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Ethical Issues01:27

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 II01:30

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 II01:27

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 Care01:25

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,...
Kubler Ross's Stages of Dying01:21

Kubler Ross's Stages of Dying

Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from emotional distress. Anger...
Ethical Dilemmas I01:17

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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Ethik in der Medizin : Organ der Akademie fur Ethik in der Medizin·2021
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[Being able to experience the personal death. Nursing in the final phase of life].

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Related Experiment Video

Updated: Jun 25, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
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German nurses, euthanasia and terminal care: a personal perspective.

Constanze Giese1

  • 1Katholische Stiftungsfachhochschule München, Preysingstrasse 83, 81667 München, Germany. constanze.giese@ksfh.de

Nursing Ethics
|February 25, 2009
PubMed
Summary

German nurses are hesitant to debate euthanasia and physician-assisted suicide due to historical professional identity. Further discussion is needed on their ethical role in end-of-life care.

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Area of Science:

  • Nursing Ethics
  • Bioethics
  • German Healthcare System

Background:

  • The German nursing profession faces public debate on euthanasia and physician-assisted suicide.
  • Hesitation exists among nurses and professional associations regarding participation in these discussions.

Purpose of the Study:

  • To understand the reasons behind the nursing profession's hesitation in public debate on end-of-life issues.
  • To analyze the current situation in light of German nursing's historical context and professional identity.
  • To explore the role and responsibility of nurses in end-of-life decisions.

Main Methods:

  • Historical analysis of nursing professional identity in Germany.
  • Comparative study examining the situation of nurses in the Netherlands.
  • Discussion of ethical and political dimensions of nursing in end-of-life care.

Main Results:

  • Historically, nurses' professional identity was shaped by obedience to medical and religious authorities, which is now outdated.
  • There is a perceived lack of reflection and discussion within the profession regarding ethical and political questions on end-of-life care.
  • The comparison with the Netherlands highlights potential pathways for professional engagement.

Conclusions:

  • The nursing profession in Germany needs to develop a more robust ethical framework to address end-of-life care debates.
  • Nurses' professional identity requires re-evaluation to empower them in discussions on euthanasia and physician-assisted suicide.
  • Increased reflection and open discussion are crucial for nurses to define their role and responsibility in caring for the dying.