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Related Experiment Videos

Ethical problems experienced by school nurses.

Linda L Solum1, Marjorie A Schaffer

  • 1West St. Paul Schools, St. Paul, MN, USA.

The Journal of School Nursing : the Official Publication of the National Association of School Nurses
|November 19, 2003
PubMed
Summary

School nurses face ethical conflicts regarding patient care and professional boundaries. They resolve these issues using professional standards and personal values, not formal models, highlighting a need for better ethical decision-making training.

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Area of Science:

  • Nursing
  • Bioethics
  • Pediatric Healthcare

Background:

  • School nursing involves complex ethical challenges.
  • Ethical conflicts impact school nurses' practice and well-being.

Purpose of the Study:

  • To explore school nurses' experiences with ethical conflict.
  • To understand how school nurses resolve ethical problems and their rationale.

Main Methods:

  • Qualitative study using interviews.
  • Six school nurses participated in in-depth interviews.

Main Results:

  • Identified ethical problems: relationship conflicts, delegation, child protection, confidentiality, DNR orders, scope of practice pressures.
  • Nurses used professional standards, ethical principles, and personal values, not formal ethical decision-making models.

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  • Common ethical dilemmas included scope of practice and delegation.

    • Conclusions:

    • School nurses require enhanced knowledge of ethical decision-making models.
    • Dialogue and shared experiences can support school nurses in navigating ethical conflicts.
    • Professional development should address ethical challenges in school nursing.