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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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A good death.

Judith L Hold1

  • 1Kennesaw State University, USA.

Nursing Ethics
|September 20, 2015
PubMed
Summary

Experienced hospice nurses navigate ethical dilemmas in end-of-life care by drawing on diverse knowledge and employing rule-following or resistance strategies to ensure better patient deaths.

Area of Science:

  • Nursing Ethics
  • Palliative Care Research
  • Qualitative Health Research

Background:

  • Nurses frequently encounter ethical dilemmas in end-of-life care.
  • These challenges can impede achieving a "good death" for patients.

Purpose of the Study:

  • To explore how experienced hospice nurses resolve daily ethical dilemmas.
  • Investigate strategies used in end-of-life care.

Main Methods:

  • Qualitative narrative approach.
  • Purposeful sampling of six experienced hospice nurses.
  • Core story creation and thematic analysis.

Main Results:

  • Identified ethical dilemmas involving family members and providers.
Keywords:
End-of-lifeethicsgood deathmoral judgmentsnarratives

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  • Three main themes emerged: Ethics within Practice, Ethical Knowledge, and Ethical Solutions.
  • Nurses demonstrated awareness of social, political, and personal contextual factors.

    • Conclusions:

    • Nurses' deliberations integrated formal, experiential, and intuitive knowledge.
    • Ethical predicaments were resolved through rule adherence or acts of resistance.
    • Enhanced understanding of resolving ethical dilemmas to improve end-of-life care outcomes.