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Ethical Dilemmas I01:17

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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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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.
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The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
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Nursing Ethical Principles I01:22

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Ethical Issues01:27

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Nursing Code of Ethics01:29

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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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Using Learning Outcome Measures to assess Doctoral Nursing Education
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Reflective based learning for nursing ethical competency during clinical practices.

Isabel Font Jiménez1, Laura Ortega Sanz2, Juan Luis González Pascual1

  • 1Faculty of Biomedical and Health Sciences, Department of Nursing and Nutrition, Universidad Europea de Madrid, Madrid, Spain.

Nursing Ethics
|March 15, 2023
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Summary

Nursing students face ethical conflicts during clinical placements, often stemming from the professional-patient relationship. Reflective practice enhances ethical awareness and decision-making skills in these challenging situations.

Keywords:
Ethical competencehospital carenursing studentsqualitative researchreflection based learning

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Area of Science:

  • Nursing Education
  • Bioethics
  • Healthcare Professional Development

Background:

  • Ethical competencies in nursing require both theoretical knowledge and practical application.
  • Discrepancies between theoretical learning and practical experiences can lead to ethical conflicts for nursing students.
  • Reflective learning provides a platform for discussing ethical values and resolving conflicts among nursing students.

Purpose of the Study:

  • To identify ethical conflicts experienced by nursing students during clinical placements.
  • To determine the coping strategies employed by nursing students when facing ethical dilemmas.

Main Methods:

  • A qualitative study employing content analysis based on the Elo and KyngÄS framework.
  • Analysis of 134 ethical reflections from final-year nursing students during clinical practice.
  • Inductive content analysis method used by the research team.

Main Results:

  • Ethical reflections revealed three main categories: evaluation of professional performance/patient care, the student as the protagonist of the dilemma, and student coping mechanisms.
  • Dilemmas and concerns were linked to lack of knowledge, communication issues, errors, and self-confidence.
  • Conflicts arose concerning patient autonomy and rights, leading to stressful situations for patients due to unchangeable hospital routines and passive roles in asymmetric staff relationships.

Conclusions:

  • Ethical problems identified by students primarily originate from the professional-patient relationship, encompassing issues like delivering bad news, errors, or malpractice.
  • Engaging in reflection on ethical values in both academic and clinical settings fosters greater ethical awareness in nursing students.
  • Enhanced ethical awareness improves nursing students' decision-making capabilities when confronted with ethical dilemmas.