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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:

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...

Continuing Care

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...

Nurses' Legal Responsibilities II

Nurses' Legal Responsibilities II

Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and patients...

Ethical Dilemmas I

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...

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Updated: Jun 28, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Professional relationships in palliative care decision making.

Susan F Lee¹, Linda J Kristjanson, Anne M Williams

¹School of Nursing and Midwifery, Monash University, PO Box 527, Frankston, VIC 3199, Australia, Susan.Lee@med.monash.edu.au

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer

|November 7, 2008

Summary

Palliative care patients often feel excluded from decision-making. Building trusting relationships with healthcare professionals is key to enhancing patient involvement in care choices.

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Last Updated: Jun 28, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Palliative Care
Decision Science
Patient-Centered Care

Background:

Palliative care decision-making is complex due to unpredictable illness trajectories.
Multiple individuals are often involved in patient care decisions.
Understanding patient perspectives is crucial for improving care processes.

Purpose of the Study:

To describe issues influencing care decision-making from the perspective of advanced illness patients.
To explore factors affecting patient involvement in palliative care decisions.

Main Methods:

Qualitative study involving interviews with patients (14), family members (7), and health professionals (18).
Field observations (100 hours) of decision-making practices in palliative care settings.
Grounded theory approach for data collection and analysis to develop a patient-centered theory.

Main Results:

Patients reported a significant lack of involvement in their own decision-making processes.
The nature of the patient-provider relationship strongly influences perceived involvement.
Factors like health professional demeanor, focus, trustworthiness, and healthcare environment are critical.

Conclusions:

Enhancing patient involvement in palliative care decisions requires addressing the quality of patient-provider relationships.
Trust and effective communication are vital for empowering patients in advanced illness care.
Healthcare culture and environment significantly impact patient engagement in decision-making.