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Developing Professional Practice and Ethics Engagement: A Leadership Model.

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Summary

Nurse leaders implemented ethics rounds to improve nursing practice. Staff reported reduced moral distress, increased empathy, and better communication regarding ethical issues.

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Area of Science:

  • Nursing Practice
  • Medical Ethics
  • Qualitative Research

Background:

  • Nurse leaders cultivate environments for safe, high-quality patient care.
  • Ethical challenges are inherent in critical care settings.
  • Reflective practice interventions can support nursing staff.

Purpose of the Study:

  • To explore nurses' perceptions of a case-based reflective practice intervention.
  • To assess the impact of "Nursing Practice and Ethics Rounds" on individual and unit practice.
  • To understand the role of nurse leaders in fostering ethical practice.

Main Methods:

  • Descriptive qualitative study utilizing focus groups.
  • Intervention involved twice-monthly "Nursing Practice and Ethics Rounds."
  • Participants included staff nurses and unit managers in a Cardiac Intensive Care Unit.

Main Results:

  • Nurses reported feeling valued and experiencing decreased moral distress.
  • Improved empathy towards patients, families, and colleagues was noted.
  • Enhanced understanding of ethical issues and communication skills were reported.

Conclusions:

  • Reflective practice rounds, facilitated by nurse leaders and ethicists, positively impact nursing staff.
  • The intervention improved individual practice, unit dynamics, and ethical awareness.
  • Valuing reflection and leader presence enhances professional development and addresses complex patient care scenarios.