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Related Concept Videos

Ethical Issues01:27

Ethical Issues

2.4K
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:
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Obedience01:08

Obedience

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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,...
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Standards of Care II01:19

Standards of Care II

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Nurses bear specific legal responsibilities under several federal statutes, including:
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Ethical Dilemmas II01:30

Ethical Dilemmas II

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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:
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Nursing Ethical Principles II01:27

Nursing Ethical Principles II

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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...
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Milgram's Obedience to Authority02:20

Milgram's Obedience to Authority

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Obedience to authority is classically demonstrated in a more famous series of social psychology experiments performed by Stanley Milgram. He was a social psychology professor at Yale who was influenced by the trial of Adolf Eichmann, a Nazi war criminal. Eichmann’s defense for the atrocities he committed was that he was “just following orders.”
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Testing a new form to document 'Goals-of-Care' discussions regarding plans for end-of-life care for patients in an Australian emergency department.

Emergency medicine Australasia : EMA·2018
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European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology·2018
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'Why didn't you write a not-for-cardiopulmonary resuscitation order?' Unexpected death or failure of process?

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Diagnosing delirium in very elderly intensive care patients.

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Related Experiment Video

Updated: Mar 11, 2026

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
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Doctors' attitudes regarding not for resuscitation orders.

Gaya Sritharan1, Amber C Mills1, Michele R Levinson1

  • 1Cabrini-Monash University Department of Medicine, Cabrini Institute, 183 Wattletree Road, Malvern, Vic. 3144, Australia. Email: ;

Australian Health Review : a Publication of the Australian Hospital Association
|November 25, 2016
PubMed
Summary

Doctors

Area of Science:

  • Medical Ethics
  • Clinical Practice
  • Patient Care

Background:

  • Not for Resuscitation (NFR) orders are crucial for end-of-life care planning.
  • Australian data indicate low prevalence of NFR orders in elderly hospitalised patients.
  • Resuscitation of elderly patients without NFR orders often results in poor outcomes.

Purpose of the Study:

  • To investigate doctors' attitudes towards discussing and writing Not for Resuscitation (NFR) orders.
  • To identify barriers affecting the completion of NFR orders.
  • To analyze qualitative data on doctors' reasoning for writing NFR orders.

Main Methods:

  • A questionnaire-based study was conducted at a tertiary hospital.
  • Utilized Likert scales and open-ended questions to gather data.

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  • Focused on doctors' perspectives on NFR order discussion, timing, understanding, and legal/personal considerations.

    • Main Results:

    • Doctors believe NFR orders alter nursing care, especially pain relief and emergency response.
    • 85% of doctors incorrectly believe consent is required for NFR orders in most Australian jurisdictions.
    • Doctors conflate NFR orders with palliative care and rely on families to initiate discussions.

    Conclusions:

    • Complex barriers, including legal misunderstandings and conflation with palliative care, impede NFR order completion.
    • Lack of knowledge regarding consent requirements for NFR orders is a significant issue.
    • Educational interventions are needed to improve NFR order documentation and goals-of-care discussions.