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Ethical Issues

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:

Obedience

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...

Cardiopulmonary Resuscitation III: AED Use

Cardiopulmonary Resuscitation III: AED Use

Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...

Ethical Dilemmas II

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:

Nursing Ethical Principles II

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...

Standards of Care II

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:

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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Patients' attitudes towards "do not attempt resuscitation" status.

A J Gorton¹, N V G Jayanthi, P Lepping

¹Department of Surgery, Wrexham Maelor Hospital, Wrexham LL13 7TD, UK.

Journal of Medical Ethics

|August 1, 2008

Summary

Most patients desire to discuss do not attempt resuscitation (DNAR) decisions before critical illness. Patients prefer DNAR discussions to be accessible, even if initially distressing, and are open to involving relatives.

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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Area of Science:

Medical Ethics
Patient Autonomy
Critical Care Medicine

Background:

Do not attempt resuscitation (DNAR) decisions are typically made during critical illness when patients cannot provide informed consent.
Current guidelines exist, but patient perspectives on discussing DNAR are under-researched.

Purpose of the Study:

To investigate patient attitudes towards discussing DNAR decisions before they become critically ill.
To understand patient preferences regarding the timing and involvement of relatives in DNAR discussions.

Main Methods:

A prospective study was conducted in a general outpatient department.
Consecutive outpatients received a questionnaire with an explanatory leaflet.
364 patients completed the questionnaire, yielding a 77% response rate.

Main Results:

90% of respondents desired patients to be asked about DNAR decisions during hospitalization.
37% preferred discussing DNAR on admission, 32% in outpatient settings.
87% accepted relative involvement, though only 12% had prior experience discussing a relative's status.

Conclusions:

Contrary to current practice, most patients wish to discuss DNAR status proactively, even if initially uncomfortable.
Patient preferences indicate a need for more accessible documentation of DNAR decisions.
While open to family involvement, some patients prefer their relatives not be consulted.