Ethics in Nursing Practice: A Guide to Ethical Decision Making

2004 ◽  
Vol 45 (4) ◽  
pp. 450-450
Author(s):  
Angela Grainger
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making

Exploring The Heart Ofethical Nursing Practice: implications for ethics education

2004 ◽  
Vol 11 (3) ◽  
pp. 240-253 ◽  
Author(s):  
Gweneth Doane ◽  
Bernadette Pauly ◽  
Helen Brown ◽  
Gladys McPherson
Keyword(s):  
Decision Making ◽  
Ethics Education ◽  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
Student Nurses ◽  
Role Expectations ◽  
Direct Care ◽  
Ethical Practice ◽  
Educational Processes

The limitations of rational models of ethical decision making and the importance of nurses’ human involvement as moral agents is increasingly being emphasized in the nursing literature. However, little is known about how nurses involve themselves in ethical decision making and action or about educational processes that support such practice. A recent study that examined the meaning and enactment of ethical nursing practice for three groups of nurses (nurses in direct care positions, student nurses, and nurses in advanced practice positions) highlighted that humanly involved ethical nursing practice is also simultaneously a personal process and a socially mediated one. Of particular significance was the way in which differing role expectations and contexts shaped the nurses’ ethical practice. The study findings pointed to types of educative experiences that may help nurses to develop the knowledge and ability to live in and navigate their way through the complex, ambiguous and shifting terrain of ethical nursing practice.

Historic Leadership: One Courageous School Nurse’s Heroic Journey—Part 4

2017 ◽  
Vol 32 (4) ◽  
pp. 238-243
Author(s):  
Ellen F. Johnsen ◽  
Katherine J. Pohlman
Keyword(s):  
Decision Making ◽  
Public Schools ◽  
Knowledge Base ◽  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
School Nurse ◽  
Medication Administration ◽  
School Nursing ◽  
Professional Collaboration

School nursing practice establishes itself in the midst of both education and nursing philosophies, ethics, standards, laws, and regulations. Treading these two worlds is difficult at times and requires that a school nurse possess a strong foundational knowledge base, seek professional collaboration, and navigate conflicting professional demands in order to promote student and public safety. This article is Part 4 of a four-part series that recounts the inspiring story of a school nurse, Ellen Johnsen, who did just that back in the 1980s in Broken Arrow, Oklahoma. Part 4 offers lessons to be learned by reflecting on Ellen Johnsen’s experience when she challenged the illegal and unsafe medication administration policy in the Broken Arrow Public Schools. The purpose of this series is to enhance understanding of the legal parameters governing school nurse practice, provide examples of ethical decision making, and review the challenges associated with serving as a leader.

Nursing Ethics Education: are we really delivering the good(s)?

2005 ◽  
Vol 12 (1) ◽  
pp. 5-18 ◽  
Author(s):  
Martin Woods
Keyword(s):  
Decision Making ◽  
Nurse Educators ◽  
Ethics Education ◽  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
Student Nurses ◽  
Nursing Ethics ◽  
Research Projects ◽  
Current Health

The vast majority of research in nursing ethics over the last decade indicates that nurses may not be fully prepared to ‘deliver the good(s)’ for their patients, or to contribute appropriately in the wider current health care climate. When suitable research projects were evaluated for this article, one key question emerged: if nurses are educationally better prepared than ever before to exercise their ethical decision-making skills, why does research still indicate that the expected practice-based improvements remain elusive? Hence, a number of ideas gleaned from recent research about the current nature of nursing ethics, and especially teaching nursing ethics to student nurses, are analysed and critiqued in this article, which concludes with a cluster of ideas and conclusions based on that analysis. It is hoped that such a review may serve as a catalyst for nurse educators to re-examine their teaching practices with a view to enhancing good (i.e. ethical) nursing practice through educational means.

Best Interests: a Concept Analysis and Its Implications for Ethical Decision-Making in Nursing

1995 ◽  
Vol 2 (2) ◽  
pp. 149-160 ◽  
Author(s):  
Pat Rose
Keyword(s):  
Decision Making ◽  
Patient Autonomy ◽  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
Concept Analysis ◽  
Nurse Education ◽  
Best Interests ◽  
Best Interest ◽  
Antecedents And Consequences

The purpose of this paper is to analyse the concept of 'best interest' in order to give nurses, who use it to justify their actions, a clear picture of what this means, and to identify the skills needed for doing so. The process for concept analysis developed by Walker and Avant was used in the analysis of data generated from the literature. Themes were identified from which the defining attributes, antecedents and consequences emerged. The congruence of the findings with current values in nursing, such as promotion of patient autonomy, and the nurse as advocate, are discussed, together with the underpinning ethics theory. The skills needed for nursing practice are identified and recommendations for nurse education are made.

Historic Leadership: One Courageous School Nurse’s Heroic Journey—Part 3

2017 ◽  
Vol 32 (3) ◽  
pp. 165-171
Author(s):  
Ellen F. Johnsen ◽  
Katherine J. Pohlman
Keyword(s):  
Decision Making ◽  
Public Schools ◽  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
School Nurse ◽  
Medication Administration ◽  
School Nursing ◽  
Final Decision ◽  
Professional Collaboration

School nursing practice establishes itself in the midst of both education and nursing philosophies, ethics, standards, laws, and regulations. Treading these two worlds is difficult at times and requires that a school nurse possess a strong foundational knowledge base, seek professional collaboration, and navigate conflicting professional demands in order to promote student and public safety. This article is Part 3 of a four-part series that recounts the inspiring story of a school nurse, Ellen Johnsen, who did just that back in the 1980s in Broken Arrow, Oklahoma. Part 3 describes the publication of the Attorney General’s opinion validating the illegality of the school district’s medication administration policy, the lawsuit Ellen brought against the Broken Arrow Public Schools, and the appeal of the final decision in that lawsuit. The purpose of this series is to enhance understanding of the legal parameters governing school nurse practice, provide examples of ethical decision making, and review the challenges associated with serving as a leader.

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