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Related Concept Videos

Ethical Issues01:27

Ethical Issues

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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:
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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.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
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Nursing Ethical Principles II01:27

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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.
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.
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Professional Values01:29

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Nurses are responsible for caring for patients during birth, death, illness, and healing. Professional values guide the decisions and actions that nurses make in their careers. If nurses know the decisions and actions to take, providing patients with exceptional care is possible.
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Obedience01:08

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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,...
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Nursing Code of Ethics01:29

Nursing Code of Ethics

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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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How Do Nursing Students Perceive Moral Distress? An Interpretative Phenomenological Study.

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Nursing students often experience moral distress during end-of-life care for cancer patients. Poor communication and unmet patient needs are key contributing factors to this distress.

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Area of Science:

  • Nursing Education
  • Palliative Care
  • Bioethics

Background:

  • Prolonged exposure to terminally ill patients intensifies moral distress for nurses and students.
  • Moral distress is a significant concern in end-of-life care settings.
  • Understanding student experiences is crucial for developing supportive interventions.

Purpose of the Study:

  • To analyze moral distress episodes in nursing students during end-of-life care.
  • To explore the specific context of onco-hematologic patients in hospital settings.
  • To identify themes related to moral distress in this population.

Main Methods:

  • Interpretative paradigm with a hermeneutic phenomenological approach.
  • Data analysis guided by Interpretative Phenomenological Analysis principles.
  • Inclusion of seventeen nursing students as participants.

Main Results:

  • Eight key themes emerged: causes, exacerbating factors, emotions, consultation, coping strategies, recovery, end-of-life accompaniment, and curriculum influences.
  • Identified triggers include communication breakdowns and unmet patient needs.
  • Students reported significant emotional responses to morally distressing events.

Conclusions:

  • Moral distress in nursing students is linked to communication failures and inability to meet patient wishes.
  • The onco-hematologic setting is a frequent site for student moral distress.
  • Further research is needed to quantify moral distress in nursing students.