Invisibility, Moral Knowledge and Nursing Work in the Writings of Joan Liaschenko and Patricia Rodney

2004 ◽  
Vol 11 (2) ◽  
pp. 110-121 ◽  
Author(s):  
Pamela Bjorklund
Keyword(s):  
Ethical Decision ◽  
Ethical Decision Making ◽  
Moral Vision ◽  
Nursing Ethics ◽  
Situated Knowledge ◽  
Feminist Ethics ◽  
University Of Minnesota ◽  
Ethical Concerns ◽  
The University ◽  
Critical Aspects

The ethical ‘eye’ of nursing, that is, the particular moral vision and values inherent in nursing work, is constrained by the preoccupations and practices of the superordinate biomedical structure in which nursing as a practice discipline is embedded. The intimate, situated knowledge of particular persons who construct and attach meaning to their health experience in the presence of and with the active participation of the nurse, is the knowledge that provides the evidence for nurses’ ethical decision making. It is largely invisible to all but other nurses. Two nurse researchers, Joan Liaschenko of the University of Minnesota and Patricia Rodney of the University of Victoria, have investigated the ethical concerns of practising nurses and noted in their separate enquiries the invisible nature of critical aspects of nursing work. Noting the similarities in their respective observations, and with the feminist ethics of Margaret Urban Walker as a theoretical framework, this article examines the concept of ‘invisibility’ as it relates to nursing work and nursing ethics.

Negotiated ethical responsibility: Bruneian nurses’ ethical concerns in nursing practice

2018 ◽  
Vol 26 (7-8) ◽  
pp. 1992-2005 ◽  
Author(s):  
Yusrita Zolkefli
Keyword(s):  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
Comparative Method ◽  
Ethical Dimension ◽  
Ethical Concerns ◽  
Constant Comparative Method ◽  
University Of Edinburgh ◽  
Professional Nurses ◽  
The University

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. Research design: A qualitative study was employed. Interviews were conducted with 28 practising and administrative nurses of three hospitals. Interview data were analysed via a constant comparative method. Ethical consideration: The study’s protocol was reviewed and approved by the Ethical Committee of the School of Health in Social Science at the University of Edinburgh and the Medical Health Research Ethics Committee of the Ministry of Health, Brunei. Findings: The nurses described three ethical dimensions in their practice, namely: ‘nurse at work‘ which illustrates the ethical dimensions within the work environment; ‘nurse and doctor’ which elucidates the ethical dimensions in the nurse and doctor relationship; and ‘nurse and patient’ which further examines ethical aspects in patient care. Nurses responded to the ethical dimensions in the ward setting with the aim of avoiding the conflict and maintaining ward harmony. Discussion: The data provide new insights into how nurses respond to ethical dimension in the ward settings where it puts strong emphasis on the nurses’ understanding of responsibility placed upon them as professional nurses. Conclusion: With these findings, it is recommended that further support is needed for nurses to be aware of the ethical dimension in their practice and to respond to ethical concerns accordingly.

The development and implications of a case-based computer program to train ethical decision-making

2013 ◽  
Vol 20 (8) ◽  
pp. 943-956 ◽  
Author(s):  
Eun-Jun Park
Keyword(s):  
Decision Making ◽  
Nursing Students ◽  
Computer Program ◽  
Undergraduate Students ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Nursing Ethics ◽  
Ethics Course ◽  
Case Based

To effectively train ethical decision-making of nursing students, a case-based computer program was developed using Flash animation. Seven ethical cases collected from practicing registered nurses’ actual clinical experiences and a six-step Integrated Ethical Decision-Making Model developed by the author were employed in the program. In total, 251 undergraduate students from three nursing schools used the program in their nursing ethics course. The usability of the program and its usefulness in improving 11 abilities needed in ethical decision-making were measured; it scored higher than 4 on a 5-point scale. Of the students, 82% recommended the program as a valuable complementary tool in the teaching of a nursing ethics course. A variety of encouraging and positive experiences were reported by the students. The computer program is likely to be usefully practical in the training of abstract skills to nursing students, though certain challenges remain, such as the precise understanding of cognitive or affective responses to ethical issues.

scholarly journals DEVELOPMENT OF AN INTERACTIVE ONLINE ETHICS SCENARIO ACTIVITY FOR ENGINEERING STUDENTS

2020 ◽  
Author(s):  
Peter M. Ostafichuk ◽  
Carol P. Jaeger ◽  
Jonathan Nakane
Keyword(s):  
Decision Making ◽  
Engineering Students ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Student Feedback ◽  
First Year ◽  
Survey Tool ◽  
Unethical Behaviour ◽  
University Of British Columbia ◽  
The University

This paper describes development and deployment of an online interactive ethical decision-making simulation.  This tool was piloted in a first-year introduction to engineering course at the University of British Columbia.  It used a “choose your own adventure” style of decision-making and narrative to add realism and engagement to what was otherwise viewed by students as dry, uninteresting content.  After storyboarding using sticky notes and Visio, the final tool used by students was implemented and deployed using a survey tool (Qualtrics). It featured a scenario with initially incomplete information and the appearance of unethical behaviour by others.  It included decision-based branching, but also randomization such that different groups had the story unfold differently, even if they made the same initial decisions.  Student feedback on this tool was very positive, suggesting this style of interactive online ethics simulation could be an effective tool for enhancing engagement and learning.

scholarly journals Ethical issues in optometric practice

2010 ◽  
Vol 69 (2) ◽  
Author(s):  
H. L. Sithole
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Unethical Behavior ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Health Care Practitioner ◽  
Ethical Practice ◽  
Ethical Concerns ◽  
Legal Constraints

Ethics as a discipline is the study and analysis of values and standards related to duty, responsibility, and right and wrong behavior. The ethical obligations of optometry toward patients are similar to those of other health professionals. These obligations generally require optometrists to recognize, respect, and protect the rights of their patients. This approach encourages patients to participate actively in their care and allows them to develop arelationship with their optometrist based on trust. The ethical codes which contain guiding principles serve to help practitioners in their decisions and in practicing in accordance with a set of standards that are expected of a health care practitioner. There are four major ethical principles in health care, namely; beneficence, non-maleficence, and respect for autonomy and justice. Because these principles are easily recognized as being among the primary ethical goals of health care, using them as the basis for ethical analysis may help to explain the moral justification for certain professional actions as well as to identify unethical behavior. However, in clinical practice, the specific demands and rationales of these broad principles may be difficult to apply. This illustrates the paradox that whilst these principles are essential tools for ethical practice, if applied too rigidly, they can be problematic. How-ever, the goal of ethical decision making in optometry should be to identify one or more courses of action that will honor the profession’s essential values while minimizing conflict with other values and professional standards. Every profession, every practice and every practitioner is governed by not only legal constraints, but also by the ethical concerns of ensuring that the patient is properly served. Considering our practices from a patient’s perspective can help optometrists understand the multiple responsibilities of clinical practice. (S Afr Optom 2010 69(2) 93-99)

scholarly journals Innovation process and ethics in technology: an approach to ethical (responsible) innovation governance

2015 ◽  
Vol 15 (2) ◽  
pp. 119-134 ◽  
Author(s):  
G. Nathan
Keyword(s):  
Ethical Decision ◽  
Ethical Decision Making ◽  
Innovation Management ◽  
Innovation Process ◽  
Responsible Innovation ◽  
Policy Makers ◽  
Ethical Concerns ◽  
Innovation Governance ◽  
Process Strategy ◽  
Innovation Processes

In general, innovation governance models, which deal with organizational structure, innovation process, strategy and leadership, are becoming increasingly important for innovative companies for effective innovation management. Moreover, responsible innovation (RI) as a topic among academic scholars and policy makers is gaining importance, in order to address some of the ethical concerns and dilemmas as issues of governance in general and with special reference to technological innovations. This article attempts to show that technological innovation processes require a circular RI process instead of a linear one with embedded ethical decision-making framework for ethical innovation governance.

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.

Ethical competence: An integrative review

2016 ◽  
Vol 25 (6) ◽  
pp. 694-706 ◽  
Author(s):  
Kathleen Lechasseur ◽  
Chantal Caux ◽  
Stéphanie Dollé ◽  
Alain Legault
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
Integrative Review ◽  
Ethical Sensitivity ◽  
Nursing Ethics ◽  
Ethical Competence ◽  
University Curriculum

Background: Ethics, being a fundamental component of nursing practice, must be integrated in the nursing education curriculum. Even though different bodies are promoting ethics and nursing researchers have already carried out work as regards this concept, it still remains difficult to clearly identify the components of this competence. Objective: This integrative review intends to clarify this point in addition to better defining ethical competence in the context of nursing practice. Method: An integrative review was carried out, for the 2009–2014 period, in the CINAHL, MEDLINE, and EMBASE databases and in the journal Nursing Ethics. The keywords nursing ethics or ethical competence were used in order to make sure to widely encompass the concept of “ethical competence” in the case of a university curriculum in nursing. In the end, 89 articles were selected. Ethical consideration: We have respected the ethical requirements required regarding the sources and authorship. There is no conflict of interest in this literature review. Results: Ethical sensitivity, Ethical knowledge, Ethical reflection, Ethical decision-making, Ethical action, and Ethical behavior are the most frequently used terms with regard to ethical competence in nursing. They were then defined so as to better ascertain the possible components of ethical competence in nursing. Conclusion: Even though ethical competence represents a sine qua non competence in nursing practice, no consensus can be found in literature with respect to its definition. The identification of its components and their relationships resulting from this integrative review adds to the clarification of its definition. It paves the way for other studies that will contribute to a better understanding of its development, especially among nursing students and practicing nurses, as well as the factors that may exert an influence. More adapted education strategies can thus be put forward to support its development.

Effects of an ethical empowerment program on critical care nurses’ ethical decision-making

2018 ◽  
Vol 26 (4) ◽  
pp. 1256-1264 ◽  
Author(s):  
Fatemeh Jamshidian ◽  
Mohsen Shahriari ◽  
Mohsen Rezaei Aderyani
Keyword(s):  
Decision Making ◽  
Critical Care ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Critical Care Nurses ◽  
Ethical Sensitivity ◽  
Nursing Ethics ◽  
Nurse Training ◽  
Experimental Group ◽  
Empowerment Program

Background: Nurses require empowerment if they are to make ethical decisions. Ethical empowerment has always been one of the main concerns in nurse training programs. Research aim: The present study was conducted to determine the effect of an ethical empowerment program on critical care nurses’ ethical decision-making. Research design: This is a clinical trial study with two groups and pre and post design. Participants and research context: In this study, 60 nurses working in Intensive Care Unit were selected through random sampling and then divided into a control and an experimental group after filling out the Moral Sensitivity Questionnaire. Both groups completed the questionnaire again immediately and 2 months after the ethical empowerment workshop had been held for the experimental group. The collected data were analyzed in SPSS-16 using descriptive and inferential statistics. Ethical considerations: The goals of the study were explained to the participants and then a written informed consent was received from them. Findings: The results showed no significant differences between the two groups in terms of their ethical sensitivity scores at the beginning of the study; however, immediately and 2 months after the intervention, the mean score increased significantly in the experimental group. Moreover, the scores obtained 2 months after the workshop increased compared to the pre-intervention scores but showed a drop compared to the scores reported immediately after the workshop. Discussion: The ethical empowerment program, given to the critical care nurses in this study, improved their ethical sensitivity in making decisions significantly over time. Despite the extensive methods, available for teaching nursing ethics, the ethical empowerment program, adopted in this study, had long-lasting effects in terms of ameliorating the process of ethical decision-making in clinical situations. Conclusion: The ethical empowerment of nurses requires the adoption and application of proper methods and patterns of complying with nursing ethics.

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