scholarly journals A qualitative examination of graduating nurses’ response to the Covid-19 pandemic

2021 ◽  
pp. 096973302199977
Author(s):  
Rachelle J Lancaster ◽  
Catherine Schmitt ◽  
Melanie Debish
Keyword(s):  
Ethical Decision ◽  
Ethical Decision Making ◽  
Research Question ◽  
Familial Risk ◽  
Moral Dilemmas ◽  
Ethical Considerations ◽  
Self Assessment ◽  
New Nurses ◽  
Institutional Review ◽  
Qualitative Descriptive

Background: Currently, graduating nurses face pandemic-related uncertainty including gaps in risk perception, unexpected Covid-19 moral dilemmas, and distress surrounding personal health risk. Research question/aim/objectives/Method: The purpose of this basic qualitative descriptive study is to describe the willingness of graduating nurses to provide care during the Covid-19 pandemic. Participants and research context: One week prior to graduation, students were required to submit a written assignment describing willingness to practice in light of the ongoing pandemic. Ethical considerations: This study was approved by an Institutional Review Board. Findings/results: Eighty-four ( n = 84) assignments were used for analysis. Of these, 82% (n = 69) of the graduating nurses describe a willingness to voluntarily care for Covid-19 patients. After summarizing narrative responses, two themes emerged including self-assessment of personal and familial risk and conflicting obligations. Discussion: The assessment of risk to self and family are key in determining whether graduating nurses will care for Covid-19 patients. Conflicting obligations may contribute to stress and uncertainty potentially leading to early burnout. Conclusion: Findings from this study can inform academicians of the need to adequality prepare graduating nurses for Covid-19-associated risks and ethical decision making. Organizations should alter residencies and orientation to support the needs of new nurses.

Supporting Ethical Decision Making – A Tool for Ethical Reflection on Care Technologies

2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 84-85
Author(s):  
Katrin Grüber ◽  
◽  
Elena Loevskaya ◽  
◽  
Keyword(s):  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
Digital Technologies ◽  
Ethical Reflection ◽  
Ethical Considerations ◽  
Care Facilities ◽  
Home Context ◽  
Low Threshold ◽  
Care Innovation

"The tool FreTiP (Fragen zur ethischen Reflexion von digitalen Technologien in der Pflegepraxis – questions on ethical reflection of digital technologies in nursing practice) was developed in 2020 by the Institute Mensch, Ethik und Wissenschaft (IMEW) as part of ELSI research in the PPZ-Berlin project. Our aim was to develop an instrument that stimulates and supports ethical reflection processes in the application of digital care innovation technologies in practice. Ethical considerations are part of everyday (nursing) life, are closely interwoven with other aspects and are therefore difficult to recognise as such. The starting thesis of our work was that actors in care act on the basis of value concepts that they are more or less aware of. An ethics that is consciously integrated into everyday care takes into account all aspects that are relevant for an action or decision. In this respect, it is important to look at ethics in context and not to understand “ethics” as something isolated, coming from outside. Based on this, the development of the instrument should not consist of “breaking down” ethical concepts and theories to practice, but of ethically locating, structuring and making applicable the experiences, questions and needs of the actors working in nursing practice. Thus, FreTiP is not only to be considered practice-oriented, but also to a certain extent practice-based. The instrument was designed to be suitable for everyday care in clinics, care facilities and in the home context. FreTiP was developed as a low-threshold instrument that can be used flexibly and that takes into account the perspective of patients as well as carers. The development of the instrument was preceded by a triangulated study that included a literature review, interviews and (non-)participatory observations. In the paper, experiences with the ethical reflection tool FreTiP will be presented. "

Hindrances to achieve professional confidence: The nurse’s participation in ethical decision-making

2017 ◽  
Vol 26 (3) ◽  
pp. 715-727 ◽  
Author(s):  
Anne Storaker ◽  
Dagfinn Nåden ◽  
Berit Sæteren
Keyword(s):  
Decision Making ◽  
Data Storage ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Research Question ◽  
Daily Practice ◽  
Clinical Work ◽  
Ethical Guidelines ◽  
Science Data ◽  
Written Information

Background: Research suggests that nurses generally do not participate in ethical decision-making in accordance with ethical guidelines for nurses. In addition to completing their training, nurses need to reflect on and use ethically grounded arguments and defined ethical values such as patient’s dignity in their clinical work. Objectives: The purpose of this article is to gain a deeper understanding of how nurses deal with ethical decision-making in daily practice. The chosen research question is “How do nurses participate in ethical decision-making for the patient?” Design and method: We use Gadamer’s philosophical hermeneutics as well as Kvale and Brinkmann’s three levels of understanding in interpreting the data material. Nine registered nurses were interviewed. Ethical considerations: The Ombudsman of Norwegian Social Science Data and the head of the hospital approved the investigation. The participants received both oral and written information about the study and they gave their consent. We informed the participants that the participation was voluntary and that they were free to withdraw at any point in the course of the study. The requirement of anonymity and proper data storage was in accordance with the World Medical Association Declaration of Helsinki (1964). The participants were assured that privacy, and confidentiality would be duly protected. Results: Four key themes emerged: (1) confusion in relation to professional and operational expectations of role, (2) ideal somnolence, (3) inadequate argumentation skills, and (4) compound pressure. Conclusion: Ethical ideals appear to be latent in the mindset of the participants; however, the main finding of this investigation is that nurses need to activate the ideals and apply them into practice. Furthermore, management needs to initiate professional reasoning and interdisciplinary discussions leading to common goals for patients.

scholarly journals Navigating conflict between research ethics and online platform terms and conditions: a reflective account

2021 ◽  
pp. 174701612110455
Author(s):  
Shi Min Chua
Keyword(s):  
Ethical Decision ◽  
Ethical Decision Making ◽  
Careful Consideration ◽  
Online Discussions ◽  
Ethical Considerations ◽  
Private Company ◽  
Online Platform ◽  
Learning Platform ◽  
Internet Users ◽  
Online Spaces

Internet users’ comments in online spaces have attracted researchers’ attention in recent years. Although this data is typically publicly available, its use requires careful consideration so as to not cause harm to the users, while complying with the terms and conditions (Ts & Cs) of the online spaces. However, the Ts & Cs and researchers’ ethical considerations may sometimes be in conflict. I faced such a conflict when I conducted discourse analysis of online discussions that were sourced from a public online learning platform owned by a private company. In this article, I reflect on how I navigated the Ts & Cs and copyright law, taking users’ likely expectations into consideration when deciding whether to seek informed consent and anonymize content. I employed an ‘attribution with anonymization’ method to acknowledge users for their comments while safeguarding their confidentiality. Given the variety of online spaces and research methods, ethical decision-making must be a contextualized process that requires researchers to consider the nature of the online platform and the potential experience of the users, rather than simply following guidelines or Ts & Cs.

Ethics and Evaluative Consultations with Children in Small to Mid-Sized Australian Non-Government Organisations

2017 ◽  
Vol 17 (1) ◽  
pp. 4-11 ◽  
Author(s):  
Leanne Kelly
Keyword(s):  
Decision Making ◽  
Empirical Research ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Program Improvement ◽  
Ethical Guidelines ◽  
Ethical Considerations ◽  
Decision Making Processes ◽  
Children’S Voices

The value of listening to children's voices is well acknowledged. The vast body of literature surrounding this topic discusses children's voices in pedagogy, theory, methodology, and through empirical research. While some of this literature has focused on ethical considerations surrounding evaluative consultations with children in applied practice settings, there is a shortage of literature specifically relevant to small and medium-sized nongovernment organisations (NGOs). These organisations typically conduct consultations on a smaller scale and with fewer resources than their larger counterparts. This paper refers to Australian ethical guidelines using a practice example from a mid-sized NGO to examine ethics in child consultation from a practice-based program improvement perspective. The paper examines whether consultations with children always require formal ethics approval and discusses terminology and considerations surrounding ethical decision making processes.

Framing Sustainable Practices

2016 ◽  
Vol 1 (2) ◽  
pp. 21-39 ◽  
Author(s):  
Jeffrey Gauthier ◽  
Chris Meyer ◽  
David Cohen
Keyword(s):  
Ethical Decision ◽  
Middle Managers ◽  
Ethical Decision Making ◽  
Middle Management ◽  
Research Question ◽  
Future Research ◽  
Sustainable Practices ◽  
Resource Based View ◽  
The Relationship ◽  
Insight Into

This paper develops and clarifies social intrapreneurship theory by examining the “how” of effective intrapreneurial championing. More specifically, the authors consider the following research question: How does the manner in which middle managers frame sustainable practices influence successful championing outcomes? The authors integrate the natural-resource-based view of the firm with research on middle management championing behaviors and issue-contingent models of ethical decision making to propose a model of sustainability championing for social intrapreneurs. To that end, propositions are developed concerning the relationship between the types of sustainable practice championed, how the argument for a given practice is framed, and successful championing outcomes. This paper contributes to a growing body of literature on social intrapreneurship, providing insight into how intrapreneurial championing can be more effective and building a foundation for future research.

Ethical Decision-Making in Biomedical Engineering Research

2008 ◽  
pp. 534-540
Author(s):  
Monique Frize ◽  
Irena Zamboni
Keyword(s):  
Decision Making ◽  
Biomedical Engineering ◽  
Engineering Students ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Moral Dilemmas ◽  
Clinical Engineering ◽  
Ethical Guidelines ◽  
Application Process ◽  
Engineering Research

To be ethical and professional are terms that are synonymous with being an engineer. The work of engineers frequently affects public safety and health, and can influence business, and even politics. Professional Engineering Associations provide ethical guidelines so that engineers will know how to avoid misconduct, negligence, incompetence, and corruption, which could lead to formal complaints and discipline. Knowledge about ethical decision-making guides engineers facing complex and difficult moral dilemmas (Andrews, 2005, pp. 46). Biomedical engineers doing research and development will undoubtedly be involved in projects that impact humans and/or animals, and thus must be informed on all aspects of ethics that guide such research. They should be particularly aware of the specific guidelines of the institution where the work is to be carried-out and be familiar with the application process to obtain a certificate, allowing the research to proceed. There is clearly a need to guide biomedical engineering students and practitioners in performing a balanced analysis of difficult questions and issues, while respecting societal values that may differ greatly from their own (Frize, 1996; Frize, 2005; Saha & Saha, 1997; Wueste, 1997). There exists a number of articles discussing biomedical engineering and ethics specifically aimed at clinical engineers (Goodman, 1989; Saha & Saha, 1986). These are helpful readings for anyone involved in biomedical research or clinical engineering.

Ethical Decision-Making Made Easier: The Use of Decision Trees in Case Management

1999 ◽  
Vol 1 (3) ◽  
pp. 163-169 ◽  
Author(s):  
Heidi Storl ◽  
Brenda DuBois ◽  
Julie Seline
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethics Committee ◽  
Case Managers ◽  
Ethical Considerations ◽  
The Face ◽  
Effective Decision ◽  
Central Apparatus ◽  
Effective Decision Making

Case managers have never before faced the multitude of difficult ethical dilemmas that now confront them daily. Legal, medical, social, and ethical considerations often fly in the face of previously reliable intuitions. The importance and urgency of facing these dilemmas head-on has resulted in clear calls for action. What are the appropriate legal, ethical, and professional parameters for effective decision making? Are normatively sensitive, but also practically sensible protocols possible? In an effort to address these concerns, Alternatives for the Older Adult, Inc., Rock Island, Illinois established an ethics committee to look into possible means of resolving or dissolving commonly occurring dilemmas. As a result of year-long deliberations, the committee formulated a decision-making strategy whose central apparatus is the decision tree—a flowchart of reasonable decisions and their consequent implications. In this article, we explore the development of this approach as well as the theory that underlies it.

Ethical decision making in a critical development phase

2012 ◽  
Vol 2 (8) ◽  
pp. 1-11
Author(s):  
Hao Chen ◽  
Xiaoming Zheng ◽  
Lijuan Liu
Keyword(s):  
Decision Making ◽  
Business Ethics ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Moral Dilemmas ◽  
Product Line ◽  
Social Benefits ◽  
Development Phase ◽  
Market Demand ◽  
Content Type

Subject area Ethical decision making, business ethics. Study level/applicability This case is applicable to MBA, EDP and EMBA courses. Case overview TOREAD, a professional provider of outdoor equipment in China, started in business by producing and selling tents. To meet market demand, TOREAD expanded its product line which ranges from outdoor durable tent products to “pan-outdoor” products including footwear and clothing. During the critical expansion phase, TOREAD was challenged by a quality problem in a batch of outsourced sandals that had been manufactured by a contracted supplier. By researching different options and going through an ethical decision making process, TOREAD made the choice of destroying all “problem sandals”. Since then, TOREAD has focused development on product quality improvement and product innovation to establish a sustainable brand image and generate social benefits. TOREAD's decision making in the critical development phase helped it to become the leader in the outdoor product industry in China. Expected learning outcomes This case may be used for courses such as business ethics and strategy. By learning this case, students can understand the process of making ethical decisions when facing moral dilemmas among corporate decision makers, employees and relevant interested parties, and learn how to make strategic decisions to balance company profit growth and social benefits in critical development phases. Supplementary materials Teaching notes are available for educators only. Please contact your library to gain login details or email [email protected] to request teaching notes.

scholarly journals Multicultural ethics in rehabilitation services

2021 ◽  
pp. 1-10
Author(s):  
Tammy Jorgensen Smith
Keyword(s):  
Ethical Decision ◽  
Ethical Decision Making ◽  
Multicultural Competency ◽  
Diagnostic Tools ◽  
Rehabilitation Services ◽  
Diverse Population ◽  
Ethical Considerations ◽  
Major Objective ◽  
Rehabilitation Professionals ◽  
Multiculturally Diverse

BACKGROUND: Rehabilitation professionals are required to be competent in serving multiculturally diverse individuals in a manner that promotes empowerment and full engagement. Multicultural competency is critical for accurate clinical assessment and diagnosis and for effectively serving a diverse population of clients. OBJECTIVE: The major objective of this paper is to promote multicultural competency and sensitivity by increasing knowledge and awareness of ethical considerations for multicultural populations in rehabilitation settings. CONCLUSION: Diagnostic tools and ethical decision-making models that integrate multicultural considerations are discussed, and recommendations for building multicultural competency are provided.

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