Nurses' and Doctors' Perspectives on Slow Codes

2008 ◽  
Vol 15 (1) ◽  
pp. 110-120 ◽  
Author(s):  
Jacinta Kelly

The aim of this study was to ascertain nurses' and doctors' perspectives on the practice of slow codes, which are cardiopulmonary resuscitative efforts that are intentionally performed too slowly for resuscitation to occur. A Heideggerian phenomenological study was conducted in 2005, during which data were gathered in the Republic of Ireland from three nurses and two doctors (via unstructured interviews) and analysed using Colaizzi's reductive procedure. Slow codes do occur in Ireland and are intended as beneficent acts. However, slow codes were identified as pointless and undignified when intrusive measures were employed. There is a need for discussion on the topic of slow codes in Ireland, and for aids to cardiopulmonary resuscitation decision making to be developed, such as advance directives, communication training, clinical guidelines and an explanatory leaflet for patients and families.

2020 ◽  
Vol 28 (2) ◽  
pp. 143-167
Author(s):  
Majka M Ryan ◽  
Martin J Power

This paper seeks to gain a greater understanding of how decision-makers practice discretion in the context of the Habitual Residence Condition, an additional criterion for eligibility to social assistance payments in the Republic of Ireland. The paper identifies two approaches to using discretion: nomocratic and telocratic, with both largely emerging as a result of specific structural and cultural conditions that exist within the organisations concerned, and directly impacting the decision-making practices of public servants. Some decision-makers are found to be happy to make discretionary decisions, while others struggle, resist and protest against the deployment of discretion in the provision of social assistance, instead arguing for rigid rules that can be applied to all welfare applicants.


Politics ◽  
2007 ◽  
Vol 27 (3) ◽  
pp. 174-181 ◽  
Author(s):  
Fiona Buckley ◽  
Neil Collins ◽  
Theresa Reidy

In an attempt to facilitate greater voting participation in the Republic of Ireland, photographs of candidates have been placed on the ballot paper for local, national and European elections. Limited research undertaken in advance of the implementation of the photograph policy advised that the measure would assist people with literacy problems. However, social psychology research has long demonstrated that people are willing to make considerable judgements about a person when shown a photograph. The advent of ballot paper photographs allows candidates to be evaluated on the basis of their appearance. This article will explore how photographs could have become a factor in voter decision-making. Providing additional knowledge to encourage greater participation and engagement has introduced a possible new level of superficiality into the voter decision-making process.


Author(s):  
Lesley K. Bowker ◽  
James D. Price ◽  
Ku Shah ◽  
Sarah C. Smith

This chapter provides information on capacity, the Mental Capacity Act 2005, Deprivation of Liberty Safeguards, making financial decisions, making medical decisions, making social decisions, advance directives, diagnosing dying and estimating when treatment is without hope, making complex decisions, cardiopulmonary resuscitation (CPR), the process of CPR decision-making, rationing and ageism, and elder abuse.


2020 ◽  
Vol 124 (1) ◽  
pp. 15-31 ◽  
Author(s):  
Katherine Side

In the context of Ireland’s new legislation governing abortion, I outline and examine the spatial consequences of political decision-making. I argue that Ireland’s new abortion law and its clinical guidance permit travel for some pregnant people but impose fixity on others. I analyse the spatial consequences of legal limitations, including non-medically necessary delays in care and medical control of medication abortions, that necessitate travel for abortion. I demonstrate how current laws fix some pregnant people in place, including diverse migrant populations within Ireland, with no possibilities for abortion-related travel. This critique of the ‘new’ law demonstrates the Irish state’s continued political and medical control of abortion.


Sign in / Sign up

Export Citation Format

Share Document