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Related Concept Videos

Ethical Dilemmas I01:17

Ethical Dilemmas I

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Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
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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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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Nurses' moral deliberation in the child care process.

Deisy Vital Dos Santos1, Darci de Oliveira Santa Rosa1, Elma Lourdes Campos Pavone Zoboli2

  • 1Universidade Federal da Bahia. Salvador, Bahia, Brazil.

Revista Brasileira De Enfermagem
|December 19, 2019
PubMed
Summary

Nurses often prioritize child welfare over working mothers' needs when facing ethical dilemmas in breastfeeding care. This study explores their moral deliberation process.

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Area of Science:

  • Bioethics
  • Nursing Ethics
  • Maternal-Child Health

Background:

  • Ethical challenges in breastfeeding support are common in nursing practice.
  • Understanding nurses' moral reasoning is crucial for improving patient care.
  • Previous research has not fully explored the nuances of moral deliberation in this context.

Purpose of the Study:

  • To investigate the moral deliberation process of nurses confronting ethical issues related to breastfeeding.
  • To identify the factors influencing nurses' decision-making in these situations.

Main Methods:

  • A qualitative study employing a deliberative bioethics framework.
  • Data were gathered using vignette-based interviews.
  • Thematic analysis was used to organize and interpret the findings.

Main Results:

  • Nurses predominantly adopted intermediate courses of action when faced with ethical dilemmas.
  • Extreme courses of action were also observed, indicating a range of responses.
  • Decision-making patterns varied, highlighting the complexity of ethical considerations.

Conclusions:

  • In extreme cases, nurses' decisions prioritized child welfare, potentially overlooking the needs of breastfeeding mothers, particularly those who are working women.
  • This highlights a tension between infant well-being and maternal autonomy/socioeconomic factors.
  • Further research and ethical training are needed to support balanced decision-making.