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Theoretical Foundations of Nursing Practice01:30

Theoretical Foundations of Nursing Practice

Theories play an essential role in organizing patient care. Theories refer to a proposed or followed belief, policy, or procedure that is the basis for action. Nursing theories are knowledge-based concepts that guide nurses' actions, influence nursing education and practice, and allow nurses to care for their patients.
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
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...
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:
Current Trends in Nursing II01:30

Current Trends in Nursing II

Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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...
Nursing Ethical Principles I01:22

Nursing Ethical Principles I

Ethical principles serve as the moral compass in the longstanding tradition of nursing, guiding healthcare professionals in their interactions with patients and families. These principles, namely autonomy, beneficence, non-maleficence, justice, and fidelity, provide a robust framework for navigating the ethical complexities of daily nursing practice.
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting the...

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Related Experiment Videos

Humanitarian nursing challenges: a grounded theory study.

Angelica L C Almonte1

  • 1Nursing Research & Analysis, Naval Medical Center San Diego, Bldg 6, Deck 4, 34800 Bob Wilson Drive, San Diego, CA 92134, USA.

Military Medicine
|August 25, 2010
PubMed
Summary

Navy nurses faced unpreparedness in pediatric care and ethical dilemmas during the 2004 Operation Unified Assistance (OUA) tsunami relief efforts. Recommendations include specialized training and advanced-practice nurses.

Related Experiment Videos

Area of Science:

  • Disaster medicine
  • Nursing research
  • Public health

Background:

  • The 2004 Indian Ocean tsunami prompted significant international aid efforts.
  • The U.S. Navy deployed medical teams, including nurses, during Operation Unified Assistance (OUA).
  • Limited research exists on the experiences of Navy nurses in such large-scale humanitarian missions.

Purpose of the Study:

  • To describe the challenges encountered by U.S. Navy nurses during Operation Unified Assistance.
  • To explore the preparation and clinical performance of nurses in a disaster relief setting.

Main Methods:

  • Qualitative study utilizing a purposive convenience sample of 11 Navy nurses.
  • Data collection through interviews, observations, field notes, and memos.
  • Analysis employed Strauss and Corbin's grounded theory methods (open, axial, selective coding).

Main Results:

  • Nurses reported significant unpreparedness in providing pediatric care.
  • Ethical challenges arose, particularly in managing patient load and resource limitations ('saying No').
  • A theoretical model was developed to illustrate the nurses' mission experience.

Conclusions:

  • Pre-deployment training and the deployment of specialized nurses (pediatrics, mental health) are recommended.
  • Addressing moral distress and enhancing preparedness for pediatric care are crucial for future disaster response.
  • Findings highlight the need for tailored training for military nurses in humanitarian missions.