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Related Concept Videos

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...
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:
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,...
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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Related Experiment Video

Updated: May 24, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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

Published on: February 16, 2011

Uncertainty in end-of-life care and shared decision making.

Malcolm Fisher1, Saxon Ridley

  • 1Royal North Shore Hospital, Sydney, NSW, Australia. fisherms@tpg.com.au

Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine
|March 13, 2012
PubMed
Summary

Making end-of-life decisions in the intensive care unit (ICU) is challenging due to prognostic uncertainty. Achieving "practical certainty" through accurate prognostication and shared decision-making can improve patient care.

Related Experiment Videos

Last Updated: May 24, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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

Published on: February 16, 2011

Area of Science:

  • Medical Ethics
  • Critical Care Medicine
  • Palliative Care

Background:

  • Continuing life support decisions in intensive care units (ICUs) are complex for healthcare staff.
  • Prognostic uncertainty and variable clinical decision reliability contribute to decision-making difficulties.
  • Patient and family mistrust and conflict can arise from uncertainty about prognosis.

Purpose of the Study:

  • To discuss reasons for prognostic uncertainty in end-of-life care.
  • To outline measures for reducing and managing uncertainty in critical care.
  • To introduce the concept of "practical certainty" for end-of-life decisions.

Main Methods:

  • Literature review and conceptual analysis of prognostic uncertainty in ICUs.
  • Discussion of factors influencing clinical decision-making at the end of life.
  • Exploration of strategies to enhance shared decision-making and patient advocacy.

Main Results:

  • Prognostic uncertainty is a significant barrier in ICU end-of-life care.
  • "Practical certainty" involves accurate prognostication, informed surrogates, advance care planning, and clinician experience.
  • Effective family conferences and shared decision-making are crucial for optimal outcomes.

Conclusions:

  • Achieving "practical certainty" requires accurate prognostication and understanding patient wishes.
  • Collaboration among experienced clinicians, informed surrogates, and patient advocates enhances decision-making.
  • Improving end-of-life care in the ICU necessitates increased time and effort.