Toward Reclaiming Our Ethical Heritage: Nursing Ethics before Bioethics

Author(s):  
Marsha Fowler

American nursing has an extraordinary body of nursing ethics literature from the 1880s to the mid-1960s. This literature developed prior to the rise of the field of medical ethics (later termed biomedical ethics, then bioethics) in the mid-1960s, and bears little resemblance to its later counterparts. Early nursing ethics was nurse-centric; relationally based; addressed nurses’ ethical comportment in all roles; advanced the social ethics of nursing (especially in response to health disparities); and set forth ethical expectations for the profession as a whole. This first wave of nursing ethics is distinctive and differs significantly from contemporary bioethics, yet it remains grossly under-researched. It offers nurses a wise, comprehensive, generous, and learned ethics that deserves to be reclaimed for today’s nursing practice. This article will offer an author backdrop and an historical review of early nursing ethics literature; consider the nursing profession as a calling; discuss the pivot to bioethics and the Code of Ethics as anomaly.

Author(s):  
Theophano Papazissi ◽  
Fotios Chatzinikolaou

After 2000, specific legislation on civil liability and ethics of nurses and doctors was introduced, as well as specific acts. For nurses and the nursing profession, since 2001, the Code of Nursing Ethics (NCSD, Presidential Decree 216/2001) has been in force. In 2005, the current Code of Medical Ethics (KID, Law 3418/2005) was passed. Special Law 3305/2005 on the application of assisted reproduction methods was introduced to specify how the methods introduced in the Civil Code were applied as methods of generating kinship among persons under Law 2089/2002 (MAP). The chapter summarizes the main points regarding civil liability of medical and nursing activity with a special focus on oncological patients.


Author(s):  
Ana Cláudia Mesquita ◽  
Cristina Mara Zamarioli ◽  
Francine Lima Fulquini ◽  
Emilia Campos de Carvalho ◽  
Emilia Luigia Saporiti Angerami

Abstract OBJECTIVE To identify and analyze the available evidence in the literature on the use of social networks in nursing work processes. METHOD An integrative review of the literature conducted in PubMed, CINAHL, EMBASE and LILACS databases in January 2016, using the descriptors social media, social networking, nursing, enfermagem, redes sociais, mídias sociais, and the keyword nursing practice, without year restriction. RESULTS The sample consisted of 27 international articles which were published between 2011 and 2016. The social networks used were Facebook (66.5%), Twitter (30%) and WhatsApp (3.5%). In 70.5% of the studies, social networks were used for research purposes, in 18.5% they were used as a tool aimed to assist students in academic activities, and in 11% for executing interventions via the internet. CONCLUSION Nurses have used social networks in their work processes such as Facebook, Twitter and WhatsApp to research, teach and watch. The articles show several benefits in using such tools in the nursing profession; however, ethical considerations regarding the use of social networks deserve further discussion.


2016 ◽  
Vol 76 (3) ◽  
pp. 259-270 ◽  
Author(s):  
Christian Dimaano ◽  
Clarence Spigner

Objective: The Immortal Life of Henrietta Lacks by Rebecca Skloot is an award-winning biography engaging its readers on important topics ranging from race, science and ethics to the social determinants of health. However, the multiple pedagogic impacts of this book on the public health classroom setting have yet to be comprehensively explored. Method: A qualitative, pre/post-test study design assessed the perceptions of 17 Master’s of Public Health students on topics of health disparities and medical ethics. A total of 14 students were assigned to an intervention (book-based seminar course; Cohort A) and 3 students acted as the non-intervention group (Cohort B) over a study period of 10 weeks. Results: A thematic analysis uncovered more profound changes in the perceptions of the intervention group. All students were aware of health disparities over the course of the 10-week class; however, significant traction was gained on more complex issues linked to the social determinants of health. Specifically, students in the intervention group showed deeper perceptions about health inequalities with a particular focus on racial disparities. Conclusion: Although graduate students in the public health discipline were well aware of health inequalities, a seminar course surrounding a popular book about Henrietta Lacks afforded students a more concrete understanding for why and how race and racism in health disparities exist.


2017 ◽  
Vol 1 (1) ◽  
pp. 37
Author(s):  
Resmi Pangaribuan

The nursing ethics were value and principles trusted by the nursing profession in carring out their duties related to the patient with society, the relationship between nurses and mates included the organization of the profession, as well as the regulation of nursing practice it self. The nurse perception to the ethical principles was able to influence the behavior of a nurse in making decision of nursing action. The aim of this observation is to explore the nurse perception to the ethichal principlesin implementation nursing action at Intensive Care Unit level II Putri Hijau Hospital Medan, this observation was done to nurse with four respondents.  The method of phenomenological qualitative. The sample with purposive sampling. Data was collected nursing indepth interview and then recorded by tape recorder. The results of observation reflected from six themes appearing which were agreed in doing treatment. Patient or patient’s family have right to refuse the treatment by giving sign of non-consent letter, to appreciate the patient and the family using traditional ways, tot the useful, and avoiding the dangerous thing to the patient. Religion teaches good deeds, never different patients,  and to take early treatment in accordance with the cases priority, give complete information.The conclusion of this observation was glance perception of nurses in implementing the nursing treatment. Key words: The Nursing’s perception, Ethichal principles, Nursing action


Author(s):  
Theophano Papazissi ◽  
Fotios Chatzinikolaou

After 2000, specific legislation on civil liability and ethics of nurses and doctors was introduced, as well as specific acts. For nurses and the nursing profession, since 2001, the Code of Nursing Ethics (NCSD, Presidential Decree 216/2001) has been in force. In 2005, the current Code of Medical Ethics (KID, Law 3418/2005) was passed. Special Law 3305/2005 on the application of assisted reproduction methods was introduced to specify how the methods introduced in the Civil Code were applied as methods of generating kinship among persons under Law 2089/2002 (MAP). The chapter summarizes the main points regarding civil liability of medical and nursing activity with a special focus on oncological patients.


2018 ◽  
Vol 71 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Terezinha Nunes da Silva ◽  
Maria Eliane Moreira Freire ◽  
Monica Ferreira de Vasconcelos ◽  
Sergio Vital da Silva Junior ◽  
Wilton José de Carvalho Silva ◽  
...  

ABSTRACT Objective: to investigate nursing professionals' understanding concerning the Code of Ethics; to assess the relevance of the Code of Ethics of the nursing profession and its use in practice; to identify how problem-solving is performed when facing ethical dilemmas in professional practice. Method: exploratory descriptive study, conducted with 34 (thirty-four) nursing professionals from a teaching hospital in João Pessoa, PB - Brazil. Results: four thematic categories emerged: conception of professional ethics in nursing practice; interpretations of ethics in the practice of care; use of the Code of Ethics in the professional practice; strategies for solving ethical issues in the professional practice. Final considerations: some of the nursing professionals comprehend the meaning coherently; others have a limited comprehension, based on jargon. Therefore, a deeper understanding of the text contained in this code is necessary so that it can be applied into practice, aiming to provide a quality care that is, above all, ethical and legal.


2019 ◽  
Vol 4 (4) ◽  
pp. p294
Author(s):  
Kalada Godson McFubara, PhD ◽  
Augustina Chikaodili Isabu, PhD

Whereas nursing profession helps the well and the sick regain independence as rapidly as possible, nursing ethics education provides the basis for effective professional practice.Objectives: This study sought to identify factors affecting nursing ethics education and to describe impact of nursing ethics education on nursing practice. Method: A descriptive cross sectional study was conducted, and two sets of questionnaires were developed and administered, one to 80 final year nursing students, the other to 60 nursing teachers in four universities. The questionnaires had 18 and 21 question items respectively covering demography of the respondents, knowledge from ethics education, factors affecting ethics education and impact of ethics education on nursing practice. Nominal scale data were collected and analyzed on a Microsoft Excel spread sheet. Frequencies and percentages of responses were calculated and tabulated under question categories.Results: Response rate was 86.3% for students and 51.7% for teachers. Although nursing ethics education is provided as a whole semester course, 51% of students and 80% of the teachers erroneously understand ethics as adherence to professional code of conduct. Even so 70% of both respondent groups were prepared to practice effective nursing. Meanwhile 82% of the students and 53% of teachers were of the view that professional negligence is a major ethical issue in practice. Conclusion: The nursing profession is committed to providing ethical practice, but the practitioners and their trainees lack the correct knowledge of what ethics really means. Due to this incorrect knowledge undue attention is being given to professional negligence. It is a challenge and may be giving rise to a protectionist practice. The inclusion of specialists in ethics or moral philosophy to teach nursing ethics as well as the adoption of dialogic and case study methods of teaching will avoid these challenges and enhance the proper understanding and application of principles and theories of ethics in nursing practice.


Author(s):  
Charles Ellis ◽  
Molly Jacobs

Health disparities have once again moved to the forefront of America's consciousness with the recent significant observation of dramatically higher death rates among African Americans with COVID-19 when compared to White Americans. Health disparities have a long history in the United States, yet little consideration has been given to their impact on the clinical outcomes in the rehabilitative health professions such as speech-language pathology/audiology (SLP/A). Consequently, it is unclear how the absence of a careful examination of health disparities in fields like SLP/A impacts the clinical outcomes desired or achieved. The purpose of this tutorial is to examine the issue of health disparities in relationship to SLP/A. This tutorial includes operational definitions related to health disparities and a review of the social determinants of health that are the underlying cause of such disparities. The tutorial concludes with a discussion of potential directions for the study of health disparities in SLP/A to identify strategies to close the disparity gap in health-related outcomes that currently exists.


Author(s):  
J. Curtis McMillen ◽  
Danielle R. Adams

Social service settings offer numerous complexities in their staffing, consumers, and payer mix that require careful consideration in designing dissemination and implementation efforts. However, social services’ unique access to vulnerable populations with health problems may prove vital in efforts to improve the health status of many of our citizens and reduce health disparities. While a number of well-developed, blended dissemination and implementation models are being used in social service settings, they all require additional documentation, research, and field experience. Nonetheless, the lessons learned in the social services may help organizations in other sectors better implement health interventions with complex consumers in complex settings.


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