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Nursing Ethics

Simoní Saraiva Bordignon, Valéria Lerch Lunardi, Edison Luiz Devos Barlem, Graziele de Lima Dalmolin, Rosemary Silva da Silveira, Flávia Regina Souza Ramos, Jamila Geri Tomaschewski Barlem
BACKGROUND: Moral distress is considered to be the negative feelings that arise when one knows the morally correct response to a situation but cannot act because of institutional or hierarchal constraints. OBJECTIVES: To analyze moral distress and its relation with sociodemographic and academic variables in undergraduate students from different universities in Brazil. METHOD: Quantitative study with a cross-sectional design. Data were collected through the Moral Distress Scale for Nursing Students, with 499 nursing students from three universities in the extreme south of Brazil answering the scale...
February 13, 2019: Nursing Ethics
Anne Dreyer, Anita Strom
BACKGROUND: Due to the major changes occurring in the demographic composition of the world's population, the number of older individuals is increasing, which puts pressure on the healthcare systems in many different countries. The involvement of volunteers and family members may become necessary to fulfil a patient's needs for follow-up treatments and long-term care in their homes. AIM: This study aimed to explore how nurses and physicians experienced and addressed ethical challenges when they dealt with relatives in what have traditionally been one-on-one consultations at two Norwegian hospital outpatient clinics...
January 27, 2019: Nursing Ethics
Catarina Fischer Grönlund, Anna Söderberg, Vera Dahlqvist, Lars Andersson, Ulf Isaksson
BACKGROUND: An ethical climate has been described as a working climate embracing shared perceptions about morally correct behaviour concerning ethical issues. Various ethical climate questionnaires have been developed and validated for different contexts, but no questionnaire has been found concerning the ethical climate from an inter-professional perspective in a healthcare context. The Swedish Ethical Climate Questionnaire, based on Habermas' four requirements for a democratic dialogue, attempts to assess and measure the ethical climate at various inter-professional workplaces...
January 21, 2019: Nursing Ethics
Elizabeth Newnham, Mavis Kirkham
The bioethical principle of respect for a person's bodily autonomy is central to biomedical and healthcare ethics. In this article, we argue that this concept of autonomy is often annulled in the maternity field, due to the maternal two-in-one body (and the obstetric focus on the foetus over the woman) and the history of medical paternalism in Western medicine and obstetrics. The principle of respect for autonomy has therefore become largely rhetorical, yet can hide all manner of unethical practice. We propose that large institutions that prioritize a midwife-institution relationship over a midwife-woman relationship are in themselves unethical and inimical to the midwifery philosophy of care...
January 13, 2019: Nursing Ethics
Yea-Pyng Lin, Yun-Fang Tsai
BACKGROUND: Maintaining patient dignity is an important aspect of nursing care. No instrument is currently available to measure nurses' behaviours for maintaining patient dignity in clinical care. OBJECTIVES: To develop and test an instrument to measure activities nurses perform to maintain patient dignity in clinical care settings, guided by the literature and face-to-face interviews. RESEARCH DESIGN: A quantitative cross-sectional descriptive survey collected data from the developed scale, which was analysed by descriptive statistics and factor analysis...
January 13, 2019: Nursing Ethics
Marianne Kjelsvik, Ragnhild J Tveit Sekse, Asgjerd Litleré Moi, Elin M Aasen, Per Nortvedt, Eva Gjengedal
BACKGROUND: While being prepared for abortions, some women experience decisional ambivalence during their encounters with health personnel at the hospital. Women's experiences with these encounters have rarely been examined. OBJECTIVE: The objective of this study was to explore ambivalent abortion-seeking women's experiences of their encounters with health personnel. RESEARCH DESIGN: The data were collected in individual interviews and analysed with dialogical narrative analyses...
January 10, 2019: Nursing Ethics
Shu Yu Chen, Shu-Chen Susan Chang, Chiu-Chu Lin, Qingqing Lou, Robert M Anderson
BACKGROUND: Informed consent is essential for the ethical conduct of clinical research and is a culturally sensitive issue. But, a measurable Chinese version of the scale to evaluate the informed consent process has not yet been explored in the existing literature. RESEARCH OBJECTIVES: This study aimed to develop and psychometrically test the Chinese version of the Informed Consent Process Scale. RESEARCH DESIGN: Back-translation was conducted to develop the Chinese version of the questionnaire...
January 6, 2019: Nursing Ethics
Rowena L Escolar Chua, Jaclyn Charmaine J Magpantay
BACKGROUND: Nurses exposed to community health nursing commonly encounter situations that can be morally distressing. However, most research on moral distress has focused on acute care settings and very little research has explored moral distress in a community health nursing setting especially among nursing students. AIM: To explore the moral distress experiences encountered by undergraduate baccalaureate nursing students in community health nursing. RESEARCH DESIGN: A descriptive qualitative design was employed to explore the community health nursing experiences of the nursing students that led them to have moral distress...
December 28, 2018: Nursing Ethics
Alvisa Palese, Silvia Gonella, Tea Kasa, Davide Caruzzo, Mark Hayter, Roger Watson
BACKGROUND: Psychological abuse of older people is difficult to recognise; specifically, nursing home residents have been documented to be at higher risk of psychological abuse during daily care, such as during feeding. Healthcare professionals adopt positive and negative verbal prompts to maintain residents' eating independence; however, negative prompts' purposes and implications have never been discussed to date. RESEARCH AIMS: To critically analyse negative verbal prompts given during mealtimes as forms of abuse of older individuals and violation of ethical principles...
December 28, 2018: Nursing Ethics
Elif Akyüz, Hülya Bulut, Mevlüde Karadağ
BACKGROUND: Informed consent involves patients being informed, in detail, of information relating to diagnosis, treatment, care and prognosis that relates to him or her. It also involves the patient explicitly demonstrating an understanding of the information and a decision to accept or decline the intervention. Nurses in particular experience problems regarding informed consent. RESEARCH QUESTION AND DESIGN: This descriptive study was designed to determine nurse knowledge and practices regarding their roles and responsibilities for informed consent in Turkey...
December 6, 2018: Nursing Ethics
Kianna Owen
No abstract text is available yet for this article.
December 4, 2018: Nursing Ethics
Julia Gilbert, Jane Boag
BACKGROUND: Assisted dying remains an emotive topic globally with a number of countries initiating legislation to allow individuals access to assisted dying measures. Victoria will become the first Australian state in over 13 years to pass Assisted Dying Legislation, set to come into effect in 2019. OBJECTIVES: This article sought to evaluate the impact of Victorian Assisted Dying Legislation via narrative view and case study presentation. RESEARCH DESIGN: Narrative review and case study...
November 19, 2018: Nursing Ethics
Yusrita Zolkefli
BACKGROUND: There has been wide interest shown in the manner in which ethical dimensions in nursing practice are approached and addressed. As a result, a number of ethical decision-making models have been developed to tackle these problems. However, this study argued that the ethical dimensions of nursing practice are still not clearly understood and responded to in Brunei. RESEARCH AIM: To explore how Bruneian nurses define ethical concerns they meet in everyday practice in the medical surgical wards of three Brunei hospitals...
November 15, 2018: 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
Linda Shields, Roger Watson, Philip Darbyshire, Hugh McKenna, Ged Williams, Catherine Hungerford, David Stanley, Ellen Ben-Sefer, Susan Benedict, Benny Goodman, Peter Draper, Judith Anderson
A paper was published in 2003 discussing the ethics of nurses participating in executions by inserting the intravenous line for lethal injections and providing care until death. This paper was circulated on an international email list of senior nurses and academics to engender discussion. From that discussion, several people agreed to contribute to a paper expressing their own thoughts and feelings about the ethics of nurses participating in executions in countries where capital punishment is legal. While a range of opinions were presented, these opinions fell into two main themes...
November 2018: Nursing Ethics
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