Ethical Issues for Neonatal Nurses

1998 ◽  
Vol 5 (3) ◽  
pp. 206-217 ◽  
Author(s):  
Kaye Spence
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
Ethical Decision ◽  
Clinical Decision Making ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Response Rate ◽  
Clinical Decision ◽  
Neonatal Nurses ◽  
Ethical Decisions

This article examines the involvement of neonatal nurses in ethical issues, achieved through a survey of Australian neonatal nurses. The aim was to discover if nurses were involved in ethical decisions, to examine various categories of neonates and the concerns that nurses felt about them, and to determine the extent to which nurses saw themselves as advocates. A response rate of 65% was achieved from nurses in two states who worked in intensive care and special care nurseries. The findings show that nurses were more likely to be involved in clinical decision making than in ethical decision making, showed the greatest concern for infants who had an uncertain prognosis, and saw themselves as advocates for their patients. The issues surrounding these findings are examined.

scholarly journals ANZICS guiding principles for complex decision making during the COVID-19 pandemic

2020 ◽  
Vol 22 (2) ◽  
pp. 98-102
Author(s):  
Stephen Warrillow ◽  
◽  
Danielle Austin ◽  
Winston Cheung ◽  
Eliana Close ◽  
...  
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
Ethical Decision ◽  
Clinical Decision Making ◽  
Ethical Decision Making ◽  
Clinical Decision ◽  
Intensive Care Society ◽  
Admission Policies ◽  
Complex Decision Making ◽  
Complex Decision

The global 2019 coronavirus disease (COVID-19) pandemic has led to major challenges in clinical decision making when the demand for intensive care exceeds local capacity. In order to promote consistent, transparent, objective and ethical decision making, the Australian and New Zealand Intensive Care Society (ANZICS) formed a committee to urgently develop guidelines outlining key principles that should be utilised during the pandemic. This guidance is intended to support the practice of intensive care specialists during the COVID-19 pandemic and to promote the development of local admission policies that should be endorsed by health care organisations and relevant local authorities.

scholarly journals Understanding the Lived Experiences of Patients: Application of a Phenomenological Approach to Ethics

2010 ◽  
Vol 90 (8) ◽  
pp. 1185-1197 ◽  
Author(s):  
Bruce H. Greenfield ◽  
Gail M. Jensen
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Clinical Decision Making ◽  
Ethical Decision Making ◽  
Clinical Decision ◽  
Phenomenological Approach ◽  
Phenomenological Inquiry ◽  
Ethical Decisions ◽  
Moral Context ◽  
The Everyday

This perspective article provides a justification, with an overview, of the use of phenomenological inquiry and the interpretation into the everyday ethical concerns of patients with disabilities. Disability is explored as a transformative process that involves physical, cognitive, and moral changes. This perspective article discusses the advantages of phenomenology to supplement and enhance the principlist process of ethical decision making that guides much of contemporary medical practice, including physical therapy. A phenomenological approach provides a more contextual approach to ethical decision making through probing, uncovering, and interpreting the meanings of “stories” of patients. This approach, in turn, provides for a more coherent and genuine application of ethical principles within the “textured life-world” of patients and their evolving values as they grapple with disability to make ethical and clinical decisions. The article begins with an in-depth discussion of the current literature about the phenomenology of people with disability. This literature review is followed by a discussion of the traditional principlist approach to making ethical decisions, which, in turn, is followed by a discussion of phenomenology and its tools for use in clinical inquiry and interpretation of the experiences of patients with disabilities. A specific case is presented that illustrates specific tools of phenomenology to uncover the moral context of disability from the perspective of patients. The article concludes with a discussion of clinical, educational, and research implications of a phenomenological approach to ethics and clinical decision making.

Neonatal nurse practitioner ethics knowledge and attitudes

2018 ◽  
Vol 26 (7-8) ◽  
pp. 2247-2258
Author(s):  
Mobolaji Famuyide ◽  
Caroline Compretta ◽  
Melanie Ellis
Keyword(s):  
Intensive Care Unit ◽  
Decision Making ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Nurse Practitioners ◽  
Neonatal Intensive Care ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Neonatal Nurse Practitioners

Background: Neonatal nurse practitioners have become the frontline staff exposed to a myriad of ethical issues that arise in the day-to-day environment of the neonatal intensive care unit. However, ethics competency at the time of graduation and after years of practice has not been described. Research aim: To examine the ethics knowledge base of neonatal nurse practitioners as this knowledge relates to decision making in the neonatal intensive care unit and to determine whether this knowledge is reflected in attitudes toward ethical dilemmas in the neonatal intensive care unit. Research design: This was a prospective cohort study that examined decision making at the threshold of viability, life-sustaining therapies for sick neonates, and a ranking of the five most impactful ethical issues. Participants and research context: All 47 neonatal nurse practitioners who had an active license in the State of Mississippi were contacted via e-mail. Surveys were completed online using Survey Monkey software. Ethical considerations: The study was approved by the University of Mississippi Medical Center Institutional Review Board (IRB; #2015-0189). Findings: Of the neonatal nurse practitioners who completed the survey, 87.5% stated that their religious practices affected their ethical decision making and 76% felt that decisions regarding life-sustaining treatment for a neonate should not involve consultation with the hospital’s legal team or risk management. Only 11% indicated that the consent process involved patient understanding of possible procedures. Participating in the continuation or escalation of care for infants at the threshold of viability was the top ethical issue encountered by neonatal nurse practitioners. Discussion: Our findings reflect deficiencies in the neonatal nurse practitioner knowledge base concerning ethical decision making, informed consent/permission, and the continuation/escalation of care. Conclusion: In addition to continuing education highlighting ethics concepts, exploring the influence of religion in making decisions and knowing the most prominent dilemmas faced by neonatal nurse practitioners in the neonatal intensive care unit may lead to insights into potential solutions.

Factors that impact on emergency nurses’ ethical decision-making ability

2016 ◽  
Vol 25 (7) ◽  
pp. 855-866 ◽  
Author(s):  
Barbara Alba
Keyword(s):  
Decision Making ◽  
Research Design ◽  
Ethical Decision ◽  
Clinical Decision Making ◽  
Ethical Decision Making ◽  
Clinical Decision ◽  
Significant Finding ◽  
Emergency Nurses ◽  
Nursing Experience ◽  
Rational Thought

Background: Reliance on moral principles and professional codes has given nurses direction for ethical decision-making. However, rational models do not capture the emotion and reality of human choice. Intuitive response must be considered. Research purpose: Supporting intuition as an important ethical decision-making tool for nurses, the aim of this study was to determine relationships between intuition, years of worked nursing experience, and perceived ethical decision-making ability. A secondary aim explored the relationships between rational thought to years of worked nursing experience and perceived ethical decision-making ability. Research design and context: A non-experimental, correlational research design was used. The Rational Experiential Inventory measured intuition and rational thought. The Clinical Decision Making in Nursing Scale measured perceived ethical decision-making ability. Pearson’s r was the statistical method used to analyze three primary and two secondary research questions. Participants: A sample of 182 emergency nurses was recruited electronically through the Emergency Nurses Association. Participants were self-selected. Ethical considerations: Approval to conduct this study was obtained by the Adelphi University Institutional Review Board. Findings: A relationship between intuition and perceived ethical decision-making ability ( r = .252, p = .001) was a significant finding in this study. Discussion: This study is one of the first of this nature to make a connection between intuition and nurses’ ethical decision-making ability. Conclusion: This investigation contributes to a broader understanding of the different thought processes used by emergency nurses to make ethical decisions.

The ethics of clinical judgment in critical care

1990 ◽  
Vol 10 (1) ◽  
pp. 24-28 ◽  
Author(s):  
AL Gaul
Keyword(s):  
Decision Making ◽  
Critical Care ◽  
Clinical Judgment ◽  
Clinical Decision Making ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Clinical Decision ◽  
Critical Care Nursing ◽  
Ethical Component ◽  
Care Nursing

Ethical decision making is an inherent part of the clinical judgment process in critical care nursing. It can cause considerable mental discomfort and stress. Although applying ethical theories to the clinical decision-making process does not provide absolute solutions, it does increase the nurse's confidence in the basis on which the decisions are made. Increasing the awareness of the ethical component of clinical decisions will increase the nurse's ability to deal with the perplexing ethical issues that permeate critical care nursing.

The Problem of Disagreement in Legal Ethics Theory

2013 ◽  
Vol 26 (1) ◽  
pp. 181-217 ◽  
Author(s):  
Alice Woolley
Keyword(s):  
Public Policy ◽  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Ethical Theories ◽  
Legal Ethics ◽  
Ethical Problems ◽  
Ethical Decisions ◽  
The Relationship

Legal ethics theories give competing and exclusive accounts of the ethical foundations of the lawyer’s role. They disagree about the relationship between morality and law, about the content of the lawyer’s central ethical duties and about how specific ethical problems should be resolved. Each theoretical account asserts that the others are mistaken in some fundamental way. Yet all legal ethics theories are theories of action; legal ethics theorists do not seek merely to enlighten, they also seek to influence how lawyers and the legal profession respond to ethical issues. This creates a problem of disagreement: the problem created by the divergent but exclusive claims made by different ethical theories at the point when those theories are to be translated into action. This paper considers how, given the problem of disagreement, legal ethics theories can have any impact on individual ethical decision-making or public policy. Specifically, it considers how theories can have any impact given a) that they fundamentally disagree; and b) what experimental psychology tells us about how people make ethical decisions in fact, and the nature of lawyer regulation.

scholarly journals Pengalaman Memoderasi Pengaruh Idealisme dan Komitmen pada Keputusan Etis Konsultan Pajak di Wilayah Provinsi Bali

2019 ◽  
Author(s):  
Made Gede Wirakusuma
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Response Rate ◽  
Sampling Technique ◽  
Positive Influence ◽  
Professional Commitment ◽  
Ethical Decisions ◽  
Raising Awareness ◽  
The Relationship

Tax consultants are indispensable as associates of the Direktorat Jendral Pajak to help in raising awareness about the importance of taxpayer compliance. This study aims to determine the influence of experience on the relationship between idealism and professional commitment to ethical decision-making by tax consultants. The questionnaires were sent to the respondents/sample (members of Ikatan Konsultan Pajak Indonesia [IKPI]) of Bali Province. The sample was determined using the purposive sampling technique. Ninety questionnaires from 109 respondents working as tax consultants in Bali Province were collected as a pilot research, with a useable response rate of 84.1%. The results of the moderated regression analysis (MRA) analysis demonstrate that experience reinforces the positive influence of the relationship between idealism and ethical decisions of tax consultants, while it has no effect on the relationship between professional commitment and ethical decision-making by tax consultants in Bali Province. Keywords: ethical decision, idealism, professional commitment, experience

Ethical Awareness and Healthcare Professionals

1998 ◽  
Vol 52 (1) ◽  
pp. 33-40
Author(s):  
Paul A. Holmes ◽  
Mary J. Meehan
Keyword(s):  
Decision Making ◽  
Nursing Homes ◽  
Ethical Decision ◽  
Healthcare Professionals ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Support Staff ◽  
Care Staff ◽  
Ethical Awareness ◽  
Ethical Decisions

Reports the results of a survey that sought to measure the “ethical awareness” of healthcare professionals at a number of area hospitals and nursing homes. Notes that the survey was helpful in isolating areas for needed inservices on ethical issues. Indicates that in creating the ethical environment necessary for the making of ethical decisions, pastoral care staff can offer encouragement to administrators in assessing the ethical awareness of the hospital's employees in such a way that not only clinical staff, but support staff and administrators as well, become more aware that many “non-clinical” situations are also the arena for ethical decision-making.

scholarly journals Ethical Decision Making in International Business: A Study of Challenge in Teaching to Future Global Talents

2016 ◽  
Vol 2 (2) ◽  
pp. 1
Author(s):  
Rebecca Chunghee Kim
Keyword(s):  
Decision Making ◽  
International Business ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Moral Awareness ◽  
Ethical Decisions ◽  
Four Component Model ◽  
Broad Outline ◽  
Actual Decision

The importance of ethical decision-making in international business has never been more apparent than in recent years. However, discussion concerning its teaching to future global talents who will be at this stage soon is scant and under-developed. Adapting Rest’s (1986) four-component model, the study attempts to sketch a broad outline of ethical decision-making by university students when they face an ethical dilemma. The imaginary story, which the author intentionally designs to analyze ethical decision-making through covering real-world ethical issues in an international market, is used as the main methodological tool. Participants acknowledge ‘ideal’ ethical decisions according to their own discretion, but their ‘actual’ decision is different due to the intention (motivation) of individuals as to whether they make ethical decisions. This study demonstrates significant gaps in teaching business ethics and suggests a shift of the teaching focus from enlightenment of moral awareness/judgment to stimulating and motivating to initiate ethical decisions and actions.

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