer
BACKGROUND: Promoting patients' rights is essential for defining the standards of clinical services within a country. Given their responsibilities, nurses can be the primary target for research to investigate the issue of patients' rights within a healthcare system. As such, assessing the knowledge of nurses about patients' rights is an essential step toward improving the quality of healthcare in limited resource settings like Sudan. OBJECTIVES: We aimed to assess the level of knowledge about patients' rights among the nursing staff at Friendship Teaching Hospital in Sudan...
October 15, 2018: Nursing Ethics
Mobolaji Famuyide, Caroline Compretta, Melanie Ellis
BACKGROUND: Neonatal nurse practitioners have become the frontline staff exposed to a myriad of ethical issues that arise in the day-to-day environment of the neonatal intensive care unit. However, ethics competency at the time of graduation and after years of practice has not been described. Research aim: To examine the ethics knowledge base of neonatal nurse practitioners as this knowledge relates to decision making in the neonatal intensive care unit and to determine whether this knowledge is reflected in attitudes toward ethical dilemmas in the neonatal intensive care unit...
October 14, 2018: Nursing Ethics
Diego José Garcia-Capilla, Alfonso Rubio-Navarro, Maria José Torralba-Madrid, Jane Rutty
INTRODUCTION: Clinical policies control several aspects of clinical practice, including individual treatment and care, resource management and healthcare professionals' etiquette. This article presents Clinical Policy Ethics Assessment Tool, an ethical assessment tool for clinical policies that could be used not only by clinical ethics committees but also by policy committees or other relevant groups. AIM: The aim of this study was to find or create a tool to identify ethical issues and/or confirm ethical validity in nursing practice policies, protocols and guidelines...
October 14, 2018: Nursing Ethics
Shin Wei Sim, Tze Ling Gwendoline Beatrice Soh, Lalit Kumar Radha Krishna
Appropriate and balanced decision-making is sentinel to goal setting and the provision of appropriate clinical care that are attuned to preserving the best interests of the patient. Current family-led decision-making in family-centric societies such as those in Singapore and other countries in East Asia are believed to compromise these objectives in favor of protecting familial interests. Redressing these skewed clinical practices employing autonomy-based patient-centric approaches however have been found wanting in their failure to contend with wider sociocultural considerations that impact care determinations...
October 14, 2018: Nursing Ethics
Fatemeh Mohammadi, Mahnaz Rakhshan, Zahra Molazem, Najaf Zareh, Mark Gillespie
INTRODUCTION: Maintaining dignity is one of patients is one of the main ethical responsibilities of caregivers. However, in many cases, the dignity of patients, especially autistic teenagers is not maintained. The extent to which dignity needs are met for this group within the Iranian care system is difficult to determine as dignity is an abstract concept, and there are few related research studies reported. OBJECTIVES: The objective of this study is to find out caregivers perspectives on dignity in teenagers with autistic spectrum disorder...
October 14, 2018: Nursing Ethics
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