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Nursing ethics

Ildikó Gágyor, Arndt Heßling, Susanne Heim, Andreas Frewer, Friedemann Nauck, Wolfgang Himmel
Background: General practitioners (GPs), nurses and informal caregivers are often jointly involved in healthcare situations in which ethical issues play an important role. Objectives: To describe ethical problems from the perspective of these three groups and to investigate whether there is a common experience of ethical issues in primary care. Methods: We conducted six focus groups with general practitioners, nurses and informal caregivers in Germany...
June 21, 2018: Family Practice
Camellia Torabizadeh, Fatemeh Darari, Shahrzad Yektatalab
Background and significance of research: Nurses' awareness of professional values and how those values affect their behaviors is an integral part of nursing care. There is a large body of research on nursing professional values, however, a careful survey of the available literature did not yield any studies investigating the status of professional values in operating rooms. OBJECTIVE: This study aims to investigate the perception of operating room nurses of university hospitals toward professional values...
January 1, 2018: Nursing Ethics
Rahime Aydın Er, Aysel İncedere, Selda Öztürk
OBJECTIVE: Dignified care protects the patient's rights and provides appropriate ethical care while improving the quality of nursing care. In this context, the opinions of nurses and patients who receive nursing care about dignified care are important. The aim of this study was to explore the opinions and experiences of Turkish patients and nurses about respectful care of human dignity. METHODS: This descriptive cross-sectional study was conducted in Turkey. Participants were inpatients at cardiology, neurology and neurosurgery clinics and nurses working in these clinics...
June 20, 2018: Journal of Medical Ethics
David Thomas Evans, Mark Dukes
Acquired immune deficiency syndrome (AIDS) was first labelled as a new illness in 1981; it took two more years to discover a causative virus, which was named human immunodeficiency virus (HIV) in 1985. Nurses who practised during those times may recall the fear, panic, stigma, ethical dilemmas and refusals to care that were associated with the pandemic. Four decades later, HIV can be considered a long-term condition rather than a life-limiting disease, as a result of developments in treatment. However, the UK has the highest number of people living with the virus since the pandemic was first identified, and there remains a need to challenge stigma and prejudice in relation to HIV and AIDS, to ensure that people receive timely access to HIV testing, treatment and preventive measures...
June 20, 2018: Nursing Standard
Cinzia Leuter, Cristina Petrucci, Valeria Caponnetto, Carmen La Cerra, Loreto Lancia
INTRODUCTION: Ethics Consultation Services (ECS) and Ethical Committees manage several aspects of clinical ethical issues. In Italy there are only Ethical Committees, and, although they should also perform ethical consultations, their activity is limited to approving clinical trial protocols. AIM: To analyse the opinions of a sample of Nurses and Physicians about their motivations to ask for an ethical consultation. METHODS: A cross-sectional study was conducted on a sample of Italian Nurses and Physicians...
April 2018: Annali Dell'Istituto Superiore di Sanità
Jean Watson, Tim Porter-O'Grady, Sara Horton-Deutsch, Kathy Malloch
The authors of this article integrate two historically parallel yet disparate fields of nursing, caring science theory and nursing quantum leadership science. Through a nursing, discipline-specific unitary paradigm lens, intersecting principles of caring science and quantum leadership science are uncovered. The result is a model for unitary, discipline-specific, nursing healthcare leadership: Quantum Caring Healthcare Leadership. Ontological congruence is uncovered among the philosophical-ethical-theoretical principles of caring science and the unifying disciplinary structural concepts from quantum leadership...
July 2018: Nursing Science Quarterly
Constance L Milton
A paradox is an idea stated as an unexpected contradictory term, showing apparent opposing thoughts. Mattering-not mattering is a paradox that may surface as persons experience feeling that they are significant and feeling concern from others in light of not feeling significant or concern from others as they are living quality. A case study of homelessness will be used to illustrate the ethical paradox from the humanbecoming ethos of understanding with implications for nurse practice.
July 2018: Nursing Science Quarterly
Mona Pettersson, Mariann Hedström, Anna T Höglund
BACKGROUND: DNR decisions are frequently made in oncology and hematology care and physicians and nurses may face related ethical dilemmas. Ethics is considered a basic competence in health care and can be understood as a capacity to handle a task that involves an ethical dilemma in an adequate, ethically responsible manner. One model of ethical competence for healthcare staff includes three main aspects: being, doing and knowing, suggesting that ethical competence requires abilities of character, action and knowledge...
June 19, 2018: BMC Medical Ethics
Katsiaryna Laryionava, Katja Mehlis, Elena Bierwirth, Friederike Mumm, Wolfgang Hiddemann, Pia Heußner, Eva C Winkler
BACKGROUND: Many patients with advanced cancer receive chemotherapy close to death and are referred too late to palliative or hospice care, and therefore die under therapy or in intensive care units. Oncologists still have difficulties in involving patients appropriately in decisions about limiting tumor-specific or life-prolonging treatment. OBJECTIVE: The aim of this Ethics Policy for Advanced Care Planning and Limiting Treatment Study is to develop an ethical guideline for end-of-life decisions and to evaluate the impact of this guideline on clinical practice regarding the following target goals: reduction of decisional conflicts, improvement of documentation transparency and traceability, reduction of distress of the caregiver team, and better knowledge and consideration of patients' preferences...
June 15, 2018: JMIR Research Protocols
Zoe A Michaleff, Paul Campbell, Alastair D Hay, Louise Warburton, Kate M Dunn
OBJECTIVES: Test a method of identifying, recruiting and collecting data from children and adolescents who consult their general practitioner about a musculoskeletal condition. DESIGN: Prospective cohort feasibility study. SETTING: 13 general practices in West Midlands of England. PARTICIPANTS: Patients aged 8-19 years who consult their general practice about a musculoskeletal condition. Patients were identified via a relevant musculoskeletal Read code entered at the point of consultation...
June 14, 2018: BMJ Open
Banafsheh Tehranineshat, Mahnaz Rakhshan, Camellia Torabizadeh, Mohammad Fararouei
BACKGROUND: Compassion is the core of nursing care and the basis of ethical codes. Due to the complex and abstract nature of this concept, there is a need for further investigations to explore the meaning and identify compassionate nursing care. OBJECTIVES: The purpose of this study was to identify and describe compassionate nursing care based on the experiences of nurses, patients, and family caregivers. RESEARCH DESIGN: This was a qualitative exploratory study...
January 1, 2018: Nursing Ethics
Carey S Clark
With the knowledge of psychoneuroimmunological responses and the known high stress levels of nursing students, as caring nurse educators, we have become ethically obligated to revise and re-vision our current nursing educational practices. Nurse educators should be motivated to create innovative and radical caring science curricular approaches, so that our nurses of the future are in turn supported in creating caring- healing sustainable bedside practices. This paper details the outcomes from an upper level yoga elective in an RN- BSN program...
June 13, 2018: International Journal of Nursing Education Scholarship
Ren-Li Deng, Jia-Zhong Duan, Jiang-Hui Zhang, Jia-Rui Miao, Liu-Liu Chen, Diana T F Lee
As the aging population, including frail older people, continues to grow in Mainland China, quality of life and end-of-life care for frail older people has attracted much attention. Advance care planning is an effective way to improve end-of-life care for people with advanced diseases, and it is widely used in developed countries; however, it is a new concept in Mainland China. The effects of advance care planning and its acceptability in Mainland China are uncertain because of its culture-sensitive characteristics...
January 1, 2018: Nursing Ethics
Hilde Laholt, Kim McLeod, Marilys Guillemin, Ellinor Beddari, Geir Lorem
BACKGROUND: Visual technologies are central to youth culture and are often the preferred communication means of adolescents. Although these tools can be beneficial in fostering relations, adolescents' use of visual technologies and social media also raises ethical concerns. AIMS: We explored how school public health nurses identify and resolve the ethical challenges involved in the use of visual technologies in health dialogues with adolescents. RESEARCH DESIGN: This is a qualitative study utilizing data from focus group discussions...
January 1, 2018: Nursing Ethics
Jonathan Harris, Paula Mayo
Good leadership is essential to patient-centred care and staff satisfaction in the healthcare environment. All members of the healthcare team can be leaders and evidence-based theory should inform their leadership practice. This article uses a case study approach to critically evaluate leadership as exercised by a charge nurse and a student nurse in a clinical scenario. Ineffective leadership styles are identified and alternatives proposed; considerable attention is given to critiquing both 'heroic' and 'post-heroic' transformational leadership theories...
June 14, 2018: British Journal of Nursing: BJN
Jon Cornwall, James M Elliott, David M Walton, Peter G Osmotherly
Clinical genomics, involving the examination of an individual's genetic material, is becoming more frequently used in healthcare. Increasingly, genomic testing is providing information that is relevant to clinical management and decision-making. Some healthcare professions, such as medicine and nursing, are integrating clinical genomics competencies into their educational frameworks to enable practitioners to work safely with patients and families who have had or require genomic testing. The uptake of clinical genomics within healthcare is of interest to physical therapist practice worldwide because of a growing direct-to-consumer accessibility to testing and the potential for such information to influence patient care as some genetic variants have been linked to many common conditions...
June 8, 2018: Physical Therapy
Mohammad Ali Jahani, Shahrbanoo Mahmoudjanloo, Fatemeh Hoseini Rostami, Hosein Ali Nikbakht, Ghahraman Mahmoudi
Studying the role of employees as the base of an organization on achieving organizational goals has increased in recent years [1]. To have better organizational citizens, organizations should encourage their staff [2]. As the most powerful form of organizational behavior, organizational citizenship is more influential than organizational cooperation [3]. Studies have shown that cooperative behavior, such as the citizenship behavior results in easier organizational communication, promoting organizational planning, improving inter-personal cooperation and developing better organizational climate, directly influence staff satisfaction, work life quality, service-provision, job commitment and financial output [4]...
August 2018: Data in Brief
Matilde Celma-Vicente, Manuel López-Morales, María Dolores Cano Caballero-Gálvez
OBJECTIVE: To discover the opinions of the tutors and students of the Degree in Nursing on clinical practices and identify strategies and improvement proposals for teacher performance. METHOD: A qualitative study with a phenomenological perspective through focus groups with clinical nurse tutors and nursing students. The participants were divided into 3 groups: students, tutors from the medical area and tutors from the surgical area. The number of groups was determined by saturation of the information...
June 8, 2018: Enfermería Clínica
Sandra K Cesario
Medical tourism is an emerging industry that facilitates travel to another country for people who seek medical, surgical, or dental care that is unavailable or more affordable than in their home countries. Rapid advances in electronic communication and the ease of international travel have fueled the growth of this industry. More than half of medical travelers are women, especially for services related to cosmetic or reproductive conditions. Medical tourism creates both opportunities and challenges for nurses and other health care providers...
June 2018: Nursing for Women's Health
Rachel Cross, Julia Morphet, Charne Miller
BACKGROUND: Postgraduate emergency nursing studies strengthen the emergency nursing workforce and contribute to specialist patient care. Formative and summative assessments in postgraduate study are important for student learning as they enable self-reflection and feedback. AIM: To compare formative and summative appraisal assessments between postgraduate emergency nursing students and nurse educators. METHOD: Retrospective review of assessments completed by postgraduate student and educator in the final multi-system complex subject of the postgraduate emergency nursing course during 2015...
June 5, 2018: International Emergency Nursing
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