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The Nursing Code of Ethics sets the ethical benchmark for the profession, and guides nurses in ethical analysis and decision making at the societal, organizational, and clinical levels. The code encompasses showing compassion and respect for the patient, their families, and communities in all circumstances while committing to providing patient-centered care. In addition, the code states that nurses must advocate for the patient by defending a cause or recommendation to protect their rights,...
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Ethical principles serve as the moral compass in the longstanding tradition of nursing, guiding healthcare professionals in their interactions with patients and families. These principles, namely autonomy, beneficence, non-maleficence, justice, and fidelity, provide a robust framework for navigating the ethical complexities of daily nursing practice.
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Nursing Ethics Huddles to Decrease Moral Distress among Nurses in the Intensive Care Unit.

Marianne C Chiafery1, Patrick Hopkins2, Sally A Norton3

  • 1Clinical Nursing, University of Rochester School of Nursing, Rochester, New York, and Medical Humanities and Bioethics, University of Rochester School of Medicine, Rochester, New York, USA. Marianne_Chiafery@urmc. rochester.edu.

The Journal of Clinical Ethics
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Summary

Nursing ethics huddles significantly reduced moral distress (MD) in intensive care unit (ICU) nurses. These discussions also improved work life quality, patient care, and clinical ethics knowledge.

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Area of Science:

  • Nursing
  • Medical Ethics
  • Healthcare Management

Background:

  • Moral distress (MD) is a frequent issue for intensive care unit (ICU) nurses, leading to negative outcomes.
  • MD can cause emotional anguish, job dissatisfaction, and high nurse turnover.
  • Ethical discussions may mitigate MD and its consequences.

Purpose of the Study:

  • To develop, implement, and evaluate nursing ethics huddles for ICU nurses.
  • To assess the impact of huddles on MD, ethics knowledge, work satisfaction, and patient care.

Main Methods:

  • 32 ICU nurses participated in six ethics huddles over two months.
  • Alvita K. Nathaniel's Theory of Moral Reckoning guided the huddle development.
  • Moral Distress Thermometer and questionnaires were used for data collection.

Main Results:

  • Nursing ethics huddles significantly reduced MD scores.
  • Participants reported improved quality of work life and patient care.
  • Clinical ethics knowledge also showed significant improvement.

Conclusions:

  • Nurse-ethicist-led ethics huddles are effective in reducing MD among ICU nurses.
  • Huddles enhance work life quality, patient care, and clinical ethics knowledge.
  • Implementing ethics huddles is a valuable strategy for supporting ICU nursing staff.