Ethical concerns in Neonatal Intensive Unit: A Case Analysis

Author(s):  
Alma Juliet Lakra ◽  
Monica Rita Hendricks

Neonatal nurses frequently encounter neonatal ethical issues related to provision of safe and quality care and communication in the NICU setup. This article discusses the hypothetical case of baby John diagnosed with neonatal sepsis. The ethical perspectives related to care and communication with the family members while their baby is receiving treatment in the NICU will be explored through the application of the QUAR framework.

Author(s):  
Natalie Booth

This chapter provides some brief reflections on the realities of conducting research with the caregiving kin. While this openness enhances the ‘credibility’ of the qualitative research, it can also help future researchers learn about the complexities and messiness of fieldwork. The chapter then discusses the practical challenges of recruiting participants, the ethical issues of managing implicit withdrawal, and a more personal reflection about how the researcher considers their own identity to have shaped the data collected. Ultimately, what is most important is that the fieldwork produced original, rich, in-depth data that are grounded in the lives and experiences of the family members, and informed by their accounts of maternal imprisonment. It is one of very few studies that has engaged directly with relatives looking after children whose mothers are serving a custodial sentence in England, producing insights that detail the ‘family sentence’ that they serve from a ‘disenfranchised’ social position.


2014 ◽  
Vol 22 (6) ◽  
pp. 700-710 ◽  
Author(s):  
Kwisoon Choe ◽  
Kisook Kim ◽  
Kyoung-Sook Lee

Background: An understanding of the ethical concerns encountered by visiting nurses in the community is needed. Yet, there is a lack of research on this topic. Objectives: The purpose of this study was to explore the ethical concerns that visiting nurses experience when caring for vulnerable older people living in a community. Design and sample: A qualitative thematic analysis was used to explore the nature of the ethical issues experienced by visiting nurses (N = 13) who care for vulnerable older people, over 65 years of age, in a South Korean community. Methods: In-depth interviews were conducted with visiting nurses. Qualitative thematic analysis was used to explore the main themes of the phenomenon. Ethical considerations: This study was approved by the Institutional Review Board of Chung-Ang University Bioethics Committee in South Korea. Results: Four ethical themes emerged from the qualitative data: (a) quantitative performance rather than quality care, (b) clients being invisible, (c) tuning the level of the relationship with clients, and (d) facing the visiting nurses’ own limitations. Conclusion: This study provides a theoretical basis to understand the ethical aspects of visiting nurses’ interactions with clients, which should facilitate the development of ethical guidelines for visiting nurses to use in making ethical decisions in their practice.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Weihua Zhang ◽  
Betty S. Lane

Background. Nurses who provide end of life and bereavement care to neonates and their families are potentially at risk for developing stress-related health problems. These health problems can negatively affect nurses’ ability to care for their patients.Purpose. Nurses need to be knowledgeable about end of life and bereavement issues to provide quality care. This study sought to evaluate the effect of a bereavement seminar on the attitudes of nurses regarding end of life and palliative care of neonates.Design. A convenience sample of fourteen neonatal nurses completed a Bereavement/End of Life Attitudes about Care of Neonatal Nurses Scale after a bereavement seminar designed to provide information on end of life care. A pre- and posttest design with an intervention and control group was used to assess changes in nurse bereavement attitudes in relationship to comfort, role, and involvement.Results. After bereavement seminar, the seminar attendees had higher levels of comfort in providing end of life care than nurses in the control group (t=−0.214;P= 0.04).Discussion. Nurses' comfort levels can be improved by attending continuing education on end of life care and having their thoughts on ethical issues in end of life care acknowledged by their peers.


2020 ◽  
Vol 9 (2) ◽  
pp. 80-86
Author(s):  
Sima Babaei ◽  
Shahla Abolhasani

Introduction: A life-threatening illness can cause the involvement of family members and the imposition of psychological and physical stress on them. Certainly, the family is a very valuable resource in patient care and plays an important role in maintaining the emotional support and patient’s recovery. The aim of this study was to explain the family members’ supporting behaviors of the patient admitted to the cardiac special units. Methods: This qualitative study was performed in the cardiac special units in Isfahan. The number of participants was 20, including 5 nurses, 8 family members, and 7 patients. The data were collected through interview and observation by purposive sampling. Then, the data were analyzed by Graneheim and Lundman’s qualitative content analysis method. The study lasted 12 months. Results: Data analysis showed that family’s support can be classified into three levels, including support by the therapeutic alliance (attempts to console and reassure, restoration of selfesteem, diminishing patient’s insensitivity, commitment to the patient, and visiting the patient ), participatory information (obtaining reliable information from the nurse, active role in providing meaningful information about the patient’s prognosis), practical and instrumental support (searching for economic support resources, providing the patient with the necessary equipment, trying to do the right care taking into account the family culture). Conclusion: Understanding family’s supportive behaviors can help improve counseling and planning for quality care of patients admitted to the cardiac care units (CCUs).


2019 ◽  
Vol 20 (2) ◽  
pp. 283-298
Author(s):  
Kholid Mawardi ◽  
Cucu Nurzakiyah

The results of the study found that the responsibility of religious education of children in the family of Tablighi Jama'ah differed in terms of several conditions, namely first, when parents were not going to khuruj where both parents were responsible for children's education; secondly, when the father goes khuruj, then the mother is responsible for everything including children's education; third, when both parents go khuruj, then the responsibility of the child is left to other family members such as grandparents or their first adult children; and fourth, when the child goes to khuruj, where parents are responsible for children's religious education both mother and father. The pattern of the religious education in the Tablighi Jama'ah family in the village of Bolang is formed from several similarities held in the implementation of religious education, one of which is the daily activity that is carried out by the Tablighi Jama'at family. Al-Qur'an becomes one of the material given to children in the ta'lim. Children are taught how to read the Qur'an and memorize short letters such as Surat al-Falaq, al-Ikhlas, and so on. In addition to al-Qur'an, in this ta'lim there is a special study in the Tablighi Jama'ah, which is reading the book of fadhilah ‘amal, and the last is mudzakarah six characteristics.


Author(s):  
Khuan Seow ◽  
Nadia Caidi

Canada has an aging population with the fastest growing age groups (80 and 45-64 years old) vulnerable to age-related diseases such as Alzheimer’s disease. Caregiving responsibilities often fall to the family members of the afflicted without much attention and consideration being placed on the information needs of these caregivers. We call for a better understanding of these caregivers' information needs and uses by social policy makers as well as information providers.La population du Canada a tendance à vieillir considérablement, avec la hausse la plus rapide dans les groupes d’âge (80 et 45 à 64 ans). Les personnes âges sont très vulnérables à toute sorte de maladies, telles que la maladie d’Alzheimer. La responsabilité revient souvent aux membres de la famille qui doivent prendre soin des personnes atteintes de cette maladie. Or, nous ne connaissons que peu de chose sur les besoins en information des personnes qui prennent soin de ces malades de l’Alzheimer : qui sont-ils ? Quelles sont leurs sources... 


2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Maslichah Maslichah ◽  
Bayu Akbar Khayudin ◽  
Ikha Ardianti

ABSTRAK Pasien yang dirawat di ICU pada umumnya mengalami sakit kritis biasanya hal ini akan menimbulkan bebagai  respons psikososial  dari anggota keluarganya. Respons ini dapat berupa respons positif maupun respons negatif. Salah satu cara agar respons psikososial menjadi positif yaitu memberikan penyuluhan kepada keluarga pasien agar ada peningkatan kognisi dan emosi. Desain penelitian ini menggunakan metode “Pre-Experiment”, dengan rancangan “One group pra-post test design”. Dengan populasi semua keluarga yang anggota keluarganya dirawat di Ruang ICU RSUD.dr.Sosodoro Djatikoesumo. Sampel diambil dengan proses Total Sampling. Variabel independen  yaitupenyuluhan keluarga pasien ICU, dan variabel dependen adalah respon psikososial keluarga pasien. Pengumpulan data menggunakan kuesioner. hasil penelitian yang dilakukan dengan uji statistik paired sample t-test, pada tingkat signifikansi diperoleh nilai 0,027 0,05 maka Ho ditolak dan H1 diterimaPerawat sebagai tenaga kesehatan yang harus selalu mengembangkan profesionalisme, perlu mengupayakan agar respons psikososial keluarga yang negatif dapat ditekan. Salah satu upayanya yaitu adalah memberikan penyuluhan kepada keluarga. Dalam penyuluhan akan diberikan: komunikasi, informasi, edukasi dan support. Kata Kunci : Penyuluhan, Respon Psikososial Keluarga  ABSTRACT Patients admitted to the ICU in general suffer from a critical illness usually this will lead to the kinds of psychosocial responses of family members. This response can be either a positive response or a negative response. One way to be positive psychosocial responses that provide counseling to the patient's family that there was an increase in cognition and emotion.This study design using the "Pre-Experiment", the draft "One group pre-post test design". With a population of all the families who have family members admitted to the ICU RSUD.dr.Sosodoro Djatikoesumo. Samples were taken with total sampling process. Independent variables, family counseling ICU patients, and the dependent variable is the family of the patient's psychosocial response. Collecting data using questionnaires. results of research conducted by the statistical test paired sample t-test, at a significance level obtained value 0,027 0,05 hence Ho refused and H1 accepted.Nurses as health workers must always develop professionalism, needs to strive for psychosocial response can be suppressed negative family. One of the efforts that are giving counseling to the family. In the extension will be granted: communication, information, education and support. Keywords: Counseling, Family Psychosocial Response


Author(s):  
Michele Dillon

This chapter provides a case analysis of the Catholic Church’s Synod on the Family, an assembly of bishops convened in Rome in October 2014 and October 2015, to address the changing nature of Catholics’ lived experiences of marriage and family life. The chapter argues that the Synod can be considered a postsecular event owing to its deft negotiation of the mutual relevance of doctrinal ideas and Catholic secular realities. It shows how its extensive pre-Synod empirical surveys of Catholics worldwide, its language-group dialogical structure, and the content and outcomes of its deliberations, by and large, met postsecular expectations, despite impediments posed by clericalism and doctrinal politics. The chapter traces the Synod’s deliberations, and shows how it managed to forge a more inclusive understanding of divorced and remarried Catholics, even as it reaffirmed Church teaching on marriage and also set aside a more inclusive recognition of same-sex relationships.


Author(s):  
Shenique S. Thomas ◽  
Johnna Christian

This chapter draws from a qualitative study of incarcerated men to investigate the social processes and interactions between both correctional authorities and family members that inform their sense of belonging and legitimacy. It reveals that prison visitation rooms present a complex environment in which incarcerated men have access to discreet periods of visibility and relevance to their family members and the broader community. There are, however, several precarious aspects to these processes. The family members who are central to enhancing men’s visibility and legitimacy are primarily women from economically disadvantaged, racial, and ethnic minority groups, resulting in their own marginalization, which is compounded within prison spaces. By illuminating both the challenges and opportunities of familial connections, this chapter informs a social justice framework for understanding the experiences of both incarcerated men and their family members.


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