Health information technology (HIT) has become essential for nursing practice. However, the lack of digital literacy leaves some nurses unaware of serious ethical issues that may occur when using it. ...This article describes the ethical issues that arise with the use of HIT in everyday nursing practice as well as in research activities, and outlines options for mitigation.
Recent civil unrest has proven that positive role models are essential to help bridge the nation's racial divide. Nurses are primed to be among these role models as trusted and respected healthcare ...professionals. Nursing's code of ethics defines nurses' moral obligations to respect all people and advocate for justice. Christian nurses face a higher calling: to love one's neighbors as themselves. This article explores the application of a Christian worldview of Fawcett's metaparadigm of nursing as a foundation for nurses to extend the love of Christ and promote racial healing.
Exposing new nurses to theoretical teaching strategies that help them to navigate the ethical challenges in clinical practice is essential for retention and long-term job satisfaction. This article ...explores the rationale for teaching ethics content in nurse residency programs and ways to navigate ethical decision-making in the clinical setting. Examples of evidence-informed teaching strategies that enhance knowledge retention and reduce the gap between ethical theory and practice are included.
The influence of Western Christian missionary nurses has been recorded in the history and development of nursing in China. The purpose of this study was to investigate the influence of Christianity ...on Chinese nursing ethics. This documentary research used content analysis to investigate Christian value trends over 13 years (1920-1932) as reflected in a major bilingual Chinese nursing journal.
In the contemporary debate between advocates of nursing ethics and those who consider that nursing ethics is indistinguishable from medical ethics, virtue ethics allows us to identify elements that ...could be characterized as specific to nursing ethics. The aim of this study is to show that the specific ethical purpose of the nurse's relationship with the patient is the empowerment and strengthening of the patient's virtues. Nursing ethics draws its specificity not from the therapeutic or care relationship that the nurse - like other healthcare personnel - establishes with the patient, but from the helping relationship that the nurse maintains with the patient. This helping relationship involves professional virtues specific to nursing that are in correlation with the patient's virtues. Such a relationship is characterized by its discursiveness, with the aim of supporting and advising the patient, and includes an important pedagogical dimension.
ABSTRACT Objective: to analyze associations between moral distress and ethical issues experienced by nurses during COVID-19. Method: this is a quantitative, cross-sectional study, carried out with ...101 nurses working in university hospitals, between March and May 2022, through socio-occupational issues, ethical implications that lead to moral distress, and the Ethical Issues Experienced by Nurses in Emergency Questionnaire, adapted and validated for Brazilians. Descriptive statistics, ANOVA, Pearson’s chi-square and multiple linear regression were used, and p<0.05 was adopted. Results: the 9 elements attributed to ethical implications were classified with some degree of importance for moral distress, with the highest average in the following items: I feel a commitment, responsibility and moral obligation to provide care to the infected population (4.26) and I have the knowledge or experience to work on the frontline of COVID-19 (3.44). The association of moral distress with ethical issues showed that individuals who attributed high importance to ethical implications also had ethical issues at a moderate/high level, emphasizing a higher mean in questions of “patient care” (4.07). It was evident that participants’ moral distress was more affected by the following constructs: “perception of hospital measures against COVID-19” (p=.000), “ethical issues in patient care” (p=.000) and “perception of social stigmatization” (p=.000). Conclusion: when relating ethical issues to moral distress, it was possible to show that COVID-19 generated an abrupt change in nurses’ work routine, which hinders adequate decision-making in situations involving issues beyond care, but also at a professional and organizational level, leading to the experience of moral distress.
RESUMO Objetivo: analisar associações entre sofrimento moral e problemas éticos vivenciados por enfermeiros durante à COVID-19. Método: estudo quantitativo, transversal, realizado com 101 enfermeiros atuantes em hospitais universitários entre março e maio de 2022, por meio de questões sociolaborais, implicações éticas que levam ao sofrimento moral e do Ethical Problems Experienced By Nurses In Emergency Questionnaire adaptado e validado para brasileiros. Empregou-se estatística descritiva, ANOVA, Qui-quadrado de Pearson e regressão linear múltipla, e adotou-se p<0,05. Resultados: os 09 elementos atribuídos às implicações éticas foram classificados com algum grau de importância para o sofrimento moral, apresentando maior média nos seguintes itens: sinto compromisso, responsabilidade e obrigação moral em prestar cuidados à população infectada (4,26) e possuo conhecimento ou experiência para atuar na linha de frente à COVID-19 (3,44). A associação do sofrimento moral aos problemas éticos demonstrou que os indivíduos que atribuíram alta importância às implicações éticas também apresentavam problemas éticos em nível moderado/alto, ressaltando maior média nas questões de “cuidado ao paciente” (4,07). Evidenciou-se que o sofrimento moral dos participantes foi mais afetado pelos seguintes construtos: “percepção das medidas hospitalares contra a COVID-19” (p=,000), “problemas éticos no atendimento a pacientes” (p=,000) e “percepção da estigmatização social” (p=,000). Conclusão: ao relacionar os problemas éticos ao sofrimento moral, foi possível evidenciar que a COVID-19 gerou uma mudança abrupta na rotina de trabalho dos enfermeiros, o que dificulta a tomada de decisão adequada diante situações que envolve questões além do cuidado, mas também em nível profissional e organizacional levando a vivência de sofrimento moral.
RESUMEN Objetivo: analizar asociaciones entre sufrimiento moral y problemas éticos vividos por enfermeros durante la COVID-19. Método: estudio cuantitativo, transversal, realizado con 101 enfermeros que actúan en hospitales universitarios, entre marzo y mayo de 2022, a través de cuestiones sociolaborales, implicaciones éticas que conducen al sufrimiento moral y del Ethical Issues Experienced by Nurses in Emergency Questionnaire, adaptado y validado para brasileños. Se utilizó estadística descriptiva, ANOVA, chi-cuadrado de Pearson y regresión lineal múltiple, y se adoptó p<0,05. Resultados: los 9 elementos atribuidos a implicaciones éticas fueron clasificados con algún grado de importancia para el sufrimiento moral, con mayor promedio en los siguientes ítems: Siento compromiso, responsabilidad y obligación moral de brindar atención a la población infectada (4,26) y tengo conocimiento o experiencia para actuar en la primera línea de COVID-19 (3,44). La asociación del sufrimiento moral con los problemas éticos mostró que los individuos que atribuían alta importancia a las implicaciones éticas también presentaban problemas éticos en un nivel moderado/alto, destacando un promedio más alto en cuestiones de “atención al paciente” (4,07). Se evidenció que el malestar moral de los participantes se vio más afectado por los siguientes constructos: “percepción de las medidas hospitalarias frente al COVID-19” (p=,000), “problemas éticos en la atención al paciente” (p=.000) y “percepción de estigmatización social” (p=,000). Conclusión: al relacionar los problemas éticos con el sufrimiento moral, se pudo evidenciar que el COVID-19 generó un cambio abrupto en la rutina de trabajo de los enfermeros, lo que dificulta la toma de decisiones adecuadas en situaciones que involucran cuestiones más allá del cuidado, pero también a nivel profesional y organizacional que lleva a la experiencia del sufrimiento moral.
This article presents a transformative perspective on contemporary nursing, emphasizing unity and interconnectedness in the post-Covid world. Prof. Jean Watson introduces "Unitary Caring Science" as ...a holistic approach to nursing, rooted in three ethical principles: The Ethic of Belonging, The Ethics of Face, and The Ethics of Hands. These principles guide the paradigm shift in nursing philosophy and practice. Dr. Watson discusses the "Ten Caritas Processes®," a foundational language for understanding and practicing human care. She highlights the importance of "Transpersonal Caring Moments," where nurses' presence and authenticity influence patient experiences. The article aligns this approach with the American Nurses Association's new definition, emphasizing compassion and presence in nursing care, and advocates for a holistic, interconnected nursing approach to uphold human dignity and compassion.
Covid‐19: Ethical Challenges for Nurses Morley, Georgina; Grady, Christine; McCarthy, Joan ...
The Hastings Center report,
May/June 2020, Volume:
50, Issue:
3
Journal Article
Peer reviewed
Open access
The Covid‐19 pandemic has highlighted many of the difficult ethical issues that health care professionals confront in caring for patients and families. The decisions such workers face on the front ...lines are fraught with uncertainty for all stakeholders. Our focus is on the implications for nurses, who are the largest global health care workforce but whose perspectives are not always fully considered. This essay discusses three overarching ethical issues that create a myriad of concerns and will likely affect nurses globally in unique ways: the safety of nurses, patients, colleagues, and families; the allocation of scarce resources; and the changing nature of nurses’ relationships with patients and families. We urge policy‐makers to ensure that nurses’ voices and perspectives are integrated into both local and global decision‐making so as to minimize the structural injustices many nurses have faced to date. Finally, we urge nurses to seek sources of support throughout this pandemic.
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