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Negotiated ethical responsibility: Bruneian nurses' ethical concerns in nursing practice
1Universiti Brunei Darussalam, Brunei Darussalam.
Nursing Ethics
|November 17, 2018
Summary
Bruneian nurses perceive ethical challenges in three key areas: their work environment, professional relationships, and patient care. Further support is recommended to enhance nurses' ethical awareness and response strategies.
Area of Science:
- Nursing Ethics
- Healthcare Management
- Qualitative Research
Background:
- Ethical decision-making models in nursing are widely studied.
- Understanding ethical dimensions in nursing practice remains a challenge in Brunei.
- Existing models may not fully address the unique context of Bruneian nursing.
Purpose of the Study:
- To explore how nurses in Brunei define ethical concerns encountered in daily medical-surgical ward practice.
- To investigate the lived experiences of nurses regarding ethical issues in their professional environment.
Main Methods:
- A qualitative research approach was utilized.
- Semi-structured interviews were conducted with 28 nurses (practicing and administrative).
- Data analysis employed the constant comparative method.
Main Results:
- Nurses identified three primary ethical dimensions: 'nurse at work' (work environment), 'nurse and doctor' (professional relationships), and 'nurse and patient' (patient care).
- Responses to ethical dimensions aimed at conflict avoidance and maintaining ward harmony.
- Findings highlight the importance of nurses' understanding of their professional responsibilities.
Conclusions:
- The study offers novel insights into nurses' responses to ethical dimensions within ward settings.
- Enhanced support is crucial for nurses to recognize and effectively address ethical concerns in their practice.
- Recommendations emphasize the need for continued professional development in nursing ethics in Brunei.