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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:
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:
Obedience01:08

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...
Ethics and Bioethics01:22

Ethics and Bioethics

Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
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...

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Related Experiment Videos

Shared decision making does not influence physicians against clinical practice guidelines.

Mireille Guerrier1, France Légaré, Stéphane Turcotte

  • 1Research Center of the Centre Hospitalier Universitaire de Québec, Québec, Québec, Canada.

Plos One
|May 3, 2013
PubMed
Summary
This summary is machine-generated.

Physicians’ intention to engage in shared decision making (SDM) does not impact their adherence to clinical practice guidelines (CPGs). Adherence to CPGs had no significant influence on the intention to engage in SDM, even after training.

Related Experiment Videos

Area of Science:

  • Medical Education
  • Health Services Research
  • Behavioral Science

Background:

  • Shared decision making (SDM) and clinical practice guidelines (CPGs) are crucial in healthcare.
  • The potential incompatibility between SDM and CPG adherence is a subject of debate.
  • This study investigates the interplay between physicians' intentions regarding SDM and CPG adherence.

Purpose of the Study:

  • To explore the mutual influence between physicians' intention to engage in SDM and their intention to follow CPGs.
  • To assess how SDM training affects these intentions.
  • To understand the relationship between behavioral intentions and their determinants.

Main Methods:

  • A clustered randomized trial involving physicians receiving SDM training.
  • Self-administered questionnaires based on the theory of planned behavior were used.
  • Path analysis examined the relationships between intentions at study entry and exit.

Main Results:

  • In the control group, CPG adherence intention negatively influenced SDM intention at entry.
  • Neither intention influenced the other at study exit in the control group.
  • In the experimental group, CPG adherence intention showed a slight, non-clinically significant negative influence on SDM intention at exit.

Conclusions:

  • Physicians' intention to engage in SDM does not influence their intention to adopt CPGs, irrespective of SDM training.
  • Physicians' intention to adopt CPGs has no clinically significant impact on their intention to engage in SDM.