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Ethical Dilemmas II

Ethical Dilemmas II

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:

Ethical Issues

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:

Nursing Ethical Principles II

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...

Standards of Care II

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:

Obedience

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...

Kubler Ross's Stages of Dying

Kubler Ross's Stages of Dying

Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...

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Updated: Dec 31, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Published on: August 1, 2019

End-of-life decision making by Austrian physicians - a cross-sectional study.

D Jahn-Kuch¹, A Domke², S Bitsche¹

¹Palliative Care Unit, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

BMC Palliative Care

|January 6, 2020

Summary

Austrian physicians often provide symptom relief for terminally ill patients, with physician-assisted suicide (PAS) being requested but rarely performed. Many doctors find the legal framework for end-of-life decisions unclear.

Keywords:

End-of-life decisions Palliative care Physician-assisted suicide Quantitative research

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Last Updated: Dec 31, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Area of Science:

Medical Ethics
Oncology
Palliative Care

Background:

Austria faces a complex debate regarding the legalization of end-of-life measures.
Empirical data on Austrian physicians' end-of-life decisions is scarce.
This study investigates how physicians approach and make end-of-life therapy decisions in Austria.

Purpose of the Study:

To survey Austrian physicians' practices and attitudes regarding end-of-life decisions.
To assess physicians' experiences with palliative care and legal aspects of end-of-life care.
To provide data for informing policy on end-of-life medical care in Austria.

Main Methods:

A cross-sectional postal survey using the adapted European end-of-life decisions (EURELD) questionnaire.
Inclusion of questions on palliative care training, legal issues, and satisfaction with palliative care.
Targeting Austrian specialists in hematology and oncology, internal medicine, and general practitioners.

Main Results:

A response rate of 10.4% (548 questionnaires evaluated) was achieved.
86.3% of physicians intensified pain and/or symptom relief; 60.0% withheld further treatment.
51.3% would never perform physician-assisted suicide (PAS), while 30.3% would consider it under certain conditions; 52.4% found the legal situation ambiguous.

Conclusions:

Physicians predominantly focus on symptom control for terminally ill patients.
Physician-assisted suicide (PAS) is frequently requested but seldomly performed.
Physicians require enhanced training on current legislation concerning end-of-life medical decisions.