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A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction

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[Ethical guidelines for irreversible medical decisions].

Pierre Le Coz¹

¹Aix-Marseille Université, direction du département des sciences humaines de la Faculté de médecine, 27, boulevard Jean-Moulin, 13005 Marseille, France.

Soins; La Revue De Reference Infirmiere

|March 19, 2019

Summary

Ethical disagreements in nursing teams require more than just deontology. Combining it with ethical meetings and a

Keywords:

contrat moral dilemme moral décision médicale partagée délibération collégiale ethical principle ethics of discussion moral contract moral dilemma principe éthique shared medical decision-making team deliberation éthique de discussion

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Area of Science:

Medical Ethics
Nursing Ethics
Bioethics

Background:

Conflicting values frequently lead to disagreements within nursing teams.
Ethical dilemmas in critical care necessitate advanced ethical decision-making frameworks.

Purpose of the Study:

To explore the limitations of deontological ethics in complex nursing decisions.
To propose an integrated approach for ethical deliberation in nursing teams.

Main Methods:

Literature review on ethical theories and team decision-making.
Analysis of case studies involving irreversible medical decisions.
Conceptual framework development for ethical meetings.

Main Results:

Deontological ethics alone are insufficient for irreversible decisions.
Ad hoc ethical meetings are crucial for resolving value conflicts.
Team deliberation relies on a 'moral contract' for shared ethical principles.

Conclusions:

Integrating deontological ethics with structured ethical meetings enhances nursing team decision-making.
A 'moral contract' fosters respect for ethical principles and discussion rules.
This approach supports ethical practice in critical and irreversible situations.