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Towards ethical decision-making in nursing practice.

P Rodney

    Canadian Journal of Nursing Administration
    |June 1, 1989
    PubMed
    Summary
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    Nurses often experience decision-making in ethical issues, particularly life prolongation, as senseless due to poor patient, family, and nurse involvement. This research explores fostering ethical decision-making in nursing practice.

    Area of Science:

    • Nursing Research
    • Bioethics
    • Healthcare Decision-Making

    Background:

    • Ethical decision-making is a critical component of nursing practice.
    • Nurses frequently encounter complex ethical dilemmas, particularly concerning life-prolongation decisions.
    • Existing research highlights challenges nurses face in navigating these ethical complexities.

    Purpose of the Study:

    • To explore nurses' lived experiences with decision-making in ethical issues, specifically life prolongation.
    • To identify factors contributing to a sense of "senselessness" in ethical decision-making processes.
    • To propose strategies for fostering more ethical decision-making in nursing.

    Main Methods:

    • Qualitative research methodology.
    • Analysis of nurses' descriptions of their experiences with ethical decision-making.
    Keywords:
    Bioethics and Professional EthicsDeath and Euthanasia

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  • Examination of themes related to patient, family, and nurse involvement in decision-making.

    • Main Results:

    • A predominant theme of "senselessness" emerged from nurses' accounts of ethical decision-making.
    • Key factors contributing to senselessness included inadequate patient, family, and nurse involvement.
    • Fragmentary team decision-making and powerlessness were significant aspects of the described experiences.

    Conclusions:

    • The current approach to ethical decision-making in nursing, particularly regarding life prolongation, is often perceived as senseless.
    • Addressing issues of conflict, powerlessness, and fragmented communication is crucial.
    • Implementing strategies to enhance patient, family, and nurse engagement can promote more ethical and meaningful decision-making.