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Nursing Ethics

Marsha D Fowler
Modern American nursing has an extensive ethical heritage literature that extends from the 1870s to 1965 when the American Nurses Association issued a policy paper that called for moving nursing education out of hospital diploma programs and into colleges and universities. One consequence of this move was the dispersion of nursing libraries and the loss of nursing ethics textbooks, as they were largely not brought over into the college libraries. In addition to approximately 100 nursing ethics textbooks, the nursing ethics heritage literature also includes hundreds of journal articles that are often made less accessible in modern databases that concentrate on the past 20 or 30 years...
May 2017: Nursing Ethics
Douglas P Olsen
No abstract text is available yet for this article.
May 2017: Nursing Ethics
Bruce S Jansson, Adeline Nyamathi, Gretchen Heidemann, Lei Duan, Charles Kaplan
BACKGROUND: Nurses, social workers, and medical residents are ethically mandated to engage in policy advocacy to promote the health and well-being of patients and increase access to care. Yet, no instrument exists to measure their level of engagement in policy advocacy. RESEARCH OBJECTIVE: To describe the development and validation of the Policy Advocacy Engagement Scale, designed to measure frontline healthcare professionals' engagement in policy advocacy with respect to a broad range of issues, including patients' ethical rights, quality of care, culturally competent care, preventive care, affordability/accessibility of care, mental healthcare, and community-based care...
May 2017: Nursing Ethics
Ferry Efendi, Timothy Ken Mackey, Mei-Chih Huang, Ching-Min Chen
Indonesia is recognized as a nurse exporting country, with policies that encourage nursing professionals to emigrate abroad. This includes the country's adoption of international principles attempting to protect Indonesian nurses that emigrate as well as the country's own participation in a bilateral trade and investment agreement, known as the Indonesia-Japan Economic Partnership Agreement that facilitates Indonesian nurse migration to Japan. Despite the potential trade and employment benefits from sending nurses abroad under the Indonesia-Japan Economic Partnership Agreement, Indonesia itself is suffering from a crisis in nursing capacity and ensuring adequate healthcare access for its own populations...
May 2017: Nursing Ethics
Monir Mazaheri, Eva Ericson-Lidman, Ali Zargham-Boroujeni, Joakim Öhlén, Astrid Norberg
BACKGROUND: Conscience is an important concept in ethics, having various meanings in different cultures. Because a growing number of healthcare professionals are of immigrant background, particularly within the care of older people, demanding multiple ethical positions, it is important to explore the meaning of conscience among care providers within different cultural contexts. RESEARCH OBJECTIVE: The study aimed to illuminate the meaning of conscience by enrolled nurses with an Iranian background working in residential care for Persian-speaking people with dementia...
May 2017: Nursing Ethics
Elizabeth Joly
BACKGROUND: With the number of young people with medical complexity increasing, an increasing number must navigate the transition to adulthood. This transition, in part, involves a situational transition in which young people and their families must access new services in the adult system. OBJECTIVES: To explore how societal ideologies, communities, and organizations represent the foundation of barriers to access to services. RESEARCH DESIGN: The discussion in this paper, framed within a social justice perspective, outlines barriers to access to services at the societal and community levels including societal ideologies, differences in philosophies of care in pediatric and adult care, physical environments, and availability of services...
May 2017: Nursing Ethics
Seda Karsavuran, Sıdıka Kaya
BACKGROUND: Mobbing and burnout can cause serious consequences, especially for health workers and managers. Level of burnout and exposure to mobbing may trigger each other. There is a need to conduct additional and specific studies on the topic to develop some strategies. RESEARCH OBJECTIVES: The purpose of this study is to determine the relationship between level of burnout and exposure to mobbing of the managers (head physician, assistant head physician, head nurse, assistant head nurse, administrator, assistant administrator) at the Ministry of Health hospitals...
May 2017: Nursing Ethics
Chanel L Watson, Tom O'Connor
BACKGROUND: The role of nurses as patient advocates is one which is well recognised, supported and the subject of a broad body of literature. One of the key impediments to the role of the nurse as patient advocate is the lack of support and legislative frameworks. Within a broad range of activities constituting advocacy, whistleblowing is currently the subject of much discussion in the light of the Mid Staffordshire inquiry in the United Kingdom (UK) and other instances of patient mistreatment...
May 2017: Nursing Ethics
Nancy Crigger, Maria Fox, Tarris Rosell, Wilaiporn Rojjanasrirat
BACKGROUND: Ethics consultation is the traditional way of resolving challenging ethical questions raised about patient care in the United States. Little research has been published on the resolution process used during ethics consultations and on how this experience affects healthcare professionals who participate in them. OBJECTIVES: The purpose of this qualitative research was to uncover the basic process that occurs in consultation services through study of the perceptions of healthcare professionals...
May 2017: Nursing Ethics
Anna Abelsson, Lillemor Lindwall
BACKGROUND: Ethics and dignity in prehospital emergency care are important due to vulnerability and suffering. Patients can lose control of their body and encounter unfamiliar faces in an emergency situation. OBJECTIVE: To describe what specialist ambulance nurse students experienced as preserved and humiliated dignity in prehospital emergency care. RESEARCH DESIGN: The study had a qualitative approach. METHOD: Data were collected by Flanagan's critical incident technique...
May 2017: Nursing Ethics
Ann Gallagher
No abstract text is available yet for this article.
March 2017: Nursing Ethics
Settimio Monteverde
No abstract text is available yet for this article.
February 2017: Nursing Ethics
Hyejin Kim, Janet A Deatrick, Connie M Ulrich
BACKGROUND: Despite the growing body of knowledge about surrogate decision making, we know very little about the use of ethical frameworks (including ethical theories, principles, and concepts) to understand surrogates' day-to-day experiences in end-of-life care planning for incapacitated adults. OBJECTIVES AND METHODS: This qualitative systematic review was conducted to identify the types of ethical frameworks used to address surrogates' experiences in end-of-life care planning for incapacitated adults as well as the most common themes or patterns found in surrogate decision-making research...
February 2017: Nursing Ethics
Maryam Aghabarary, Nahid Dehghan Nayeri
BACKGROUND: Despite their negative consequences, evidence shows that futile medical treatments are still being provided, particularly to terminally ill patients. Uncovering the reasons behind providing such treatments in different religious and sociocultural contexts can create a better understanding of medical futility and help manage it effectively. RESEARCH OBJECTIVES: This study was undertaken to explore Iranian nurses' and physicians' perceptions of the reasons behind providing futile medical treatments...
February 2017: Nursing Ethics
Cayetano Fernández-Sola, María Mar Díaz Cortés, José Manuel Hernández-Padilla, Cayetano José Aranda Torres, José María Muñoz Terrón, José Granero-Molina
BACKGROUND: Respecting dignity is having a profound effect on the clinical relationship and the care framework for terminally ill patients in palliative care units, hospices and their own homes, with particular consequences for the emergency department. However, dignity is a vague and multifaceted concept that is difficult to measure. OBJECTIVE: The aim of this study is to define the attributes of dignity in end-of-life care in the emergency department, based on the opinions of physicians and nurses...
February 2017: Nursing Ethics
Judith L Hold
BACKGROUND: On a day to day basis, nurses are facing more ethical dilemmas during end-of-life care resulting in not being able to actualize a good death for patients. RESEARCH OBJECTIVE: The purpose of this study was to explore how experienced hospice nurses resolve day to day ethical dilemmas during end-of-life care. RESEARCH DESIGN: The study used a qualitative narrative approach. PARTICIPANTS: Through purposeful sampling, a total of six experienced hospice nurse participated...
February 2017: Nursing Ethics
Cinzia Leuter, Carmen La Cerra, Santina Calisse, Danila Dosa, Cristina Petrucci, Loreto Lancia
BACKGROUND: Advances in biomedical sciences, technologies and care practices have resulted in an increase in ethical problems and a resulting growth of difficulties encountered by health workers in their professional activity. OBJECTIVE: The main objective of this study was to analyse knowledge in the ethical field and experience with and the propensity for using ethics consultations by nurses and physicians. METHODS: Between March and June 2014, a cross-sectional observational study was conducted on a sample of 351 nurses and 128 physicians in four central Italian hospitals...
January 18, 2017: Nursing Ethics
Selene Cordeiro Vasconcelos, Antonia Oliveira Silva, Maria Adelaide Silva Paredes Moreira, Analine de Souza Bandeira Correia, Ana Luisa Antunes Gonçalves Guerra, Adrielle Rodrigues Dos Santos, Iracema da Silva Frazão
INTRODUCTION: Despite being considered as a contravention under some countries' legislation, the therapeutic use of Cannabis sativa has been growing in Brazil, due to the promising results observed in many pathologies. Such a scenario has fostered the need to deepen discussions on the subject and possibly revise legislation governing the substance use and access. OBJECTIVES: Identify the types of stigma related to the therapeutic use of Cannabis and describe the strategies people use to overcome stigma...
January 1, 2017: Nursing Ethics
Carlo Botrugno
Over the last two decades, a public rationale for the implementation of telehealth has emerged at the interplay of specialised literature and political orientations. Despite the lack of consistent findings on the magnitude of its benefits, telehealth is nowadays presented as a worthy solution both for patients and healthcare institutions. Far from denying the potential advantages of telehealth, the main objective of this work is to provide a critical assessment on the spread of the remote services as a vector of positive transformation of contemporary health systems...
January 1, 2017: Nursing Ethics
Johanna Pohjanoksa, Minna Stolt, Helena Leino-Kilpi, Riitta Suhonen, Eliisa Löyttyniemi
BACKGROUND: Whistle-blowing is an ethical activity that tries to end wrongdoing. Wrongdoing in healthcare varies from inappropriate behaviour to illegal action. Whistle-blowing can have negative consequences for the whistle-blower, often in the form of bullying or retribution. Despite the wrongdoing and negative tone of whistle-blowing, there is limited literature exploring them in healthcare. OBJECTIVE: The aim was to describe possible wrongdoing in Finnish healthcare and to examine whistle-blowing processes described on the basis of the existing literature in healthcare as perceived by healthcare professionals...
January 1, 2017: Nursing Ethics
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