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Related Experiment Videos

Moral decision making in neonatal intensive care.

P S Chally1

  • 1Concordia University, West Suburban College of Nursing, Erie, Austin, Oak Park, IL 60320.

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|November 1, 1992
PubMed
Summary

Neonatal intensive-care unit nurses primarily use the care perspective (65%) for moral decision-making. Understanding both care and justice perspectives is crucial for these healthcare professionals.

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Area of Science:

  • Medical Ethics
  • Nursing Practice
  • Moral Psychology

Background:

  • Moral decision-making is complex in high-stress environments.
  • Neonatal intensive-care units (NICUs) present unique ethical challenges.
  • Understanding nurses' ethical frameworks is vital for patient care.

Purpose of the Study:

  • To explore the moral decision-making perspectives of NICU nurses.
  • To identify the ethical frameworks guiding NICU nursing practice.

Main Methods:

  • Descriptive study design.
  • Convenience sample of 26 female NICU nurses.
  • Semistructured interviews and demographic questionnaires.

Main Results:

  • 65% of nurses utilized the care perspective.
Keywords:
Bioethics and Professional EthicsEmpirical ApproachKohlberg Approach to Moral DevelopmentProfessional Patient Relationship

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  • 12% employed the justice perspective.
  • 23% integrated both care and justice perspectives.

    • Conclusions:

    • The care perspective is dominant in NICU nurses' moral decision-making.
    • Both care and justice perspectives are essential for a comprehensive understanding.
    • Findings inform ethical training and support for NICU nurses.