摘要:

This article takes issue with the position in the recent general and cardiovascular nursing literature that care is the foundation for nursing's professional ethic. This literature is critically examined to support the determination that care is necessary but insufficient. Care without cure is incomplete in any health care discipline, including nursing. Any nursing ethic will be inadequate if it does not integrate the care/relationship and cure/justice/ individual foundations.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The potential for noncaring when dealing with difficult patients is a very real concern in nursing, Noncaring, manifested by distancing and withdrawal or punitive behaviors, exacts a high toll on the nurse-patient relationship, Noncaring may result in missed diagnoses and interventions, social isolation, and minimal or negative contact with the nurse, The purpose of this article is to share strategies for moral decision making that support the patient, family, and nurse in all care settings, Decisions to care must be based on professional, ethical, and moral principles rather than personal preferences, Scrutinizing one's personal biases and actions with application of ethical principles provides the framework for these strategies.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Since the 1980s, heart transplantation has become an acceptable treatment therapy for patients with end-stage congestive heart failure. In recent years, the demand for heart transplantation has exceeded the supply of available organs. Potential transplant candidates undergo rigorous screening to determine which patients will be offered transplantation as a treatment option. Heart transplant recipients are selected based on a determination of which patients will experience an improvement in symptomatology, functional class ability, and life expectancy after transplantation.Refusal of transplantation for an individual patient is usually framed in a futility argument: Either transplantation will not benefit the patient or the risks involved in undergoing the transplant are considered to outweigh the benefits. However, futility is an elusive and ambiguous concept. Furthermore, although authors, clinicians, and ethicists argue for the separation of futility and rationing issues, clearly it is not always possible to do so. The purpose of this article is to argue that many decisions to refuse heart transplantation are actually based on the rationing of organs and not on futility.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Nurses and physicians by virtue of their roles as health care professionals must work together to provide care for their patients. Decisions regarding life support and death and dying are made almost daily in most intensive care units. Conflicts frequently arise among health care providers when decisions of this nature are made. Nurses and physicians, despite having similar value systems, operate under a different frame of reference. Understanding the differences and how they play themselves out in the clinical setting can alleviate much of the stress and frustration common when these issues are encountered. This article examines the value systems and perspectives of nurses and physicians using a case study format.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

A professional nursing ethic is a living, dynamic set of standards for nurses' professional moral behavior. For a professional ethic to be adequate, it must address the ethical issues perceived as relevant to the profession, The purpose of this descriptive study was to identify the ethical issues hospital-based nurses face in their practice. The authors sought to determine whether there were any differences in these ethical issues over time or according to specialty practice, position, age, educational level, or years in practice. Different groups of nurses (N=794) were surveyed on five separate occasions over 9 years. Data were analyzed using descriptive and %2 statistics. The most frequent ethical issue faced was pain relief and management. Over time, the percentage of nurses who reported being faced with ethical issues related to morphine drips increased. Implications for future research on development of a normative nursing ethic are discussed.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The purpose of this study was to determine variables contributing to patient participation in randomized clinical trials while assessing the potential relationship of these variables to a valid consent process. Two hundred forty-seven patients were administered a questionnaire after they made their decision about participation, Numerous variables were explored for their relationship to patient participation. Of particular significance were the variables of education, perception of having enough time to decide, and the person approaching the patient. Results of this study reveal the need for further evaluation of informed consent as a process, focusing on the areas of patient autonomy and comprehension.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

This article takes the position that the current ethic of nursing is inadequate. It is limited to an ethic of process. This ethic limits the discipline of nursing to process-oriented activities, including research and the clinical nursing process. These processes are not, however, unique to nursing but are shared by all professional disciplines. Nursing will continue to be insufficient without the development of structure or expert clinical knowledge accompanied by an ethic of accountability.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The methods of the Study to Understand Prognosis and Preferences of Outcomes and Risks of Treatment (SUPPORT), a five year, five-center study of decision making and communication in patients near the end of life, are described. Aspects of the study propose to describe the role of the staff nurse and the specially trained nurse facilitator in decision making in patients near the end of life. The nurse is in a unique position to initiate discussions about patient preferences for end-of-life treatment and quality of life; however, a review of related research describes discordance between clinicians' understanding and patients' preferences for treatment. Ethical issues, practice barriers, and practice innovations in end-of-life treatment are discussed.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Nurses often encounter ethical dilemmas during the course of their practice and play a key role in the ethical decision-making process. This article identifies resources available to assist the nurse in making sound ethical decisions. Institution-based resources, such as institutional review boards and pastoral care, and unit-based resources, including nursing ethics rounds and peer support, are discussed.

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0889-4655    

出版商:OVID    

年代:1995

数据来源: OVID