摘要:

We are living in an era, sometimes referred to as “postmodern,” exemplified by complex change related to vast increases in information and technology and exposure to diverse people and ideas. Society as a whole is experiencing dissonance in solving ethical dilemmas, and nurses' ethical dilemmas are never far removed from the social context in which nurses practice. This article explores aspects of postmodernism that complicate ethical decision making. It is hoped that this discussion may aid nurses in understanding how world values, especially those of postmodernism, complicate ethical decision making in health care. Suggestions melding aspects of the postmodern with traditional approaches to ethical decision making are presented.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The ethic of care is often described as the ethical basis for nursing. While ethics and legal issues are related, it is unclear if perinatal nurses apply this theoretical relationship to clinical practice. There is evidence that medical malpractice litigation may be motivated by dissatisfaction with the caring relationship. A patient's moral “right” to a caring relationship, barriers in clinical practice to caring relationships, and legal remedy for perceived violation of the right to a caring relationship are discussed. Nurses must promote sound caring relationships and articulate to others the impact on perinatal outcomes and legal liability.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Ethical issues in perinatal nursing are complex in that two patients—mother and fetus—are considered. This work considers six areas of potential ethical conflict: conflict between the mother and fetus, informed consent, confidentiality, cultural conflicts, conflicts associated with managed care, and conflicts in childbirth education. Ethical principles of autonomy, beneficence, and justice are included. Strategies for resolving ethical conflicts in community practice settings are suggested.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

This work focuses on an emerging concept in nursing ethics—moral distress. Unlike an ethical dilemma where one does not know the right thing to do, in contrast, moral distress occurs when one knows the right thing to do but is constrained by the institution or one's coworkers in doing it. Moral distress is a process that involves recognition that a decision is difficult to act upon; the experience of emotional distress inherent in that situation; choosing strategies; and then acting. Whistle blowing and collaborative practice models both provide strategies for moral action in moral distress situations. Less dramatic and quieter forms of moral action will also be examined. Finally, developing the strength to move from moral distress to moral action will be discussed, as well as research implications for this emerging ethical issue.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The neonatal team attending high-risk deliveries is often faced with difficult ethical decisions concerning aggressive cardiopulmonary resuscitation for infants of 22–24 weeks gestational age (GA). These decisions are often based on the ethical principles of beneficence, nonmaleficence, justice, futility, autonomy, quality of life, and best interests and legal rights of the infant. Three delivery room recommendations are discussed along with their legal and ethical considerations. The perinatal and neonatal intensive care nurse must understand the moral, ethical, legal, and professional responsibilities and their effect on her/his own judgment decisions. These, in turn, will affect the infants, their parents, and other colleagues.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The manner in which the contextual dynamics of the neonatal intensive care unit (NICU) culture influence decisions around withholding and withdrawing treatment for very low birth weight infants is examined based on sociological studies of the NICU culture. The influence of these dynamics on nurse and parent participation in treatment decisions is discussed. Steps toward increasing nurses' role in decision making and ability to empower the participation of parents include (a) using an understanding of the dynamics of the individual NICU to establish a collaborative team culture, and (b) demonstrating that data obtained through relationship with the infant make an important and valid contribution to ethical decision making.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The birth of a baby can be a joyous event. When an infant requires neonatal intensive care, concern may overshadow joy. This work reports a descriptive, qualitative study that explored parents' perception of their experiences in the neonatal intensive care unit (NICU) when faced with the dilemma of withholding and/or withdrawing treatment from their infants. Data from open-ended interviews revealed significant themes. Clear, accurate, and timely exchange of information helped parents grasp their situation and feel involved in the decision. When health care providers demonstrated to parents that they cared, it helped promote trust between providers and parents. Trust promoted parents' confidence in information received and ultimately in the decision reached. Thus, parents were focused on relationships with health care providers, not on ethics.

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:2000

数据来源: OVID