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Global Nurse Involvement in ethical decision-making during pandemics: a concept analysis
Eman Alshawish1, Julie Benbenishty2
1Assistant Professor, Faculty of Medicine and Health Sciences, An-Najah National University Palestine, Nabulus, Palestine.
Journal of Research in Nursing : JRN
|May 8, 2023
Summary
Nurses must be involved in ethical decision-making during pandemics to advocate for patients. Understanding nurse involvement in ethical dilemmas during COVID-19 is vital for preparedness and well-being.
Area of Science:
- Nursing Ethics
- Pandemic Preparedness
- Healthcare Decision-Making
Background:
- Pandemics present significant ethical challenges.
- Nurse involvement in ethical decision-making is crucial for patient advocacy.
- Understanding nurse participation in ethical dilemmas during COVID-19 is essential.
Purpose of the Study:
- To identify nurse involvement in ethical decision-making during pandemics through concept analysis.
Main Methods:
- Literature search across major bibliographic databases (PubMed, Google Scholar, EMBASE, Science Direct).
- Included analysis of 20 papers from PubMed, 8120 from Google Scholar, 25 from EMBASE, and 246 from Science Direct.
- Supplemented with hand searches for comprehensive data collection.
Main Results:
- Nurse involvement in pandemic ethics encompasses physical/emotional stress, communication barriers, resource scarcity, and allocation dilemmas.
- Ethical issues include research equipoise, triage decisions, patient-family relationships, and end-of-life care.
- Specific challenges arose in labor and delivery settings.
Conclusions:
- A framework for nurse involvement in ethical policy development is needed for emergencies and pandemics.
- This framework should cover education, preparedness, and decision-making processes.
- Establishing such a framework is vital for sustaining nurse well-being and competency during public health crises.
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