ISSN:1520-9229    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1520-9229    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

ABSTRACTThis article is structured in a question/answer format based on interviews with Dr. Carolyn Hope Smeltzer and Salima Manji Lin of PricewaterhouseCoopers, Chicago, and Chuck Thomas of Hinshaw & Culbertson, Rockford. The questions come from CEO's, healthcare executives, and nurse executives at hospitals that are contemplating mergers or that have both succeeded and failed to merge their institutions. The experts share their knowledge.

ISSN:1520-9229    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

ABSTRACTThis study examined U.S. state and territorial boards of nursing approaches to the regulation of the use of: unlicensed assistive personnel (UAP) in acute care hospitals; state and jurisdictional authority, oversight and disciplinary action related to registered nurse (RN) delegation, supervision and assignment; educational preparation requirements for UAP; and future projections for their use. A survey was administered to 53 state and territorial boards of nursing officials in 1998. A majority of the states reported that they had regulations/guidelines for RN's who supervised UAP and regulations that protected the use of the RN title. Few states used the American Nurses Association or National Council of State Boards of Nursing definitions for delegation, supervision, or assignment. The majority have formulated their own definitions. The majority of states reported no standardized curriculum in place for UAP employed in acute care hospitals. More than half of the states reported that no plans existed for developing a curriculum.

ISSN:1520-9229    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

ABSTRACTOne‐third to one‐half of emergency departments in the United States and Australia perform endotracheal intubations (ETI's) on the newly dead.1Sixty‐three percent of emergency medicine and 58% of neonatal critical care training programs allowed procedures to be performed on patients after death; only 10% of these programs required family consent for this practice.2This article reviews the arguments for and against this ethical issue. A case study is included to highlight the issue's complexity, and to assist readers in identifying their beliefs (and those of their institutions) about the issue. An overview of ethically related terms, definitions, and theories and a decision‐making model are included to establish a knowledgeable baseline for dealing with any ethical issue.

ISSN:1520-9229    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

ABSTRACTStress related to ethical decision‐making is a serious consequence of frequent encounters with ethical dilemmas for oncology nurses. A descriptive, correlational design using survey techniques was used as a study design with a nationwide sample of 229 oncology nurses. The results indicated nurses experienced an average of 32 different types of ethical dilemmas within the past year on a daily basis. Pain management is the most frequently cited ethical dilemma, followed by cost containment issues and making quality of life and other decisions in the patient's best interest. Approximately 80% of respondents rated their ethics stress level as a 6 or above on a scale of 0 to 10. Forty‐three percent of the sample indicated they use an independent or “sovereign” style of moral reasoning, 23% rely on or accommodate to the judgment of others, and 34% use characteristics of both moral reasoning styles. Understanding the relationships among style of moral reasoning, coping style, and ethics stress can assist nurses and administrators to deal more effectively with the increased moral distress found in many oncology practice settings today. Findings suggest specific interventions for reducing ethics stress in this population of nurses.

ISSN:1520-9229    

出版商:OVID    

年代:2000

数据来源: OVID